<table class='tabel' width='90%'>

<tr class="form">
<td align="center" colspan="9">
<big><big><span style="font-weight: bold;">
DATA REGISTER PASIEN <br>
2022-09-01 s/d 30-09-2022<br>
</span></big></big>
</td>
</tr>
</table>
5424<table align="center" width="98%" border="1">
<tr class="row1">
<td>No</td>
<td>Ruangan</td>
<td width='6%'>Tanggal</td>
<td>Khusus</td>
<td>Nama</td>
<td>No RM</td>
<td>RM Lama</td>
<td>No BPJS</td>
<td>No KTP</td>
<td>No KK</td>
<td>Suami/ Istri/ Penanggungjawab</td>
<td>No HP</td>
<td>L/P</td>
<td >Tanggal_Lahir</td>
<td width='6%'>Umur</td>
<td>Alamat</td>
<td>Desa</td>
<td>Kecamatan</td>
<td>Kabupaten</td>
<td>Provinsi</td>
<td>Pekerjaan</td>

<td>Kunjungan</td>
<td>Kode Kunjungan</td>
<td>Keluhan</td>
<td>Terapi</td>
<td>Tensi</td>
<td>Nadi</td>
<td>Suhu</td>
<td>Pernapasan</td>
<td>Tinggi</td>
<td>Berat</td>
<td>Lingkar Perut</td>
<td>Faskes</td>
<td>Kasus</td>
<td colspan='6'>Diagnosa</td>
<td>Petugas</td>
<td width='20%'>Tindakan</td>
</tr>
<tr align='left' valign="top">
<td>1</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BINTI ROIKAH</td>
<td>`013069</td>
 <td>04/9056</td>
<td>`0002860464205</td>
<td>`3503125204870005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-04-1987</td>
<td>35 Th</td>
<td>RT 01 RW 01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>121/78</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ELFRIDA ARAWINDA AHMAD</td>
<td>`013072</td>
<td></td>
<td>`0002483493783</td>
<td>`3503055508180001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-08-2018</td>
<td>4 Th</td>
<td>RT RW </td>
 <td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>112/66</td>
<td>88</td>
<td>36</td>
<td>84</td>
<td>156</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANISA MEI NURSAFITRI</td>
<td>`013074</td>
<td></td>
<td>`0000665340377</td>
<td>`3503066505990001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1999</td>
<td>23 Th</td>
<td>KRAJAN, RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>130/67</td>
 <td>88</td>
<td>37</td>
<td>20</td>
<td>166</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DEWI FATIMAH</td>
<td>`006511</td>
<td></td>
<td>`0002802761965</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-04-1997</td>
<td>25 Th</td>
<td>RT. 6 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>124/87</td>
<td>88</td>
<td>37</td>
<td>18</td>
<td>156</td>
<td>57</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>5</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ABIL SHIDIQ ARSALAN</td>
<td>`003662</td>
<td>04/6898</td>
<td>`0002936499636</td>
<td>`3503050506200001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-06-2020</td>
<td>2 Th</td>
<td>RT 06 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>6</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUNIKA DEWI FATIMAH</td>
<td>`005757</td>
<td></td>
<td>`0000665582229</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-07-1996</td>
<td>26 Th</td>
<td>RT. 5 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>122/68</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>7</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMMAD HIZAM OKTAFIANTO</td>
<td>`001297</td>
<td>01/7612</td>
 <td>`0002293424605</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-10-2017</td>
<td>4 Th</td>
<td>RT 07 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>100/56</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>8</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ELIZA AYU TIFANY MAHREEN</td>
<td>`011216</td>
<td></td>
<td>`0003065780327</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-01-2021</td>
<td>1 Th</td>
<td>RT. 5 RW. 2</td>
<td>NGEPEH</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>123/65</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>9</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ERLINA LILIS SETYAWATI</td>
<td>`002576</td>
<td></td>
<td>`0002867872353</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-05-1991</td>
<td>31 Th</td>
<td>RT 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>122/77</td>
<td>80</td>
 <td>37</td>
<td>20</td>
<td>154</td>
<td>5</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>10</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>INDAH DWI ANGGRAINI</td>
<td>`010601</td>
<td>04/5938</td>
<td>`0000666104488</td>
<td>`3503054107980001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1998</td>
<td>24 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>143/86</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>159</td>
<td>61</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>11</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LIUNSIN DYAH LALA</td>
<td>`004665</td>
<td></td>
<td>`0002681697137</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-09-2000</td>
<td>22 Th</td>
<td>RT 01 RW 01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>132/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>12</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ADRIAN PRADIPTA AMZARI</td>
<td>`010139</td>
<td>04/1521</td>
<td>`0003067810931</td>
<td>`3503052305170001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-05-2017</td>
<td>5 Th</td>
<td>RT 006 RW 002</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/78</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>58</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>13</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ADRI`ATUL MUTI`AH</td>
<td>`003875</td>
<td>04/1521</td>
<td>`0002802770471</td>
 <td>`3503054201980001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-01-1998</td>
<td>24 Th</td>
<td>RT 6 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>127/75</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>14</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TITIN RETNO WAHYUNINGSIH</td>
<td>`013088</td>
<td></td>
<td>`0001037015954</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-06-1995</td>
<td>27 Th</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>123/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>176</td>
<td>68</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>15</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AQILA AZZAHRA QALESYARAHMAN</td>
<td>`002807</td>
<td>04/45</td>
<td>`0002437662306</td>
<td>`3503054503180001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-03-2018</td>
<td>4 Th</td>
<td>RT 5 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>123/65</td>
<td>80</td>
<td>37</td>
 <td>20</td>
<td>166</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>16</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PUJI LESTARI</td>
<td>`002137</td>
<td></td>
<td>`0000665097412</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-03-1990</td>
<td>32 Th</td>
<td>KRAJAN, RT : 3,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>120/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>17</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RITA DYAH SETYO UTAMI</td>
<td>`000405</td>
<td>04/5800</td>
<td>`0001161623711</td>
<td>`3503056702800003</td>
<td>`41571</td>
<td></td>
<td></td>
<td>P</td>
<td>27-02-1980</td>
<td>42 Th</td>
<td>KRAJAN, RT : 004,RW :002 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>KARYAWAN SWASTA</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>123/88</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>67</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>18</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RUSMINIATI</td>
<td>`006995</td>
<td>04/5858</td>
<td>`0000665912474</td>
<td>`3503054507850001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-07-1985</td>
<td>37 Th</td>
<td>KRAJAN, RT : 3,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>140/89</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>168</td>
<td>67</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>19</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AHMAD INDRA NURCAHYA</td>
<td>`009410</td>
<td>04/5858</td>
<td>`0002419710298</td>
<td>`3503051401180002</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-01-2018</td>
<td>4 Th</td>
<td>RT003/01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>143/67</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>56</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>20</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARIK SUSANTI</td>
<td>`005384</td>
<td></td>
<td>`0002802757509</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-11-1989</td>
<td>32 Th</td>
<td>RT. 6 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>112/56</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>55</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>21</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NURSEHA ROZABI ZAIM</td>
<td>`013091</td>
<td></td>
<td>`0003067902966</td>
<td>`3503050804160001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-04-2016</td>
<td>6 Th</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>109/66</td>
<td>80</td>
<td>37</td>
<td>20</td>
 <td>156</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>22</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LILIK WIDAYATI</td>
<td>`002128</td>
<td></td>
<td>`0000665903878</td>
<td>` 3503054811710001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-11-1971</td>
<td>50 Th</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>134/87</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>23</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI MUAWANAH</td>
<td>`000270</td>
<td>04/1959</td>
<td>`0002802756565</td>
<td>`3503055311810003</td>
<td>`44486</td>
<td></td>
<td></td>
<td>P</td>
<td>13-11-1981</td>
<td>40 Th</td>
<td>KRAJAN, RT : 006,RW :002 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>123/56</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>66</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>24</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NURUL HILALIYAH</td>
<td>`005319</td>
<td></td>
<td>`0000665769464</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-05-1993</td>
<td>29 Th</td>
<td>RT 5 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>115/67</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>25</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IRZA RASYA ABQARI</td>
<td>`007009</td>
<td></td>
<td>`0002467702732</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>26-06-2018</td>
<td>4 Th</td>
<td>RT 5 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/78</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>58</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>26</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARWANUDDIN</td>
<td>`012335</td>
<td>04/1959</td>
<td>`0002865185414</td>
<td>`3503051206700005</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-06-1970</td>
<td>52 Th</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>122/67</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>27</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMMAD RIZQI FADILAH</td>
<td>`008319</td>
<td>04/1959</td>
<td>`0003067669495</td>
<td>`3503051209130002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-2013</td>
<td>9 Th</td>
<td>RT 06 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>122/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>167</td>
 <td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>28</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KAWURTI</td>
<td>`011573</td>
<td></td>
<td>`0001036997447</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-05-1936</td>
<td>86 Th</td>
<td>RTR 006 RW 003</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>108/89</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>29</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ATHALLAH CHERRYO RAMADHAN</td>
<td>`014936</td>
<td></td>
<td>`0003255753475</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-05-2019</td>
<td>3 Th</td>
<td>RT. 4 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>132/67</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>30</td>
 <td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BAYI NYONYA MURISAH</td>
<td>`012343</td>
<td>04/2049</td>
<td>`0003129948088</td>
<td>`3503052205080005</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-01-2022</td>
<td>0 Th</td>
<td>RT 06 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>143/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>31</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MURISAH</td>
<td>`006425</td>
<td>04/2049</td>
<td>`0003067893461</td>
<td>`3503055809770002</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>18-09-1977</td>
<td>45 Th</td>
<td>RT 6 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>100/65</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>32</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RESTI EKA MULYANI</td>
<td>`014935</td>
<td></td>
<td>`0002210522602</td>
<td>`3503116001910001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-01-1991</td>
<td>31 Th</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
 <td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>122/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>33</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NARENDRA RAFKA ADHITAMA</td>
<td>`014934</td>
<td></td>
<td>`0002913376667</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-05-2017</td>
<td>5 Th</td>
<td>RT. 6 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/77</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>54</td>
 <td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>34</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>NAUFAL ALIF FIKRIA</td>
<td>`006360</td>
<td>04/2023</td>
<td>`0002214124029</td>
<td>`3503052103160002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-03-2016</td>
<td>6 Th</td>
<td>RT 11 RW 04</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000077</td>
<td>PANAS BATUK PILEKK BADAN NYERI</td>
<td>AMOK PAMOL CTM GG ANTASIDA</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>38</td>
<td>30</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
 <td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>35</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>KASRIATI</td>
<td>`002653</td>
<td>01/182</td>
<td>`0001037001341</td>
<td>`3503054107600002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1960</td>
<td>62 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000044</td>
<td>KONTROL TENSI PUSING </td>
<td>AMLODIPIN 10MGSIMVASTATIN BC PAMOL PREDNISON</td>
<td>152/74</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>64</td>
<td>99</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>36</td>
<td>POLI LANSIA</td>
 <td>01-09-2022</td>
<td></td>
<td>PANITO</td>
<td>`000734</td>
<td>01/182</td>
<td>`0001037001339</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1953</td>
<td>69 Th</td>
<td>RT 05 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922P000002</td>
<td>RUJUKAN</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>52</td>
<td>88</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>N40</td>
<td>
Hyperplasia of prostate </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>37</td>
<td>POLI KIA</td>
<td>01-09-2022</td>
<td></td>
<td>ANNISA DESDARIANITA</td>
<td>`004145</td>
<td>06/8932</td>
<td>`0002876228515</td>
<td>`3503055412040002</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>14-12-2004</td>
<td>17 Th</td>
<td>RT 05 RW 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922P000001</td>
<td>kontrol poli kandungan</td>
<td>-</td>
<td>120/72</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>52</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>C56</td>
<td>
Malignant neoplasm of ovary </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>38</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>PURNIATI</td>
<td>`020745</td>
<td>02/514</td>
<td>`0000666114243</td>
<td>`3503055104690003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-04-1969</td>
<td>53 Th</td>
<td>ETAN KALI, RT : 20,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
 <td>131506010922Y000015</td>
<td>BATUK, SESAK</td>
<td>SALBUTAMOL 3X1
AMBROXOL 3X1
DEXA 2X1</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>26</td>
<td>150</td>
<td>40</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pel. Penguapan saluran nafas<br> </td>
</tr>
<tr align='left' valign="top">
<td>39</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>SURYATININGRUM</td>
<td>`003327</td>
<td>90/1353</td>
<td>`0000106632314</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-09-1981</td>
<td>41 Th</td>
<td>RT 23 RW 10</td>
<td>NGULANWETAN</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y000062</td>
<td>LINU2</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
 <td>65</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>40</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>ANIK WAHYU WIDYASTUTI</td>
<td>`006702</td>
<td>05/4471</td>
<td>`0000106523447</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-03-1965</td>
<td>57 Th</td>
<td>RT 11 RW 06</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y000066</td>
<td>KEJU LINU</td>
<td>SIMVASTATIN ,BC,IBUPROFEN,PAMOL,DEXA</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>151</td>
<td>65</td>
<td>99</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>41</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>ALPIAH</td>
<td>`002697</td>
<td>02/604</td>
<td>`0000106523368</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-08-1966</td>
<td>56 Th</td>
<td>RT 8 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y000046</td>
<td>PUSING BERPUTAR</td>
<td>BETAHISTIN DOMPERIDON PAMOL ANTASIDA</td>
<td>120/75</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>57</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H81.3</td>
<td>
Other peripheral vertigo </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>42</td>
 <td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>SAMSUL HADI</td>
<td>`020746</td>
<td>02/5355</td>
<td>`</td>
<td>`3503101505840003</td>
<td>`19826</td>
<td></td>
<td></td>
<td>L</td>
<td>15-05-1984</td>
<td>38 Th</td>
<td>DSN GEBANG DS MELIS GANDUSARI TGALEK, RT : 20,RW :9 </td>
<td>MELIS</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>batuk piulek pusing</td>
<td>cipro pamol ctm pamol gg dexa</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>56</td>
<td>50</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>43</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>BAGAS INDRA KURNIAWAN</td>
<td>`009150</td>
<td>02/3410</td>
<td>`0001390644459</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>13-05-2013</td>
<td>9 Th</td>
<td>RT 019 RW 005</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000045</td>
<td>PANAS BATUK PILEK</td>
<td>AMOK PAMOL GG CTM DEKSA</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>30</td>
<td>30</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>44</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>JEMANI</td>
<td>`000574</td>
<td>01/614</td>
<td>`0000665547546</td>
<td>`3503050506650002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-06-1965</td>
<td>57 Th</td>
<td>DUSUN KEBON, RT : 34,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
 <td>Lama</td>
<td>131506010922Y000076</td>
<td>KONTROL DM</td>
<td>METFORMIN ASPILET LORATADIN BC GENTA ZALF PAMOL</td>
<td>116/67</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>64</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>45</td>
<td>POLI REMAJA</td>
<td>01-09-2022</td>
<td></td>
<td>SILVIA PUTRI HANDAYANI</td>
<td>`011609</td>
<td>02/4573</td>
<td>`0001707022258</td>
<td>`3503055401080001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-01-2008</td>
<td>14 Th</td>
<td>ETAN KALI, RT : 20,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000078</td>
<td>PANAS DINGIN PUSING MUAL MUNTAH</td>
<td>ANTASIDA RANITIDIN PAMOL DOMPERIDON</td>
<td>106/59</td>
<td>116</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
 <td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>46</td>
<td>POLI GIGI</td>
<td>01-09-2022</td>
<td></td>
<td>WAHYU ANDIKA PRATAMA</td>
<td>`020747</td>
<td>06/5839A</td>
<td>`</td>
<td>`3503051402080001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-02-2008</td>
<td>14 Th</td>
<td>PRAMBON, RT : 30,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>gigi geraham bawag kiri berlubang</td>
<td>devital TS</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K04.0</td>
<td>
Pulpitis </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Tambal gigi sementara per gigi<br>Konsultasi<br>
</td>
</tr>
<tr align='left' valign="top">
<td>47</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>EDY PURWITO</td>
<td>`020604</td>
<td>01/2751</td>
<td>`0001978455958</td>
<td>`3503051410710005</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-10-1971</td>
<td>50 Th</td>
<td>DUSUN KEBONSARI, RT : 32,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000075</td>
<td>KONTROL TELINGA BERDENGUNG</td>
<td>CIPRO DEXA PAMOL</td>
<td>146/89</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>67</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H66.0</td>
<td>
Acute suppurative otitis media </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>48</td>
 <td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>SUTARMI</td>
<td>`011676</td>
<td>02/880</td>
<td>`0000665581432</td>
<td>`3503057112530029</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1953</td>
<td>68 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000043</td>
<td>CEK GULA PUASAKAKI KEJU </td>
<td>GLIBEN,METFORMIN,BC</td>
<td>101/60</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>145</td>
<td>43</td>
<td>64</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>49</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>SUPINI</td>
<td>`000606</td>
<td>02/647</td>
<td>`0003108032302</td>
<td>`3503054107580022</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>01-07-1958</td>
<td>64 Th</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000041</td>
<td>KONTROL OBAT DM HT,BATUK KADANG NYERI LUTUT</td>
<td>ASMEF GLIMEPIRID GG AMLODIPIN10MG BC SIMVASTATIN</td>
<td>150/51</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>88</td>
<td>108</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>50</td>
<td>POLI KIA</td>
<td>01-09-2022</td>
<td></td>
<td>LIYA SANIYATUL ADYAN</td>
<td>`006818</td>
<td>04/4147</td>
<td>`0003080443048</td>
<td>`3503055401950001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-01-1995</td>
<td>27 Th</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
 <td>Lama</td>
<td></td>
<td>TAA</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>51</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>AISYAH AILA MARITZA</td>
<td>`019567</td>
<td>04/4147</td>
<td>`0003080443162</td>
<td>`3503056603160001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-03-2016</td>
<td>6 Th</td>
<td>RT 26 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000073</td>
<td>PANAS BATUK PILEK</td>
<td>PAMOL CTM GG DEXA</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>18</td>
 <td>15</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>52</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>MAMIK</td>
<td>`020897</td>
<td></td>
<td>`0002867872623</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-08-1947</td>
<td>75 Th</td>
<td>NGLEGOK 9/4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000175</td>
<td>pusing, sebah</td>
<td>amlodipin, pamol, antasid</td>
<td>146/84</td>
<td>74</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>R51</td>
<td>
Headache </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
 <td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>53</td>
<td>POLI KIA</td>
<td>01-09-2022</td>
<td></td>
<td>WIWIK YANTI</td>
<td>`006748</td>
<td>04/5601</td>
<td>`0000666107493</td>
<td>`3503034407890001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-07-1989</td>
<td>33 Th</td>
<td>RT 22 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>KDG PUSING</td>
<td>-</td>
<td>120/87</td>
<td>87</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>48</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>54</td>
<td>POLI UMUM</td>
 <td>01-09-2022</td>
<td></td>
<td>JAMIATI</td>
<td>`020748</td>
<td>02/1359</td>
<td>`0000665911181</td>
<td>`3503057011670002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-11-1967</td>
<td>54 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td>131506010922Y000096</td>
<td>gringgingen tangan linu2</td>
<td>aspilet nadic bc</td>
<td>130/79</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>70</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>55</td>
<td>POLI REMAJA</td>
<td>01-09-2022</td>
<td></td>
<td>RHEVANI HARDYAN CANDRA</td>
<td>`020749</td>
<td>02/1359</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>11-10-2005</td>
<td>16 Th</td>
<td>RT 24 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS PUSINGN NYERI TELAN</td>
<td>AMOK IBUPROFEN DEXA VIT C</td>
<td>131/67</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>53</td>
<td>50</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>H92.0</td>
<td>
Otalgia </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>56</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>SITI FATONAH</td>
<td>`002939</td>
<td></td>
<td>`0000665920541</td>
<td>`3503055206670002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-06-1967</td>
<td>55 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
 <td>131506010922Y001240</td>
<td>kontrol gatal</td>
<td>amox, miconazol salep, ctm, dexa</td>
<td>129/56</td>
<td>84</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L23.9</td>
<td>
Allergic contact dermatitis, unspecified cause </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>57</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>SUTINAH</td>
<td>`002894</td>
<td></td>
<td>`0000666050613</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-03-1978</td>
<td>44 Th</td>
<td>RT 11 RW 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001241</td>
<td>pusing</td>
<td>fe, amlodipin, pamol</td>
<td>158/86</td>
<td>94</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>53</td>
<td>80</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>58</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>SULASIH</td>
<td>`010747</td>
<td>04/1445</td>
<td>`0000665114049</td>
<td>`3503055703730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-03-1973</td>
<td>49 Th</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000074</td>
<td>NUYERI BAHU KANAN</td>
<td>AMLO ANTASIDA OMZ PAMOL DOMPERIDON</td>
<td>161/103</td>
<td>101</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>73</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
 </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>59</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>JAINI</td>
<td>`004515</td>
<td></td>
<td>`0000666232795</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-09-1966</td>
<td>56 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001243</td>
<td>kolesterol tinggi</td>
<td>simvastatin, nadik</td>
<td>200/109</td>
<td>110</td>
<td>35</td>
<td>20</td>
<td>165</td>
<td>64</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>60</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
 <td></td>
<td>LILIS SURYANI</td>
<td>`015412</td>
<td>04/1658</td>
<td>`0000106882705</td>
<td>`3503055610730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-10-1973</td>
<td>48 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000072</td>
<td>PILEK HIDUNG TERSUMBAT</td>
<td>PAMOL CTM GG VIT C</td>
<td>108/79</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>69</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>61</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>NUR IKA PUJI LESTARI</td>
<td>`011163</td>
<td></td>
<td>`0000665736401</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>27-02-1993</td>
<td>29 Th</td>
<td>RT 20 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001244</td>
<td>flu, demam, pusing</td>
<td>pamol, ctm, vit c</td>
<td>125/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>64</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>62</td>
<td>POLINDES WINONG</td>
<td>01-09-2022</td>
<td></td>
<td>ANIS MUHIBATUN NISAK</td>
<td>`002914</td>
<td>08/5360</td>
<td>`0000666143436</td>
<td>`3503056605830004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-05-1983</td>
<td>39 Th</td>
<td>DUSUN TLOGOREJO, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001794</td>
 <td>taa</td>
<td>pil kb</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>155</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.0</td>
<td>
General counselling and advice on contraception </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>63</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>MEI DWI RAHAYU</td>
<td>`020641</td>
<td>02/3930</td>
<td>`0000106589046</td>
<td>`3503055905930002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-05-1993</td>
<td>29 Th</td>
<td>DUSUN KRAJAN, RT : 13,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000047</td>
<td>KONTROL LUKA</td>
<td>CIPRO ASMEF DEKSA RAWAT LUKA</td>
<td>134/79</td>
<td>70</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>79</td>
<td>70</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>64</td>
<td>POLINDES WINONG</td>
<td>01-09-2022</td>
<td></td>
<td>SUPRIHATIN</td>
<td>`002923</td>
<td></td>
<td>`0001978468299</td>
<td>`3503056506870002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-06-1987</td>
<td>35 Th</td>
<td>DUSUN TLOGOREJO, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001797</td>
<td>taa</td>
<td>pil kb</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>158</td>
<td>45</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.0</td>
<td>
General counselling and advice on contraception </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>65</td>
<td>POLI REMAJA</td>
<td>01-09-2022</td>
<td></td>
<td>IBNU RIFAN S.R</td>
<td>`019776</td>
<td>08/5177</td>
<td>`0000666136517</td>
<td>`3503111206080003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-06-2008</td>
<td>14 Th</td>
<td>DUSUN BENGGLE, RT : 11,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000048</td>
<td>PUSING PANAS BATUK</td>
<td>PAMOL GG DEXA VIT C</td>
<td>92/57</td>
<td>111</td>
<td>36</td>
<td>20</td>
<td>135</td>
<td>35</td>
<td>35</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>66</td>
<td>POLI REMAJA</td>
<td>01-09-2022</td>
<td></td>
 <td>KRISNA NAUFAL SYAIQHU R</td>
<td>`020750</td>
<td>08/5177</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-04-2010</td>
<td>12 Th</td>
<td>RT 11 RW 04</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>PANAS PUSING BATUK </td>
<td>PAMOL CTM GG</td>
<td>102/58</td>
<td>106</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>45</td>
<td>40</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>67</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>MINARSIH</td>
<td>`016527</td>
<td></td>
<td>`0000665853006</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-08-1976</td>
 <td>46 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>135/86</td>
<td>87</td>
<td>35</td>
<td>19</td>
<td>156</td>
<td>43</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>68</td>
<td>POLI GIGI</td>
<td>01-09-2022</td>
<td></td>
<td>TJIPTANINGSIH</td>
<td>`008184</td>
<td>01/2209</td>
<td>`0002325696941</td>
<td>`3503056103550001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-03-1955</td>
<td>67 Th</td>
<td>RT 5 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000049</td>
<td>gigi geraham atas kiri goyang derajat 2</td>
 <td>konsultasi dan medikasi</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>69</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>TRI WAHYUNI</td>
<td>`014427</td>
<td>04/6170</td>
<td>`0000666159715</td>
<td>`3503054807970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-1997</td>
<td>25 Th</td>
<td>NGLEGOK, RT : 11,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>120/75</td>
<td>79</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>71</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>70</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>EDI SUNARYO</td>
<td>`017199</td>
<td></td>
<td>`0000666159941</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-04-2000</td>
<td>22 Th</td>
<td>RT 9 RW 8 NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>116/76</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>169</td>
<td>1</td>
<td>72</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>71</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>MUHNI</td>
<td>`008406</td>
<td>04/5669</td>
<td>`0000665546771</td>
<td>`3503051208470001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-08-1947</td>
<td>75 Th</td>
<td>NGLEGOK, RT : 10,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000038</td>
<td>BATUK SESAK BENJOLAN DILEHER BADAN LINU </td>
<td>SALBU,GG,BC,AMLODIPIN 10MG,ASPILET ,AMOX,IBUPROFEN</td>
<td>150/60</td>
<td>69</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>48</td>
<td>68</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>72</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>MUGONO</td>
 <td>`017198</td>
<td></td>
<td>`0001978432389</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1954</td>
<td>68 Th</td>
<td>GERBO RT 15 RW 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>143/89</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>176</td>
<td>68</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>73</td>
<td>POLI REMAJA</td>
<td>01-09-2022</td>
<td></td>
<td>JESSICA FITRIA SARI</td>
<td>`009601</td>
<td>04/5425</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-07-2008</td>
<td>14 Th</td>
 <td>RT 002 RW 001</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PUSING PILEK LEMAS</td>
<td>AMOK PAMOL CTM DEKSA VIT C</td>
<td>117/68</td>
<td>109</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>74</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>TUKIMIN</td>
<td>`002134</td>
<td>04/5965A</td>
<td>`0002623970136</td>
<td>`3503055008550003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-08-1955</td>
<td>67 Th</td>
<td>DUSUN PONGGOK, RT : 21,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
 <td>149/79</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>168</td>
<td>68</td>
<td>71</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>75</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>ARIF NUR ALAMSHAH</td>
<td>`005146</td>
<td>90/2606</td>
<td>`0001702575213</td>
<td>`3503062103020001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>21-03-2002</td>
<td>20 Th</td>
<td>DUSUN BURET, RT : 16,RW :6 </td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922P000006</td>
<td>NDREDEK</td>
<td>RUJUKAN</td>
<td>133/53</td>
<td>83</td>
<td>36</td>
<td>20</td>
<td>166</td>
<td>55</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>I49.9</td>
<td>
Cardiac arrhythmia, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>76</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>MUJALAL</td>
<td>`000716</td>
<td>01/2642</td>
<td>`0000665546308</td>
<td>`3503051004500002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-04-1950</td>
<td>72 Th</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000042</td>
<td>nyeri punggung,batuk,dahak</td>
<td>bc,amlodipin 5,amox,simvastatin,nadic,</td>
<td>130/70</td>
<td>87</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>40</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>77</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>YUNI PURWATI</td>
<td>`018507</td>
<td>02/2309A</td>
<td>`0000666150467</td>
<td>`3503055406960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-06-1996</td>
<td>26 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000071</td>
<td>KONTROL POST OPNAME BATUK LEMAS</td>
<td>CIPRO CTM GG DEXA VIT C</td>
<td>106/69</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>44</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>78</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>SUPARNO</td>
 <td>`000045</td>
<td>02/4319</td>
<td>`0001978459997</td>
<td>`3503052304480001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-04-1948</td>
<td>74 Th</td>
<td>RT 05 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000050</td>
<td>CEK GULA PUASA TANGAN KIRIGEMETAR </td>
<td>AMLODIPIN 10MG ETFORMIN ,GLIMEPIRID,ASPILET</td>
<td>142/72</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>48</td>
<td>68</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>79</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>ALI MUSTOFA</td>
<td>`003710</td>
<td></td>
<td>`0000665366411</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-05-1995</td>
<td>27 Th</td>
 <td>RT 15 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/80</td>
<td>78</td>
<td>35</td>
<td>20</td>
<td>175</td>
<td>65</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>80</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>EKA WIDIAWATI</td>
<td>`005322</td>
<td></td>
<td>`0001036998437</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-01-1991</td>
<td>31 Th</td>
<td>RT 15 RW 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
 <td>110/79</td>
<td>88</td>
<td>36</td>
<td>19</td>
<td>158</td>
<td>65</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>81</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>ENDANG RAHAYUNINGSIH</td>
<td>`015763</td>
<td></td>
<td>`0000665960613</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-06-1994</td>
<td>28 Th</td>
<td>RT. 18 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/76</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>82</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>SUPARMI</td>
<td>`001006</td>
<td>02/3966</td>
<td>`0000666056889</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-10-1960</td>
<td>61 Th</td>
<td>RT 13 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000040</td>
<td>kontrol tensi</td>
<td>hct,amlodipin,metformin,bc</td>
<td>172/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>43</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>83</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>TIANA DWI ARISANTI</td>
<td>`017200</td>
<td></td>
<td>`0000665915196</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-04-1998</td>
<td>24 Th</td>
<td>RT 12 RW 05 GERBO</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/76</td>
<td>69</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>42</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>84</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>YATI</td>
<td>`017201</td>
 <td></td>
<td>`0000666869747</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-11-1970</td>
<td>51 Th</td>
<td>RT 19 RW 8 NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>143/89</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>85</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>SUNARTI</td>
<td>`017202</td>
<td></td>
<td>`0000666097457</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-02-1980</td>
<td>42 Th</td>
<td>RT 12 RW 5 GERBO</td>
 <td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/90</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>86</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>BINTI SULISIYAH</td>
<td>`020751</td>
<td>02/3966</td>
<td>`0000666057508</td>
<td>`3503056606840002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-06-1984</td>
<td>38 Th</td>
<td>DUSUN KRAJAN, RT : 13,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td>131506010922Y000069</td>
<td>NYERI PAYUDARA KIRI MENYUSUSI</td>
<td>AMOK PAMOL DEKSA</td>
<td>116/62</td>
 <td>101</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>62</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>O91.2</td>
<td>
Nonpurulent mastitis associated with childbirth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>87</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>MARTIN</td>
<td>`017203</td>
<td></td>
<td>`0000665637434</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-08-1968</td>
<td>54 Th</td>
<td>RT 17 RW 7 NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>155/89</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>61</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>88</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>MOBIN</td>
<td>`014377</td>
<td></td>
<td>`0000666148037</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-08-1945</td>
<td>77 Th</td>
<td>RT. 5 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>155/80</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>167</td>
<td>61</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>89</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>MUTINI</td>
<td>`017204</td>
<td></td>
<td>`0000666148329</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-06-1948</td>
<td>74 Th</td>
<td>RT 5 RW 2 KRAJAN</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>156/88</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>154</td>
<td>51</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>90</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>PRIHATIN</td>
<td>`000004</td>
<td>02/19</td>
 <td>`0000077091478</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-05-1954</td>
<td>68 Th</td>
<td>RT 08 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922P000003</td>
<td>prb</td>
<td>irbesartan 150 1x1 23 biji
kalk 1x1 15 biji
b1 1x1 23 biji</td>
<td>121/65</td>
<td>98</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>53</td>
<td>85</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>I15.9</td>
<td>
Secondary hypertension, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>91</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>DIANI</td>
<td>`002375</td>
<td>04/4838</td>
<td>`0000666124435</td>
<td>`3503056505850004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1985</td>
<td>37 Th</td>
 <td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>128/98</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>158</td>
<td>60</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>92</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>SITI RUKANA</td>
<td>`003138</td>
<td>04/1848</td>
<td>`0001036998887</td>
<td>`3503054802850002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-02-1985</td>
<td>37 Th</td>
<td>DUSUN PONGGOK, RT : 23,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
 <td>133/98</td>
<td>78</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>93</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>SRI SUNARMI</td>
<td>`002127</td>
<td></td>
<td>`0000211014742</td>
<td>`3503054208730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-08-1973</td>
<td>49 Th</td>
<td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>137/96</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>52</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>94</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>JARWANTO</td>
<td>`017555</td>
<td></td>
<td>`0000665877227</td>
<td>`</td>
<td>`</td>
<td>jarwanto</td>
<td></td>
<td>L</td>
<td>09-07-1968</td>
<td>54 Th</td>
<td>RT 1RW 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>132/78</td>
<td>76</td>
<td>35</td>
<td>20</td>
<td>170</td>
<td>62</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>95</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>JAYUS</td>
<td>`017212</td>
<td></td>
<td>`0000665564679</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-07-1951</td>
<td>71 Th</td>
<td>RT 12 RW 5 GERBO</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/88</td>
<td>87</td>
<td>35</td>
<td>20</td>
<td>170</td>
<td>67</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>96</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>HILDA</td>
<td>`015582</td>
 <td></td>
<td>`0002043360044</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-12-1996</td>
<td>25 Th</td>
<td>RT. 10 RW. 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/76</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>97</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>LILIK AGUS SETIAWATI</td>
<td>`013118</td>
<td></td>
<td>`0000666140859</td>
<td>`3503054208930002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-08-1993</td>
<td>29 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
 <td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/70</td>
<td>77</td>
<td>35</td>
<td>19</td>
<td>159</td>
<td>65</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>98</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>SITI MUHIMATUL KASANAH</td>
<td>`018230</td>
<td></td>
<td>`0000665707432</td>
<td>`3503056404000003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-04-2000</td>
<td>22 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/78</td>
 <td>88</td>
<td>35</td>
<td>20</td>
<td>158</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>99</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>MESINI</td>
<td>`020752</td>
<td>06/7543</td>
<td>`</td>
<td>`3503054910750001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-10-1975</td>
<td>46 Th</td>
<td>DUSUN MLOKO, RT : 55,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>PERUT SEBAH PUSING</td>
<td>ANTASIDA OMZ PAMOL DOMPERIDON</td>
<td>129/78</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>59</td>
<td>50</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
 Gastritis, unspecified </td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>100</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>EVIYAH</td>
<td>`005314</td>
<td></td>
<td>`0000665715519</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1974</td>
<td>48 Th</td>
<td>RT 10 RW 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>45</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>101</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>BARMI</td>
<td>`015767</td>
<td></td>
<td>`0000666844661</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-08-1973</td>
<td>49 Th</td>
<td>RT. 18 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>130/70</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>102</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>KARTIWI</td>
<td>`006768</td>
<td>04/5350</td>
 <td>`0000666151907</td>
<td>`3503054402840004</td>
<td>`</td>
<td></td>
<td>082238965610</td>
<td>P</td>
<td>04-02-1984</td>
<td>38 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>52</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>103</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>KANAPI</td>
<td>`016103</td>
<td></td>
<td>`0000666383049</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-05-1975</td>
<td>47 Th</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>144/89</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>169</td>
<td>57</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>104</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>SRI WAHYUNI</td>
<td>`000371</td>
<td>04/1615</td>
<td>`0000666350752</td>
<td>`3503055402900005</td>
<td>`51357</td>
<td></td>
<td></td>
<td>P</td>
<td>14-02-1990</td>
<td>32 Th</td>
<td>DUSUN PONGGOK, RT : 020,RW :009 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>konseling</td>
<td>-</td>
<td>110/80</td>
<td>88</td>
 <td>35</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>105</td>
<td>POLI GIGI</td>
<td>01-09-2022</td>
<td></td>
<td>SULI ERMAWIYANTI</td>
<td>`011153</td>
<td>07/721</td>
<td>`0001309858503</td>
<td>`3503054208900002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-08-1990</td>
<td>32 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000051</td>
<td>gigi geraham atas kanan berlubang</td>
<td>konsultasi dan medikasi</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.0</td>
<td>
Pulpitis </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>106</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>ABDUL SYUKUR</td>
<td>`016121</td>
<td></td>
<td>`0001978432323</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-06-2001</td>
<td>21 Th</td>
<td>RT15 RW 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>120/80</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>107</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>KATINEM</td>
<td>`012625</td>
<td>02/4647</td>
<td>`</td>
<td>`3503055003490001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-03-1949</td>
<td>73 Th</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td></td>
<td>MUAL MRIANGBATUK NAFSU MAKAN BERKURANG</td>
<td>AMOX GG PAMOL RANITIDINMP</td>
<td>107/55</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>47</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>108</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>MUNAH</td>
<td>`000002</td>
<td>04/7421</td>
<td>`0000666094522</td>
 <td>`3503055310530001</td>
<td>`51353</td>
<td></td>
<td></td>
<td>P</td>
<td>13-10-1953</td>
<td>68 Th</td>
<td>DUSUN PONGGOK, RT : 020,RW :009 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PETANI/PEKEBUN</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>142/88</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>45</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>109</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>SUKRI</td>
<td>`016123</td>
<td></td>
<td>`0000666294287</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-10-1965</td>
<td>56 Th</td>
<td>RT 12 RW 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>134/78</td>
<td>78</td>
<td>35</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>110</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>FIFIN EKO SRI SUNARTI</td>
<td>`020753</td>
<td>02/9360</td>
<td>`</td>
<td>`3503055005640004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-05-1964</td>
<td>58 Th</td>
<td>RT 07 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Baru</td>
<td></td>
<td>GRMBREGES BATUK</td>
<td>CIPRO DEXA PAMOL GG</td>
<td>159/77</td>
<td>88</td>
<td>36</td>
 <td>20</td>
<td>155</td>
<td>59.6</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>111</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>MUHAMMAD YASIN</td>
<td>`020402</td>
<td>08/5190</td>
<td>`0000666153718</td>
<td>`3503050409040002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-09-2004</td>
<td>18 Th</td>
<td>DUSUN SELOMUNDING, RT : 4,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000061</td>
<td>KONTROL JAHITAN PADA KAKI</td>
<td>RAWAT LUKA</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>112</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>SITI NURKASANAH</td>
<td>`017859</td>
<td>01/4414</td>
<td>`0002735132422</td>
<td>`3503055402860004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-02-1986</td>
<td>36 Th</td>
<td>DUSUN KEBONSARI, RT : 31,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000070</td>
<td>TELINGA KANAN GEMBRUBUK</td>
<td>CIPRO DEXA</td>
<td>142/82</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>49</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H61.2</td>
<td>
Impacted cerumen </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>113</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>SUMIDI</td>
<td>`020445</td>
<td>06/7412</td>
<td>`0000665806509</td>
<td>`3503053105530001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-05-1953</td>
<td>69 Th</td>
<td>SOOKO, RT : 156,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000064</td>
<td>KONTROL TESI OBAT HABISGRINGGINGEN CENGENG </td>
<td>AMLODIPIN 10MG HCT ASPILET SIMVASTATIN BC </td>
<td>175/87</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>114</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>LILIK</td>
<td>`004899</td>
<td>06/5267</td>
<td>`0003079971033</td>
<td>`3503055008620003</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-08-1962</td>
<td>60 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922P000005</td>
<td>rujukan</td>
<td>-</td>
<td>158/78</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>40</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I15.9</td>
<td>
Secondary hypertension, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>115</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>TUMINI</td>
<td>`001690</td>
<td>02/2067</td>
<td>`0000665910033</td>
<td>`3503054701600002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-01-1960</td>
<td>62 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000039</td>
<td>kontrol</td>
<td>gg,obh,amox,asmef,prednison</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>59</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>116</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>SLAMET</td>
<td>`020754</td>
<td>06/3270</td>
<td>`3503050101620001</td>
<td>`3503050101620001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-01-1962</td>
<td>60 Th</td>
<td>PAKEL, RT : 40,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Baru</td>
<td></td>
<td>batuk,pilek,mriang,badan sakit semua</td>
<td>amlodipin,antasida,ciprofloxaxin,asmef,bc,obh.prednison</td>
<td>150/81</td>
<td>113</td>
<td>36</td>
<td>22</td>
 <td>158</td>
<td>59</td>
<td>89</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>117</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>FUJI ARIESTA</td>
<td>`018470</td>
<td>06/6319</td>
<td>`0000749755258</td>
<td>`3522187006880002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-06-1988</td>
<td>34 Th</td>
<td>TENGGAR, RT : 8,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td>gatal di telinga</td>
<td>ctm dexa</td>
<td>115/68</td>
<td>83</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>45</td>
<td>PURWOSARI</td>
<td>KASUS BARU</td>
<td>L50.9</td>
<td>
Urticaria, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>118</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>MUHAMMAD ARIF MAULLANA</td>
<td>`017982</td>
<td>06/6319</td>
<td>`0002591218798</td>
<td>`3503051912140001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-12-2014</td>
<td>7 Th</td>
<td>TENGGAR, RT : 8,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000067</td>
<td>PANAS BATUK PILEK</td>
<td>PAMOL CTM GG DEXA</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>20</td>
<td>20</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R50</td>
<td>
Fever of other and unknown origin </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>119</td>
<td>POLI GIGI</td>
<td>01-09-2022</td>
<td></td>
<td>VILA RIKE YULITA</td>
<td>`012629</td>
<td>90/897</td>
<td>`0002747667519</td>
<td>`3503065307970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-07-1997</td>
<td>25 Th</td>
<td>RT 06 RW 01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000052</td>
<td>gigi geraham bawah kanan berlubang</td>
<td>konsultasi</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>59</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>120</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>MUHAMMAD MAHSUN</td>
<td>`005839</td>
<td>01/443</td>
<td>`</td>
<td>`3503051710020001</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>17-10-2002</td>
<td>19 Th</td>
<td>DUSUN SETONO, RT : 15,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK PILEK PUSING</td>
<td>CIPRO PAMOL CTM GG DEXA</td>
<td>92/50</td>
<td>87</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>121</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>MUTIATUN `</td>
<td>`004493</td>
<td></td>
<td>`0000666895138</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-11-1959</td>
<td>62 Th</td>
<td>RT 22 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001238</td>
<td>keju, gatal, perut perih</td>
<td>omz, ctm, nadik</td>
<td>126/57</td>
<td>66</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>45</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>122</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>SUKIRAH</td>
<td>`013523</td>
<td>01/5765</td>
<td>`0000666161965</td>
<td>`3503054509530001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-09-1953</td>
<td>69 Th</td>
<td>DUSUN KEBONSARI, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>131506010922Y000037</td>
<td>kontrol rutin</td>
<td>amlodipin,metformin,omeprozol</td>
<td>122/74</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>152</td>
 <td>47</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>123</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>SITI ZUBAIDAH</td>
<td>`002960</td>
<td></td>
<td>`0001831820872</td>
<td>`3504034712690003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-12-1969</td>
<td>52 Th</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001246</td>
<td>pusing, batuk</td>
<td>amlodipin, obh, pamol</td>
<td>163/81</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>124</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>K.ASRI</td>
<td>`002874</td>
<td></td>
<td>`0000665940306</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-03-1935</td>
<td>87 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001248</td>
<td>keju</td>
<td>nadik
amlodipin</td>
<td>163/76</td>
<td>121</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>125</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>JUARTI</td>
<td>`009374</td>
<td>01/4715</td>
<td>`0000664932914</td>
<td>`3503054503750002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-03-1975</td>
<td>47 Th</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000036</td>
<td>keju,perut perih</td>
<td>omeprazol,ranitidin.pct,b6</td>
<td>130/70</td>
<td>97</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>59</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>126</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>SAMSURI</td>
<td>`004404</td>
<td></td>
<td>`0000666127304</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>01-04-1973</td>
<td>49 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001249</td>
<td>perut perih, flu</td>
<td>radin
ctm
antasid
pamol</td>
<td>101/61</td>
<td>79</td>
<td>35</td>
<td>20</td>
<td>160</td>
<td>65</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>127</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>SITI NGAISAH</td>
<td>`009375</td>
<td>01/4715</td>
<td>`0000664932699</td>
<td>`3503054708550002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-05-1955</td>
<td>67 Th</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000034</td>
<td>kontrol tensi +dm</td>
<td>glimepirid,amlodipin,hct aspilet</td>
<td>172/80</td>
<td>103</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>58</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>128</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>SITI YUNAIDAH</td>
<td>`000773</td>
<td>04/4116</td>
<td>`0000666373151</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-05-1994</td>
<td>28 Th</td>
<td>RT 17 RW 07</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001250</td>
<td>pusing</td>
<td>pamol
antasid
fe</td>
 <td>122/74</td>
<td>91</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>129</td>
<td>PONKESDES TUMPUK</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>BEJO SISWANTO</td>
<td>`021141</td>
<td></td>
<td>`0001978452055</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-08-1975</td>
<td>47 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/75</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>70</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>130</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>FAISAL ATHA PRIYA</td>
<td>`004519</td>
<td></td>
<td>`0002468740307</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-02-2018</td>
<td>4 Th</td>
<td>RT 17 RW 07</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001251</td>
<td>batuk, pilek</td>
<td>ambroxol sirup, ctm</td>
<td>1/1</td>
<td>100</td>
<td>36</td>
<td>22</td>
<td>100</td>
<td>16</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>131</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>MUSELAN</td>
<td>`014208</td>
<td></td>
<td>`0002802756047</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-10-1955</td>
<td>66 Th</td>
<td>RT 21 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001253</td>
<td>batuk, gatal</td>
<td>ctm, gg</td>
<td>102/61</td>
<td>73</td>
<td>35</td>
<td>20</td>
<td>165</td>
<td>54</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>132</td>
<td>PONKESDES TUMPUK</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>ANIK SETIANI</td>
<td>`021142</td>
 <td></td>
<td>`0001978452044</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-04-1983</td>
<td>39 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/74</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>133</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>SUHADI</td>
<td>`020755</td>
<td>07/4520</td>
<td>`0002493906344</td>
<td>`3503050706670001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-06-1967</td>
<td>55 Th</td>
<td>RT 09 RW 05</td>
 <td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>NYERI DADA KONTROL NYERI DADA</td>
<td>metformin glimepirid aspilet bisoprolol</td>
<td>154/75</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>66</td>
<td>60</td>
<td>RIJALI</td>
<td>KASUS BARU</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>134</td>
<td>PONKESDES TUMPUK</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>SUWARNI</td>
<td>`021144</td>
<td></td>
<td>`0001978452022</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-06-1971</td>
<td>51 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>124/78</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>135</td>
<td>PONKESDES TUMPUK</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>NIKO BEKTI ISLAMI WARDANA</td>
<td>`021145</td>
<td></td>
<td>`0001978452011</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-03-2007</td>
<td>15 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>50</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>136</td>
<td>POLI GIGI</td>
<td>01-09-2022</td>
<td></td>
<td>DARIS FAIQOTUL HAMIDAH</td>
<td>`003619</td>
<td>02/3042</td>
<td>`0002802761379</td>
<td>`3503055709970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-09-1997</td>
<td>25 Th</td>
<td>RT 15 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000053</td>
<td>gigi belakang geraham bawah tumbuh miring</td>
<td>konsultasi</td>
<td>100/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>49</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K01.1</td>
<td>
Impacted teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
 <td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>137</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>DARIS FAIQOTUL HAMIDAH</td>
<td>`003619</td>
<td>02/3042</td>
<td>`0002802761379</td>
<td>`3503055709970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-09-1997</td>
<td>25 Th</td>
<td>RT 15 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>GATAL DI DADA</td>
<td>CTM DEXA SALISIL POWDER</td>
<td>100/57</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>138</td>
<td>PONKESDES TUMPUK</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>ENI SURYANA</td>
<td>`021146</td>
 <td></td>
<td>`0001978452009</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-06-1989</td>
<td>33 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>139</td>
<td>POLI KIA</td>
<td>01-09-2022</td>
<td></td>
<td>DEWI YULIA ANGGRAINI</td>
<td>`000516</td>
<td>90/3390</td>
<td>`0000152932959</td>
<td>`3503055607980002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-07-1998</td>
<td>24 Th</td>
<td>RT 06 RW 02</td>
 <td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>TAA</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>63</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>140</td>
<td>PONKESDES TUMPUK</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>ASRIPAH</td>
<td>`001653</td>
<td>03/5811</td>
<td>`0001978451965</td>
<td>`3503057112710001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1971</td>
<td>50 Th</td>
<td>RT 03 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/78</td>
 <td>82</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>141</td>
<td>PONKESDES TUMPUK</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>PAIRIN</td>
<td>`017464</td>
<td></td>
<td>`0001978451932</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1966</td>
<td>55 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>116/75</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>142</td>
<td>PONKESDES TUMPUK</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>NURHAYATI</td>
<td>`017463</td>
<td></td>
<td>`0001978451921</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-06-1966</td>
<td>56 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>62</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>143</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>SUYATI</td>
<td>`004372</td>
<td>02/1122</td>
<td>`0002681645714</td>
<td>`3503055705640001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-05-1964</td>
<td>58 Th</td>
<td>DUSUN KRAJAN, RT : 13,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922P000007</td>
<td>mata panas nyeri</td>
<td>rujukan</td>
<td>144/77</td>
<td>67</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>63</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H52.5</td>
<td>
Disorders of accommodation </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>144</td>
<td>PONKESDES TUMPUK</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>SUMINTO</td>
<td>`017462</td>
<td></td>
 <td>`0001978451897</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1938</td>
<td>83 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/72</td>
<td>74</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>145</td>
<td>POLI K.B</td>
<td>01-09-2022</td>
<td></td>
<td>WIKE DWI PALUPI</td>
<td>`001058</td>
<td>03/3194</td>
<td>`0003049415122</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-10-1994</td>
<td>27 Th</td>
<td>RT 08 RW 03</td>
<td>TUMPUK</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>KONTROL IUD</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>51</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.1</td>
<td>
Insertion of (intrauterine) contraceptive device </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
DIANTI DWI PANGESTUTI, A.MD.KEB </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>146</td>
<td>PONKESDES TUMPUK</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>JUMAIYAH</td>
<td>`017461</td>
<td></td>
<td>`0001978451875</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-05-1987</td>
<td>35 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>116/72</td>
<td>76</td>
 <td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>147</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>SRI ASTUTIK</td>
<td>`000431</td>
<td>02/4564</td>
<td>`0000665569721</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1962</td>
<td>60 Th</td>
<td>RT 22 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000035</td>
<td>KONTROL TENSI ,NYERI EPIGASTRIK</td>
<td>OMZ,AMLODIPIN 10MG HCT RANI</td>
<td>177/88</td>
<td>91</td>
<td>36</td>
<td>22</td>
<td>50</td>
<td>73</td>
<td>102</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
 <td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>148</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>TAMIRAN</td>
<td>`001730</td>
<td>02/4564</td>
<td>`0000665568551</td>
<td>`3503050206570001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-06-1957</td>
<td>65 Th</td>
<td>ETAN KALI, RT : 22,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000033</td>
<td>KONTROL TENSI OBAT HABISBATUK PILEK 4 HARI </td>
<td>AMLODIPIN 5MG,AMBROXOL,AMOX,METIL PRED</td>
<td>130/74</td>
<td>73</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>63</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>149</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>MURTINI</td>
<td>`020003</td>
<td>01/9338</td>
<td>`0000666118023</td>
<td>` 3503054107620022</td>
<td>`</td>
<td>MUBANI</td>
<td></td>
<td>P</td>
<td>01-07-1962</td>
<td>60 Th</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000029</td>
<td>KONTROL DM HT</td>
<td>GLIMEPIRID,METFORMIN,AMLODIPIN 5 MG</td>
<td>124/65</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>41</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>150</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
<td></td>
<td>MUBANI</td>
<td>`000430</td>
<td>01/9338</td>
<td>`0000666117663</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1952</td>
<td>70 Th</td>
<td>RT 33 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000032</td>
<td>KONTROL OBAT GULA DAN TENSI HABIS</td>
<td>METFORMIN,GLIMEPIRID,AMLODIPIN5MG,BC</td>
<td>116/57</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>58</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>151</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>M. HAIKAL SAPUTRA</td>
<td>`020758</td>
<td>90/01</td>
<td>`</td>
<td>`3175051003180003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-03-2018</td>
<td>4 Th</td>
<td>RT 15 RW 03</td>
<td>CIJANTUNG</td>
<td>PASAR REBO</td>
 <td>JAKARTA TIMUR</td>
<td>DKI JAKARTA</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>CEK DL</td>
<td>-</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>100</td>
<td>16</td>
<td>15</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>152</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>DWI SUSANTI</td>
<td>`000393</td>
<td>90/3186</td>
<td>`0001808667933</td>
<td>`3503114712790002</td>
<td>`90/3186</td>
<td></td>
<td></td>
<td>P</td>
<td>07-12-1979</td>
<td>42 Th</td>
<td>JL SUTAN SYAHRIR, RT : 014,RW :005 </td>
<td>SUMBERGEDONG</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000065</td>
<td>PANAS BATUK PILEK TENGGOROKAN GATAL</td>
<td>CIPRO PAMOL CTM GG ANTASIDA DOMPERIDON</td>
<td>117/71</td>
<td>88</td>
<td>36</td>
 <td>20</td>
<td>150</td>
<td>48</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>153</td>
<td>POLI KIA</td>
<td>01-09-2022</td>
<td></td>
<td>JULIANA LINDA DEWI</td>
<td>`002146</td>
<td>08/6748</td>
<td>`</td>
<td>`3503065407950001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-07-1995</td>
<td>27 Th</td>
<td>RT 04 RW 02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>101/50</td>
<td>107</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>0</td>
<td>Karangan</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>154</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>ARUM SISWATI</td>
<td>`015202</td>
<td>01/5906</td>
<td>`0000106506224</td>
<td>`3503055306760002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-06-1976</td>
<td>46 Th</td>
<td>DUSUN GONDANG, RT : 7,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sks</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>155</td>
<td>RAWAT INAP</td>
<td>01-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>RAFI WAHYU FEBRIANTO</td>
<td>`020828</td>
<td></td>
<td>`0001106833577</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-02-2010</td>
<td>12 Th</td>
<td>GONDANG 2/1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PX PANAS 2 HARI, BATUK, PILEK, PUSING, LEMES</td>
<td>INF RL 1200CC/24 JM
INJ ANTRAIN 3X1/2 A
INJ RANITIDIN 2X1/2 A
OS PUYER 3X1</td>
<td>90/50</td>
<td>90</td>
<td>38</td>
<td>20</td>
<td>130</td>
<td>28</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J20</td>
<td>
Acute bronchitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Rawat Inap pasien BPJS<br>Konsultasi<br>Pemasangan infuse<br>Tindakan medis
ringan lainnya<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis ringan
lainnya<br>Rawat Inap pasien BPJS<br>Tindakan medis ringan
lainnya<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>156</td>
<td>POLI REMAJA</td>
<td>01-09-2022</td>
 <td></td>
<td>HERU CAHYONO</td>
<td>`020759</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-10-2007</td>
<td>14 Th</td>
<td>RT 035 RW 10</td>
<td>WONOCOYO</td>
<td>PANGGUL</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS PUSING BATUK PILEK</td>
<td>PAMOL CTM GG DEXA</td>
<td>112/64</td>
<td>105</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>67</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>157</td>
<td>POLI REMAJA</td>
<td>01-09-2022</td>
<td></td>
<td>REZA GALIH</td>
<td>`020760</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>17-10-2009</td>
<td>12 Th</td>
<td>RT 037 RW 016</td>
<td>SIDOMULYO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>BATUK PILKEK PANAS</td>
<td>AMOK PAMOL CTM GG DEXA</td>
<td>92/50</td>
<td>106</td>
<td>36</td>
<td>20</td>
<td>135</td>
<td>37</td>
<td>30</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>158</td>
<td>POLI REMAJA</td>
<td>01-09-2022</td>
<td></td>
<td>WINDI WAHYU</td>
<td>`020761</td>
<td></td>
<td>`</td>
<td>`3503032111080005</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>11-11-2008</td>
<td>13 Th</td>
<td>DS JOHO DSN KRAJAN, RT : 14,RW :4 </td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
 <td></td>
<td>BATUK PILEK PANAS</td>
<td>PAMOL CTM GG DEXA</td>
<td>99/57</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>46</td>
<td>40</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>159</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>RISMA</td>
<td>`020762</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-2006</td>
<td>16 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>PANAS 2 HARI, BATUK, PILEK, NYERI TELAN
</td>
<td>PCT 3X1
GG 3X1
MP 2X1</td>
<td>100/60</td>
<td>80</td>
<td>37</td>
<td>20</td>
 <td>150</td>
<td>45</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>160</td>
<td>POLI GIGI</td>
<td>01-09-2022</td>
<td></td>
<td>ERIC MASHURI</td>
<td>`020763</td>
<td>01/10</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-03-2010</td>
<td>12 Th</td>
<td>RT 30 RW 14</td>
<td>DEPOK</td>
<td>PANGGUL</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>gigi susu geraham bawah kanan berlubang</td>
<td>konsultasi dan medikasi</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>161</td>
<td>POLI REMAJA</td>
<td>01-09-2022</td>
<td></td>
<td>RAFA ALVIAN</td>
<td>`020764</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-06-2009</td>
<td>13 Th</td>
<td>RT 035 RW 010</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>BATUK PILEK PANAS</td>
<td>PAMOL CTM GG DEXA</td>
<td>96/67</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>35</td>
<td>30</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>162</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>AISYAH</td>
<td>`020765</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-2010</td>
<td>12 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>BATUK, SESAK, PUSING, PANAS HARI KE 1</td>
<td>PCT 3X1
SALBUTAMOL 3X1
AMBROX 3X1
CTM 3X1</td>
<td>100/60</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>40</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>163</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>NINA</td>
<td>`020766</td>
<td></td>
 <td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-2005</td>
<td>17 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>BATUK, PILEK, PUSING</td>
<td>PCT 3X1
AMBROXOL 3X1
CTM 3X1</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>40</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>164</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>SAYIDATUN</td>
<td>`020767</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-2007</td>
<td>15 Th</td>
 <td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>PANAS HARI KE 1, BATUK, PILEK</td>
<td>PCT 3X1
CTM 3X1
AMBROXOL 3X1</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>45</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06</td>
<td>
Acute upper respiratory infections of multiple and unspecified sites
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>165</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>SULASTRI</td>
<td>`004292</td>
<td>04/897</td>
<td>`0001707126489</td>
<td>`3503054902710002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-02-1971</td>
<td>51 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
 <td>131506010922P000008</td>
<td>kontrol</td>
<td>rujukan</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>F48.9</td>
<td>
Neurotic disorder, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>166</td>
<td>PONKESDES SUKOREJO</td>
<td>01-09-2022</td>
<td></td>
<td>SUPARMI</td>
<td>`006654</td>
<td></td>
<td>`0001037008236</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1955</td>
<td>66 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000829</td>
<td>kontrol tensi,gatal,perih dilambung</td>
<td>amlo 5mh,antasda,salp hidro,loratadine</td>
<td>150/70</td>
<td>70</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>45</td>
<td>78</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>K29.9</td>
<td>
Gastroduodenitis, unspecified </td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>167</td>
<td>POLI UMUM</td>
<td>01-09-2022</td>
<td></td>
<td>MARHATI</td>
<td>`020606</td>
<td>06/8058</td>
<td>`0001887548253</td>
<td>`3515165003790004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-03-1979</td>
<td>43 Th</td>
<td>RT 36 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>KONTROL</td>
<td>AMLODIPIN NADIF ASPILET</td>
<td>158/89</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>81</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
 </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>168</td>
<td>PONKESDES SUKOREJO</td>
<td>01-09-2022</td>
<td>KIA PUSTU - POLINDES</td>
<td>EVI YULIANA</td>
<td>`012982</td>
<td></td>
<td>`0000666937506</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1988</td>
<td>34 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000832</td>
<td>pegal dikaki</td>
<td>fe,b komplek</td>
<td>118/68</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>146</td>
<td>55</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>169</td>
<td>POLI LANSIA</td>
<td>01-09-2022</td>
 <td></td>
<td>FATIMAH</td>
<td>`000061</td>
<td>08/3456</td>
<td>`0000076414206</td>
<td>`3503055309510001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-09-1951</td>
<td>71 Th</td>
<td>RT 7 RW 3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000024</td>
<td>bahu nyeri batuk 5 hari pusing meriang</td>
<td>sy obh,gg,amox,pamol,metil pred</td>
<td>105/57</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>57</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>170</td>
<td>PONKESDES SUKOREJO</td>
<td>01-09-2022</td>
<td></td>
<td>SUKARMI</td>
<td>`006597</td>
<td></td>
<td>`0000665723957</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>12-05-1962</td>
<td>60 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000831</td>
<td>tidur tidak nyenyak</td>
<td>amlo,ctm,vit c</td>
<td>141/69</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>54</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>171</td>
<td>RAWAT INAP</td>
<td>01-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>ULFA JAWHAROTUL MUFIDAH</td>
<td>`020768</td>
<td></td>
<td>`0003288819047</td>
<td>`</td>
<td>`</td>
<td>rukan sanusy</td>
<td></td>
<td>P</td>
<td>17-07-1993</td>
<td>29 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Guru</td>
<td>Baru</td>
<td>131506010922P000211</td>
 <td>PANAS 1 HR, PUSING, MUAL, NAFSU MAKAN TURUN, NYERI ULU HATI</td>
<td>INF RL , INJ AMPI 3X1, OMZ 2X1, ANTRAIN 3X1, PO PAMOL 4X1, ANTASID 3X1,
RANIT 3X1</td>
<td>110/70</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pemasangan infuse<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Tindakan medis ringan
lainnya<br>Tindakan medis ringan lainnya<br>Tindakan medis ringan
lainnya<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>172</td>
<td>POLI GIGI</td>
<td>01-09-2022</td>
<td></td>
<td>RINDRA PRASTIA PUTRI</td>
<td>`005189</td>
<td>03/4176</td>
<td>`0001978449074</td>
<td>`3503054107030022</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-2003</td>
<td>19 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>geraham bawah kanan tinggal siasa akar</td>
<td>ciopro asmef deksa </td>
<td>120/80</td>
<td>88</td>
 <td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>173</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>RENI</td>
<td>`020769</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-2009</td>
<td>13 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS, PUSING, BATUK, PILEK</td>
<td>RAWAT INAP</td>
<td>100/70</td>
<td>80</td>
<td>38</td>
<td>20</td>
<td>140</td>
<td>45</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>174</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>MUJIANTO</td>
<td>`020770</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-09-1986</td>
<td>36 Th</td>
<td>RT 19 RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>BATUK, PILEK, PUSING, PANAS 2 HARI, MUAL, MUNTAH 1X</td>
<td>PCT 3X1
CTM 3X1
GG 3X1
CTM 3X1
ANTASIDA 3X1
DOMPERIDON 3X1</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>175</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>BENI</td>
<td>`020771</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>subandi</td>
<td></td>
<td>L</td>
<td>01-09-2005</td>
<td>17 Th</td>
<td>GONDANG</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>MERIANG, PUSING, BATUK, NYERI TELINGA, LEMES</td>
<td>PCT 3X1
GG 3X1
BC 2X1</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>46</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06</td>
<td>
Acute upper respiratory infections of multiple and unspecified sites
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
 <td>176</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>MAYGA SYASYA RAHMADANI</td>
<td>`020729</td>
<td></td>
<td>`0001898148644</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-05-2015</td>
<td>7 Th</td>
<td>RT 6 RW 2</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000016</td>
<td>MUAL, MUNTAH</td>
<td>DOMP 3X1/2
PCT 3X1/2
ANTASIDA 3X1/2</td>
<td>100/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>23</td>
<td>60</td>
<td>Ngagel Rejo </td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>177</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>DAHLIA</td>
<td>`020772</td>
<td></td>
<td>`</td>
 <td>`</td>
<td>`</td>
<td>heri</td>
<td></td>
<td>P</td>
<td>01-09-2014</td>
<td>8 Th</td>
<td>RT 1 RW 1</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>BATUK, PILEK, KEMBUNG, SESAK, DAHAK TIDAK BISA KELUAR</td>
<td>PCT 3X1/2
ANTASIDA 3X1/2
CTM 3X1/2
GG 3X1/2
NEBUL 1/2</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>26</td>
<td>100</td>
<td>36</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>178</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>FERDI ARDIANTO</td>
<td>`020773</td>
<td></td>
<td>`0000666143739</td>
<td>`</td>
<td>`</td>
<td>mujito</td>
<td></td>
<td>L</td>
<td>01-09-2007</td>
 <td>15 Th</td>
<td>RT 25 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td>131506010922Y000017</td>
<td>panas batuk pillek</td>
<td>pamol,ctm ,antasida, ctm, gg, b.complek</td>
<td>110/70</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>44</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>179</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>ISMIATUN</td>
<td>`003356</td>
<td>02/3042</td>
<td>`0002802761368</td>
<td>`3503056212730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-12-1973</td>
<td>48 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y000019</td>
<td>PUSING, PERIH DI ULU HATI</td>
 <td>ANTASIDA 3X1
PCT 3X1</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>180</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>ALVIN</td>
<td>`020774</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>paino</td>
<td></td>
<td>L</td>
<td>01-09-2027</td>
<td>-5 Th</td>
<td>RT 12 RW 6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>PANAS</td>
<td>PCT SYR 3X1
BC 2X1/3</td>
<td>90/50</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>20</td>
<td>70</td>
 <td></td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>181</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>SUGIONO</td>
<td>`008110</td>
<td>04/6173</td>
<td>`0002802756633</td>
<td>`3503052810560001</td>
<td>`</td>
<td></td>
<td>085235354270</td>
<td>L</td>
<td>28-10-1956</td>
<td>65 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y000018</td>
<td>SESAK, BATUK</td>
<td>02 3 LT/MNT
NEBUL VENTOLIN 1 A</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>26</td>
<td>160</td>
<td>65</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pel. Penguapan saluran nafas<br> </td>
</tr>
<tr align='left' valign="top">
<td>182</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>ARIF AGUNG RIANTO</td>
<td>`020775</td>
<td></td>
<td>`</td>
<td>`3503052204000001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-04-2000</td>
<td>22 Th</td>
<td>DUSUN JUMOK, RT : 9,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>POST KLL DI NGLONGSOR
LUKA BABRAS DI KAKI KANAN KIRI</td>
<td>RAWAT LUKA
CIPRO 3X1
ASMEF 3X1</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>64</td>
<td>90</td>
<td></td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>183</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>SUTIPUN</td>
<td>`020776</td>
<td></td>
<td>`0002891661491</td>
<td>`3503057112550059</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1955</td>
<td>66 Th</td>
<td>DUSUN CORAH MULYO, RT : 1,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000020</td>
<td>BATUK, PILEK, NYERI PERUT</td>
<td>VIT C 2X1
PCT 3X1
GG 3X1
ANTASIDA 3X1</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>51</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>184</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>ATIK ROHMINAWATI</td>
<td>`011641</td>
 <td>01/2420</td>
<td>`0000666079244</td>
<td>`3503054707830008</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-07-1983</td>
<td>39 Th</td>
<td>RT 09 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000009</td>
<td>BATUK, PILEK</td>
<td>PCT 3X1
GG 3X1
BC 1X1</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>65</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>185</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>FARAS SAVIOLA HINGTRIAN</td>
<td>`002055</td>
<td>06/5856B</td>
<td>`0001261600198</td>
<td>`3503052106050002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-06-2005</td>
 <td>17 Th</td>
<td>DUSUN PAKEL, RT : 33,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000011</td>
<td>BENGKAK LUTUT KANAN</td>
<td>INJ HEMOFILIA</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>45</td>
<td>80</td>
<td>Gondang</td>
<td>KASUS BARU</td>
<td>D68.0</td>
<td>
Von Willebrand`s disease </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>186</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>ALFIKA SYAFA ANNIDA</td>
<td>`011471</td>
<td>01/5241</td>
<td>`0000666080201</td>
<td>`3503056406040001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-06-2002</td>
<td>20 Th</td>
<td>RT 9 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000010</td>
<td>PUSING, GEMETARAN, PILEK</td>
 <td>PAMOL, B.COMPLEK</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>187</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>MUDMAINAH</td>
<td>`018200</td>
<td></td>
<td>`0000665471676</td>
<td>`</td>
<td>`</td>
<td>zaenal arifin</td>
<td></td>
<td>P</td>
<td>26-10-1979</td>
<td>42 Th</td>
<td>RT RW</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000012</td>
<td>PUSING, PANAS, BATUK PILEK</td>
<td>CTM, AMBROXOL,BC,PCT</td>
<td>130/88</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>188</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>LAMINI</td>
<td>`020777</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>lamini</td>
<td></td>
<td>P</td>
<td>01-09-1952</td>
<td>70 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>BATUK, PILEK, PANAS 1 HARI, PUSING</td>
<td>ANTASIDA 3X1
BC 2X1
PCT 3X1</td>
<td>130/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>53</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>189</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>MISBAH LASIMIN</td>
<td>`002713</td>
<td>07/582</td>
<td>`0001978439591</td>
<td>`3503050812560003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-12-1956</td>
<td>65 Th</td>
<td>RT 12 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000013</td>
<td>RAWAT LUKA, AJ 6 SIMPUL</td>
<td>RAWAT LUKA</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>65</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>190</td>
<td>UGD</td>
<td>01-09-2022</td>
 <td></td>
<td>YUAN SANDI</td>
<td>`020778</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>bandi</td>
<td></td>
<td>L</td>
<td>01-09-1997</td>
<td>25 Th</td>
<td>RT 1 RW 1 </td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>LUKA ROBEK DI BIBIR DALAM</td>
<td>AMOX 3X1
PCT 3X1</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>43</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>191</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>ARNITA SETIYANI</td>
<td>`005094</td>
<td>07/2545</td>
<td>`</td>
<td>`3503054801940001</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>08-01-1994</td>
<td>28 Th</td>
<td>RT 1 RW 1</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>BATUK, SESAK, PILEK</td>
<td>NEBUL 1 A
MP 2X1
AMBROX 3X1</td>
<td>110/60</td>
<td>80</td>
<td>36</td>
<td>26</td>
<td>150</td>
<td>45</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>192</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>TRISKA</td>
<td>`020779</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>JAMHARI</td>
<td></td>
<td>P</td>
<td>01-09-2003</td>
<td>19 Th</td>
<td>RT 15</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>PANAS 1 HARI, BATUK, PILEK</td>
<td>PCT 3X1
AMBROXOL 3X1</td>
<td>110/60</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>193</td>
<td>RAWAT INAP</td>
<td>01-09-2022</td>
<td>Rawat Inap (UGD)</td>
<td>OLGA YUANO SUWONDO</td>
<td>`020809</td>
<td></td>
<td>`0001891795746</td>
<td>`3503051403960001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-03-1995</td>
<td>27 Th</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS NAIK TURUN</td>
<td>INF RL 20 TTS/MNT
AMOX 3X1
ASMEF 3X1
BC 2X1
VIT C 1X1</td>
 <td>90/70</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>40</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Biaya rawat inap pasien umum per hari<br>Pemasangan infuse<br>Tindakan medis
ringan lainnya<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>194</td>
<td>PONKESDES SUKOREJO</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>WENTY NURITASARI</td>
<td>`004723</td>
<td></td>
<td>`0002239730998</td>
<td>`3502086407880001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-07-1988</td>
<td>34 Th</td>
<td>SUKOREJO</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>110/80</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>195</td>
<td>PONKESDES SUKOREJO</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>MORANTIKA MAIZA RAMADHANI</td>
<td>`012378</td>
<td></td>
<td>`0002260068186</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-05-2017</td>
<td>5 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>100/60</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>115</td>
<td>17</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>196</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td></td>
<td>RIKA SEPTIANI</td>
<td>`004604</td>
<td>06/2850</td>
<td>`0001978488718</td>
<td>`3503055009970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-09-1997</td>
<td>25 Th</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000022</td>
<td>Greges</td>
<td>Amoy, ibuf, dexa, antas</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>56</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02</td>
<td>
Dental caries </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>197</td>
<td>PONKESDES SUKOREJO</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>LINA ROHMAWATI</td>
 <td>`002906</td>
<td>07/721</td>
<td>`0000666951581</td>
<td>`3503056312970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-12-1997</td>
<td>24 Th</td>
<td>RT 5 RW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>42</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>198</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td></td>
<td>PUJIRAHAYU</td>
<td>`001519</td>
<td></td>
<td>`0000667141931</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-05-1994</td>
<td>28 Th</td>
 <td>PRAMBON RT 47/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000025</td>
<td>Gatal</td>
<td>Pcr, ctm, Vit c</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>199</td>
<td>PONKESDES SUKOREJO</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>DWI ANNA</td>
<td>`009177</td>
<td>07/4312</td>
<td>`0001978437159</td>
<td>`3503055411830002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-11-1983</td>
<td>38 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
 <td>120/70</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>200</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td></td>
<td>IVAN AGUS SAPUTRO</td>
<td>`009431</td>
<td></td>
<td>`0001978489258</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-08-2002</td>
<td>20 Th</td>
<td>PRAMBON RT 47/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000079</td>
<td>Batuk pilek</td>
<td>Amox, pct, gg, antas</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
 <td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>201</td>
<td>PONKESDES SUKOREJO</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>LAELA FITROTUL MUNAWAROH</td>
<td>`002366</td>
<td>07/3618</td>
<td>`0001978438072</td>
<td>`3503055101000003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-01-2000</td>
<td>22 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>143</td>
<td>42</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>202</td>
<td>PONKESDES SUKOREJO</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>USWATUN KASANAH</td>
<td>`012386</td>
<td></td>
<td>`0003067750664</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-08-1991</td>
<td>31 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>120/70</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>42</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>203</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td></td>
<td>EDI SETIAWAN</td>
<td>`013579</td>
 <td></td>
<td>`0001978489451</td>
<td>`3503050905830002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-05-1983</td>
<td>39 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000080</td>
<td>Greges, radang</td>
<td>Amox, pct, desa, Vit c</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>164</td>
<td>63</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>204</td>
<td>PONKESDES SUKOREJO</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>AMBARWATI</td>
<td>`002625</td>
<td>07/5810</td>
<td>`0001978436248</td>
<td>`3503056801820001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-01-1982</td>
<td>40 Th</td>
<td>RT 05 RW 03</td>
 <td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>360</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>205</td>
<td>PONKESDES SUKOREJO</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>NANDA WAHYU PRASTYO</td>
<td>`012376</td>
<td></td>
<td>`0003067901313</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-11-2016</td>
<td>5 Th</td>
<td>RG RW</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>100/70</td>
 <td>76</td>
<td>36</td>
<td>24</td>
<td>78</td>
<td>13</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>206</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td></td>
<td>ALTHAVIA PUTRI G</td>
<td>`012318</td>
<td></td>
<td>`0003063680234</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-12-2020</td>
<td>1 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000081</td>
<td>Pilek</td>
<td>Dema srp</td>
<td>80/69</td>
<td>96</td>
<td>37</td>
<td>22</td>
<td>86</td>
<td>10</td>
<td>43</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
 Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>207</td>
<td>PONKESDES SUKOREJO</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>IKA MILASARI</td>
<td>`007814</td>
<td>07/2871</td>
<td>`0001978437036</td>
<td>`3503055302930003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-02-1993</td>
<td>29 Th</td>
<td>RT 6VRW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>120/80</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>208</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>MUSALAM</td>
<td>`020780</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>MUSALAM</td>
<td></td>
<td>L</td>
<td>01-09-1946</td>
<td>76 Th</td>
<td>RT 16</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td>RAWAT LUKAPOST HEATING 13 HARI YANG LALU DI KAKI</td>
<td>-</td>
<td>120/800</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>S50.9</td>
<td>
Superficial injury of forearm, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Perawatan Luka<br> </td>
</tr>
<tr align='left' valign="top">
<td>209</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td></td>
<td>EKA ANJARWATI</td>
<td>`000300</td>
<td>06/5875</td>
 <td>`0000665853276</td>
<td>`3503055103990002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-04-1999</td>
<td>23 Th</td>
<td>RT 48 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000082</td>
<td>Gatal</td>
<td>Salep beta, dexa</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>70</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>210</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>AWWABIN SOLEH</td>
<td>`020781</td>
<td></td>
<td>`0000666062583</td>
<td>`</td>
<td>`</td>
<td>AWWABIN</td>
<td></td>
<td>L</td>
<td>01-09-2009</td>
<td>13 Th</td>
<td>RT 7</td>
<td>NGEPEH</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000014</td>
<td>BENGKAK PADA LUTUT KANAN</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>44</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>D66</td>
<td>
Hereditary factor viii deficiency </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>211</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td></td>
<td>DIANA</td>
<td>`003399</td>
<td></td>
<td>`0001978488292</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-03-1992</td>
<td>30 Th</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000083</td>
<td>Suntik kb</td>
<td>Depo</td>
<td>110/70</td>
<td>89</td>
 <td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>212</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td></td>
<td>SUPANDI</td>
<td>`002379</td>
<td></td>
<td>`0000665355576</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-11-1965</td>
<td>56 Th</td>
<td>PRAMBON RT 44/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000084</td>
<td>Bapil</td>
<td>Pct, gg, ctm</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>163</td>
<td>60</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>213</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>ISTIQAMAH</td>
<td>`003983</td>
<td></td>
<td>`0000665368323</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-10-1969</td>
<td>52 Th</td>
<td>RT 14 RW 4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000054</td>
<td>SESAK NAFAS</td>
<td>SALBUTAMOL,ANTASIDA</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>28</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>214</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>KOMARUDIN</td>
<td>`003141</td>
<td>01/1259</td>
<td>`0002802749117</td>
<td>`3503051004610001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-04-1961</td>
<td>61 Th</td>
<td>DUSUN KALIPINGGIR, RT : 18,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000021</td>
<td>PERUT TERASA PANAS</td>
<td>ANTASIDA 3X1
PCT 3X1
BC 1X1
OMZ 2X1</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>215</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>SITI NURAISAH</td>
 <td>`012034</td>
<td>04/5929</td>
<td>`0001107449605</td>
<td>`3503055402850001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-02-1985</td>
<td>37 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000023</td>
<td>PERUT KEMBUNG, GLIYENG, DREDEG</td>
<td>AMLODIPIN 1X 5 MG
ANTASIDA 3X1
RANITIDIN 2X1
PCT 3X1</td>
<td>150/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>216</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>EKO SUSANTO</td>
<td>`017349</td>
<td>04/5084</td>
<td>`0000665631843</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>02-06-1982</td>
<td>40 Th</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000026</td>
<td>GEMREGES, PILEK</td>
<td>PCT 3X1
LORATADIN 2X1
BC 1X1</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>217</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>ZAENAL ARIPIN</td>
<td>`020782</td>
<td></td>
<td>`0000665471226</td>
<td>`</td>
<td>`</td>
<td>ZAENAL</td>
<td></td>
<td>L</td>
<td>25-09-1979</td>
<td>43 Th</td>
<td>RT 27 RW 7</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000027</td>
<td>BAPILNAS</td>
<td>PAMOL,AMBROXOL,LORATADINE</td>
<td>120/88</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>218</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>IDA NURHAYATI</td>
<td>`007383</td>
<td>90/846</td>
<td>`0002893645394</td>
<td>`35030655098600002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-09-1986</td>
<td>36 Th</td>
<td>RT 6 RW 1</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000028</td>
<td>BATUK, PILEK, SESAK</td>
<td>NEBUL 1 VENTOLIN</td>
<td>110/60</td>
<td>79</td>
<td>36</td>
<td>26</td>
<td>155</td>
 <td>49</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pel. Penguapan saluran nafas<br> </td>
</tr>
<tr align='left' valign="top">
<td>219</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>STYA PUJI WAHYUNI</td>
<td>`008055</td>
<td>01/7168</td>
<td>`0002802762292</td>
<td>`3503056610950002</td>
<td>`</td>
<td></td>
<td>082264388157</td>
<td>P</td>
<td>26-10-1995</td>
<td>26 Th</td>
<td>RT 31 RW 8</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000055</td>
<td>BAB CAIR 2X</td>
<td>DIAFORM</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>220</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>ANISA SILVIA JULIANI</td>
<td>`020783</td>
<td>90/331</td>
<td>`0000661045173</td>
<td>`3502056807070002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-07-2007</td>
<td>15 Th</td>
<td>RT 1 RW 6</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td>131506010922Y000030</td>
<td>MUAL, NYERI PERUT</td>
<td>ANTASIDA 3X1
PCT 3X1
DOMP 3X1</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>43</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>221</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>SITI SAROFAH</td>
<td>`020784</td>
<td></td>
<td>`0000666961604</td>
<td>`</td>
<td>`</td>
<td>siti</td>
<td></td>
<td>P</td>
<td>12-03-1982</td>
<td>40 Th</td>
<td>RT 25 RW 6</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000031</td>
<td>PUSING, GLIYENG</td>
<td>DIMENT 3X1
ANTASIDA 3X1</td>
<td>120/80</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>52</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>222</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>AQILA</td>
<td>`020785</td>
<td></td>
<td>`</td>
 <td>`</td>
<td>`</td>
<td>devi</td>
<td></td>
<td>P</td>
<td>01-09-2027</td>
<td>-5 Th</td>
<td>RT 8 RW 2</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>PANAS, BATUK DAHAK</td>
<td>AMOX 3X1/2
VIT C 3X1/2
AMBROXOL 3X1/2
PCT 3X1/2</td>
<td>90/50</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>100</td>
<td>42</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>223</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>ISTIFADAH</td>
<td>`020786</td>
<td></td>
<td>`0000141862634</td>
<td>`</td>
<td>`</td>
<td>istifadah</td>
<td></td>
<td>P</td>
<td>01-09-1981</td>
<td>41 Th</td>
 <td>RT 4 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td></td>
<td>MATA GATAL DAN NGERES</td>
<td>RECO
CHLORAM SALEP </td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>51</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>H10</td>
<td>
Conjunctivitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>224</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>AGUS WARAS</td>
<td>`020787</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>agus</td>
<td></td>
<td>L</td>
<td>01-09-1982</td>
<td>40 Th</td>
<td>RT 8 RW 4</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td>NYERI DI TELINGA SAMPAI RAHANG</td>
 <td>PCT 3X1
CTM 3X1</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>52</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>H92.0</td>
<td>
Otalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>225</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>KATINEM</td>
<td>`003113</td>
<td>90/2377</td>
<td>`0002190257381</td>
<td>`3503064408470002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-08-1947</td>
<td>75 Th</td>
<td>DUSUN JAMPI, RT : 6,RW :1 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000056</td>
<td>MUAL MUNTAH PUSING</td>
<td>PAMOL, ANTASIDA, DOMPERIDONE</td>
<td>140/90</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>80</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>226</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>WINDI WAHYU</td>
<td>`020788</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>PARJO</td>
<td></td>
<td>P</td>
<td>01-09-2008</td>
<td>14 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>BAPILNAS</td>
<td>PAMOL, AMBROX, CTM</td>
<td>110/70</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>44</td>
<td>78</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>227</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>ERNAWATI</td>
<td>`006124</td>
<td></td>
<td>`0002802756699</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-03-1984</td>
<td>38 Th</td>
<td>RT 14 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001768</td>
<td>FLU</td>
<td>PAMOL, CTM, GG</td>
<td>128/76</td>
<td>80</td>
<td>38</td>
<td>24</td>
<td>152</td>
<td>58</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>228</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td></td>
 <td>TOEKIMAN</td>
<td>`009693</td>
<td>04/4070</td>
<td>`0002802747003</td>
<td>`3503050909580001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-09-1958</td>
<td>64 Th</td>
<td>DUSUN PONGGOK, RT : 20,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001769</td>
<td>PUSING</td>
<td>PAMOL, BC, AMLODIP 5 MG</td>
<td>186/99</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>158</td>
<td>67</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>229</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>IMAN WAHYU TARIGAN NIYANTO</td>
<td>`015903</td>
<td></td>
<td>`0000666222614</td>
<td>`3503050709000001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-09-2000</td>
 <td>22 Th</td>
<td>RT. 17 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y001770</td>
<td>BATUK PILEK</td>
<td>PAMOL, GG, AMOK</td>
<td>117/78</td>
<td>88</td>
<td>38</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>230</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>LIYA SANIYATUL ADYAN</td>
<td>`006818</td>
<td>04/4147</td>
<td>`0003080443048</td>
<td>`3503055401950001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-01-1995</td>
<td>27 Th</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001771</td>
<td>PERIKSA HAMIL</td>
 <td>KALK, FE</td>
<td>121/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>61</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>231</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>SRI WAHYUNI</td>
<td>`002901</td>
<td></td>
<td>`0001036997673</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-05-1986</td>
<td>36 Th</td>
<td>RT 28 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001772</td>
<td>GATAL</td>
<td>AMOK, CTM, PRED</td>
<td>118/67</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>57</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>L24.0</td>
<td>
Irritant contact dermatitis due to detergents </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>232</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>ROHMAWATI</td>
<td>`004567</td>
<td></td>
<td>`0000666115931</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-11-1989</td>
<td>32 Th</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001773</td>
<td>PERIKSA HAMIL</td>
<td>KALK, FE</td>
<td>126/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>233</td>
<td>POLINDES NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>ROBINGU</td>
<td>`000455</td>
<td>04/3692A</td>
<td>`0001978433741</td>
<td>`3503054208740001</td>
<td>`53820</td>
<td></td>
<td></td>
<td>P</td>
<td>02-08-1974</td>
<td>48 Th</td>
<td>DUSUN KASIHAN, RT : 028,RW :012 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>BELUM/TIDAK BEKERJA</td>
<td>Lama</td>
<td>131506010922Y001774</td>
<td>KB SUNTIK</td>
<td>DEPO</td>
<td>125/78</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>148</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>234</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>JARIYAH</td>
 <td>`020789</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-1960</td>
<td>62 Th</td>
<td>RT 41 RW 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>NYERI ULU HATI, PERIH, PANAS, MUAL</td>
<td>PCT 3X
AMLODIPIN 1X1
RANITIDIN 2X1
DOMP 3X1
ANTASIDA SYR 3X2 CTH</td>
<td>160/100</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>51</td>
<td>90</td>
<td></td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>235</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>FEBRIAN EKA PRATAMA</td>
<td>`011962</td>
<td></td>
<td>`0002598775672</td>
<td>`3503051202150001</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>12-02-2015</td>
<td>7 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000059</td>
<td>EXTRAKSI KUKU</td>
<td>PCT 3X1/2
AMOK 3X1/2</td>
<td>100/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>23</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L60</td>
<td>
Nail disorders </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pencabutan kuku<br> </td>
</tr>
<tr align='left' valign="top">
<td>236</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>JIBRAN</td>
<td>`020790</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-12-2008</td>
<td>13 Th</td>
<td>RT 1 RW 1</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>PANAS, BATUK, PILEK</td>
<td>PCT 3X1
AMBROXOL 3X1
CTM 3X1</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>135</td>
<td>34</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>237</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>FATIR</td>
<td>`020791</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-09-2010</td>
<td>12 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS, PILEK, PUSING</td>
<td>PCT 3X1
CTM 3X1
VIT C 1X1</td>
<td>100/60</td>
 <td>88</td>
<td>36</td>
<td>20</td>
<td>134</td>
<td>43</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>238</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>ANDIK SETIONO</td>
<td>`020792</td>
<td></td>
<td>`0001975898597</td>
<td>`3503090703900002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-03-1990</td>
<td>32 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>BAK tidak lancar,nyeri perut bawah</td>
<td>asmef, cipro, antasida, kaltrofen supp</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>N30.9</td>
<td>
 Cystitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>239</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>FARADIANA QORI`UNNISA`</td>
<td>`009172</td>
<td></td>
<td>`0002802749218</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-02-2003</td>
<td>19 Th</td>
<td>KALIPINGGIR 20/5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS,PUSING</td>
<td>PAMOL, CTM</td>
<td>120/80</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
Fever with chills </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
 Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>240</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>MOCHAMMAD ARJUNA ASYRAFY KURNIAWAN</td>
<td>`000795</td>
<td>06/5912</td>
<td>`0001266976517</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-10-2011</td>
<td>10 Th</td>
<td>RT 35 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>inj hemifilia</td>
<td>-</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>44</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>D66</td>
<td>
Hereditary factor viii deficiency </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>241</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>SIMUN</td>
<td>`011895</td>
<td>04/1995</td>
 <td>`0000665602828</td>
<td>`3503051007420001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-07-1942</td>
<td>80 Th</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>lepas cateter</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R33</td>
<td>
Retention of urine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>242</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>KATEMI</td>
<td>`001104</td>
<td>01/69</td>
<td>`0000665615676</td>
<td>`3503054210650001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-10-1965</td>
<td>56 Th</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>batuk gregesi sudah 5 hari</td>
<td>pamol, gg</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>243</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>HAMIM DJAJULI</td>
<td>`020793</td>
<td></td>
<td>`0002161669566</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-07-2007</td>
<td>15 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>pabilnas, pusing</td>
<td>pamol,gg, ctm,pamol.</td>
<td>110/70</td>
<td>88</td>
 <td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>244</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>IRSAD</td>
<td>`020794</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-09-2005</td>
<td>17 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PUSING, MUAL, MUNTAH, BATUK</td>
<td>ANTASIDA 3X1
GG 3X1
CTM 3X1
PCT 3X1</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
 <td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>245</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>JULIANA PUTRI NUR HARDIANTI</td>
<td>`020795</td>
<td></td>
<td>`0002802760705</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-2005</td>
<td>17 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td>131506010922Y000060</td>
<td>MUAL, MUNTAH, BAB CAIR 1X</td>
<td>ANTASIDA SYR 3X1
DOMP 3X1
PCT 3X1</td>
<td>120/80</td>
<td>97</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>246</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>SYAUQON</td>
<td>`020796</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-09-2009</td>
<td>13 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>PANAS 1 HARI, PUSING, BATUK, PILEK</td>
<td>PCT 3X1
GG 3X1
CTM 3X1</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>135</td>
<td>40</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>247</td>
 <td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>ARMAN MAULANA</td>
<td>`020797</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-09-2010</td>
<td>12 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>batuk pilek, pusing, mual</td>
<td>pamol, ctm, gg, antasida</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>50</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>248</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>MUKARI</td>
<td>`020798</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>01-09-1967</td>
<td>55 Th</td>
<td>RT 19 RW 7</td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td>SESAK, BATUK</td>
<td>NEBUL 1X
SALBUTAMOL 3X1
DEXA 2X1
AMBROXOL 3X1</td>
<td>120/70</td>
<td>72</td>
<td>36</td>
<td>32</td>
<td>155</td>
<td>45</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>249</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>SUTARNI</td>
<td>`020799</td>
<td></td>
<td>`0000665872749</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-11-1995</td>
<td>26 Th</td>
<td>DUSUN SOOKO, RT : 50,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000063</td>
<td>PUSING, MUAL, MUNTAH, NYERI ULU HATI TEMBUS PUNGGUNG</td>
<td>OMZ 2X1
ANTASIDA 3X1
DOMP 3X1
PCT 3X1</td>
<td>130/80</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>51</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>250</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>MUHAMMAD VIKRY ANANDA PUTRA</td>
<td>`012929</td>
<td></td>
<td>`0001964713149</td>
<td>`</td>
<td>`</td>
<td>BACHTIAR</td>
<td></td>
<td>L</td>
<td>09-09-2006</td>
<td>16 Th</td>
<td>RT 09 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000184</td>
<td>panas, bapil, mual</td>
<td>pct, gg, ctm, antasid</td>
 <td>110/70</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>40</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>251</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>ISNA HAYUN NURUSSAFA</td>
<td>`005476</td>
<td></td>
<td>`0002161669511</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-10-2016</td>
<td>5 Th</td>
<td>RT 19 RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000587</td>
<td>panas 4 hari, batuk, pilek</td>
<td>pct 3x1/2
gg 3x1/2
ctm 3x1/2
dexa 2x1/2</td>
<td>80/50</td>
<td>100</td>
<td>39</td>
<td>20</td>
<td>100</td>
<td>17</td>
<td>50</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>252</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>ILYAS</td>
<td>`020808</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-09-1997</td>
<td>25 Th</td>
<td>RT 18 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>post kll di jalan kerjo arah karangan, luka babras di kaki kanan dan
kiri</td>
<td>rawat luka
amox 3x1
pct 3x1</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>253</td>
<td>UGD</td>
<td>01-09-2022</td>
<td></td>
<td>OLGA YUANO SUWONDO</td>
<td>`020809</td>
<td></td>
<td>`0001891795746</td>
<td>`3503051403960001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-03-1995</td>
<td>27 Th</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>panasa,kejang</td>
<td>pamol</td>
<td>120/80</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
Fever with chills </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
 <td>254</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>KASUM</td>
<td>`006581</td>
<td></td>
<td>`0001978489563</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-04-1971</td>
<td>51 Th</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>255</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>SAMUJI</td>
<td>`003283</td>
<td></td>
<td>`0001978489541</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-06-1965</td>
<td>57 Th</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>164</td>
<td>59</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>256</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>MARSINI</td>
<td>`003747</td>
<td></td>
<td>`0001978487471</td>
<td>`3503055205710001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-05-1971</td>
<td>51 Th</td>
<td>SOOKO, RT : 45,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>257</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>SINTOWATI</td>
<td>`002658</td>
<td></td>
<td>`0001978489506</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-08-1971</td>
<td>51 Th</td>
<td>PRAMBON 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
 <td>36</td>
<td>20</td>
<td>158</td>
<td>55</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>258</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>SUGIANTO</td>
<td>`015446</td>
<td></td>
<td>`0001978489495</td>
<td>`3503052310650001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-10-1965</td>
<td>56 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>166</td>
<td>54</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
 General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>259</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>SAMSIAH</td>
<td>`015450</td>
<td></td>
<td>`0000665361617</td>
<td>`3503055011730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-11-1973</td>
<td>48 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>59</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>260</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>WARIMIN</td>
<td>`006993</td>
<td></td>
<td>`0000665785078</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1940</td>
<td>81 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/79</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>261</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
 <td>MUYONO</td>
<td>`011093</td>
<td></td>
<td>`0001978489642</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-06-1960</td>
<td>62 Th</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>164</td>
<td>60</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>262</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>SARIANTO</td>
<td>`010052</td>
<td>06/8049</td>
<td>`0001978490013</td>
<td>`3503050107680022</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>01-07-1968</td>
<td>54 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>64</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>263</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>MESIKEM</td>
<td>`015480</td>
<td></td>
<td>`0001037013941</td>
<td>`3503057112500024</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1950</td>
<td>71 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
 <td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>264</td>
<td>POLINDES PRAMBON 2</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>MARDIYAH</td>
<td>`008242</td>
<td></td>
<td>`0000666231726</td>
<td>`3503055104750004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-04-1975</td>
<td>47 Th</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>12/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>56</td>
 <td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>265</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>PUTRI INDAH SARI</td>
<td>`021514</td>
<td></td>
<td>`0000666089807</td>
<td>`3503055412020003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-12-2006</td>
<td>15 Th</td>
<td>DUSUN PONGGOK, RT : 20,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>KONSELING</td>
<td>-</td>
<td>110/78</td>
<td>89</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>266</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>ANISIYAH</td>
<td>`014930</td>
<td></td>
<td>`0000106552629</td>
<td>`3503056808800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-08-1980</td>
<td>42 Th</td>
<td>KRAJAN, RT : 3,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KONSELING</td>
<td>-</td>
<td>110/89</td>
<td>76</td>
<td>35</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>267</td>
 <td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>SUMIANI</td>
<td>`021515</td>
<td></td>
<td>`0000666383139</td>
<td>`3503056104690001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-04-1969</td>
<td>53 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KONSELING</td>
<td>-</td>
<td>120/80</td>
<td>90</td>
<td>35</td>
<td>20</td>
<td>160</td>
<td>54</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>268</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>PURWANI</td>
<td>`021516</td>
<td></td>
<td>`0000666167861</td>
<td>` </td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>05-10-1950</td>
<td>71 Th</td>
<td>NGLEGOK, RT : 10,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>KONSELING</td>
<td>-</td>
<td>140/80</td>
<td>89</td>
<td>35</td>
<td>20</td>
<td>157</td>
<td>65</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>269</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>HENDRI APRIANINGSIH</td>
<td>`013150</td>
<td></td>
<td>`0000665635419</td>
<td>`3503054609860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-09-1986</td>
<td>36 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
 <td>Lama</td>
<td>Konseling</td>
<td>KONSELING</td>
<td>-</td>
<td>120/80</td>
<td>90</td>
<td>35</td>
<td>20</td>
<td>167</td>
<td>65</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>270</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>EKA WIDIAWATI</td>
<td>`015602</td>
<td>04/2083</td>
<td>`0001036998437</td>
<td>`3503057101910001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-01-1991</td>
<td>31 Th</td>
<td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>KONSELING</td>
<td>-</td>
<td>110/87</td>
<td>89</td>
<td>35</td>
<td>20</td>
<td>157</td>
<td>54</td>
 <td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>271</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td>KONSULTASI</td>
<td>NUR EKA PUJI LESTARI</td>
<td>`021517</td>
<td></td>
<td>`0000665736401</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-02-1993</td>
<td>29 Th</td>
<td>DUSUN PONGGOK, RT : 20,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KONSELING</td>
<td>-</td>
<td>110/87</td>
<td>90</td>
<td>35</td>
<td>20</td>
<td>157</td>
<td>61</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>272</td>
<td>PUSTU NGEPEH</td>
<td>01-09-2022</td>
<td></td>
<td>MAMIK</td>
<td>`020897</td>
<td></td>
<td>`0002867872623</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-08-1947</td>
<td>75 Th</td>
<td>NGLEGOK 9/4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000175</td>
<td>pusing, sebah</td>
<td>pamol
amlodipin
antasid</td>
<td>146/84</td>
<td>74</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>R51</td>
<td>
Headache </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>273</td>
<td>PONKESDES TUMPUK</td>
<td>01-09-2022</td>
<td></td>
<td>RISTA SYAHIRA CERELLIA</td>
<td>`013059</td>
<td></td>
<td>`0002452664845</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-04-2018</td>
<td>4 Th</td>
<td>RT 1RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000977</td>
<td>PANAS,MUNTAH,BATUK,PILEK</td>
<td>SYR DEMACOLIN,SYR ANTACYDA</td>
<td>80/50</td>
<td>98</td>
<td>37</td>
<td>22</td>
<td>90</td>
<td>14.3</td>
<td>25</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>274</td>
<td>PONKESDES TUMPUK</td>
<td>01-09-2022</td>
<td></td>
<td>PUTRI AYUNINGTYAS</td>
<td>`021290</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>25-04-2018</td>
<td>4 Th</td>
<td>RT 11 RW 4</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK,PILEK</td>
<td>SYR PAMOL,AMOX,GG,CTM</td>
<td>82/50</td>
<td>104</td>
<td>36</td>
<td>22</td>
<td>91</td>
<td>15.3</td>
<td>25</td>
<td></td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>275</td>
<td>RAWAT INAP</td>
<td>02-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>SUYATI</td>
<td>`001752</td>
<td>01/3814</td>
<td>`0000665758697</td>
<td>`3503055511540001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-01-1954</td>
<td>68 Th</td>
<td>DESA GONDANG, RT : 8,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000291</td>
<td>MUNTAH, PUSING BERPUTAR, LEMAS</td>
<td>INF 20 TPM, METOKLO,RANIT, PO BETAHISTIN, PAMOL, AMLO, CAPTOPRIL</td>
<td>200/100</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>68</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pemasangan infuse<br>Layanan Unit Gawat Darurat (UGD)<br>Rawat Inap pasien
BPJS<br>Tindakan medis ringan lainnya<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Pemasangan infuse<br>Tindakan medis ringan
lainnya<br>Tindakan medis ringan lainnya<br>Tindakan medis ringan lainnya<br>
</td>
</tr>
<tr align='left' valign="top">
<td>276</td>
<td>RAWAT INAP</td>
<td>02-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>MARJITO</td>
<td>`016003</td>
<td></td>
<td>`0000666928236</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-04-1965</td>
<td>57 Th</td>
<td>RT 005/ RW 003</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922P000166</td>
<td>TANGAN DAN KAKI KIRI LEMAS SULIT DI GERAKKAN, PUSING</td>
<td>INFUS RL 20 TPM, INJ, ANTRAIN 3X1 AMP, INJ RANIT 2X1 SIMVASTATIN 1X1,
AMLODIOPINE 1X1</td>
<td>160/110</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Biaya rawat inap pasien umum per hari<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis
ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>277</td>
<td>POLINDES PRAMBON 2</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>WANDI</td>
<td>`002931</td>
<td></td>
<td>`0001978489618</td>
<td>`3503051007730004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-07-1973</td>
<td>49 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>84</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>278</td>
<td>POLINDES PRAMBON 2</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>NURHIDAYAH</td>
<td>`002930</td>
<td></td>
<td>`0001978489629</td>
<td>`3503054705680003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-05-1968</td>
<td>54 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>52</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>279</td>
<td>POLINDES PRAMBON 2</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SULAMI</td>
<td>`002936</td>
<td>06/2010</td>
<td>`0001978489664</td>
<td>`3503055312720002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-12-1972</td>
<td>49 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>119/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>60</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>280</td>
<td>POLINDES PRAMBON 2</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SASI</td>
<td>`013933</td>
<td></td>
<td>`0001978489653</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-08-1970</td>
<td>52 Th</td>
<td>PRAMBON RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>129/79</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>159</td>
<td>59</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>281</td>
<td>POLINDES PRAMBON 2</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MAYAR</td>
<td>`015402</td>
<td></td>
<td>`0001978490035</td>
<td>`3503050508680004</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-08-1968</td>
<td>54 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>129/69</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>60</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>282</td>
<td>POLINDES PRAMBON 2</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ENDAH DWININGSIH</td>
<td>`015405</td>
<td></td>
<td>`0001978490057</td>
<td>`3503054608040001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-08-2004</td>
<td>18 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>57</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>283</td>
<td>POLINDES PRAMBON 2</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MINTEN SETYO UTAMI</td>
<td>`006977</td>
<td></td>
<td>`0001978489978</td>
<td>`</td>
<td>`06/3257</td>
<td></td>
<td></td>
<td>P</td>
<td>15-03-1981</td>
<td>41 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
 <td>36</td>
<td>20</td>
<td>161</td>
<td>58</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>284</td>
<td>POLINDES PRAMBON 2</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>YETI FITRIA WARDANA</td>
<td>`015411</td>
<td></td>
<td>`0001978489989</td>
<td>`3503056111040001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-11-2004</td>
<td>17 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/79</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>164</td>
<td>60</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
 General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>285</td>
<td>POLINDES PRAMBON 2</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SUWARNO</td>
<td>`015415</td>
<td>06/3257</td>
<td>`0001978489967</td>
<td>`3503050805820003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-05-1982</td>
<td>40 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>286</td>
<td>POLINDES PRAMBON 2</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SUGITO</td>
<td>`007012</td>
<td></td>
<td>`0001978489675</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-02-1973</td>
<td>49 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>59</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>287</td>
<td>POLINDES PRAMBON 2</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
 <td>SULIK YULIANI</td>
<td>`003240</td>
<td></td>
<td>`0001978489686</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-01-1980</td>
<td>42 Th</td>
<td>PRAMBON RT 48 /10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>288</td>
<td>POLINDES PRAMBON 2</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>OKTAVIA ASMARAWATI</td>
<td>`004467</td>
<td></td>
<td>`0001978489697</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>16-10-2002</td>
<td>19 Th</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>0</td>
<td>152</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>289</td>
<td>POLINDES PRAMBON 2</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>BOINEM</td>
<td>`015301</td>
<td></td>
<td>`0000664975721</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-08-1963</td>
<td>59 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
 <td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>54</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>290</td>
<td>POLINDES PRAMBON 2</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MESINEM</td>
<td>`015431</td>
<td></td>
<td>`0000666567909</td>
<td>`3503056802610001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-02-1961</td>
<td>61 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>56</td>
 <td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>291</td>
<td>POLINDES PRAMBON 2</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SUYANTO</td>
<td>`015434</td>
<td></td>
<td>`0000666567663</td>
<td>`3503050710570002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-10-1957</td>
<td>64 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>58</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>292</td>
<td>POLI LANSIA</td>
<td>02-09-2022</td>
<td></td>
<td>RUMINI</td>
<td>`017282</td>
<td>02/819</td>
<td>`0000667358908</td>
<td>`3503054403560001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-03-1956</td>
<td>66 Th</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000098</td>
<td>GRINGGINGEN PADA TANGAN</td>
<td>GLIMEPIRID,AMLODIPIN 10MG,B COMPLEK</td>
<td>158/79</td>
<td>83</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>62</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>293</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>NURKHOLIS</td>
<td>`008786</td>
<td>02/3185</td>
<td>`0000665598159</td>
<td>`3503050104720003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-1972</td>
<td>50 Th</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000101</td>
<td>mata blawur</td>
<td>amlodipin aspilet kloram salep mata</td>
<td>181/91</td>
<td>66</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>71</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>H10.9</td>
<td>
Conjunctivitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>294</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>YATMIATI</td>
<td>`000261</td>
<td>08/5687</td>
<td>`</td>
<td>`3503055703750001</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>01-01-1970</td>
<td>52 Th</td>
<td>RT 02 RW 01</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>lemas</td>
<td>vitamin bc</td>
<td>108/68</td>
<td>85</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>295</td>
<td>POLI LANSIA</td>
<td>02-09-2022</td>
<td></td>
<td>SULIYAH</td>
<td>`009596</td>
<td>04/5373</td>
<td>`0000666829978</td>
<td>`3503054207520001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-07-1952</td>
<td>70 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000097</td>
<td>PUSING</td>
<td>GLIBEN ,B COMPLEK,PARACETAMOL</td>
<td>144/103</td>
<td>89</td>
<td>365</td>
<td>20</td>
<td>153</td>
<td>54</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>296</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>SUHADI</td>
<td>`020755</td>
<td>07/4520</td>
<td>`0002493906344</td>
<td>`3503050706670001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-06-1967</td>
<td>55 Th</td>
<td>RT 09 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000103</td>
<td>cek gdp</td>
<td>-</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
 <td>49</td>
<td>40</td>
<td>RIJALI</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>297</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>ALI MUSTOFA</td>
<td>`014716</td>
<td>04/6243</td>
<td>`0000665711098</td>
<td>`3503052107780001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>21-07-1978</td>
<td>44 Th</td>
<td>RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>131506010922Y000118</td>
<td>kontrol dm</td>
<td>-</td>
<td>126/77</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>67</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>298</td>
<td>POLI LANSIA</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SUROTO</td>
<td>`007100</td>
<td>01/2135</td>
<td>`0002464948034</td>
<td>`3503053010500002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-10-1950</td>
<td>71 Th</td>
<td>DESA GONDANG, RT : 8,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>Rujukan masih berlaku</td>
<td>-</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>299</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>TITI MULYANI</td>
<td>`020810</td>
<td>01/1570</td>
<td>`</td>
<td>`3503054107760021</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1976</td>
<td>46 Th</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td></td>
<td>nyeri telan gembreges pusing</td>
<td>ciprodeksa ibuprofen</td>
<td>102/62</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>50</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>300</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>MUHAMMAD ZAHDAN ILHAM ILYAS</td>
<td>`002641</td>
<td>05/1632b</td>
<td>`0002424644932</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>11-06-2014</td>
<td>8 Th</td>
<td>RT 8 RW 4</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000086</td>
<td>kontrol</td>
<td>rujukan</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>92</td>
<td>12</td>
<td>12</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>G40</td>
<td>
Epilepsy </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>301</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>JALIL</td>
<td>`020533</td>
<td>01/7570</td>
<td>`</td>
<td>`3503053005740001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-05-1974</td>
<td>48 Th</td>
<td>RT 14 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>kontrol jahitan</td>
<td>rawat luka</td>
<td>120/0</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z48.0</td>
<td>
Attention to surgical dressings and sutures </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>302</td>
<td>POLI LANSIA</td>
<td>02-09-2022</td>
<td></td>
<td>SUJIATUN</td>
<td>`001953</td>
<td>03/3328a</td>
<td>`0000077105518</td>
<td>`350305 </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1943</td>
<td>79 Th</td>
<td>RT 11 RW 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000085</td>
<td>kontrol poli dalam</td>
<td>-</td>
<td>145/54</td>
<td>73</td>
<td>36</td>
<td>22</td>
<td>154</td>
 <td>49</td>
<td>78</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>303</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>CANTIKA NATASYA PUTRI</td>
<td>`020427</td>
<td>01/6245</td>
<td>`0003067907973</td>
<td>`3503056701150001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-01-2015</td>
<td>7 Th</td>
<td>RT 031 RW 007</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000102</td>
<td>panas taedi malam</td>
<td>pamol dexa</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>110</td>
<td>17</td>
<td>17</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>304</td>
<td>POLI GIGI</td>
<td>02-09-2022</td>
<td></td>
<td>NAUFAN FAIRUZ</td>
<td>`020811</td>
<td>03/7265</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-07-2011</td>
<td>11 Th</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>gigi depan atas kanan kiri berlubang</td>
<td>konsultasi</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>114</td>
<td>38</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K02.1</td>
<td>
Caries of dentine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
 <td>305</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>IRFAN SAPUTRA</td>
<td>`014037</td>
<td></td>
<td>`0000665510185</td>
<td>`3503052606030001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-06-2003</td>
<td>19 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>306</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>REBO</td>
<td>`007455</td>
<td></td>
<td>`0000665765875</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>13-03-1951</td>
<td>71 Th</td>
<td>PRAMBON RT 19/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>130/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>307</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ROHADI</td>
<td>`001966</td>
<td></td>
<td>`0000666244192</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-1969</td>
<td>53 Th</td>
<td>PRAMBON RT 24/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>308</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>FARELIDZI SUKMA ADZANA</td>
<td>`020812</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-12-2015</td>
<td>6 Th</td>
<td>RT 4 RW 2</td>
<td>NGLINGGIS</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>cek dl</td>
<td>-</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
 <td>20</td>
<td>20</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>309</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>FERIANA PUTRI</td>
<td>`014115</td>
<td></td>
<td>`0000666245327</td>
<td>`3503056202040001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-02-2004</td>
<td>18 Th</td>
<td>DUSUN KRAJAN, RT : 24,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>310</td>
<td>POLI LANSIA</td>
<td>02-09-2022</td>
<td></td>
<td>KARMINI</td>
<td>`001654</td>
<td>04/3817</td>
<td>`0000665583704</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-02-1957</td>
<td>65 Th</td>
<td>RT 08 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000087</td>
<td>RUJUK BALIK</td>
<td>BISOPROLOL 2,5 MG 1X1 (30)
ISDN 5MG 2X1 (60)
CANDESARTAN 8MG 1X1 (30)
KLOPIDOGREL 75MG 1X1 (30)
SIMVASTATIN 20MG 1X1 (30)
SPIRONOLACTON 25MG 1X1 (30)</td>
<td>136/74</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>59</td>
<td>88</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>I50</td>
<td>
Heart failure </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>311</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>SOVIA </td>
<td>`004295</td>
<td>02/4738</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>JURENI</td>
<td></td>
<td>P</td>
<td>10-01-2016</td>
<td>6 Th</td>
<td>RT 7 RW 2 NGLONGSOR</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>panas</td>
<td>-</td>
<td>1/1</td>
<td>88</td>
<td>37</td>
<td>36</td>
<td>120</td>
<td>17</td>
<td>15</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>312</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>WIJI</td>
<td>`001177</td>
 <td></td>
<td>`0000666244574</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1972</td>
<td>50 Th</td>
<td>PRAMBON RT 24/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>313</td>
<td>POLI LANSIA</td>
<td>02-09-2022</td>
<td></td>
<td>MUJIATI</td>
<td>`000290</td>
<td>90/2377</td>
<td>`0002190257392</td>
<td>`3503065105590001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-05-1959</td>
<td>63 Th</td>
<td>RT 06 RW 01</td>
 <td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000088</td>
<td>KONTROL POLI BEDAH</td>
<td>-</td>
<td>89/56</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>C51.1</td>
<td>
Malignant neoplasm of labium minus </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>314</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SAMPAR</td>
<td>`020813</td>
<td></td>
<td>`0002970309879</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-10-1944</td>
<td>77 Th</td>
<td>PRAMBON RT 29/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
 <td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>315</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>EDI PRASETYO</td>
<td>`020125</td>
<td>90/39</td>
<td>`0002802768219</td>
<td>`3503051311930001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-11-1993</td>
<td>28 Th</td>
<td>RT 03 RW01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000104</td>
<td>kontrolkaki bengkak</td>
<td>allopurinol simvastatin nadic prednison</td>
<td>144/54</td>
<td>109</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>78</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E78.0</td>
<td>
 Pure hypercholesterolaemia </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>316</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>DWI AYU FAHIRA</td>
<td>`015649</td>
<td></td>
<td>`0000665343472</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-09-1999</td>
<td>23 Th</td>
<td>PRAMBON RT 22</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>317</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>TRI MURTININGSIH</td>
<td>`012618</td>
<td>06/5880A</td>
<td>`0000665340939</td>
<td>`3503055703860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-03-1986</td>
<td>36 Th</td>
<td>RT 22 RW 04</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>155</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>318</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>TUKINEM</td>
<td>`000550</td>
<td></td>
 <td>`0000665340221</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-06-1962</td>
<td>60 Th</td>
<td>RT 22 RW 04</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>120</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>319</td>
<td>POLI GIGI</td>
<td>02-09-2022</td>
<td></td>
<td>MULYONO</td>
<td>`020814</td>
<td>01/6044</td>
<td>`</td>
<td>`3503053003750004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-03-1975</td>
<td>47 Th</td>
<td>RT9 RW 2</td>
<td>GONDANG</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Baru</td>
<td></td>
<td>gigi samping atas kiri berlubang</td>
<td>pembersihan kavitas</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>76</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02.1</td>
<td>
Caries of dentine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Tambal gigi sementara per gigi<br></td>
</tr>
<tr align='left' valign="top">
<td>320</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>IRFAN HARDIYASYAH</td>
<td>`002381</td>
<td></td>
<td>`0001978488617</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-05-1999</td>
<td>23 Th</td>
<td>PRAMBON RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
 <td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>321</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>JUASRI</td>
<td>`010332</td>
<td>02/64</td>
<td>`0000665633171</td>
<td>`3503057112650090</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1965</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000106</td>
<td>gembreges nggliyeng mual</td>
<td>amlodipin furosemid antasida omz domperidon pamol</td>
<td>192/107</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
 <td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>322</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MISINEM</td>
<td>`013965</td>
<td></td>
<td>`0002802758218</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1965</td>
<td>56 Th</td>
<td>PRAMBON RT 32</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>323</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>LUCKY EKO PUSWIANTO</td>
<td>`007708</td>
<td></td>
<td>`0001978487515</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-05-1994</td>
<td>28 Th</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>324</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>MARYATI</td>
<td>`009856</td>
<td>08/7078</td>
<td>`0000665960602</td>
 <td>`3503056509700002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-09-1970</td>
<td>52 Th</td>
<td>DESA WINONG, RT : 5,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000105</td>
<td>nggliyeng jari gringgingen</td>
<td>antasida nadiklof prednison pamol</td>
<td>123/66</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>325</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ROIS SETYO WAHYUDI</td>
<td>`014545</td>
<td></td>
<td>`0002685123369</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-05-2001</td>
<td>21 Th</td>
<td>RT 30</td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>326</td>
<td>POLI GIGI</td>
<td>02-09-2022</td>
<td></td>
<td>MIA TRI HARSIWI</td>
<td>`006023</td>
<td>02/4489</td>
<td>`</td>
<td>`3503057005940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-05-1994</td>
<td>28 Th</td>
<td>RT 05 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td>gigi samping kiri bawah berlubang</td>
<td>konsultasi dan medikasi</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
 <td>20</td>
<td>156</td>
<td>74</td>
<td>1</td>
<td>Klinik Aba Husada</td>
<td>KASUS BARU</td>
<td>K02.1</td>
<td>
Caries of dentine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>327</td>
<td>POLI LANSIA</td>
<td>02-09-2022</td>
<td></td>
<td>SAMIRAH</td>
<td>`004276</td>
<td>01/6873</td>
<td>`0001963463681</td>
<td>`3503055904400001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-04-1960</td>
<td>62 Th</td>
<td>DESA GONDANG, RT : 13,RW :3 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000089</td>
<td>RUJUK BALIK</td>
<td>BISOPROLOL2,5 MG 1X1 (30)
FUROSEMID 40MG 1X1 (30)
CANDESARTAN 8MG 1X1 (30)
SPIRONOLACTON 25MG 1X1 (30)
ISDN 5MG 2X1 (60)</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
 <td>I11</td>
<td>
Hypertensive heart disease </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>328</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>PURI APRILIANA</td>
<td>`020815</td>
<td>01/8563</td>
<td>`</td>
<td>`3503065404960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-04-1996</td>
<td>26 Th</td>
<td>RT 24 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>telinga terasa tersumbat</td>
<td>-</td>
<td>123/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>50</td>
<td>Karangan</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>329</td>
<td>POLI LANSIA</td>
<td>02-09-2022</td>
<td></td>
<td>NY. YATINI</td>
<td>`020433</td>
<td>03/245</td>
<td>`0000106769845</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-07-1959</td>
<td>63 Th</td>
<td>RT 05 RW 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y000091</td>
<td>kontrol rutin</td>
<td>Glibenklamid, amlodipin 10mg</td>
<td>124/73</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>49</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>330</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>SUBRIHATIN</td>
 <td>`007078</td>
<td>04/9319</td>
<td>`0003123588295</td>
<td>`6472035206660001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-06-1966</td>
<td>56 Th</td>
<td>KRAJAN, RT : 4,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000090</td>
<td>kontrol</td>
<td>rujukan</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z47.9</td>
<td>
Orthopaedic follow-up care, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>331</td>
<td>POLI GIGI</td>
<td>02-09-2022</td>
<td></td>
<td>NUR AZIZAH</td>
<td>`020816</td>
<td>01/581</td>
<td>`0000664960803</td>
<td>`3503055304940002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-04-1994</td>
<td>28 Th</td>
 <td>RT 027 RW 007</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000120</td>
<td>gigi geraham bawah kiri berluibang</td>
<td>konsultasi dan medikasi</td>
<td>110/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>59</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>332</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>INIK</td>
<td>`020817</td>
<td>01/3642</td>
<td>`0002074450792</td>
<td>`3503055007700001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-07-1970</td>
<td>52 Th</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Baru</td>
<td>131506010922Y000108</td>
<td>badabn nyeri semua</td>
<td>amlodipin antasida omz pamol</td>
 <td>170/92</td>
<td>99</td>
<td>36</td>
<td>20</td>
<td>151</td>
<td>82</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>333</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>KATIRIN</td>
<td>`003914</td>
<td>03/3896</td>
<td>`0002802753426</td>
<td>`3503051204680008</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1968</td>
<td>54 Th</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000107</td>
<td>rawat luka</td>
<td>-</td>
<td>101/65</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>51</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z48.0</td>
 <td>
Attention to surgical dressings and sutures </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>334</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>ZIYO DARRENSKY ADI</td>
<td>`009236</td>
<td>06/4462</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-04-2011</td>
<td>11 Th</td>
<td>RT 41 RW 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>batuk piolek nyeri tenggorokan</td>
<td>amok pamol ctm gg dexa</td>
<td>90/58</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>35</td>
<td>30</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>335</td>
<td>POLI LANSIA</td>
<td>02-09-2022</td>
<td></td>
<td>SUSANTO</td>
<td>`001367</td>
<td>02/181</td>
<td>`0000106703638</td>
<td>`3503051401480001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-01-1948</td>
<td>74 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y000099</td>
<td>NYERI ABDOMENT,MUAL</td>
<td>ANTASIDA,OMEPRAZOL,</td>
<td>130/69</td>
<td>70</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>44.5</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>336</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>SITI ROHANA</td>
<td>`003104</td>
 <td>02/181</td>
<td>`0002039156548</td>
<td>`3504184808730002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-08-1973</td>
<td>49 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000165</td>
<td>GRINGGINGEN PADA KAKI, KAKI BENGKAK</td>
<td>HIDRO SALEP, LORATADIN, VIT BC, FUROSEMID, SIMVAS, ALLOP</td>
<td>141/62</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>72.8</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L30</td>
<td>
Other dermatitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>337</td>
<td>POLI REMAJA</td>
<td>02-09-2022</td>
<td></td>
<td>ZASKIA SYAHRA NUR AZIZAH</td>
<td>`020818</td>
<td>04/5849</td>
<td>`0002860462833</td>
<td>`3503054612120001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-12-2012</td>
<td>9 Th</td>
<td>RT 008 RW 003</td>
 <td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000117</td>
<td>panas batuk puilek</td>
<td>pamol ctm gg antasida dwxa</td>
<td>86/60</td>
<td>111</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>30</td>
<td>30</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>338</td>
<td>POLI LANSIA</td>
<td>02-09-2022</td>
<td></td>
<td>TUMILAH</td>
<td>`009255</td>
<td>05/5866</td>
<td>`0000665531008</td>
<td>`3503054407540001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-07-1954</td>
<td>68 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000093</td>
<td>LUKA PADA DAHI ,LUKA BERNANAH AWALNYA KECIL KURNG LEBIH 1 THN ,SEKITAR 3
BULANAN MEMBESAR </td>
<td>-</td>
 <td>120/80</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>60</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>D03.3</td>
<td>
Melanoma in situ of other and unspecified parts of face </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>339</td>
<td>POLINDES WINONG</td>
<td>02-09-2022</td>
<td></td>
<td>MISIYAM</td>
<td>`017615</td>
<td></td>
<td>`0001978465511</td>
<td>`3503055308540002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-08-1954</td>
<td>68 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001799</td>
<td>pusing</td>
<td>amlo</td>
<td>150/95</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>155</td>
<td>65</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
 <td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>340</td>
<td>POLI GIGI</td>
<td>02-09-2022</td>
<td></td>
<td>NAYLA TSAMORTIL MUNA</td>
<td>`020819</td>
<td>07/6215</td>
<td>`0002764076275</td>
<td>`3503055209130001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-2003</td>
<td>19 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Baru</td>
<td>131506010922Y000121</td>
<td>gigi geraham susu bawah kiri kesundulan</td>
<td>konsultasi</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>135</td>
<td>33</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
 <td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>341</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>MUSNAIM AHMAD</td>
<td>`021111</td>
<td></td>
<td>`0000665468302</td>
<td>`</td>
<td>`</td>
<td>ahmad boniran</td>
<td></td>
<td>L</td>
<td>25-06-2007</td>
<td>15 Th</td>
<td>RT 7 RW 2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000590</td>
<td>panas 2 hari, batuk, pilek, muntah 1x</td>
<td>antasida 3x1
pct 3x1
ctm 3x1
gg 3x1
dexa 2x1</td>
<td>100/70</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>88</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>342</td>
<td>POLI LANSIA</td>
 <td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SUKIRAH</td>
<td>`013523</td>
<td>01/5765</td>
<td>`0000666161965</td>
<td>`3503054509530001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-09-1953</td>
<td>69 Th</td>
<td>DUSUN KEBONSARI, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>Konseling</td>
<td>KONTROL</td>
<td>-</td>
<td>160/75</td>
<td>93</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>46.8</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>343</td>
<td>POLI LANSIA</td>
<td>02-09-2022</td>
<td></td>
<td>PATONAH</td>
<td>`006838</td>
<td>90/1027</td>
<td>`0002253218501</td>
<td>`3503064109530001</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>01-09-1953</td>
<td>69 Th</td>
<td>RT 14 RW 03</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000100</td>
<td>NYERI PUNGGUNG</td>
<td>PARACETAMOL,IBUPROFEN,DIAZEPAM,DEXA,B COMPLEK</td>
<td>152/134</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>47</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M19.0</td>
<td>
Primary arthrosis of other joints </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>344</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>IRFAN NAWAWI</td>
<td>`005788</td>
<td>07/2449</td>
<td>`0001978438869</td>
<td>`3503051005080001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-05-2008</td>
<td>14 Th</td>
<td>SUKOREJO, RT : 10,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
 <td>131506010922Y000591</td>
<td>panas, batuk pilek</td>
<td>pamol, gg, ctm, deksa</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>345</td>
<td>POLINDES WINONG</td>
<td>02-09-2022</td>
<td></td>
<td>MUJIATUN</td>
<td>`003724</td>
<td></td>
<td>`0000666169885</td>
<td>`3503056005790001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-05-1979</td>
<td>43 Th</td>
<td>DUSUN TLOGOREJO, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001800</td>
<td>taa</td>
<td>pil kn</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>55</td>
<td>1</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.0</td>
<td>
General counselling and advice on contraception </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>346</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>AHMAD MAULANA ZIDHAN</td>
<td>`013795</td>
<td></td>
<td>`0003067661586</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-03-2018</td>
<td>4 Th</td>
<td>RT7RW3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000593</td>
<td>post terkena ruji sepeda, luka robek di lutut kiri</td>
<td>pct 3x1 cth
amox 3x1/4
</td>
<td>90/60</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>100</td>
<td>20</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>347</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>PUJI RAHAYUNINGSIH</td>
<td>`008293</td>
<td>02/1665</td>
<td>`0000665426902</td>
<td>`3503055010700002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-10-1970</td>
<td>51 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000111</td>
<td>pusing gringgingen</td>
<td>amlodipin furosemid aspilet nadiklof</td>
<td>157/102</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>61</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>348</td>
 <td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>REYZA INARA MAHARANI</td>
<td>`003064</td>
<td>02/1665</td>
<td>`0002474014915</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-03-2017</td>
<td>5 Th</td>
<td>RT 19 RW 7</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000110</td>
<td>batuk pilek panas</td>
<td>amok pamol ctm dexa gg</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>15</td>
<td>15</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>349</td>
<td>POLI REMAJA</td>
<td>02-09-2022</td>
<td></td>
<td>FAUZIA NAYAKA LUTFIAH</td>
<td>`020820</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>04-12-2005</td>
<td>16 Th</td>
<td>RT 2 RW 9</td>
<td>PASIR UTAMA</td>
<td>RAMBAH HILIR</td>
<td>ROKAN HULU</td>
<td>RIAU</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>haid 10 hati lemas pusing panas</td>
<td>amok pamol gg deksa sf</td>
<td>105/57</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>42</td>
<td>40</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>350</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>MURTIJAH</td>
<td>`007353</td>
<td>01/40</td>
<td>`0001037003016</td>
<td>`3503054806750001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-06-1975</td>
<td>47 Th</td>
<td>DUSUN KRAJAN II, RT : 28,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
 <td>Lama</td>
<td>131506010922Y000109</td>
<td>batuk pusing pilek gembreges</td>
<td>ciproi pamol ctm gg</td>
<td>109/65</td>
<td>71</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>65</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>351</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>AHMAD ARDIKA</td>
<td>`021115</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>ysuf</td>
<td></td>
<td>L</td>
<td>12-09-2007</td>
<td>15 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>panas, batuk, pilek</td>
<td>pct 3x1
gg 3x1
bc 3x1
ctm 3x1</td>
<td>100/60</td>
<td>88</td>
<td>36</td>
 <td>20</td>
<td>150</td>
<td>45</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>352</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>ZAKI GALIH</td>
<td>`021117</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>tri aprianto</td>
<td></td>
<td>L</td>
<td>12-09-2007</td>
<td>15 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>panas, batuk, pilek</td>
<td>pct 3x1
gg 3x1
bc 2x1
ctm 3x1</td>
<td>102/74</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
 <td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>353</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>AHMAD NUR</td>
<td>`021118</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>sunaryo</td>
<td></td>
<td>L</td>
<td>12-09-2008</td>
<td>14 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>panas, batuk, pilek</td>
<td>pamol, gg, b.complek ctm</td>
<td>120/80</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
 <td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>354</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>SUYATI</td>
<td>`004422</td>
<td>01/163A</td>
<td>`0000106823957</td>
<td>`3503055707550001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-07-1955</td>
<td>67 Th</td>
<td>DUSUN KALIPINGGIR, RT : 18,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Guru</td>
<td>Lama</td>
<td>131506010922Y000596</td>
<td>nyeri lutut sebelah kanan,pusing</td>
<td>pamol, antasida, amlodipine</td>
<td>160/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>355</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>AWWABIN SHOLEH</td>
<td>`002525</td>
 <td>04/5905</td>
<td>`0000666062583</td>
<td>`3503052711090001</td>
<td>`</td>
<td></td>
<td>085243516125</td>
<td>L</td>
<td>27-11-2009</td>
<td>12 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000598</td>
<td>bengkak pada tangan kanan</td>
<td>inj hemofilia</td>
<td>100/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>35</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>D68.0</td>
<td>
Von Willebrand`s disease </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>356</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>CHOIRUL ANAM</td>
<td>`020598</td>
<td></td>
<td>`0001978461909</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-09-1995</td>
<td>27 Th</td>
<td>BANARAN RT7 RW 4</td>
 <td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>swasta</td>
<td>Lama</td>
<td>131506010922Y000597</td>
<td>mual,pusing</td>
<td>pamol, ctm, antasida</td>
<td>120/80</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>357</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td></td>
<td>SUPARNI</td>
<td>`014212</td>
<td>06/8318</td>
<td>`</td>
<td>`3503051006640001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-06-1964</td>
<td>58 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK</td>
<td>IBU 400 GG</td>
<td>120/70</td>
 <td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>358</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>RIZAL FAHRUL</td>
<td>`021119</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>rizal</td>
<td></td>
<td>L</td>
<td>12-09-1996</td>
<td>26 Th</td>
<td>RT 10 RW 4</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>jari kelingking tangan kanan terjepit kayu, babras, lobek</td>
<td>amok 3x1
ibuprofen 3x1
rawat luka</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
 <td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>359</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>ZAHRA CANTIKA PUTRI</td>
<td>`005626</td>
<td>02/647</td>
<td>`0001845881706</td>
<td>`3503054312140003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-12-2014</td>
<td>7 Th</td>
<td>RT 7 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000112</td>
<td>batuk pilek muntah</td>
<td>amok pamol gg deksa dom</td>
<td>1/1</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>32</td>
<td>30</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
 dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>360</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>UCIH</td>
<td>`020821</td>
<td>02/647</td>
<td>`0001845880457</td>
<td>`3201356211930002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-11-1993</td>
<td>28 Th</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000113</td>
<td>pilek pusing serik</td>
<td>cipro ctm pamol dexa vit c</td>
<td>95/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>52</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>361</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td></td>
<td>LASMO</td>
 <td>`011637</td>
<td>06/9287</td>
<td>`</td>
<td>`3503050107510012</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1951</td>
<td>71 Th</td>
<td>DUSUN PAKEL, RT : 26,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PUSING</td>
<td>IBU 400 BC</td>
<td>140/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>362</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>ISTIQAMAH</td>
<td>`003983</td>
<td></td>
<td>`0000665368323</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-10-1969</td>
<td>52 Th</td>
 <td>RT 14 RW 4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000600</td>
<td>sesak, batuk</td>
<td>nebul 1 a
ambroxol 3x1
salbutamol 3x1</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>26</td>
<td>155</td>
<td>46</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pel. Penguapan saluran nafas<br> </td>
</tr>
<tr align='left' valign="top">
<td>363</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>IRFAN APRILIANTO</td>
<td>`020805</td>
<td></td>
<td>`0001036999618</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-04-2004</td>
<td>18 Th</td>
<td>RT 18 RW 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000601</td>
 <td>rawat luka poat heating</td>
<td>rawat luka
amox 3x1
ibuprofen 3x1</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>364</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>SULTAN</td>
<td>`021121</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-2017</td>
<td>5 Th</td>
<td>RT 2 RW 1</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>mual, muntah</td>
<td>antasida</td>
<td>90/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>46</td>
 <td>78</td>
<td></td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>365</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>AFI ARYO</td>
<td>`021122</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>gatot</td>
<td></td>
<td>L</td>
<td>12-09-2007</td>
<td>15 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>pusing, panas, batuk, pilek</td>
<td>pamol,ambroxol,ctm, b.complek</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>366</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>SUSWATI</td>
<td>`007449</td>
<td>08/3291</td>
<td>`0000170070456</td>
<td>`3503056008820002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-08-1982</td>
<td>40 Th</td>
<td>DUSUN BENGGLE, RT : 12,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000602</td>
<td>panas 1 hari, batuk, pilek</td>
<td>pct 3x1
ambroxol 3x1
ctm 3x1
bc 1x1</td>
<td>110/70</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>61</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>367</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>MARJITO</td>
<td>`020822</td>
<td></td>
<td>`0000666928236</td>
<td>`3503052004650001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-04-1965</td>
<td>57 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Baru</td>
<td>131506010922Y000114</td>
<td>keju kaki terasa berat</td>
<td>dirawat</td>
<td>165/86</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>48</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>368</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>NABILLA HANUN FIDIAWATI</td>
<td>`019918</td>
<td>03/301</td>
<td>`0002208129399</td>
<td>`3503056304160001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-04-2016</td>
<td>6 Th</td>
<td>DUSUN JUMOK, RT : 6,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000115</td>
<td>panas batuk pilek</td>
<td>pamol ctm gg vit c</td>
<td>1/1</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>16</td>
<td>15</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>369</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>MUHAMMAD ZIDAN</td>
<td>`021127</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>anwar</td>
<td></td>
<td>L</td>
<td>12-09-2007</td>
<td>15 Th</td>
<td>RT 28 RW 7</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>panas 3 hari, batuk, mual</td>
<td>pct 3x1
ctm 3x1
gg 3x1
antasida 3x1</td>
<td>100/70</td>
<td>100</td>
<td>38</td>
<td>20</td>
<td>145</td>
<td>40</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>370</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>AHMAD ZAINUDDIN ARYA WIRATAMA</td>
<td>`020823</td>
<td>01/4538</td>
<td>`</td>
<td>`3503050801170002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-01-2017</td>
<td>5 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>panas pusing</td>
<td>pamol dexa</td>
<td>1/1</td>
 <td>88</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>17</td>
<td>15</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>371</td>
<td>POLI GIGI</td>
<td>02-09-2022</td>
<td></td>
<td>DENOK PUTRI PRASETYANINGRUM</td>
<td>`020547</td>
<td>05/3306</td>
<td>`0001037004175</td>
<td>`3503054907020001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-07-2002</td>
<td>20 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000122</td>
<td>gigi geraham bawah kiri berlubang</td>
<td>konsultasi</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>52</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K04.0</td>
<td>
 Pulpitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>372</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>REZA</td>
<td>`021129</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>sali</td>
<td></td>
<td>L</td>
<td>12-09-2009</td>
<td>13 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>panas , batuk, pilek</td>
<td>pct 3x1
ambroxol 3x1
ctm 3x1
antasida 3x1</td>
<td>100/60</td>
<td>80</td>
<td>38</td>
<td>20</td>
<td>145</td>
<td>42</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>373</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td></td>
<td>KATINO</td>
<td>`018328</td>
<td></td>
<td>`0000665988625</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1965</td>
<td>56 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000092</td>
<td>GREGES</td>
<td>IBU 400 CIPRO</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>64</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>374</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
 <td>MASLIKATUR</td>
<td>`021131</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>ibrahim</td>
<td></td>
<td>P</td>
<td>12-09-2001</td>
<td>21 Th</td>
<td>RT 22 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>panas, lemes</td>
<td>pct 3x1
ctm 3x1</td>
<td>80/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>40</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>375</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>EFI SUSANTI</td>
<td>`020824</td>
<td></td>
<td>`0000665583838</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>14-05-1996</td>
<td>26 Th</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>376</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>ALMEIRA</td>
<td>`021133</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>dendi</td>
<td></td>
<td>P</td>
<td>12-09-2006</td>
<td>16 Th</td>
<td>RT 10 RW 7</td>
<td>SALAMREJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
 <td>post opname tidak mau makan, tidak mau minum obat, diare 3x</td>
<td>oralit 1x/diare
zink syr 3x1cth</td>
<td>100/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>45</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>377</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td></td>
<td>ALFIAN FATIH SYAFA`AT</td>
<td>`020825</td>
<td></td>
<td>`0001707023147</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-04-2015</td>
<td>7 Th</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000094</td>
<td>PANAS</td>
<td>PAMOL</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>24</td>
<td>90</td>
<td>21</td>
<td>0</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>378</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>NANANG SANTOSO</td>
<td>`018821</td>
<td></td>
<td>`0000666288527</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-12-1989</td>
<td>32 Th</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>379</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>MULYONO</td>
<td>`002782</td>
<td>06/8954</td>
<td>`0002681645152</td>
<td>`3503050709620002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-09-1962</td>
<td>60 Th</td>
<td>DUSUN TENGGAR, RT : 9,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000606</td>
<td>tidak bisa BAK</td>
<td>pasang dc</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R33</td>
<td>
Retention of urine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pemasangan kateter<br> </td>
</tr>
<tr align='left' valign="top">
<td>380</td>
<td>POLI GIGI</td>
<td>02-09-2022</td>
 <td></td>
<td>MUHAMMAD NAUFAL ANWAR</td>
<td>`003036</td>
<td>90/42</td>
<td>`0000107062931</td>
<td>`3503110605060001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-05-2006</td>
<td>16 Th</td>
<td>JL. ARMYN PANE, RT : 002,RW :001 </td>
<td>SUMBERGEDONG</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PELAJAR/MAHASISWA</td>
<td>Lama</td>
<td>131506010922Y000123</td>
<td>gigi geraham terasa nyeri</td>
<td>konsultasi dan medikasi</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>164</td>
<td>62</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.0</td>
<td>
Pulpitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>381</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td></td>
<td>RIYANTO TRIBOWO</td>
<td>`018794</td>
<td></td>
<td>`0001707023136</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>01-01-1989</td>
<td>33 Th</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000095</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>382</td>
<td>POLI K.B</td>
<td>02-09-2022</td>
<td></td>
<td>WINDY YULIANINGSIH</td>
<td>`003990</td>
<td>05/3108</td>
<td>`0001978462271</td>
<td>`3503055910000002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-10-2000</td>
<td>21 Th</td>
<td>RT 08 RW 04</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
 <td>CPW</td>
<td>-</td>
<td>120/80</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>162</td>
<td>58</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>383</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>MARJITO</td>
<td>`020822</td>
<td></td>
<td>`0000666928236</td>
<td>`3503052004650001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-04-1965</td>
<td>57 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922P000166</td>
<td>keju kaki terasa berat</td>
<td>dirawat</td>
<td>165/86</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>48</td>
<td>45</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>384</td>
<td>PUSTU PRAMBON</td>
<td>02-09-2022</td>
<td></td>
<td>ABIL</td>
<td>`020826</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-09-2021</td>
<td>1 Th</td>
<td>PRAMBON RT 13/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>PANAS PILEK</td>
<td>DEMACOLIN SIRUP</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>24</td>
<td>80</td>
<td>9</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>385</td>
<td>POLI K.B</td>
<td>02-09-2022</td>
<td></td>
<td>ABIBH FAJAR</td>
<td>`011903</td>
<td></td>
<td>`0000666264058</td>
<td>`3503051802010002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-02-2001</td>
<td>21 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>CPP</td>
<td>-</td>
<td>130/87</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>68</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>386</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
 <td>MUHAMAD HAMIM ULIN NUHA</td>
<td>`011254</td>
<td></td>
<td>`0002756572031</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-2019</td>
<td>3 Th</td>
<td>RT 9 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000609</td>
<td>batuk, sesak</td>
<td>nebul 1 ventolin</td>
<td>80/60</td>
<td>90</td>
<td>36</td>
<td>26</td>
<td>100</td>
<td>15</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pel. Penguapan saluran nafas<br> </td>
</tr>
<tr align='left' valign="top">
<td>387</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>NURUL HIDAYAH</td>
<td>`011317</td>
<td>04/9187</td>
<td>`0000665819065</td>
<td>`3503055102970003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-1999</td>
 <td>23 Th</td>
<td>RT 28 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000608</td>
<td>panas, mual,pusing,</td>
<td>pamol, amoxillin,antasida,domperidone</td>
<td>120/80</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
Fever with chills </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>388</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>VEGA PUTRI</td>
<td>`021140</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>sukarni</td>
<td></td>
<td>P</td>
<td>12-09-2003</td>
<td>19 Th</td>
<td>RT RW</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>nyeri perut sebelah kanan bawah</td>
 <td>ibu profen, b.complek</td>
<td>120/808</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>R10.1</td>
<td>
Pain localized to upper abdomen </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>389</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>NURHIDAYATI</td>
<td>`001054</td>
<td>02/7255</td>
<td>`0000665577358</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-08-1972</td>
<td>50 Th</td>
<td>RT 05 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000612</td>
<td>diare 6x, pusing, mual</td>
<td>oralit 1x/diare
pct 3x1
cotrim 2x1</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>80</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>390</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>ROSITA DWI NURZEHA</td>
<td>`002540</td>
<td>02/2778</td>
<td>`</td>
<td>`3503056205920002</td>
<td>`</td>
<td></td>
<td>082332945603</td>
<td>P</td>
<td>22-05-1992</td>
<td>30 Th</td>
<td>RT 13 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>batuk pusing</td>
<td>amok gg</td>
<td>108/69</td>
<td>85</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>391</td>
<td>POLI UMUM</td>
<td>02-09-2022</td>
<td></td>
<td>WIDIANNISA ROSDIANA</td>
<td>`020827</td>
<td>02/2778</td>
<td>`</td>
<td>`3503054611160001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-11-2016</td>
<td>5 Th</td>
<td>RT 13 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>panas batuk pilek</td>
<td>pamol ctm gg dexa</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>16</td>
<td>15</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>392</td>
<td>UGD</td>
<td>02-09-2022</td>
 <td></td>
<td>MUHAMMAD HAZIQ FAUZAN HASIM</td>
<td>`009332</td>
<td></td>
<td>`0002735131577</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-03-2018</td>
<td>4 Th</td>
<td>CORAH MULYO 1/1</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000613</td>
<td>batuk, pilek</td>
<td>puyer 3x1
nebul 1/2 a</td>
<td>90/50</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>100</td>
<td>16</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pel. Penguapan saluran nafas<br> </td>
</tr>
<tr align='left' valign="top">
<td>393</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>NAILA FAUZIYAH SALSABILA</td>
<td>`021148</td>
<td></td>
<td>`0002802765148</td>
<td>`</td>
<td>`</td>
<td>nur kholis</td>
<td></td>
 <td>P</td>
<td>11-12-2006</td>
<td>15 Th</td>
<td>RT 23 RW 6</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000614</td>
<td>panas, batuk, pilek</td>
<td>pct 3x1
ambroxol 3x1
ctm 3x1
vit c 1x1</td>
<td>90/60</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>135</td>
<td>30</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>394</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>QOIRUL IHSAN</td>
<td>`021149</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>SAIAN</td>
<td></td>
<td>L</td>
<td>12-09-2006</td>
<td>16 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS, BATUK, PILEK</td>
<td>PAMOL, AMBROXOL, CTM, VIT.C</td>
<td>110/70</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>78</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>395</td>
<td>PONKESDES TUMPUK</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SARNOTO</td>
<td>`017459</td>
<td></td>
<td>`0001978451864</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-08-1975</td>
<td>47 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>125/76</td>
<td>74</td>
<td>36</td>
<td>20</td>
 <td>165</td>
<td>65</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>396</td>
<td>PONKESDES TUMPUK</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ELON MAULANA</td>
<td>`017458</td>
<td></td>
<td>`0001978451853</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-06-2007</td>
<td>15 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/75</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>397</td>
<td>PONKESDES TUMPUK</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>IKE FIBRIANI SAPUTRI</td>
<td>`003846</td>
<td>03/5899</td>
<td>`0001978451842</td>
<td>`3503056702020001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-02-2002</td>
<td>20 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/68</td>
<td>72</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>398</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>ERIK</td>
<td>`021151</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-2010</td>
<td>12 Th</td>
<td>PPQH</td>
<td>PANGGUL</td>
<td>PANGGUL</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>nyeri gigi kanan atas, gusi bengkak</td>
<td>pct 3x1
amox 3x1</td>
<td>100/60</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>30</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>K05.0</td>
<td>
Acute gingivitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>399</td>
<td>PONKESDES TUMPUK</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SUNARTI</td>
<td>`011198</td>
<td></td>
<td>`0001978451831</td>
<td>`3503054711650001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-11-1965</td>
<td>56 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/76</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>400</td>
<td>PONKESDES TUMPUK</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SENIN</td>
<td>`017457</td>
<td></td>
<td>`0001978451829</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-10-1955</td>
<td>66 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>125/78</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>401</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>SUWIYONO</td>
<td>`021152</td>
<td></td>
<td>`0002920432601</td>
<td>`</td>
<td>`</td>
<td>SUWIYONO</td>
<td></td>
<td>L</td>
<td>31-03-1984</td>
<td>38 Th</td>
<td>RT 25 RW 6</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000619</td>
<td>nyeri luka di jari kaki kanan</td>
<td>rawat luka
amox 3x1
ibuprofen 2x1</td>
<td>110/70</td>
<td>80</td>
 <td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>402</td>
<td>PONKESDES TUMPUK</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SITI RUKAYAH</td>
<td>`002753</td>
<td>03/8995</td>
<td>`0001978451818</td>
<td>`3503055809710001</td>
<td>`</td>
<td></td>
<td>082131894641</td>
<td>P</td>
<td>18-09-1971</td>
<td>51 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/72</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>403</td>
<td>PONKESDES TUMPUK</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>PARJONO</td>
<td>`017456</td>
<td></td>
<td>`0001978451785</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-03-1967</td>
<td>55 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/75</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>404</td>
<td>PONKESDES TUMPUK</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>TEGAR IMAL AKBARI</td>
<td>`017455</td>
<td></td>
<td>`0001978451741</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-09-2004</td>
<td>18 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>55</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>405</td>
<td>PONKESDES TUMPUK</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>RIPAN RAMADEA FERDIANSAH</td>
<td>`017454</td>
<td></td>
<td>`0001978451739</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-11-1998</td>
<td>23 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>406</td>
<td>POLI MTBS</td>
<td>02-09-2022</td>
<td></td>
<td>HAIDAR NUR HANANDAKA</td>
<td>`001794</td>
<td>90/1171</td>
<td>`0002465448895</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-06-2018</td>
<td>4 Th</td>
<td>RT 20 RW 05</td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000116</td>
<td>panas batuk pilek</td>
<td>pamol syr ctm gg deksa</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>14</td>
<td>14</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>407</td>
<td>PONKESDES TUMPUK</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>AMIN THOYIBAH</td>
<td>`017453</td>
<td></td>
<td>`0001978451662</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-01-1980</td>
<td>42 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>125/78</td>
<td>78</td>
<td>36</td>
 <td>20</td>
<td>155</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>408</td>
<td>POLINDES PRAMBON 2</td>
<td>02-09-2022</td>
<td></td>
<td>ANGGEL AYUNINGTYAS</td>
<td>`020884</td>
<td></td>
<td>`</td>
<td>`3503055812150001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-12-2015</td>
<td>6 Th</td>
<td>DUSUN MLOKO, RT : 57,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>Panas, bapil</td>
<td>Pct, gg, ctm</td>
<td>90/60</td>
<td>90</td>
<td>37</td>
<td>22</td>
<td>120</td>
<td>27</td>
<td>45</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>409</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>GIMAN</td>
<td>`021157</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>GIMAN</td>
<td></td>
<td>L</td>
<td>12-09-1953</td>
<td>69 Th</td>
<td>RT 29 RW 4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td>batuk, sesak nafas</td>
<td>ambroxol, ctm,salbutamol,ventolin</td>
<td>130/80</td>
<td>87</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pel. Penguapan saluran nafas<br> </td>
</tr>
<tr align='left' valign="top">
<td>410</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>RAMEN</td>
<td>`021153</td>
<td>07/6017</td>
<td>`0001978436316</td>
<td>`3503052010490001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-10-1949</td>
<td>72 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000635</td>
<td>tidak bisa bak, blas penuh</td>
<td>pasang cateter</td>
<td>140/90</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R33</td>
<td>
Retention of urine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pemasangan kateter<br> </td>
</tr>
<tr align='left' valign="top">
<td>411</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>ANTOK</td>
<td>`021159</td>
<td></td>
<td>`</td>
<td>`</td>
 <td>`</td>
<td>ANTOK</td>
<td></td>
<td>L</td>
<td>12-09-1976</td>
<td>46 Th</td>
<td>RT 4 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>pusing, panas,badan sakit semua</td>
<td>pamol, b.complek,deksa</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>412</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>DIAN EKA</td>
<td>`021160</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>reza</td>
<td></td>
<td>L</td>
<td>12-09-1999</td>
<td>23 Th</td>
<td>RT 24 RW 4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>sesak, batuk</td>
<td>nebulizer</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>25</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J45</td>
<td>
Asthma </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pel. Penguapan saluran nafas<br> </td>
</tr>
<tr align='left' valign="top">
<td>413</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>NAUFAL ALIF FIKRIA</td>
<td>`006360</td>
<td>04/2023</td>
<td>`0002214124029</td>
<td>`3503052103160002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-03-2016</td>
<td>6 Th</td>
<td>RT 11 RW 04</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000638</td>
<td>panas. batuk, nyeri perut</td>
<td>antasida, pamol, gg</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
 <td>134</td>
<td>30</td>
<td>56</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>414</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>YULIPA MINUHA</td>
<td>`021161</td>
<td></td>
<td>`0000102172386</td>
<td>`3578246104790001</td>
<td>`</td>
<td>yulipa</td>
<td></td>
<td>P</td>
<td>21-04-1979</td>
<td>43 Th</td>
<td>RT 6 RW 2</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>bapilnas</td>
<td>pamol,ctm,ambroxol</td>
<td>110/80</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>415</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td> MULYANI</td>
<td>`001890</td>
<td>05/4449</td>
<td>`0001972486045</td>
<td>`3503050912730001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-12-1973</td>
<td>48 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>416</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td></td>
<td>DINA PATMIASIH</td>
<td>`018272</td>
<td></td>
<td>`0003000876478</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-09-1989</td>
<td>33 Th</td>
<td>RT 06</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000818</td>
<td>perut sebah, pusing,pegal linu,kutu air</td>
<td>pamol,antasida,b komplek,salep hidro</td>
<td>102/73</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>39.9</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.9</td>
<td>
Gastroduodenitis, unspecified </td>
<td>L30.2</td>
<td>
Cutaneous autosensitization </td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>417</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>RICA APRILIA WARDANI</td>
<td>`012140</td>
<td>05/4449</td>
<td>`0001978463643</td>
<td>`3503056604000002</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>26-04-2000</td>
<td>22 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>418</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td></td>
<td>SRINGATUN</td>
<td>`002439</td>
<td></td>
<td>`0000665818896</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1966</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>pusing, sebah</td>
<td>amlo10mg,antasida,ctm</td>
<td>169/90</td>
<td>84</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>43</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>K29.9</td>
<td>
Gastroduodenitis, unspecified </td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>419</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>RISMA PURWANINGSIWI</td>
<td>`014153</td>
<td></td>
<td>`0000666193127</td>
<td>`3503056905100001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-05-2010</td>
<td>12 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>420</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>BAMBANG PRIYADI</td>
<td>`017702</td>
<td></td>
<td>`0000665512795</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-02-2005</td>
<td>17 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>421</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>KASRIANI</td>
<td>`013226</td>
<td></td>
<td>`0000665511017</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-02-1976</td>
<td>46 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>422</td>
 <td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>ANINDITA</td>
<td>`021162</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>BUDIONO</td>
<td></td>
<td>P</td>
<td>12-09-2000</td>
<td>22 Th</td>
<td>RT 18 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PUSING, MUAL, BATUK</td>
<td>ANTASIDA, PAMOL, GG, DOMP</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>423</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>DIDIK KURNIAWAN</td>
<td>`014756</td>
<td></td>
<td>`0001037004873</td>
<td>` </td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>19-07-1995</td>
<td>27 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>424</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>IDA FITRIANA</td>
<td>`014148</td>
<td></td>
<td>`0000665455173</td>
<td>`3503056210930001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-10-1993</td>
<td>28 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
 <td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>425</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>MUHAMMAD ARJUNA ASYRAFY KURNIAWAN</td>
<td>`002276</td>
<td>06/5912</td>
<td>`0001266976517</td>
<td>`3503052110110001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-10-2011</td>
<td>10 Th</td>
<td>DUSUN PAKEL, RT : 35,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BENGKAK PADA LUTUT KANAN</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>44</td>
 <td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>D66</td>
<td>
Hereditary factor viii deficiency </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>426</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>NAJENG WULANDARI</td>
<td>`020829</td>
<td></td>
<td>`0000665455847</td>
<td>`3503056405060002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-05-2006</td>
<td>16 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>427</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>TAUFIQ</td>
<td>`021164</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-2009</td>
<td>13 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS, PUSING, LEMES</td>
<td>PAMOL,CTM,B.COMPLEK</td>
<td>110/70</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>428</td>
<td>PONKESDES BANARAN</td>
 <td>02-09-2022</td>
<td>KONSULTASI</td>
<td>RISKANUARI</td>
<td>`011166</td>
<td>05/7235</td>
<td>`0003067903146</td>
<td>`3503056901910001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-01-1991</td>
<td>31 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>429</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>IMA LILIK SETYANINGSIH</td>
<td>`014154</td>
<td></td>
<td>`0000666237521</td>
<td>`3503055809000003</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>18-09-2000</td>
<td>22 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>430</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>MUDIANTO</td>
<td>`021165</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>MUDIANTO</td>
<td></td>
<td>L</td>
<td>12-09-1966</td>
<td>56 Th</td>
<td>RT 1 RW 1</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
 <td></td>
<td>NYERI PERUT, KEMBUNG, DIARE</td>
<td>PAMOL, ANT5ASIDA, ORALIT</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>431</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MACHFUD PANDU KUSUMA</td>
<td>`020830</td>
<td></td>
<td>`0001143186208</td>
<td>`3503053001930004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-01-1993</td>
<td>29 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>432</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ARUM PUSPITKA HANDAYANI</td>
<td>`014759</td>
<td></td>
<td>`0000665502445</td>
<td>`3503056011070003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-11-2007</td>
<td>14 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>433</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>NIKO A</td>
<td>`021166</td>
<td></td>
<td>`0000666018944</td>
<td>`</td>
<td>`</td>
<td>SUSANTO</td>
<td></td>
<td>L</td>
<td>01-04-1998</td>
<td>24 Th</td>
<td>RT 48 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td>PANAS, BATUK, PUSING</td>
<td>PAMOL, ANTASIDA, CTM, DEKSA</td>
<td>120/80</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td></td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>434</td>
<td>UGD</td>
<td>02-09-2022</td>
 <td></td>
<td>TOTOK PARHADIMULYO</td>
<td>`009421</td>
<td>02/8130</td>
<td>`0003084501655</td>
<td>`5204080801690001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-01-1969</td>
<td>53 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000646</td>
<td>BATUK, SESAK NAFAS</td>
<td>SALBUTAMOL,</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>435</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>SIYAM</td>
<td>`004064</td>
<td>90/840</td>
<td>`0002890472106</td>
<td>`3503065006650004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>10-06-1965</td>
<td>57 Th</td>
<td>RT 6 RW 1</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>BATUK, SESAK NAFAS</td>
<td>SALBUTAMOL, DEKSA, NEBULIZER</td>
<td>130/800</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>150</td>
<td>48</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pel. Penguapan saluran nafas<br> </td>
</tr>
<tr align='left' valign="top">
<td>436</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>MURTINI</td>
<td>`019077</td>
<td></td>
<td>`0002802747508</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-04-1966</td>
<td>56 Th</td>
<td>RT. 1 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000650</td>
 <td>NYERI PADA LUTUT KANAN, PANAS DINGIN, SUDAH 3 HARI</td>
<td>PAMOL, CIPRO</td>
<td>120/80</td>
<td>88</td>
<td>38</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>437</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>TITIK MARLINA</td>
<td>`012311</td>
<td>02/4188</td>
<td>`0001090270012</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-03-1978</td>
<td>44 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000651</td>
<td>pusing, nyeri telan, batuk</td>
<td>pamol, ambroxol, ctm, b.complek</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>438</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MALIK LAILATUS SALAMAH</td>
<td>`004113</td>
<td>01/7356</td>
<td>`0000665420152</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-03-1996</td>
<td>26 Th</td>
<td>RT 26 RW 6</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>439</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>YUNIATI</td>
<td>`012397</td>
<td></td>
<td>`0000666323717</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-06-1983</td>
<td>39 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>440</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
 <td>YUNIATI</td>
<td>`012397</td>
<td></td>
<td>`0000666323717</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-06-1983</td>
<td>39 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>76</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>441</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>RULI AINUNI</td>
<td>`012393</td>
<td></td>
<td>`0001978438601</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-04-1989</td>
 <td>33 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>51</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>442</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ALZAM RAYYAN FAIZ</td>
<td>`012398</td>
<td></td>
<td>`0003088163711</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-04-2021</td>
<td>1 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
 <td>-</td>
<td>90/60</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>100</td>
<td>12</td>
<td>43</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>443</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ADARA FARZANA WIYASA</td>
<td>`012392</td>
<td></td>
<td>`0002423059839</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-08-2017</td>
<td>5 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>90/60</td>
<td>80</td>
<td>36</td>
<td>24</td>
<td>102</td>
<td>13</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>444</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>ARIPIN</td>
<td>`021174</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>aripin</td>
<td></td>
<td>L</td>
<td>12-09-1958</td>
<td>64 Th</td>
<td>RT RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td>kontrol tensi</td>
<td>amlodipin 10 mg</td>
<td>180/89</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>445</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>AWWABIN SHOLEH</td>
<td>`002525</td>
<td>04/5905</td>
<td>`0000666062583</td>
<td>`3503052711090001</td>
<td>`</td>
<td></td>
<td>085243516125</td>
<td>L</td>
<td>27-11-2009</td>
<td>12 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000598</td>
<td>bengkak kaki kanan</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>D66</td>
<td>
Hereditary factor viii deficiency </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>446</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>SIYEM</td>
 <td>`021175</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>sutrisno</td>
<td></td>
<td>P</td>
<td>12-09-1972</td>
<td>50 Th</td>
<td>RT 6 RW 1</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>447</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>PUJIATI</td>
<td>`011183</td>
<td>02/5404</td>
<td>`0001964713037</td>
<td>`3515145702800006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-02-1980</td>
<td>42 Th</td>
 <td>RT 19 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>448</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>ASSYIFA SALSABILA BAKHTIAR</td>
<td>`004294</td>
<td>02/5404</td>
<td>`0001964713421</td>
<td>`3515146304130003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-04-2013</td>
<td>9 Th</td>
<td>DSN ETAN KALI, RT : 19,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
 <td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>449</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>DARIS FAIQOTUL HAMIDAH</td>
<td>`003619</td>
<td>02/3042</td>
<td>`0002802761379</td>
<td>`3503055709970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-09-1997</td>
<td>25 Th</td>
<td>RT 15 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>450</td>
<td>UGD</td>
<td>02-09-2022</td>
<td></td>
<td>MUHAMMAD FARRAS ZHAFIR</td>
<td>`003567</td>
<td>02/181</td>
<td>`0002435516965</td>
<td>`3503050202150001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-02-2015</td>
<td>7 Th</td>
<td>RT 5 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
 <td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>451</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>KARIANI</td>
<td>`014330</td>
<td></td>
<td>`0000665502401</td>
<td>`3503055211870001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-11-1987</td>
<td>34 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>452</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>IWAN KRISTANTO</td>
<td>`020831</td>
 <td></td>
<td>`0000665481205</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-10-1999</td>
<td>22 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>453</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>BAMBANG SETIAWAN</td>
<td>`020832</td>
<td></td>
<td>`0000665481183</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-12-1992</td>
<td>29 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
 <td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>454</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ISNA AFANDI NUGROHO</td>
<td>`016496</td>
<td></td>
<td>`0000665490249</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-12-2004</td>
<td>17 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>455</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ANIS KURNIAWATI</td>
<td>`017248</td>
<td>05/4042</td>
<td>`0000665489406</td>
<td>`3503055909960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-09-1996</td>
<td>26 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>456</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>TRISNA LIA ANGGRAINI</td>
<td>`003110</td>
<td>05/4146</td>
<td>`0000666276963</td>
<td>`3503056605000001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-05-2000</td>
<td>22 Th</td>
<td>DESA BANARAN, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>457</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>PINASTI KEN LANDHUNGSIH</td>
<td>`019103</td>
<td>05/4855</td>
<td>`0001842885527</td>
<td>`3503055909090001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-09-2009</td>
<td>13 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>458</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>HARTANTO WALUYO AJI</td>
<td>`020833</td>
<td></td>
 <td>`0000106557603</td>
<td>`3503052507700001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-07-1970</td>
<td>52 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>459</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>CAHAYA NOVIANTI</td>
<td>`020416</td>
<td>05/3522</td>
<td>`0002729556246</td>
<td>`3503054707030004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-07-2003</td>
<td>19 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>460</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SEPTIAN ISYA PRATAMA</td>
<td>`004820</td>
<td>05/161A</td>
<td>`0003080173814</td>
<td>`3503051909010001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-09-2001</td>
<td>21 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>461</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>FAIZIN FEBRIANTORO</td>
<td>`014331</td>
<td></td>
<td>`0003065951788</td>
<td>`3503050803970005</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-03-1997</td>
<td>25 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>462</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SUDARMAN</td>
<td>`003795</td>
<td></td>
<td>`0002518368906</td>
<td>`3503051701370001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-01-1937</td>
<td>85 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>463</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ERICO NICOVA DANUARTA</td>
<td>`014343</td>
<td></td>
<td>`0001109440697</td>
<td>`3503052905020001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-05-2002</td>
<td>20 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>464</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SUTANTI</td>
<td>`004938</td>
<td>05/3186</td>
<td>`0001109440686</td>
 <td>`3503054105780001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-05-1978</td>
<td>44 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>465</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MUYANI</td>
<td>`017404</td>
<td></td>
<td>`0002802750704</td>
<td>`3503050305660001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-05-1966</td>
<td>56 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Sopir</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>466</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ANDIK SETIAWAN</td>
<td>`020834</td>
<td></td>
<td>`0001037004096</td>
<td>`3503051203920001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-12-1992</td>
<td>29 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>467</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SUNARYANI</td>
<td>`012180</td>
<td></td>
<td>`0002802762729</td>
<td>`3503054406670004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1967</td>
<td>55 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>468</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SRYANTO</td>
<td>`020835</td>
<td></td>
<td>`0002802762718</td>
<td>`3503050705650003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-05-1965</td>
<td>57 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>469</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>DENOK PUTRI PRASETYANINGRUM</td>
<td>`020547</td>
<td>05/3306</td>
<td>`0001037004175</td>
<td>`3503054907020001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-07-2002</td>
<td>20 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>470</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>PRADITYA SAFAGANA SAPUTRA</td>
<td>`010848</td>
<td></td>
<td>`0002802770741</td>
<td>`3503050209050001</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-09-2005</td>
<td>17 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>471</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>VITO ANANDA IRYAN</td>
<td>`020836</td>
<td></td>
<td>`0003186309238</td>
<td>`3503050507140001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-07-2014</td>
<td>8 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>472</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ENDANG TUMINI</td>
<td>`014322</td>
<td></td>
<td>`0001037004581</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-08-1953</td>
<td>69 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>473</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SUBANDI</td>
<td>`020837</td>
<td></td>
<td>`0002802758139</td>
<td>`3503051404560002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-04-1956</td>
<td>66 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>474</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ERYA DWI WARDHANI</td>
<td>`014740</td>
<td></td>
<td>`0000106771217</td>
<td>`3503054409970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-09-1997</td>
<td>25 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>475</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MUGO WIYANTO</td>
<td>`003277</td>
<td>05/4920</td>
<td>`0001978462798</td>
<td>`3503050409770001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-09-1977</td>
<td>45 Th</td>
<td>RT 1 RW 1</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>476</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ANANDA KURNIA SANDI</td>
<td>`014149</td>
<td>05/2032</td>
<td>`0001978463316</td>
<td>`3503052104060002</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>21-04-2006</td>
<td>16 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>477</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ANANDA KURNIA SANDI</td>
<td>`014149</td>
<td>05/2032</td>
<td>`0001978463316</td>
<td>`3503052104060002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-04-2006</td>
<td>16 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>478</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>KATIRAN</td>
<td>`016476</td>
<td></td>
<td>`0001707122619</td>
<td>`3503052712530001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-12-1953</td>
<td>68 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>479</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ANGGI IFAN KRISTIANDIKA</td>
<td>`020838</td>
<td></td>
<td>`0002802747339</td>
<td>`3503052010990002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-10-1999</td>
<td>22 Th</td>
<td>DUSUN KRAJAN I, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>480</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>WAHYU HANDAYANI</td>
<td>`012169</td>
<td></td>
<td>`0002802747328</td>
<td>`3503054606710006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-06-1971</td>
<td>51 Th</td>
<td>DUSUN KRAJAN I, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>481</td>
 <td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>FEBRIANA WIDYA SUBIYANTARI</td>
<td>`014150</td>
<td></td>
<td>`0003067860205</td>
<td>`3503054702040001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-02-2004</td>
<td>18 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>482</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>AGUS SUBIANTORO</td>
<td>`011175</td>
<td>05/4092</td>
<td>`0003067859979</td>
<td>`3503051008750004</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>10-08-1975</td>
<td>47 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>483</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>PURI RIYANTI</td>
<td>`007570</td>
<td>05/5801</td>
<td>`0000665491656</td>
<td>`3503055712990001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-12-1999</td>
<td>22 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
 <td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>484</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MISTARYANTO</td>
<td>`010335</td>
<td>05/3336</td>
<td>`0000106823801</td>
<td>`3503050209560001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-09-1956</td>
<td>66 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>145/90</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>485</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ENDANG SRI SUHARLIN</td>
<td>`020839</td>
<td></td>
<td>`0002802750805</td>
<td>`3503056504620002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-04-1962</td>
<td>60 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>486</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>TRI YUANDIKA</td>
<td>`020840</td>
<td></td>
<td>`0002802772124</td>
<td>`3503052507070002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-07-2007</td>
<td>15 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>487</td>
<td>PONKESDES BANARAN</td>
 <td>02-09-2022</td>
<td>KONSULTASI</td>
<td>INTANA PERMATA GHAISANI CAHYA MALAIKA</td>
<td>`014151</td>
<td></td>
<td>`0000665418071</td>
<td>`6471056011080003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-11-2008</td>
<td>13 Th</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>488</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>BINTANG AUDREY FRICILYA</td>
<td>`020841</td>
<td></td>
<td>`0003286828034</td>
<td>`3503056302110001</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>23-02-2011</td>
<td>11 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>489</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>BUDI PURWANTO</td>
<td>`020842</td>
<td></td>
<td>`0003286826998</td>
<td>`3503052404730001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-04-1973</td>
<td>49 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
 <td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>490</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>RIYANTO</td>
<td>`017083</td>
<td></td>
<td>`0001978462348</td>
<td>`3503051406850002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-06-1985</td>
<td>37 Th</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>491</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>RIZAL WIJAYANTO</td>
<td>`000263</td>
<td></td>
<td>`0000665498992</td>
<td>`3503052711980002</td>
<td>`107528</td>
<td></td>
<td></td>
<td>L</td>
<td>27-11-1998</td>
<td>23 Th</td>
<td>DUSUN BANARAN, RT : 009,RW :005 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PELAJAR/MAHASISWA</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>492</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>RIZAL WIJAYANTO</td>
<td>`000263</td>
<td></td>
<td>`0000665498992</td>
<td>`3503052711980002</td>
<td>`107528</td>
<td></td>
<td></td>
<td>L</td>
<td>27-11-1998</td>
<td>23 Th</td>
<td>DUSUN BANARAN, RT : 009,RW :005 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PELAJAR/MAHASISWA</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>493</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
 <td>KONSULTASI</td>
<td>TUMIRAN</td>
<td>`014748</td>
<td></td>
<td>`0000666288303</td>
<td>`3503051706700002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-06-1970</td>
<td>52 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>494</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>NURROHMAN ALFIANTO</td>
<td>`014675</td>
<td></td>
<td>`0000666288808</td>
<td>`3503051206000002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>12-06-2000</td>
<td>22 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>495</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>RIZQI AMIRUL IKHSAN</td>
<td>`020843</td>
<td></td>
<td>`0001277006894</td>
<td>`3503051107070001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-07-2007</td>
<td>15 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
 <td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>496</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>PRANTI</td>
<td>`010240</td>
<td></td>
<td>`0000665485839</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-02-1977</td>
<td>45 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>497</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>PRICCILIA DINDA PERMADANI</td>
<td>`016493</td>
<td></td>
<td>`0001707123036</td>
<td>`3503056502150001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-02-2015</td>
<td>7 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>498</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>YENI PURWANTI</td>
<td>`014139</td>
<td></td>
<td>`0002014066113</td>
<td>`3503055101900001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-11-1990</td>
<td>31 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>499</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
 <td>SUPRIYANTO</td>
<td>`015853</td>
<td>05/8787</td>
<td>`0000106873424</td>
<td>`3503051312610002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-02-1961</td>
<td>61 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>500</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SISWANTO</td>
<td>`020844</td>
<td></td>
<td>`0000665495559</td>
<td>`3503050912840002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-12-1984</td>
 <td>37 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>501</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SUSIANA</td>
<td>`014351</td>
<td></td>
<td>`0001978462833</td>
<td>`3503055109720002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-09-1972</td>
<td>50 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>502</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>INDRA ALFIYANTO</td>
<td>`020845</td>
<td></td>
<td>`0001707122799</td>
<td>`3503050607100002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-07-2010</td>
<td>12 Th</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>503</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>JEMANGIN</td>
<td>`017604</td>
<td></td>
<td>`0001707122777</td>
<td>`3503051910840003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-10-1984</td>
<td>37 Th</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>504</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SIAGA NUSANTARA</td>
<td>`009347</td>
<td>05/2680</td>
<td>`0002061904206</td>
<td>`3503052901650001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-01-1965</td>
<td>57 Th</td>
<td>RT 002 RW 001</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>505</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>PEBRIANTO</td>
 <td>`014332</td>
<td></td>
<td>`0001636545137</td>
<td>`3503111002910003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-10-1991</td>
<td>30 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>506</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MUJIANTO</td>
<td>`014277</td>
<td></td>
<td>`0001978462991</td>
<td>`3503050603740002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-03-1974</td>
<td>48 Th</td>
 <td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>507</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SUPARLAN</td>
<td>`014758</td>
<td></td>
<td>`0000174041346</td>
<td>`3503053112600028</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1960</td>
<td>61 Th</td>
<td>DUSUN TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>508</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ANGGITA VERA SIPENI</td>
<td>`014141</td>
<td></td>
<td>`0000194707449</td>
<td>`3503056209010001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-09-2001</td>
<td>21 Th</td>
<td>DUSUN TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>509</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>RINDANG ARDHA KRISDIANTI</td>
<td>`014304</td>
<td></td>
<td>`0000165903197</td>
<td>`3503054702020003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-02-2002</td>
<td>20 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>510</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>AMAN</td>
<td>`009253</td>
<td>05/8246</td>
<td>`0002458261282</td>
<td>`3503050801520002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-01-1952</td>
<td>70 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>511</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>FITRIA ARIESTYANI</td>
<td>`005040</td>
 <td>05/8246</td>
<td>`0002458261978</td>
<td>`3503055704960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-04-1996</td>
<td>26 Th</td>
<td>BANARAN RT 9/5</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>512</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MUNAWAN</td>
<td>`014709</td>
<td></td>
<td>`0000666265331</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-04-1969</td>
<td>53 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
 <td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>513</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ANDIKA SARI</td>
<td>`020846</td>
<td></td>
<td>`0000666257422</td>
<td>`3503057012980001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1998</td>
<td>23 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>514</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MAHFUD TRIANTO</td>
<td>`014336</td>
<td></td>
<td>`0000666211689</td>
<td>`3503050301020001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-01-2002</td>
<td>20 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>515</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>JUPRIYANTO</td>
<td>`002978</td>
<td></td>
<td>`0000666300363</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-02-1969</td>
<td>53 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>516</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>FERIAWAN YUSUP</td>
<td>`014337</td>
<td></td>
<td>`0000665537174</td>
<td>`3503051502990001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-02-1999</td>
<td>23 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>517</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SITI PATIMAH</td>
<td>`006598</td>
<td></td>
 <td>`0001978439668</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1970</td>
<td>51 Th</td>
<td>SUKOREJO TUGU TRENGGALEK</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>67</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>43</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>518</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>AGUS RIANTO</td>
<td>`020847</td>
<td></td>
<td>`0000666250301</td>
<td>`3503050408010001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-08-2001</td>
<td>21 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>519</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ALI SUWITO</td>
<td>`005589</td>
<td></td>
<td>`0001978436924</td>
<td>`3503051111760003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-11-1976</td>
<td>45 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>76</td>
 <td>36</td>
<td>24</td>
<td>156</td>
<td>43</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>520</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>TANHANU JAELANI ABROR</td>
<td>`020848</td>
<td></td>
<td>`0000666250918</td>
<td>`3503051707060001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-07-2006</td>
<td>16 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>521</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>YATEMI</td>
<td>`006574</td>
<td></td>
<td>`0001978439758</td>
<td>`3503054608680003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-08-1968</td>
<td>54 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>130/90</td>
<td>76</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>56</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>522</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>CITRA AULIA KAHANAYA PUTRI</td>
<td>`020849</td>
<td></td>
<td>`0002867873038</td>
<td>`3503056008050001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-08-2005</td>
<td>17 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>523</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MARYANI</td>
<td>`005955</td>
<td>07/1460</td>
<td>`0001976989634</td>
 <td>`3503050503050363</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-10-1967</td>
<td>54 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>130/80</td>
<td>76</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>524</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ELLA NURDIANA PUSPITA</td>
<td>`014305</td>
<td></td>
<td>`0001978462078</td>
<td>`3503056607930003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-07-1993</td>
<td>29 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>525</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MARYANI</td>
<td>`005955</td>
<td>07/1460</td>
<td>`0001976989634</td>
<td>`3503050503050363</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-10-1967</td>
<td>54 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>76</td>
<td>36</td>
 <td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>526</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>HELDA ANDI EKA PRATAMA</td>
<td>`014146</td>
<td></td>
<td>`0000665541134</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-01-2007</td>
<td>15 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>527</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>YATEMI</td>
<td>`006574</td>
<td></td>
<td>`0001978439758</td>
<td>`3503054608680003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-08-1968</td>
<td>54 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>130/80</td>
<td>76</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>528</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>PANGGIH RAHAYU</td>
<td>`017370</td>
<td></td>
<td>`0001978461292</td>
<td>`3503056510030001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-10-2003</td>
<td>18 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>529</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SULASTRI</td>
<td>`006543</td>
<td></td>
<td>`0000665772489</td>
<td>`3503054207770001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-07-1977</td>
<td>45 Th</td>
<td>DUSUN PAKEL, RT : 25,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>530</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SUGIANTI</td>
<td>`004874</td>
<td></td>
<td>`0001978437385</td>
<td>`3503057012720003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1972</td>
<td>49 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>67</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>531</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>CITRA AYU PANCA RENITA</td>
<td>`014143</td>
<td>05/3077</td>
<td>`0001707122698</td>
<td>`3503055501150002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-01-2015</td>
<td>7 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>532</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>KRISTANTO</td>
<td>`020850</td>
<td></td>
<td>`0001978463452</td>
<td>`3503052906880001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-06-1988</td>
<td>34 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>533</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>DIAN NOVI JAYANTI</td>
<td>`012399</td>
<td></td>
<td>`0001881248343</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-10-1986</td>
<td>35 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>534</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SANEM</td>
<td>`014713</td>
<td></td>
<td>`0000665511592</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-07-1942</td>
<td>80 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>535</td>
<td>PONKESDES SUKOREJO</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ANDARIATU MASJUROK</td>
<td>`004714</td>
<td></td>
<td>`0001978438386</td>
<td>`3503056501930002</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>25-01-1993</td>
<td>29 Th</td>
<td>NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>536</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ARIFIN NURDIANSYAH</td>
<td>`018129</td>
<td>05/2138</td>
<td>`0000665514009</td>
<td>`3503052712010001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-12-2001</td>
<td>20 Th</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>537</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>NUZULUL LAYLI RAMADHANI</td>
<td>`020851</td>
<td></td>
<td>`0000665458323</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-11-2002</td>
<td>19 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>538</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ERVINA MAHARANI</td>
<td>`008516</td>
<td>05/5556</td>
<td>`0001978461753</td>
<td>`3503057112040003</td>
<td>`</td>
<td></td>
<td>082142619912</td>
<td>P</td>
<td>31-12-2004</td>
<td>17 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>539</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>WIDA PRISDIANA</td>
<td>`003170</td>
<td></td>
<td>`0001978462855</td>
<td>`3503055607920001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-07-1992</td>
<td>30 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>540</td>
 <td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>DIRYA ASZA RAMADHAN</td>
<td>`020852</td>
<td></td>
<td>`0003058814722</td>
<td>`3503050608110001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-08-2011</td>
<td>11 Th</td>
<td>TAWANG BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>541</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ANIS YUNITA ANGGRAENI</td>
<td>`014144</td>
<td></td>
<td>`0001707122755</td>
<td>`3503055401910001</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>14-01-1991</td>
<td>31 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>542</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>YUSLINTA AMELIA TASYAKURANTI</td>
<td>`020169</td>
<td>05/3183</td>
<td>`0001707122542</td>
<td>`3503056003030002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-03-2003</td>
<td>19 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
 <td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>543</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ANGGI FEBRIANA</td>
<td>`014338</td>
<td></td>
<td>`0001707122564</td>
<td>`3503056402010001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-02-2001</td>
<td>21 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>544</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>CHOIRUL ANAM</td>
<td>`020853</td>
<td>05/6322</td>
<td>`0001978461909</td>
<td>`3503052509950003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-09-1995</td>
<td>27 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>545</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>RENDI YULIAWAN</td>
<td>`014361</td>
<td></td>
<td>`0000666322187</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-07-1997</td>
<td>25 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>546</td>
<td>PONKESDES BANARAN</td>
 <td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MARLANI</td>
<td>`014752</td>
<td></td>
<td>`0000666321254</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-06-1970</td>
<td>52 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>547</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>NAYLA FEBRIANKA</td>
<td>`014339</td>
<td></td>
<td>`0000666323021</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>19-02-2009</td>
<td>13 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>548</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MOHAMMAD AFAN NINDRA AIFAZA</td>
<td>`020854</td>
<td></td>
<td>`0001707122496</td>
<td>`3503050602090001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-02-2009</td>
<td>13 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
 <td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>549</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>VITAYANI NURFAJARINI</td>
<td>`014678</td>
<td></td>
<td>`0000666225944</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-07-1999</td>
<td>23 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>550</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>RIDA OKTARIYANTI</td>
<td>`014327</td>
<td></td>
<td>`0000665468561</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-10-2000</td>
<td>21 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>551</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ENDAH WULANDARI</td>
<td>`001765</td>
<td>05/395</td>
<td>`0000665468482</td>
<td>`3503054309780002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-09-1978</td>
<td>44 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>552</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
 <td>KONSULTASI</td>
<td>PUSVITA WULANDARI</td>
<td>`020855</td>
<td></td>
<td>`0002802745552</td>
<td>`3503055401850001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-01-1985</td>
<td>37 Th</td>
<td>DESA BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>553</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>NURUL DENY PRASTYAN</td>
<td>`005976</td>
<td></td>
<td>`0001978463362</td>
<td>`3503057105950001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>31-05-1995</td>
<td>27 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>554</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>MUJIANTO</td>
<td>`014286</td>
<td></td>
<td>`0001978463349</td>
<td>`3503051208690003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-08-1969</td>
<td>53 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
 <td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>555</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ERLINA PUSPITA WULANDARI</td>
<td>`006105</td>
<td>05/1388</td>
<td>`0002802761436</td>
<td>`3503055401900001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-01-1990</td>
<td>32 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>556</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>IRFAN SAPUTRA</td>
<td>`014037</td>
<td></td>
<td>`0000665510185</td>
<td>`3503052606030001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-06-2003</td>
<td>19 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>557</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>ENI SETIANA</td>
<td>`013944</td>
<td>05/1083</td>
<td>`0000666185365</td>
<td>`3503056109840001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-09-1984</td>
<td>38 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>558</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
 <td>MAULANA MUHAMMAD RIFQI FAHLIZA</td>
<td>`006452</td>
<td>05/7299</td>
<td>`0001978463823</td>
<td>`3503052703010002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-03-2001</td>
<td>21 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>559</td>
<td>PONKESDES BANARAN</td>
<td>02-09-2022</td>
<td>KONSULTASI</td>
<td>SUSANTI</td>
<td>`005252</td>
<td></td>
<td>`0001978463834</td>
<td>`3503054804770001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-04-1977</td>
 <td>45 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>560</td>
<td>PUSTU NGEPEH</td>
<td>02-09-2022</td>
<td></td>
<td>ALZENA NUHA WANATHIF</td>
<td>`004499</td>
<td></td>
<td>`0002227521385</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-02-2017</td>
<td>5 Th</td>
<td>RT 19 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001257</td>
<td>diare, demam</td>
 <td>zinc, oralit, pamol</td>
<td>90/60</td>
<td>100</td>
<td>37</td>
<td>22</td>
<td>100</td>
<td>19</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>561</td>
<td>PONKESDES TUMPUK</td>
<td>02-09-2022</td>
<td></td>
<td>RISTA SYAHIRA CERELLIA</td>
<td>`013059</td>
<td></td>
<td>`0002452664845</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-04-2018</td>
<td>4 Th</td>
<td>RT 1RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000988</td>
<td>BATUK,PILEK</td>
<td>SYR PAMOL, SYR AMBROXOL</td>
<td>80/50</td>
<td>100</td>
<td>37</td>
<td>22</td>
<td>90</td>
<td>14.3</td>
<td>25</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
 <td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>562</td>
<td>PONKESDES TUMPUK</td>
<td>02-09-2022</td>
<td></td>
<td>MUSRINGAH</td>
<td>`010283</td>
<td></td>
<td>`0001978445755</td>
<td>`3503054802640001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-02-1964</td>
<td>58 Th</td>
<td>DUSUN JUMOK, RT : 9,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000990</td>
<td>KONTROL TENSI,KEJU LINU</td>
<td>AMLO,PAMOL,VIT.B.C</td>
<td>188/94</td>
<td>85</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>63</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>563</td>
<td>PUSTU NGEPEH</td>
<td>02-09-2022</td>
<td></td>
<td>TUKIMIN</td>
<td>`002134</td>
<td>04/5965A</td>
<td>`0002623970136</td>
<td>`3503055008550003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-08-1955</td>
<td>67 Th</td>
<td>DUSUN PONGGOK, RT : 21,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001254</td>
<td>vertigo</td>
<td>betahistin</td>
<td>145/85</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>167</td>
<td>56</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>564</td>
<td>PUSTU NGEPEH</td>
<td>02-09-2022</td>
<td></td>
<td>WARIYEM</td>
 <td>`011960</td>
<td></td>
<td>`0000666053908</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1958</td>
<td>63 Th</td>
<td>RT 19 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001255</td>
<td>batuk, pilek, panas</td>
<td>pamol, ambroxol, ctm, amlodipin</td>
<td>178/99</td>
<td>92</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>565</td>
<td>PUSTU NGEPEH</td>
<td>02-09-2022</td>
<td></td>
<td>NABILA MAHIRA HASNA KAMILA PUTRI MUSTOFA</td>
<td>`005324</td>
<td></td>
<td>`0001978432479</td>
<td>`3503055103140001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-03-2014</td>
<td>8 Th</td>
 <td>RT 15 RW 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001256</td>
<td>batuk, pilek, panas</td>
<td>pamol, ctm, ambroksol</td>
<td>100/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>148</td>
<td>40</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>566</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>FELISIA CESTA ADSILA J </td>
<td>`011709</td>
<td>06/2730</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-11-2014</td>
<td>7 Th</td>
<td>RT 29 RW 05</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>bab cair</td>
<td>cotrim syr pct syr domp oralit zink</td>
 <td>1/1</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>20</td>
<td>20</td>
<td></td>
<td>KASUS BARU</td>
<td>A09.9</td>
<td>
Gastroenteritis and colitis of unspecified origin </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>567</td>
<td>PUSTU PRAMBON</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>SATIR</td>
<td>`020856</td>
<td></td>
<td>`0000666045909</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-07-1942</td>
<td>80 Th</td>
<td>PRAMBON RT 21/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
 <td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>568</td>
<td>PUSTU PRAMBON</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>BAMBANG SUPRIYANTO</td>
<td>`007853</td>
<td></td>
<td>`0003067810132</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-04-1975</td>
<td>47 Th</td>
<td>PRAMBON RT 44/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>569</td>
<td>PUSTU PRAMBON</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>NOVI PATMILASARI</td>
<td>`001174</td>
<td></td>
<td>`0000665696924</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-11-1998</td>
<td>23 Th</td>
<td>BANARAN RT 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>570</td>
<td>POLI REMAJA</td>
<td>03-09-2022</td>
<td></td>
<td>NANJA MUTIARA G</td>
 <td>`020857</td>
<td>01/3890</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-05-2007</td>
<td>15 Th</td>
<td>RT 17 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>BATUK, PILEK, PANAS, BADAN KEJU</td>
<td>PAMOL, CTM, AMBROXOL</td>
<td>99/50</td>
<td>71</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>38.2</td>
<td>72</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>571</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>MISNI</td>
<td>`002139</td>
<td>04/4612</td>
<td>`0000106553463</td>
<td>`3503050907690001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-07-1969</td>
<td>53 Th</td>
 <td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000119</td>
<td>kontrol</td>
<td>rujukan</td>
<td>169/93</td>
<td>95</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>66</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>H26.4</td>
<td>
After-cataract </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>572</td>
<td>POLI KIA</td>
<td>03-09-2022</td>
<td></td>
<td>ANI HAYATI ROHMAH</td>
<td>`014054</td>
<td>01/3440</td>
<td>`0000665566165</td>
<td>`3503055908880003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-08-1988</td>
<td>34 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000125</td>
<td>-</td>
<td>-</td>
 <td>139/83</td>
<td>109</td>
<td>36</td>
<td>20</td>
<td>161</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z35.8</td>
<td>
Supervision of other high-risk pregnancies </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>573</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>MUKHAMMAD RISQI PUTRA MA`ARIF</td>
<td>`013192</td>
<td>04/1445</td>
<td>`0002463854499</td>
<td>`3503052105140003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-05-2014</td>
<td>8 Th</td>
<td>RT 025 RW 011</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000154</td>
<td>TELINGAN NYERI, TENGGOROKAN NYERI</td>
<td>PHENOL GLISERIN, AMOX, IBUPROFEN SY</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>123</td>
<td>25.6</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J03.9</td>
 <td>
Acute tonsillitis, unspecified </td>
<td>H61.2</td>
<td>
Impacted cerumen </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>574</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>MUHAMMAD YASIN</td>
<td>`020402</td>
<td>08/5190</td>
<td>`0000666153718</td>
<td>`3503050409040002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-09-2004</td>
<td>18 Th</td>
<td>DUSUN SELOMUNDING, RT : 4,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000151</td>
<td>kontrol post heating</td>
<td>cipro asmef vit d kalk </td>
<td>110/80</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>65</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z48.0</td>
<td>
Attention to surgical dressings and sutures </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>575</td>
<td>PUSTU PRAMBON</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>SUMANI</td>
<td>`013035</td>
<td></td>
<td>`0000666582557</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-09-1970</td>
<td>52 Th</td>
<td>PRAMBON RT 24</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>155</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>576</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>SUMIATI</td>
<td>`000599</td>
 <td>01/1176</td>
<td>`0000666680984</td>
<td>`3503054107690003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1969</td>
<td>53 Th</td>
<td>DUSUN GONDANG, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000152</td>
<td>kontrol dm ht</td>
<td>glimepirid metformin amlodipin </td>
<td>144/81</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>52</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>577</td>
<td>PUSTU PRAMBON</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>YOPI AGASTIYA SAPUTRA</td>
<td>`020858</td>
<td></td>
<td>`0000666964451</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-08-2005</td>
<td>17 Th</td>
 <td>PRAMBON RT 24/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>578</td>
<td>PUSTU PRAMBON</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>YAHDI</td>
<td>`001031</td>
<td></td>
<td>`0000665572904</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1962</td>
<td>60 Th</td>
<td>PRAMBON RT 20/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>579</td>
<td>PUSTU PRAMBON</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>ALVENIA NICKY MUSTIKA PUTRI L.</td>
<td>`014911</td>
<td></td>
<td>`0000665575738</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-06-2010</td>
<td>12 Th</td>
<td>PRAMBON RT 20</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>130</td>
<td>40</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>580</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>VERA AYU WIDIANTIKA</td>
<td>`019429</td>
<td>90/1618</td>
<td>`</td>
<td>`3502055101040001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-01-2004</td>
<td>18 Th</td>
<td>RT 02 RW 01</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>sks</td>
<td>-</td>
<td>114/52</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>45</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>581</td>
<td>POLI KIA</td>
<td>03-09-2022</td>
<td></td>
<td>ERIN ANGGRAENI</td>
<td>`002013</td>
<td>90/784</td>
<td>`0001978403308</td>
<td>`3503065903960002</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>19-03-1996</td>
<td>26 Th</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>KERJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000126</td>
<td>-</td>
<td>-</td>
<td>112/59</td>
<td>72</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z35.8</td>
<td>
Supervision of other high-risk pregnancies </td>
<td>Q21.1</td>
<td>
Atrial septal defect </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>582</td>
<td>POLI LANSIA</td>
<td>03-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>KARTINI</td>
 <td>`015361</td>
<td></td>
<td>`</td>
<td>`3503055108610001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-08-1961</td>
<td>61 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>139/80</td>
<td>87</td>
<td>36</td>
<td>20</td>
<td>162</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>583</td>
<td>POLI KIA</td>
<td>03-09-2022</td>
<td></td>
<td>RENI WAHYU CAHYATI</td>
<td>`020373</td>
<td>03/4858</td>
<td>`0000665096051</td>
<td>`3503066207960002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-07-1996</td>
<td>26 Th</td>
 <td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001467</td>
<td>TAA</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>584</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>ISMINI</td>
<td>`020859</td>
<td></td>
<td>`0000666192971</td>
<td>`3518155901890001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-01-1989</td>
<td>33 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>585</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>RISMA PURWANINGSIWI</td>
<td>`014153</td>
<td></td>
<td>`0000666193127</td>
<td>`3503056905100001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-05-2010</td>
<td>12 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>586</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>FAVIAN ILYAS CAHYANA</td>
<td>`005948</td>
<td>05/5721</td>
<td>`0001707122834</td>
<td>`3503052410110002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-10-2011</td>
<td>10 Th</td>
<td>RT 05 RW 03</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000143</td>
<td>batuk pilek panas</td>
<td>ibuprofen syr ambroksol syr</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>22</td>
<td>22</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>587</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>FITROTUL ISNAINI</td>
<td>`016495</td>
<td></td>
<td>`0003067903089</td>
<td>`3503112802840002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-02-1984</td>
<td>38 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>588</td>
<td>POLI MTBS</td>
<td>03-09-2022</td>
<td></td>
<td>ATTALARIC ZAKARIA CAHYANA</td>
<td>`020432</td>
 <td>05/5721</td>
<td>`0003284262314</td>
<td>`3503050601220002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-01-2022</td>
<td>0 Th</td>
<td>RT 005 RW 003</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000144</td>
<td>BATUK,PILEK, PANAS</td>
<td>PAMOL, GG</td>
<td>1/1</td>
<td>100</td>
<td>36</td>
<td>32</td>
<td>62</td>
<td>6.7</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>589</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>TUMINI</td>
<td>`011418</td>
<td></td>
<td>`0001978462743</td>
<td>`3503055802440001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-02-1944</td>
<td>78 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
 <td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>590</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>CHINTYA MEI PRADINI</td>
<td>`017374</td>
<td></td>
<td>`0001037004401</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-05-2004</td>
<td>18 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>591</td>
<td>POLI GIGI</td>
<td>03-09-2022</td>
<td></td>
<td>DINO PEBRIANTO</td>
<td>`004459</td>
<td>04/5788</td>
<td>`0000666347567</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-02-2011</td>
<td>11 Th</td>
<td>RT 08 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000128</td>
<td>gigi geraham bawah kiri berlubang</td>
<td>konsultasi dan medikasi</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>37</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K04.5</td>
<td>
 Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>592</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>IMA LILIK SETYANINGSIH</td>
<td>`014154</td>
<td></td>
<td>`0000666237521</td>
<td>`3503055809000003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-09-2000</td>
<td>22 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>593</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>DJAINUDIN</td>
<td>`000689</td>
<td>05/501</td>
<td>`0001037004761</td>
<td>`3503051002450001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-02-1945</td>
<td>77 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Tukang Batu</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>594</td>
<td>POLI LANSIA</td>
<td>03-09-2022</td>
<td></td>
<td>SUKADI</td>
<td>`000468</td>
<td>01/3548</td>
 <td>`0000665392443</td>
<td>`3503050607450001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-07-1945</td>
<td>77 Th</td>
<td>DUSUN SETONO, RT 14 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000138</td>
<td>kontrol tensi, obat habis</td>
<td>amlodipin, bc</td>
<td>167/73</td>
<td>64</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>43</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>595</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>SAMSUL ARIFIN</td>
<td>`020562</td>
<td>05/5327</td>
<td>`0001978461483</td>
<td>`3503051811850003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-11-1985</td>
<td>36 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>596</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>TRISNA LIA ANGGRAINI</td>
<td>`003110</td>
<td>05/4146</td>
<td>`0000666276963</td>
<td>`3503056605000001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-05-2000</td>
<td>22 Th</td>
<td>DESA BANARAN, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>597</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>DINDA DWI APRITA</td>
<td>`014739</td>
<td></td>
<td>`0000666277536</td>
<td>`3503055304090001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-04-2009</td>
<td>13 Th</td>
<td>DESA BANARAN, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>598</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>HANA ROIDATUL KHUSNA</td>
<td>`020860</td>
<td>02/2769A</td>
<td>`</td>
<td>`3503055811990004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-11-1999</td>
<td>22 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>sks</td>
<td>-</td>
<td>127/76</td>
<td>99</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>47</td>
<td>40</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>599</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>JEMARIN</td>
<td>`020861</td>
<td></td>
<td>`0000666276006</td>
<td>`3503051904720003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-04-1972</td>
<td>50 Th</td>
<td>DESA BANARAN, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>600</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>PINASTI KEN LANDHUNGSIH</td>
<td>`019103</td>
<td>05/4855</td>
<td>`0001842885527</td>
 <td>`3503055909090001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-09-2009</td>
<td>13 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>601</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>MUTINAH</td>
<td>`020862</td>
<td></td>
<td>`0000665482454</td>
<td>`3503055102650002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-02-1965</td>
<td>57 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>602</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>SATINI</td>
<td>`014166</td>
<td></td>
<td>`0000665493772</td>
<td>`3503054212400001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-12-1940</td>
<td>81 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>603</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>MARSINEM</td>
<td>`020863</td>
<td></td>
<td>`0003067660686</td>
<td>`3503054201500003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-01-1950</td>
<td>72 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>604</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>FAIZIN FEBRIANTORO</td>
<td>`014331</td>
<td></td>
<td>`0003065951788</td>
<td>`3503050803970005</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-03-1997</td>
<td>25 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>605</td>
<td>POLI KIA</td>
<td>03-09-2022</td>
<td></td>
<td>TITIK ANDAYANI</td>
<td>`020864</td>
<td>08/9250</td>
<td>`</td>
<td>`3503066909800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1980</td>
<td>42 Th</td>
<td>RT 05 RW02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td></td>
<td>pusing, mual, muntah</td>
<td>fe 1x1, b6 3x1</td>
<td>112/85</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>38</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>606</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>SAIPUDIN ZULIRI</td>
<td>`018306</td>
<td></td>
<td>`0001037005132</td>
<td>` </td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-10-1994</td>
<td>27 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>607</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>SUPRIHATIN</td>
<td>`005555</td>
<td>05/3790</td>
<td>`0001037005121</td>
<td>`3503054901560001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-01-1956</td>
<td>66 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>608</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>MARTINAH</td>
<td>`020865</td>
<td></td>
<td>`0000666291082</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1928</td>
<td>94 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>609</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>TUMINI</td>
<td>`009249</td>
<td>05/7307</td>
<td>`0000666291879</td>
<td>`3503057005490001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-05-1949</td>
<td>73 Th</td>
<td>RT 09</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>610</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>PARTINI</td>
<td>`020866</td>
<td></td>
<td>`0002802750715</td>
<td>`3503056907680001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-07-1968</td>
<td>54 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>611</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>YAMINTEN HERLIS</td>
<td>`012420</td>
<td>05/4271</td>
<td>`0001978461786</td>
<td>`3503056411740001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-11-1974</td>
<td>47 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>612</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>BOBBY PUTRA HERLINTO</td>
<td>`020867</td>
<td></td>
<td>`0001978461775</td>
<td>`3503052605040002</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>26-05-2004</td>
<td>18 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>613</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>SURATIN</td>
<td>`020868</td>
<td></td>
<td>`0001037004085</td>
<td>`3503054108700002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-01-1970</td>
<td>52 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>614</td>
<td>POLI GIGI</td>
<td>03-09-2022</td>
<td></td>
<td>IMAM SAIFUDIN</td>
<td>`018316</td>
<td>06/8106A</td>
<td>`0001707022427</td>
<td>`3503052806910001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-06-1991</td>
<td>31 Th</td>
<td>DUSUN PAKEL, RT : 041,RW :010 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>131506010922Y000129</td>
<td>gigi belakang geraham bawah kanan berlubang</td>
<td>kontrol tumpatan</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
 <td>64</td>
<td>1</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>K04.0</td>
<td>
Pulpitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>615</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>KATINAH</td>
<td>`002343</td>
<td></td>
<td>`0001037005187</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-12-1958</td>
<td>63 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>616</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>SAMINO</td>
<td>`014730</td>
<td></td>
<td>`0000666191169</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-12-1954</td>
<td>67 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>617</td>
 <td>POLI KIA</td>
<td>03-09-2022</td>
<td></td>
<td>IDA NURHAYATI</td>
<td>`020352</td>
<td>90/840</td>
<td>`0002893645394</td>
<td>`3503065509860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1986</td>
<td>36 Th</td>
<td>RT 06 RW 01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000339</td>
<td>nyeri perut</td>
<td>-</td>
<td>139/80</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>78</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>618</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>MISTINI</td>
<td>`009260</td>
<td></td>
<td>`0000106709804</td>
<td>`3503056005410001</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>20-05-1941</td>
<td>81 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>619</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>SUMINAH</td>
<td>`007250</td>
<td></td>
<td>`0002802750131</td>
<td>`3503054304480001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-04-1948</td>
<td>74 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
 <td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>620</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>TUMINI</td>
<td>`014083</td>
<td></td>
<td>`0001037005288</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-05-1950</td>
<td>72 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>621</td>
<td>POLI GIGI</td>
<td>03-09-2022</td>
<td></td>
<td>NAYLA FAZA </td>
<td>`020869</td>
<td>02/3253</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-01-2016</td>
<td>6 Th</td>
<td>RT 16 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi depan bawah kanan kiri kesundulan</td>
<td>anasthesi topikal cabut gigi 81.71</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>116</td>
<td>22</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>622</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>PAINI</td>
<td>`015369</td>
<td></td>
<td>`0001037005277</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-04-1939</td>
<td>83 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>623</td>
<td>PONKESDES BANARAN</td>
 <td>03-09-2022</td>
<td>KONSULTASI</td>
<td>IKA SULISTYORINI</td>
<td>`016771</td>
<td></td>
<td>`0000666237148</td>
<td>`3503056406900008</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-08-1990</td>
<td>32 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>624</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>ENDANG TUMINI</td>
<td>`014322</td>
<td></td>
<td>`0001037004581</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>06-08-1953</td>
<td>69 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>625</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>SRINATUN</td>
<td>`010832</td>
<td></td>
<td>`0001324006558</td>
<td>`3503055012650002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1965</td>
<td>56 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
 <td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>626</td>
<td>POLI REMAJA</td>
<td>03-09-2022</td>
<td></td>
<td>MUHAMMAD ULINNUHA MUSTAQIM</td>
<td>`020599</td>
<td>04/9217</td>
<td>`0000666038147</td>
<td>`3503050911080001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-11-2008</td>
<td>13 Th</td>
<td>KRAJAN, RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000149</td>
<td>batuk pilek kontrol post opname</td>
<td>ambroxol amok metyl pred obh syr</td>
<td>105/55</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>49</td>
<td>50</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>J40</td>
<td>
Bronchitis, not specified as acute or chronic </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>627</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>TRIWINARSIH</td>
<td>`000309</td>
<td>05/267</td>
<td>`0000170069545</td>
<td>`3503055410680001</td>
<td>`95086</td>
<td></td>
<td></td>
<td>P</td>
<td>14-10-1968</td>
<td>53 Th</td>
<td>TAWANG, RT : 003,RW :002 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>628</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>NARENDRA ALZAHRAN</td>
<td>`014644</td>
<td>06/5671</td>
<td>`0002776123877</td>
<td>`3503050605120004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-05-2012</td>
<td>10 Th</td>
<td>TENGGAR, RT : 7,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000150</td>
<td>panas batuk pusing</td>
<td>ibuprofen syr ambroksol syr</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>28</td>
<td>27</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>629</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
 <td>KONSULTASI</td>
<td>SINEM</td>
<td>`012829</td>
<td></td>
<td>`0001037004941</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-10-1948</td>
<td>73 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>630</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>MESINEM</td>
<td>`020870</td>
<td></td>
<td>`0002744680667</td>
<td>`3503054112500002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>01-12-1950</td>
<td>71 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>631</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>ENDANG SRI SUHARLIN</td>
<td>`020839</td>
<td></td>
<td>`0002802750805</td>
<td>`3503056504620002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-04-1962</td>
<td>60 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
 <td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>632</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>BAINO</td>
<td>`019536</td>
<td>05/4993</td>
<td>`0002802772102</td>
<td>`3503050607640002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-06-1964</td>
<td>58 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>633</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>NIDA UROSALIN</td>
<td>`009084</td>
<td>05/3729</td>
<td>`0000665419094</td>
<td>`6471054602840007</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-02-1984</td>
<td>38 Th</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>634</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>INTANA PERMATA GHAISANI CAHYA MALAIKA</td>
<td>`014151</td>
<td></td>
<td>`0000665418071</td>
<td>`6471056011080003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-11-2008</td>
<td>13 Th</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>635</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
 <td>BINTANG AUDREY FRICILYA</td>
<td>`020841</td>
<td></td>
<td>`0003286828034</td>
<td>`3503056302110001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-02-2011</td>
<td>11 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>636</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>MARIYATIN</td>
<td>`020871</td>
<td></td>
<td>`0000666288606</td>
<td>`3503055010770002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-10-1977</td>
 <td>44 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>637</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>MUTINAH</td>
<td>`009220</td>
<td></td>
<td>`0001978462585</td>
<td>`3503055507610001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-07-1961</td>
<td>61 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>638</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>PRICCILIA DINDA PERMADANI</td>
<td>`016493</td>
<td></td>
<td>`0001707123036</td>
<td>`3503056502150001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-02-2015</td>
<td>7 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>639</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>TUMINEM</td>
<td>`014749</td>
<td></td>
<td>`0001037004671</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-03-1940</td>
<td>82 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>640</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>MUDMAINAH</td>
<td>`010154</td>
<td>01/421</td>
<td>`0000664916962</td>
<td>`3503054708740001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-08-1974</td>
<td>48 Th</td>
<td>DUSUN KEBONSARI, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000161</td>
<td>GREGES, NGGLIYENG, TENGGOROKAN PANAS, MBESESEK</td>
<td>CIPRO, PAMOL, GG, ANTASID, OMZ</td>
<td>102/71</td>
<td>72</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>57</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>641</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>DIDIN RETNO</td>
 <td>`001816</td>
<td>05/4521</td>
<td>`0000665489709</td>
<td>`3503056006840003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-06-1984</td>
<td>38 Th</td>
<td>DESA BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>642</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>INES DINDA ALFIRA</td>
<td>`019001</td>
<td>05/4521</td>
<td>`0000665490205</td>
<td>`3503056006040001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-2004</td>
<td>18 Th</td>
 <td>RT 09 RW 05</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>643</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>RINAWATI</td>
<td>`014268</td>
<td></td>
<td>`0000665496268</td>
<td>`3503056606850002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-06-1985</td>
<td>37 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>644</td>
<td>UGD</td>
<td>03-09-2022</td>
<td></td>
<td>JARIN</td>
<td>`013420</td>
<td>06/8438</td>
<td>`</td>
<td>`3503052107700001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-07-1970</td>
<td>52 Th</td>
<td>TENGGAR, RT : 3,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>RAWAT LUKA</td>
<td>AMOKSILLIN, PAMOL</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>78</td>
<td></td>
<td>KASUS BARU</td>
<td>S40.9</td>
 <td>
Superficial injury of shoulder and upper arm, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>645</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>MUKIN</td>
<td>`012251</td>
<td></td>
<td>`0001037005108</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-10-1941</td>
<td>80 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>646</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>NAUFAL FADIL</td>
<td>`020872</td>
<td>01/10</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-02-2010</td>
<td>12 Th</td>
<td>RT</td>
<td>PISANG JAYA</td>
<td>BUAY MADANG</td>
<td>OGAN KOMERING ULU TIMUR</td>
<td>SUMATERA SELATAN</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS, BATUK, PILEK</td>
<td>IBUPROF, AMOK, GG</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>48.1</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>647</td>
<td>POLINDES WINONG</td>
<td>03-09-2022</td>
<td></td>
<td>SAMINI</td>
<td>`011869</td>
 <td></td>
<td>`0001978467265</td>
<td>`3503056809700001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-09-1970</td>
<td>52 Th</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001801</td>
<td>lambung nyeri</td>
<td>amox antasid</td>
<td>110/82</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.0</td>
<td>
Acute haemorrhagic gastritis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>648</td>
<td>POLINDES WINONG</td>
<td>03-09-2022</td>
<td></td>
<td>TITIK WINARSIH</td>
<td>`003731</td>
<td></td>
<td>`0000665906512</td>
<td>`3503055604890001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-04-1989</td>
<td>33 Th</td>
<td>DESA WINONG, RT : 2,RW :1 </td>
 <td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001802</td>
<td>taa</td>
<td>gestin</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>649</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>SINTA NURIYA</td>
<td>`020873</td>
<td>04/111</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-02-2016</td>
<td>6 Th</td>
<td>RT 05 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>PANAS, PUSING</td>
<td>AMBROXOL, IBUPREF, AMOK</td>
<td>1/1</td>
 <td>88</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>38.4</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>650</td>
<td>PUSTU PRAMBON</td>
<td>03-09-2022</td>
<td></td>
<td>OYE</td>
<td>`020874</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-09-1967</td>
<td>55 Th</td>
<td>BANARAN RT 6/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>BATUK PILEK</td>
<td>PAKOL GG CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>70</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
 Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>651</td>
<td>POLI REMAJA</td>
<td>03-09-2022</td>
<td></td>
<td>ZAHRA SABRINA NASWA</td>
<td>`016055</td>
<td>03/6445</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-01-2009</td>
<td>13 Th</td>
<td>RT 05 RW 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>LUKA TIDAK SEMBUH2 SETELAH TERCAKAR KUCING</td>
<td>AMOK, PAMOL, DEXA, </td>
<td>104/55</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>55.5</td>
<td>78</td>
<td></td>
<td>KASUS BARU</td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>652</td>
<td>POLI LANSIA</td>
<td>03-09-2022</td>
<td></td>
<td>PARTINI</td>
<td>`000043</td>
<td>01/852</td>
<td>`0000664933342</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-11-1956</td>
<td>65 Th</td>
<td>RT 19 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000140</td>
<td>nyeri ulu hati, mual, betis cekot2, cenggeng</td>
<td>ranit, antasida, b6, ibuprofen</td>
<td>125/58</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>653</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>EKO PRASETYO</td>
<td>`005573</td>
<td>01/446</td>
 <td>`0002872633432</td>
<td>`3503052504860001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-05-1986</td>
<td>36 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000160</td>
<td>BATUK,PILEK, PUSING</td>
<td>GG, CTM, AMOK, DEXA, VIT C</td>
<td>114/69</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>66.9</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>654</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>EDY PURWITO</td>
<td>`020604</td>
<td>01/2751</td>
<td>`0001978455958</td>
<td>`3503051410710005</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-10-1971</td>
<td>50 Th</td>
<td>DUSUN KEBONSARI, RT : 32,RW :8 </td>
<td>GONDANG</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000127</td>
<td>telinga gatal berair</td>
<td>rujukan</td>
<td>151/79</td>
<td>73</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>67</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H66.3</td>
<td>
Other chronic suppurative otitis media </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>655</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>MURSIYATI</td>
<td>`011620</td>
<td>07/2468</td>
<td>`0001978440827</td>
<td>`3503056111730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-11-1973</td>
<td>48 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000159</td>
<td>PUSING, MULUT TERASA PAHIT, TIDAK NAFSU MAKAN, MUAL</td>
<td>CIPRO, PAMOL, GG, ANTASID, RANITIDIN, DOMP</td>
<td>127/78</td>
<td>65</td>
 <td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>656</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>CITRA DEWI NURAINI</td>
<td>`020875</td>
<td>07/2468</td>
<td>`</td>
<td>`3503052761120002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-01-2012</td>
<td>10 Th</td>
<td>SANGGRAHAN, RT : 2,RW :2</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>BATUK, PILEK, PANAS, PUSING</td>
<td>PAMOL, CTM, GG, DEXA</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>27.3</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>657</td>
<td>POLI GIGI</td>
<td>03-09-2022</td>
<td></td>
<td>RIFA AGUSTIWI</td>
<td>`020876</td>
<td>02/674</td>
<td>`0001978460021</td>
<td>`3503054508850003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-08-1985</td>
<td>37 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td>131506010922Y000130</td>
<td>gigi belakang geraham bawah kiri berlubang</td>
<td>konsultasi dan medikasi</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>68</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>658</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>HERU PRASTOWO</td>
<td>`014904</td>
<td>08/7074</td>
<td>`0000193857309</td>
<td>`8104011003800002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-03-1980</td>
<td>42 Th</td>
<td>RT 10RW04</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y000158</td>
<td>SESAK JIKA MALAM</td>
<td>SALBUTAMOL, PREDNISON</td>
<td>130/82</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>161</td>
<td>63.8</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>659</td>
<td>POLI REMAJA</td>
<td>03-09-2022</td>
<td></td>
<td> ANDREAS PRAMUDYA</td>
<td>`000101</td>
<td>90/120</td>
<td>`0001707000513</td>
 <td>`3503102508120001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-08-2012</td>
<td>10 Th</td>
<td>RT 4 RW 1</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000157</td>
<td>PILEK, PUSING, SESAK NAPAS</td>
<td>PAMOL, CTM, DEXA, VIT C</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>34.6</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>660</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>FAHRI FRAGI SUPANDI</td>
<td>`020877</td>
<td>01/4723</td>
<td>`</td>
<td>`3503051908160001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-08-2016</td>
<td>6 Th</td>
<td>DUSUN KEBONSARI, RT : 30,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>BATUK,PANAS, PILEK, PUSING</td>
<td>AMOK, PAMOL, CTM, GG, VIT C</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>100</td>
<td>17.9</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>661</td>
<td>POLI K.B</td>
<td>03-09-2022</td>
<td></td>
<td>MAYKE HANENDAH MIKOLA</td>
<td>`011423</td>
<td>03/7174</td>
<td>`0003264396535</td>
<td>`9103135705000001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-05-2000</td>
<td>22 Th</td>
<td>RT 05 RW 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>KONTROL IUD</td>
<td>-</td>
<td>110/74</td>
<td>780</td>
<td>36</td>
 <td>20</td>
<td>150</td>
<td>46</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.1</td>
<td>
Insertion of (intrauterine) contraceptive device </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
DIANTI DWI PANGESTUTI, A.MD.KEB </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>662</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>BINTI NURMALINA</td>
<td>`020878</td>
<td>06/7713</td>
<td>`0000665831979</td>
<td>`3503055211950001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-07-1994</td>
<td>28 Th</td>
<td>RT 40RW 07</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td>131506010922Y000156</td>
<td>BATUK,PILEK, NYERI TELAN</td>
<td>CIPRO, PAMOL, CTM, GG, DEXA, VIT C</td>
<td>102/56</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>36.8</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
 <td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>663</td>
<td>POLI LANSIA</td>
<td>03-09-2022</td>
<td></td>
<td>TASNO</td>
<td>`002295</td>
<td>06/5711B</td>
<td>`0002740081329</td>
<td>`3503055202470002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-02-1947</td>
<td>75 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000124</td>
<td>RUJUKAN BARU</td>
<td>-</td>
<td>110/80</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>165</td>
<td>57</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>664</td>
<td>POLI GIGI</td>
<td>03-09-2022</td>
<td></td>
<td>MARMI</td>
<td>`000452</td>
<td>90/1214</td>
<td>`0000665227574</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1973</td>
<td>49 Th</td>
<td>RT 17 RW 07</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000131</td>
<td>gigi belakang geraham bawah kiri tumbuh miring</td>
<td>konsultasi dan medikasi</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>64</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K01.1</td>
<td>
Impacted teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>665</td>
<td>UGD</td>
<td>03-09-2022</td>
<td></td>
<td>VIOLA DEWI</td>
<td>`021339</td>
<td></td>
<td>`</td>
<td>`</td>
 <td>`</td>
<td>budiono</td>
<td></td>
<td>P</td>
<td>18-09-2007</td>
<td>15 Th</td>
<td>RT 25 RW 5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>batuk panas, pilek</td>
<td>pamol, gg, b.complek</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>146</td>
<td>44</td>
<td>76</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>666</td>
<td>UGD</td>
<td>03-09-2022</td>
<td></td>
<td>MUHAMMAD ILHAM AL GHIFARI</td>
<td>`021340</td>
<td></td>
<td>`0001917650215</td>
<td>`</td>
<td>`</td>
<td>marsidi</td>
<td></td>
<td>L</td>
<td>12-09-2013</td>
<td>9 Th</td>
<td>RT 11 RW 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001468</td>
<td>bapilnas</td>
<td>pamol, ctm, ambrxol, antasida</td>
<td>90/60</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>136</td>
<td>40</td>
<td>56</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>667</td>
<td>UGD</td>
<td>03-09-2022</td>
<td></td>
<td>FAISHAL IMAMUL HAKIM</td>
<td>`005321</td>
<td></td>
<td>`0002867872364</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-04-2014</td>
<td>8 Th</td>
<td>RT 3 RW 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001466</td>
<td>BAPILNAS, MUAL</td>
<td>PAMOL, AMBROXOL, CTM,ANTASIDA SY</td>
<td>100/60</td>
<td>88</td>
<td>37</td>
<td>20</td>
 <td>140</td>
<td>44</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>668</td>
<td>UGD</td>
<td>03-09-2022</td>
<td></td>
<td>KEVIN</td>
<td>`021341</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-09-2005</td>
<td>17 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS, BATUK, PUSING</td>
<td>PAMOL, CTM,AMBROXOL,ANTASIDA</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>669</td>
<td>UGD</td>
<td>03-09-2022</td>
<td></td>
<td>ALIFA</td>
<td>`021342</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>almaulidia</td>
<td></td>
<td>P</td>
<td>18-09-2014</td>
<td>8 Th</td>
<td>RT 11 RW 5</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS, BATUK ,MUAL</td>
<td>PAMOL, CTM, AMBROXOL, ANTASIDA SY</td>
<td>90/60</td>
<td>89</td>
<td>37</td>
<td>20</td>
<td>34</td>
<td>35</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
 <td>670</td>
<td>UGD</td>
<td>03-09-2022</td>
<td></td>
<td>ARIL DWI SAPUTRA</td>
<td>`002160</td>
<td></td>
<td>`0002212048383</td>
<td>`3503052705160001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-05-2015</td>
<td>7 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001469</td>
<td>panas</td>
<td>pamol</td>
<td>90/69</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>140</td>
<td>44</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
Fever with chills </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>671</td>
<td>UGD</td>
<td>03-09-2022</td>
<td></td>
<td>FADHIL YAQDAN NASRULLAH</td>
<td>`021343</td>
<td></td>
<td>`0003047794042</td>
<td>`</td>
<td>`</td>
 <td>irfan misnan</td>
<td></td>
<td>L</td>
<td>28-03-2015</td>
<td>7 Th</td>
<td>RT 7 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001470</td>
<td>mual muntah, pusing</td>
<td>pamol, antasida sy,domperidone, oralit</td>
<td>90/60</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>140</td>
<td>44</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>672</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>HARYATUN</td>
<td>`000247</td>
<td>90/55</td>
<td>`0001318097283</td>
<td>`9171036006670001</td>
<td>`</td>
<td></td>
<td>081344975763</td>
<td>P</td>
<td>20-06-1967</td>
<td>55 Th</td>
<td>RT 3 RW 1</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000155</td>
<td>DIARE, LEMAS, BADAN SAKIT SEMUA, NYERI ULU HATI</td>
<td>CIPRO, GG, PAMOL, ANTASID, OMZ, ATTALPUGIT, ORALIT</td>
<td>115/61</td>
<td>105</td>
<td>36</td>
<td>29</td>
<td>150</td>
<td>69.8</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>673</td>
<td>UGD</td>
<td>03-09-2022</td>
<td></td>
<td>MUH.RIFQAL</td>
<td>`021344</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-09-2006</td>
<td>16 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>BAPILNAS,BAB CAIR</td>
<td>PAMOL, AMBROXOL, CTM, LOPERAMIDE</td>
<td>110/790</td>
<td>78</td>
<td>37</td>
<td>20</td>
<td>150</td>
 <td>44</td>
<td>78</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>674</td>
<td>UGD</td>
<td>03-09-2022</td>
<td></td>
<td>YATI</td>
<td>`017965</td>
<td>02/4563</td>
<td>`0000666123759</td>
<td>`3503054807650001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-1965</td>
<td>57 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001471</td>
<td>MUAL NYERI ULU HATI , BATUK</td>
<td>ANTASIDA,OMZ, AMBROXOL,PAMOL</td>
<td>130/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>675</td>
<td>UGD</td>
<td>03-09-2022</td>
<td></td>
<td>MAYANG PRISKA VERNANDA</td>
<td>`005836</td>
<td></td>
<td>`0000667115594</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-06-2002</td>
<td>20 Th</td>
<td>RT 11 RW 4</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001472</td>
<td>BAB CAIR, MUAL MUNTAH, PANAS</td>
<td>PAMOL,AMOKSILLIN,ANTASIDA</td>
<td>140/90</td>
<td>88</td>
<td>40</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>676</td>
 <td>POLI KIA</td>
<td>03-09-2022</td>
<td></td>
<td>FAIZATUL MUNA</td>
<td>`017914</td>
<td>01/299</td>
<td>`0000666649855</td>
<td>`3503054905970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-05-1997</td>
<td>25 Th</td>
<td>DUSUN KEBONSARI, RT : 26,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000135</td>
<td>taa</td>
<td>rujukan</td>
<td>112/72</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>148</td>
<td>52</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z35.9</td>
<td>
Supervision of high-risk pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>677</td>
<td>POLI GIGI</td>
<td>03-09-2022</td>
<td></td>
<td>MARIZQA NUR AISYAH</td>
<td>`020879</td>
<td>02/7460</td>
<td>`0002014127561</td>
<td>`3503057003040002</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>30-03-2004</td>
<td>18 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000132</td>
<td>gigi geraham bawah kanan berlubang</td>
<td>konsultasi dan medikasi</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>678</td>
<td>POLI K.B</td>
<td>03-09-2022</td>
<td></td>
<td>ANITA SRI WAHYUTI</td>
<td>`020880</td>
<td>06/6263</td>
<td>`0000661587693</td>
<td>`3502055201930001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-01-1993</td>
<td>29 Th</td>
<td>RT 43 RW 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
 <td>Baru</td>
<td>131506010922Y001473</td>
<td>BONGKAR PASANG IMPLAN</td>
<td>-</td>
<td>125/89</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.9</td>
<td>
Contraceptive management, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Suharti </td>
<td>
Pelayanan Rawat Jalan<br>Pemasangan Implat<br> </td>
</tr>
<tr align='left' valign="top">
<td>679</td>
<td>POLI LANSIA</td>
<td>03-09-2022</td>
<td></td>
<td>HARDOJO</td>
<td>`004746</td>
<td>04/2546</td>
<td>`0000106514774</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-09-1953</td>
<td>69 Th</td>
<td>RT 04 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y000141</td>
<td>kontrol luka di lipatan jari telunjuk dan jari tengah</td>
<td>cipro, pamol, metformin, gliben, aspilet, bc</td>
<td>141/63</td>
<td>66</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>47.7</td>
 <td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>680</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>SULASIH</td>
<td>`009473</td>
<td>03/7098</td>
<td>`</td>
<td>`9103135412660001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-12-1966</td>
<td>55 Th</td>
<td>RT 04/02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>pusing nyeri ulu hati keju linu</td>
<td>amlodipin antasida omz pamol </td>
<td>162/85</td>
<td>62</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>79</td>
<td>70</td>
<td>SENTANI</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
 <td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>681</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>FAHRODIN</td>
<td>`020881</td>
<td>90/386</td>
<td>`</td>
<td>`3503051402650002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-02-1965</td>
<td>57 Th</td>
<td>JAMBU, RT : 010,RW :004 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>WIRASWASTA</td>
<td>Baru</td>
<td></td>
<td>LUKA DI JARI TANGAN, BABRAS DI KAKI, PUSING</td>
<td>CIPRO, ASMEF, </td>
<td>157/79</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>176</td>
<td>75.2</td>
<td>88</td>
<td></td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>682</td>
 <td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>EVITA DIANA S</td>
<td>`020882</td>
<td>90/386</td>
<td>`</td>
<td>`-518075</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-04-2011</td>
<td>11 Th</td>
<td>JAMBU, RT : 010,RW :004 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>BELUM/TIDAK BEKERJA</td>
<td>Baru</td>
<td></td>
<td>BATUK,PILEK</td>
<td>AMOK, PAMOL, CTM, GG, DEXA</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>48</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>683</td>
<td>POLI K.B</td>
<td>03-09-2022</td>
<td></td>
<td>PURWATI</td>
<td>`000723</td>
<td>01/2457</td>
<td>`</td>
<td>`3503034702910001</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>07-02-1991</td>
<td>31 Th</td>
<td>DSN KALIPINGGIR, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>SUNTIK</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>1</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
DIANTI DWI PANGESTUTI, A.MD.KEB </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>684</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>FAIREL ATHARIZ CALIEF</td>
<td>`000181</td>
<td>01/1104</td>
<td>`0002049759685</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-01-2016</td>
<td>6 Th</td>
<td>RT 18 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
 <td>Lama</td>
<td>131506010922Y000164</td>
<td>BATUK,PILEK</td>
<td>GG, CTM, DEXA, VIT C</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>21</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>685</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>SITI MASRUROH</td>
<td>`000488</td>
<td>01/1104</td>
<td>`0000167099692</td>
<td>`3503056703760001</td>
<td>`134931</td>
<td></td>
<td></td>
<td>P</td>
<td>27-03-1976</td>
<td>46 Th</td>
<td>DUSUN KALIPINGGIR, RT : 018,RW :005 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>MENGURUS RUMAH TANGGA</td>
<td>Lama</td>
<td>131506010922Y000163</td>
<td>KONTROL TENSI</td>
<td>AMLODIPIN, FURO, ASPILET, PAMOL</td>
<td>173/98</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>63.6</td>
 <td>88</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>686</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>ARSWINDO REZDISTRA ALMIRZIDNA KASTAR</td>
<td>`000427</td>
<td>08/3291</td>
<td>`0000170081864</td>
<td>`3503050508140001</td>
<td>`31855</td>
<td></td>
<td></td>
<td>L</td>
<td>05-08-2014</td>
<td>8 Th</td>
<td>DUSUN BENGGLE, RT : 012,RW :004 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>BELUM/TIDAK BEKERJA</td>
<td>Lama</td>
<td>131506010922Y000162</td>
<td>KONTROL POST OPNAME, BATUK</td>
<td>OBAT DILANJUTKAN</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>33.1</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>687</td>
<td>PONKESDES TUMPUK</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>KATEMI</td>
<td>`012781</td>
<td></td>
<td>`0001978451728</td>
<td>`3503054406570001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1957</td>
<td>65 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/76</td>
<td>72</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>688</td>
<td>PONKESDES TUMPUK</td>
 <td>03-09-2022</td>
<td>KONSULTASI</td>
<td>RUDI HARTONO</td>
<td>`001438</td>
<td>03/6990</td>
<td>`0001978451717</td>
<td>`3503051811940001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-01-1970</td>
<td>52 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>125/78</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>689</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>WIJIARSO</td>
<td>`000162</td>
<td>02/1366A</td>
<td>`0001978460943</td>
<td>`3503052212790005</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>22-12-1979</td>
<td>42 Th</td>
<td>RT 19 RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000153</td>
<td>KONTROL</td>
<td>-</td>
<td>139/86</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>66.5</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>C92.1</td>
<td>
Chronic myeloid leukaemia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>690</td>
<td>POLI MTBS</td>
<td>03-09-2022</td>
<td></td>
<td>MEDINA AISYAH MAULANA</td>
<td>`001681</td>
<td>01/1259</td>
<td>`0002887022709</td>
<td>`3503056008190001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-08-2019</td>
<td>3 Th</td>
<td>RT 18 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
 <td>131506010922Y000142</td>
<td>diare</td>
<td>attapulgit zink syr oralit</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>90</td>
<td>19</td>
<td>18</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>691</td>
<td>PONKESDES TUMPUK</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>SUKIYAT</td>
<td>`015962</td>
<td></td>
<td>`0001978451651</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-08-1967</td>
<td>55 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>80</td>
 <td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>692</td>
<td>PONKESDES TUMPUK</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>GANIKEM</td>
<td>`015961</td>
<td></td>
<td>`0001978451627</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-07-1953</td>
<td>69 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>126/78</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>693</td>
<td>PONKESDES TUMPUK</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>TOYIBAN</td>
<td>`000479</td>
<td>03/3357</td>
<td>`0001978451616</td>
<td>`3503053112450001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1945</td>
<td>76 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>125/75</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>694</td>
<td>PONKESDES TUMPUK</td>
<td>03-09-2022</td>
 <td>KONSULTASI</td>
<td>AHMAD KODIM</td>
<td>`015960</td>
<td></td>
<td>`0001978451605</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-1985</td>
<td>37 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/72</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>695</td>
<td>POLI K.B</td>
<td>03-09-2022</td>
<td></td>
<td>NOHAN FREDYNANTO</td>
<td>`020883</td>
<td>05/8571</td>
<td>`</td>
<td>`3503050602960001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>06-02-1996</td>
<td>26 Th</td>
<td>RT 09 RW 04</td>
<td>TAMANAN</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Tentara Nasional Indonesia</td>
<td>Lama</td>
<td></td>
<td>CPP</td>
<td>-</td>
<td>125/84</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>171</td>
<td>64</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>696</td>
<td>PONKESDES TUMPUK</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>FITASARI</td>
<td>`015959</td>
<td></td>
<td>`0001978451561</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-02-1993</td>
<td>29 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
 <td>-</td>
<td>-</td>
<td>116/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>697</td>
<td>PONKESDES TUMPUK</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>KATINO</td>
<td>`015958</td>
<td></td>
<td>`0001978451537</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-08-1969</td>
<td>53 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/76</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>64</td>
<td>80</td>
<td>Tugu</td>
 <td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>698</td>
<td>PONKESDES TUMPUK</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>MUYONO</td>
<td>`015891</td>
<td></td>
<td>`0001978451471</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1948</td>
<td>73 Th</td>
<td>RT 03 RW 0</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>116/72</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>699</td>
<td>PONKESDES TUMPUK</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>HERI SUSANTO</td>
<td>`015890</td>
<td></td>
<td>`0001978451469</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-08-1994</td>
<td>28 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/72</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>700</td>
<td>POLI REMAJA</td>
<td>03-09-2022</td>
<td></td>
 <td>LAILA EGA PURWANTI</td>
<td>`020885</td>
<td>08/9251</td>
<td>`</td>
<td>`3503056908070002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-08-2007</td>
<td>15 Th</td>
<td>DUSUN BENGGLE, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK,PILEK, NYERI TELAN, PUSING</td>
<td>AMOK, PAMOL, CTM, GG, DEXA, VIT C</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>73.4</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>701</td>
<td>POLI LANSIA</td>
<td>03-09-2022</td>
<td></td>
<td>MUBANI</td>
<td>`000430</td>
<td>01/9338</td>
<td>`0000666117663</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1952</td>
 <td>70 Th</td>
<td>RT 33 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000137</td>
<td>cek GDP, obat masih</td>
<td>-</td>
<td>120/66</td>
<td>64</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>58.7</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>702</td>
<td>POLI LANSIA</td>
<td>03-09-2022</td>
<td></td>
<td>MURTINI</td>
<td>`020003</td>
<td>01/9338</td>
<td>`0000666118023</td>
<td>` 3503054107620022</td>
<td>`</td>
<td>MUBANI</td>
<td></td>
<td>P</td>
<td>01-07-1962</td>
<td>60 Th</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000136</td>
 <td>cek GDP, obat masih</td>
<td>-</td>
<td>120/73</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>40</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>703</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>CITRA FARINTINA</td>
<td>`015827</td>
<td>03/8472</td>
<td>`0002454913809</td>
<td>`3328057005850001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-05-1985</td>
<td>37 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Guru</td>
<td>Lama</td>
<td>131506010922Y000148</td>
<td>kontrol tensi batuk</td>
<td>amok gg ctm amlodipin</td>
<td>159/90</td>
<td>85</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>60</td>
<td>50</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>704</td>
<td>POLI MTBS</td>
<td>03-09-2022</td>
<td></td>
<td>ARVINO XAVIER FAEYZA ANDRES</td>
<td>`020002</td>
<td>03/8472</td>
<td>`0002929247201</td>
<td>`3503050107180011</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-2018</td>
<td>4 Th</td>
<td>5/2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000147</td>
<td>panas batuk pilek</td>
<td>pamol syr ctm gg dexa bc</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>90</td>
<td>13</td>
<td>15</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>705</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>SURATIN</td>
<td>`002719</td>
<td>06/4210</td>
<td>`0002775011951</td>
<td>`3503056104640003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-05-1971</td>
<td>51 Th</td>
<td>RT 33 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000139</td>
<td>kontrol</td>
<td>rujukan</td>
<td>134/58</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>66</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>C50.9</td>
<td>
Malignant neoplasm of breast, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>706</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
 <td></td>
<td>SITI NGATIKAH</td>
<td>`020406</td>
<td>07/2711</td>
<td>`0000665719795</td>
<td>`3503055603690004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-03-1969</td>
<td>53 Th</td>
<td>RT 07 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000146</td>
<td>batuk pilek pusing keju linu</td>
<td>amok ctm gg pamol nadif prednison</td>
<td>122/80</td>
<td>101</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>58</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>707</td>
<td>PONKESDES SUKOREJO</td>
<td>03-09-2022</td>
<td></td>
<td>SUMARTI BIBIT</td>
<td>`003216</td>
<td></td>
<td>`0000665768261</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>31-12-1940</td>
<td>81 Th</td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000815</td>
<td>pusing,perut sebah</td>
<td>amlo 10mg,antasida</td>
<td>137/73</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>K29.9</td>
<td>
Gastroduodenitis, unspecified </td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>708</td>
<td>POLINDES PRAMBON 2</td>
<td>03-09-2022</td>
<td></td>
<td>SUMARTIN</td>
<td>`013909</td>
<td></td>
<td>`0000664479639</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-04-1978</td>
<td>44 Th</td>
<td>PRAMBON RT 45</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000133</td>
 <td>Bapil, keju</td>
<td>Gg, ctm, nadic</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>59</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>709</td>
<td>PONKESDES SUKOREJO</td>
<td>03-09-2022</td>
<td></td>
<td>SARTINI</td>
<td>`006883</td>
<td></td>
<td>`0000665799748</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-01-1943</td>
<td>79 Th</td>
<td>RT-</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000816</td>
<td>kontrol tensi</td>
<td>amlo 10mg</td>
<td>161/87</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>67</td>
<td>78</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>710</td>
<td>POLI UMUM</td>
<td>03-09-2022</td>
<td></td>
<td>BAMBANG</td>
<td>`020886</td>
<td>06/8665</td>
<td>`0000664959947</td>
<td>`3503050204010002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-04-2001</td>
<td>21 Th</td>
<td>DUSUN SOKO, RT : 51,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>131506010922Y000145</td>
<td>kontrol jahitan pada jari</td>
<td>asmef </td>
<td>116/73</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>49</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>711</td>
<td>RAWAT INAP</td>
<td>03-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>YOSI SUPRAPTI</td>
<td>`015698</td>
<td>08/9251</td>
<td>`0002735132117</td>
<td>`3503056402900002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-03-1990</td>
<td>32 Th</td>
<td>DUSUN BENGGLE, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922P000218</td>
<td>BABA CAIR 2 HR, LEMAS, PUSING,MUAL, MUNTAH</td>
<td>INF RL 20TPM, INJ METOCLO, RANIT, PO ORALIT,LOPERAMID, ANTASID</td>
<td>90/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>48</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Rawat Inap pasien BPJS<br>Pemasangan infuse<br>Layanan Unit Gawat Darurat
(UGD)<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Tindakan medis
ringan lainnya<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>712</td>
 <td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI MAROTU SOLIKAH</td>
<td>`013163</td>
<td></td>
<td>`0002743211878</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-08-1979</td>
<td>43 Th</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>112/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>713</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DEVAN FAEYZA ALVARO</td>
<td>`013164</td>
<td></td>
<td>`0002757543276</td>
<td>`3503050504190002</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>05-04-2019</td>
<td>3 Th</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>59</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>714</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NOFA YULIANA</td>
<td>`013162</td>
<td></td>
<td>`0000666178659</td>
<td>`3503054708940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-08-1994</td>
<td>28 Th</td>
<td>NGLEGOK, RT : 10,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
 <td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>100/56</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>77</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>715</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DIKA RAFITA MERIYANTI</td>
<td>`002159</td>
<td>04/7123</td>
<td>`0000665593525</td>
<td>`3503054603000001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-03-2000</td>
<td>22 Th</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
 <td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>716</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SHAQUEENA</td>
<td>`002164</td>
<td></td>
<td>`0002935269134</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-01-2029</td>
<td>-7 Th</td>
<td>RT 8 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>123/56</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>717</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANGGITA ROBIUL HANIPAH</td>
<td>`006277</td>
<td>04/9031</td>
<td>`0000666200531</td>
<td>`3503056804970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-04-1997</td>
<td>25 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>127/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>718</td>
<td>POLINDES NGEPEH</td>
 <td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>GAVINDRA DENTA KUSUMA</td>
<td>`011899</td>
<td>04/9031</td>
<td>`0003107863405</td>
<td>`3503052406210001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-06-2021</td>
<td>1 Th</td>
<td>NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>122/68</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>57</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>719</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>INTAN MAHERA</td>
<td>`008627</td>
<td></td>
<td>`0000665933242</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>10-10-1993</td>
<td>28 Th</td>
<td>RT 07 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Guru</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/67</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>56</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>720</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HILYA MAULIDA RUGAYYAH</td>
<td>`013167</td>
<td></td>
<td>`0002617051509</td>
<td>`3503056311180001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-11-2018</td>
<td>3 Th</td>
<td>RT 007 RW 003</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
 <td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>64</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>721</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>APRILIA SRI KARTIKA</td>
<td>`000819</td>
<td>04/1922</td>
<td>`0000666147407</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-1998</td>
<td>24 Th</td>
<td>RT 08 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>121/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>59</td>
<td>79</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>722</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SALSABILA AYU HANIFA</td>
<td>`004838</td>
<td>04/1922</td>
<td>`0003075387502</td>
<td>`3503051109200009</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-03-2021</td>
<td>1 Th</td>
<td>RT 8 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>136/80</td>
<td>80</td>
<td>37</td>
<td>18</td>
<td>156</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>723</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ITA PURNAMASARI</td>
<td>`003458</td>
<td>04/4683</td>
<td>`0000666144562</td>
<td>`3503054106940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1994</td>
<td>28 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>121/77</td>
<td>80</td>
<td>36</td>
<td>18</td>
<td>157</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>724</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>RAZKA AKBAR MAHERZA</td>
<td>`013168</td>
<td>04/4683</td>
<td>`0003106838125</td>
<td>`3503050110210001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-10-2021</td>
<td>0 Th</td>
<td>RT 009 RW 003 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>109/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>56</td>
<td>77</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>725</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI MARFU`AH</td>
<td>`002900</td>
<td></td>
<td>`0000665622977</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>18-01-1986</td>
<td>36 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>108/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>57</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>726</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MIRZA MADA RADITYA</td>
<td>`008623</td>
<td></td>
<td>`0002930533143</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-03-2020</td>
<td>2 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
 <td>POSYANDU</td>
<td>-</td>
<td>154/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>727</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI KOMARIAH</td>
<td>`013170</td>
<td></td>
<td>`0003067901932</td>
<td>`3503055803880001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-03-1988</td>
<td>34 Th</td>
<td>NGLEGOK, RT : 11,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>144/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>728</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RHEYNA CHAIRA YHUSIVA</td>
<td>`013171</td>
<td></td>
<td>`0003067901965</td>
<td>`3503056603170001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-03-2017</td>
<td>5 Th</td>
<td>RT 011 RW 004 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>143/85</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>67</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>729</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DIANI</td>
<td>`002375</td>
<td>04/4838</td>
<td>`0000666124435</td>
<td>`3503056505850004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1985</td>
<td>37 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/78</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>730</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>WAHYU DWI NUR CAHYO</td>
<td>`002119</td>
<td>04/4838</td>
<td>`0002462839277</td>
<td>`3503050402180001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-02-2018</td>
<td>4 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>731</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUNAWAROH</td>
<td>`006506</td>
<td></td>
<td>`0000665735949</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-12-1984</td>
 <td>37 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>47</td>
<td>77</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>732</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI AMINAH</td>
<td>`000370</td>
<td>04/6037</td>
<td>`0001978434145</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-01-1974</td>
<td>48 Th</td>
<td>RT 07 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
 <td>-</td>
<td>120/78</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>163</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>733</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DYLAN DAMARIO ALFARISQI</td>
<td>`013177</td>
<td></td>
<td>`0002768314408</td>
<td>`3503060206190002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-06-2019</td>
<td>3 Th</td>
<td>RT 011 RW 004</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>121/66</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>734</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LILIK FITRIA</td>
<td>`013176</td>
<td></td>
<td>`0000666336723</td>
<td>`3503056105880001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-05-1988</td>
<td>34 Th</td>
<td>NGLEGOK, RT : 11,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>124/87</td>
<td>88</td>
<td>37</td>
<td>18</td>
<td>161</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>735</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KHOIRIL JANNAH</td>
<td>`013178</td>
<td></td>
<td>`0000665614653</td>
<td>`3503055611980001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-11-1998</td>
<td>23 Th</td>
<td>NGLEGOK, RT : 10,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>129/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>167</td>
<td>87</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>736</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MURIYAH</td>
 <td>`004980</td>
<td>04/4455</td>
<td>`0003067656838</td>
<td>`3503055112650001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-12-1965</td>
<td>56 Th</td>
<td>NGLEGOK, RT : 11,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>121/56</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>58</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>737</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPRAPTO</td>
<td>`016936</td>
<td></td>
<td>`0003067656783</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-12-1971</td>
<td>50 Th</td>
 <td>RT. 11 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>109/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>64</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>738</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>REZA AGNES JULAEHA</td>
<td>`016937</td>
<td></td>
<td>`0003067656985</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-07-2000</td>
<td>22 Th</td>
<td>RT. 8 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
 <td>102/57</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>739</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUCI PURWATI AGUSTINI</td>
<td>`014528</td>
<td>04/5099</td>
<td>`0002521561691</td>
<td>`3503057108940003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-08-1994</td>
<td>28 Th</td>
<td>RT 001 RW 001</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/76</td>
<td>80</td>
<td>84</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>740</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RIRIN SETIYAWATI</td>
<td>`005548</td>
<td>04/4863</td>
<td>`0001036998549</td>
<td>`3503055209890002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-1989</td>
<td>33 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>121/58</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>741</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MISIYAH</td>
<td>`004977</td>
<td></td>
<td>`0000666077185</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-09-1967</td>
<td>55 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>124/67</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>742</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TRI IRMAWATI</td>
<td>`010260</td>
 <td></td>
<td>`0001036998729</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-09-1983</td>
<td>39 Th</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>743</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MELKI SETIAWAN</td>
<td>`016939</td>
<td></td>
<td>`0000665649472</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-05-1997</td>
<td>25 Th</td>
<td>RT. 11 RW. 3</td>
 <td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>100/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>53</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>744</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TRI WAHYUNI</td>
<td>`014427</td>
<td>04/6170</td>
<td>`0000666159715</td>
<td>`3503054807970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-1997</td>
<td>25 Th</td>
<td>NGLEGOK, RT : 11,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/76</td>
 <td>88</td>
<td>37</td>
<td>20</td>
<td>166</td>
<td>59</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>745</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>EKO PURNOMO</td>
<td>`016941</td>
<td></td>
<td>`0000665711414</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-06-1988</td>
<td>34 Th</td>
<td>RT. 11 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>123/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>746</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ABDI PANGESTU</td>
<td>`016943</td>
<td></td>
<td>`0001036998551</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-12-2009</td>
<td>12 Th</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>121/58</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>61</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>747</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPARNO</td>
<td>`016944</td>
<td></td>
<td>`0000666056711</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-08-1958</td>
<td>64 Th</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>123/67</td>
<td>80</td>
<td>36</td>
<td>18</td>
<td>164</td>
<td>80</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>748</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPRIADI</td>
<td>`003793</td>
<td>04/5821</td>
 <td>`0000666210756</td>
<td>`9202013006640001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-06-1964</td>
<td>58 Th</td>
<td>RT 7 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>100/65</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>57</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>749</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARYADI</td>
<td>`001243</td>
<td>04/6037</td>
<td>`0001978434134</td>
<td>`3503053112670002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1967</td>
<td>54 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>187/97</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>750</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANIK</td>
<td>`000112</td>
<td>04/3561</td>
<td>`0000666191889</td>
<td>`3503054404810005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-1981</td>
<td>41 Th</td>
<td>RT 11 RW 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>120/76</td>
<td>88</td>
 <td>37</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>751</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YESIKA RAHMAWATI</td>
<td>`003628</td>
<td>04/8847</td>
<td>`0000665883797</td>
<td>` 3503054501880001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-01-1988</td>
<td>34 Th</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/76</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>752</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YULIA MEIRISKA</td>
<td>`010078</td>
<td></td>
<td>`0002213468572</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-05-2016</td>
<td>6 Th</td>
<td>RT 11 RW 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>190/109</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>167</td>
<td>67</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>753</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUJUD JAMALUDIN</td>
<td>`009529</td>
<td></td>
<td>`0000666124694</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-08-1982</td>
<td>40 Th</td>
<td>RT 009 RW 003</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/65</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>167</td>
<td>65</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>754</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SANTIKA MAHARANI</td>
<td>`002376</td>
<td>04/4838</td>
<td>`0000666124738</td>
 <td>`3503054905080002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-05-2008</td>
<td>14 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>122/77</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>755</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AFIFA DESI KHOIRUNISA</td>
<td>`016947</td>
<td></td>
<td>`0001978434382</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-12-2014</td>
<td>7 Th</td>
<td>RT. 8 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>132/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>756</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ROSI USWATUN KHASANAH</td>
<td>`014372</td>
<td></td>
<td>`0000665701108</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-10-1998</td>
<td>23 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>123/76</td>
<td>88</td>
<td>37</td>
 <td>20</td>
<td>165</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>757</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>RENDY DWI JATMIKO</td>
<td>`014373</td>
<td></td>
<td>`0000665701187</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-12-2003</td>
<td>18 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/87</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>166</td>
<td>59</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>758</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPARDIANTO</td>
<td>`009521</td>
<td></td>
<td>`0000665697508</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-05-1973</td>
<td>49 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>105/56</td>
<td>80</td>
<td>36</td>
<td>18</td>
<td>154</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>759</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MURTINI</td>
<td>`014371</td>
<td></td>
<td>`0000665697789</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-12-1973</td>
<td>48 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>167/89</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>165</td>
<td>59</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>760</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MISKUN</td>
<td>`014370</td>
<td></td>
<td>`0000665621188</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-03-1965</td>
<td>57 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>108/76</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>77</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>761</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TARMINI</td>
<td>`000446</td>
<td>04/4824</td>
<td>`0000665622145</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-05-1967</td>
<td>55 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>198/100</td>
<td>90</td>
<td>37</td>
<td>24</td>
<td>156</td>
<td>68</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>762</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUDA NUR AWALUDIN</td>
<td>`014369</td>
<td></td>
<td>`0000665622832</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-05-1983</td>
<td>39 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/65</td>
<td>88</td>
<td>37</td>
<td>20</td>
 <td>158</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>763</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARZEL SANDY PRATAMA</td>
<td>`009566</td>
<td></td>
<td>`0000665623912</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-03-2010</td>
<td>12 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>124/87</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>764</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MURBINI</td>
<td>`003015</td>
<td></td>
<td>`0001037000013</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-02-1944</td>
<td>78 Th</td>
<td>NGLEGOK, RT : 10,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/89</td>
<td>84</td>
<td>36</td>
<td>18</td>
<td>159</td>
<td>61</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>765</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HADI SOFYAN</td>
<td>`011615</td>
<td>04/4547</td>
<td>`0002860462629</td>
<td>`3503060307760001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-07-1976</td>
<td>46 Th</td>
<td>RT 09 RW 04</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>115/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>766</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RAFA IZZYAN MAULANA</td>
<td>`008112</td>
<td>04/4547</td>
<td>`0002802745102</td>
<td>`3503052505120001</td>
<td>`</td>
 <td></td>
<td>082234124704</td>
<td>L</td>
<td>25-05-2012</td>
<td>10 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/76</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>767</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARRUM DINIATI MAWADAH</td>
<td>`016949</td>
<td></td>
<td>`0000666052593</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-06-2006</td>
<td>16 Th</td>
<td>RT. 11 RW. 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>129/89</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>167</td>
<td>58</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>768</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AMANAH</td>
<td>`014530</td>
<td></td>
<td>`0001978434641</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-05-1974</td>
<td>48 Th</td>
<td>RT 008 RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
 <td>57</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>769</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KADENI</td>
<td>`009679</td>
<td>04/3098</td>
<td>`0003067811616</td>
<td>`3503050401500001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-01-1950</td>
<td>72 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>123/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>166</td>
<td>65</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>770</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MINARTI</td>
<td>`005934</td>
<td>04/4401</td>
<td>`0000666228284</td>
<td>`3503055510750001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-10-1975</td>
<td>46 Th</td>
<td>RT 08 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>57</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>771</td>
 <td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SAMINGAN</td>
<td>`014522</td>
<td></td>
<td>`0000666227913</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-1970</td>
<td>52 Th</td>
<td>RT 008 RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>113/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>772</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUDJANI</td>
<td>`008575</td>
<td></td>
<td>`0000076617461</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>21-12-1948</td>
<td>73 Th</td>
<td>-</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>158/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>167</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>773</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HARIYANTO</td>
<td>`014527</td>
<td></td>
<td>`0000666038878</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-01-1977</td>
<td>45 Th</td>
<td>RT 009 RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
 <td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>108/65</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>774</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MURINI</td>
<td>`003007</td>
<td></td>
<td>`0000666092788</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-02-1956</td>
<td>66 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>105/56</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>60</td>
 <td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>775</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SAMITUN</td>
<td>`004377</td>
<td></td>
<td>`0000666832408</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-09-1950</td>
<td>72 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>156/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>776</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YAUMI</td>
<td>`002886</td>
<td></td>
<td>`0002802747925</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-06-1969</td>
<td>53 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/64</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>164</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>777</td>
<td>POLINDES NGEPEH</td>
 <td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SARTINI</td>
<td>`014111</td>
<td>04/2891</td>
<td>`0000665628614</td>
<td>`3503055010740003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-10-1974</td>
<td>47 Th</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>778</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARSIYAH</td>
<td>`010254</td>
<td></td>
<td>`0000665934401</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>10-05-1980</td>
<td>42 Th</td>
<td>RT. 11 RW. 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>108/76</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>779</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARIYAH</td>
<td>`014532</td>
<td></td>
<td>`0000665819201</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-04-1972</td>
<td>50 Th</td>
<td>RT 008 RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>158/98</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>167</td>
<td>66</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>780</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI `AROFAH</td>
<td>`005774</td>
<td>04/1571</td>
<td>`0000665933095</td>
<td>`3503056406900005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-06-1990</td>
<td>32 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/56</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>54</td>
<td>78</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>781</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>INDANA HURRIN MUMTAZAH</td>
<td>`014939</td>
<td></td>
<td>`0002216004322</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-01-2017</td>
<td>5 Th</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/65</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>159</td>
<td>61</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>782</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI ALFIYAH</td>
<td>`007718</td>
<td>04/5821</td>
<td>`0000666211522</td>
<td>`3503055612890001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-12-1989</td>
<td>32 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/60</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>783</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>SUMIATUN</td>
<td>`011600</td>
<td></td>
<td>`0000666210936</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-04-1969</td>
<td>53 Th</td>
<td>RT RW</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>121/67</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>784</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DIMAS SALSADILA</td>
<td>`014937</td>
<td></td>
<td>`0000666212253</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>13-03-2000</td>
<td>22 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>63</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>785</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MEIRA KIRANA ZAHRANI RAMADHANIA</td>
<td>`000563</td>
<td>04/4683</td>
<td>`0002802769852</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-07-2013</td>
<td>9 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
 <td>POSYANDU</td>
<td>-</td>
<td>127/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>166</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>786</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MISNATUN</td>
<td>`003700</td>
<td></td>
<td>`0000666144314</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1960</td>
<td>61 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/78</td>
<td>80</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>787</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ERIK SUBETI</td>
<td>`004978</td>
<td></td>
<td>`0000665554015</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-02-1989</td>
<td>33 Th</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>145/76</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>56</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>788</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BASTIATUL ULUM</td>
<td>`015576</td>
<td></td>
<td>`0000665675188</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-03-1974</td>
<td>48 Th</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>124/69</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>789</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>ANIK SURYATI</td>
<td>`005990</td>
<td></td>
<td>`0001036997583</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-07-1982</td>
<td>40 Th</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>123/78</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>790</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KOMSATUN</td>
<td>`015578</td>
<td></td>
<td>`0000666851938</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-04-1992</td>
 <td>30 Th</td>
<td>RT. 7 RW.3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>104/57</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>61</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>791</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI SHOLIKAH</td>
<td>`004522</td>
<td></td>
<td>`0000666062278</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-06-1981</td>
<td>41 Th</td>
<td>RT 07 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
 <td>-</td>
<td>126/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>164</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>792</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YULIANI</td>
<td>`015579</td>
<td></td>
<td>`0001036999967</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1981</td>
<td>41 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>109/56</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>166</td>
<td>60</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>793</td>
<td>POLI GIZI</td>
<td>03-09-2022</td>
<td></td>
<td>TITIK ANDAYANI</td>
<td>`020864</td>
<td>08/9250</td>
<td>`</td>
<td>`3503066909800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1980</td>
<td>42 Th</td>
<td>RT 05 RW02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>pusing, mual, muntah</td>
<td>fe 1x1, b6 3x1</td>
<td>112/85</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>38</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>794</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SURATMI</td>
<td>`013787</td>
<td></td>
<td>`0000666370541</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-08-1980</td>
<td>42 Th</td>
<td>RT 8 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>127/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>795</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RUBIATI</td>
 <td>`008214</td>
<td></td>
<td>`0000665729458</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-1970</td>
<td>52 Th</td>
<td>RT 08 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>102/55</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>60</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>796</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DASRI</td>
<td>`003705</td>
<td></td>
<td>`0001707126412</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-07-1985</td>
<td>37 Th</td>
 <td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>115/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>57</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>797</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YULIANI</td>
<td>`003701</td>
<td>04/1241</td>
<td>`0000666039914</td>
<td>`</td>
<td>`</td>
<td></td>
<td>085204403702</td>
<td>P</td>
<td>01-01-1983</td>
<td>39 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
 <td>125/76</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>57</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>798</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUJIATIK</td>
<td>`002992</td>
<td>04/4963</td>
<td>`0000666315178</td>
<td>`3503054505790001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-05-1979</td>
<td>43 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/65</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>799</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LAILA KHOIRUR ROSYIDAH</td>
<td>`011951</td>
<td></td>
<td>`0001978434472</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-06-1996</td>
<td>26 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>120/78</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>167</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>800</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUTRI</td>
<td>`015581</td>
<td></td>
<td>`0000665922464</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-02-1972</td>
<td>50 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>124/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>801</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BINTI MARATUS SOLIKAH</td>
<td>`007016</td>
 <td></td>
<td>`0000665923263</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1994</td>
<td>28 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>57</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>802</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HILDA</td>
<td>`015582</td>
<td></td>
<td>`0002043360044</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-12-1996</td>
<td>25 Th</td>
<td>RT. 10 RW. 4</td>
 <td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>123/67</td>
<td>84</td>
<td>36</td>
<td>18</td>
<td>155</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>803</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FIFIT CAHYO NURLAILI</td>
<td>`015583</td>
<td></td>
<td>`0000666882189</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-07-2000</td>
<td>22 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>143/87</td>
 <td>88</td>
<td>37</td>
<td>24</td>
<td>158</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>804</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRI HARTINI</td>
<td>`015584</td>
<td></td>
<td>`0000665925131</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-04-1983</td>
<td>39 Th</td>
<td>RT. 10 RW. 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>109/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>52</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>805</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PARIYAH</td>
<td>`009768</td>
<td>04/188</td>
<td>`0000666307484</td>
<td>`3503054406760001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1976</td>
<td>46 Th</td>
<td>RT 011 RW 004 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>122/67</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>167</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>806</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SAHID</td>
<td>`015503</td>
<td></td>
<td>`0000666203927</td>
<td>`3503051802420001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-02-1942</td>
<td>80 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>108/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>176</td>
<td>69</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>807</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI MARPUAH</td>
<td>`005389</td>
<td>04/5901</td>
 <td>`0000666205558</td>
<td>`3503055308870001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-08-1987</td>
<td>35 Th</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>112/75</td>
<td>80</td>
<td>36</td>
<td>18</td>
<td>156</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>808</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PURWANTO</td>
<td>`016589</td>
<td></td>
<td>`0000666205694</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-10-1984</td>
<td>37 Th</td>
<td>RT 7 RW 3</td>
<td>NGEPEH</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>120/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>809</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUDASARIYANTO</td>
<td>`000140</td>
<td>04/4245</td>
<td>`0000666370517</td>
<td>`3503050405730001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-05-1973</td>
<td>49 Th</td>
<td>RT 8 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>154/76</td>
<td>88</td>
 <td>37</td>
<td>20</td>
<td>165</td>
<td>59</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>810</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NINDI ELISA ANGGRAENI</td>
<td>`016950</td>
<td></td>
<td>`0000666370844</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-2001</td>
<td>20 Th</td>
<td>RT. 8 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>190/87</td>
<td>80</td>
<td>37</td>
<td>24</td>
<td>165</td>
<td>58</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>811</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>JOKO SUSANTO</td>
<td>`000755</td>
<td>04/5849</td>
<td>`0002802770447</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-04-1987</td>
<td>35 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/67</td>
<td>80</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>812</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMMAD AKMAL ALFARIZI</td>
<td>`005262</td>
<td></td>
<td>`0002297290059</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-10-2017</td>
<td>4 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>124/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>813</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TUMILAH</td>
<td>`016951</td>
<td></td>
<td>`0002802762775</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-05-1967</td>
<td>55 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>108/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>814</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LANDEP</td>
<td>`011598</td>
<td></td>
<td>`0000666115762</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-07-1970</td>
<td>52 Th</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>107/55</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>167</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>815</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUWITO</td>
<td>`016133</td>
<td></td>
<td>`0000666115569</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-10-1966</td>
<td>55 Th</td>
<td>RT 7 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>122/67</td>
<td>80</td>
<td>36</td>
 <td>20</td>
<td>156</td>
<td>57</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>816</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TISAN DWI KURNIANTORO</td>
<td>`016952</td>
<td></td>
<td>`0000666116392</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-11-2003</td>
<td>18 Th</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>128/87</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>167</td>
<td>70</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>817</td>
<td>POLINDES NGEPEH</td>
<td>03-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SAMSURI</td>
<td>`004404</td>
<td></td>
<td>`0000666127304</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-1973</td>
<td>49 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>122/78</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>818</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>DIYAN NATUL ZULAIKAH</td>
<td>`020887</td>
<td></td>
<td>`0001978462416</td>
<td>`3503054806100001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-06-2010</td>
<td>12 Th</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>819</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>KUSTIANI</td>
<td>`003548</td>
<td>05/4816</td>
<td>`0000665516553</td>
<td>`3503055504820005</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-1982</td>
<td>40 Th</td>
<td>RT 6 RW 3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>820</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>APTA ANARGYA RAMADHAN</td>
<td>`020888</td>
<td></td>
<td>`0000665517701</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-10-2004</td>
<td>17 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>821</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>HARI PURWANTO</td>
<td>`020889</td>
<td></td>
<td>`0003136139785</td>
<td>`3503051209680002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-1968</td>
<td>54 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>822</td>
<td>PONKESDES BANARAN</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>INTAN CAESARIANG K</td>
<td>`020890</td>
<td></td>
<td>`0003136139807</td>
<td>`3503055401040001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-01-2004</td>
<td>18 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>823</td>
<td>RAWAT INAP</td>
<td>03-09-2022</td>
<td>Rawat Inap (UGD)</td>
<td>SIYAM</td>
<td>`020891</td>
<td></td>
<td>`0000665729414</td>
<td>`</td>
<td>`</td>
<td>PURNOMO`</td>
<td>081358073589</td>
<td>P</td>
<td>31-12-1957</td>
<td>64 Th</td>
<td>RT 16 RW 6</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922P000169</td>
<td>SESAK NAFAS</td>
<td>INFUS NS 8 TPM, O2 NRBM 7-8 LPM</td>
<td>220/110</td>
<td>73</td>
<td>36</td>
<td>32</td>
<td>146</td>
<td>46</td>
<td>0</td>
<td>Pucanganak</td>
<td>KASUS BARU</td>
<td>R73.9</td>
<td>
Hyperglycaemia, unspecified </td>
<td>I15</td>
<td>
Secondary hypertension </td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pemasangan infuse<br>Rujukan Ke RS di
Trenggalek PKM Tugu<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>824</td>
<td>PUSTU NGEPEH</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>SUMIRAN</td>
<td>`016104</td>
<td></td>
<td>`0000665931251</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-09-1956</td>
<td>66 Th</td>
<td>RT 18 RW8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>136/7</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>166</td>
<td>53</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>825</td>
<td>PUSTU NGEPEH</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>NOKSA REYHANO</td>
<td>`017743</td>
<td></td>
<td>`0000665607587</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-03-2007</td>
<td>15 Th</td>
<td>RT 20 RW 9 PONGGOK</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>100/75</td>
<td>67</td>
<td>36</td>
<td>19</td>
<td>158</td>
<td>55</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>826</td>
<td>PUSTU NGEPEH</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>MUTIYAH</td>
<td>`017324</td>
<td></td>
<td>`0001036998393</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-04-1966</td>
<td>56 Th</td>
<td>RT 4 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>143/87</td>
<td>78</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>827</td>
<td>PUSTU NGEPEH</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>WINARSI</td>
<td>`017325</td>
<td></td>
<td>`0001978434044</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-09-1965</td>
<td>57 Th</td>
<td>RT 7 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konsultasi</td>
<td>-</td>
<td>134/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
 <td>155</td>
<td>42</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>828</td>
<td>PUSTU NGEPEH</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>SINTO</td>
<td>`017326</td>
<td></td>
<td>`0000666388552</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-01-1949</td>
<td>73 Th</td>
<td>RT 21 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>143/87</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>829</td>
<td>PUSTU NGEPEH</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>JUVITA DWI OKTAFIA</td>
<td>`000327</td>
<td>04/4180</td>
<td>`0000666409151</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-10-2010</td>
<td>11 Th</td>
<td>RT 18 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>112/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>43</td>
<td>72</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>830</td>
<td>PUSTU NGEPEH</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>SAMITUN</td>
<td>`004377</td>
<td></td>
<td>`0000666832408</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-09-1950</td>
<td>72 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>154/75</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>41</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>831</td>
<td>PUSTU NGEPEH</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>RIRIN ERNAWATI</td>
<td>`002899</td>
<td></td>
<td>`0000666111205</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>01-06-1981</td>
<td>41 Th</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>134/76</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>57</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>832</td>
<td>PUSTU NGEPEH</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>SITI HINDUN</td>
<td>`001888</td>
<td>04/3842</td>
<td>`0000666059354</td>
<td>`3503055209800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-1980</td>
<td>42 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>132/78</td>
<td>97</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>48</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>833</td>
<td>PUSTU NGEPEH</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>LAILATUL HASANAH</td>
<td>`011080</td>
<td>04/3842B</td>
<td>`0000666059556</td>
<td>`3503054310000001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-10-2000</td>
<td>21 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>100/76</td>
<td>86</td>
<td>35</td>
<td>20</td>
<td>158</td>
 <td>62</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>834</td>
<td>PUSTU NGEPEH</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>RAGILIA ROHANA</td>
<td>`011137</td>
<td></td>
<td>`0000665921643</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-10-2004</td>
<td>17 Th</td>
<td>RT 20 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/72</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>48</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>835</td>
<td>PUSTU NGEPEH</td>
<td>03-09-2022</td>
<td>KONSULTASI</td>
<td>KAMSIYAH</td>
<td>`016503</td>
<td></td>
<td>`0000665714946</td>
<td>`3503055206420001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1942</td>
<td>80 Th</td>
<td>RT 16 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>140/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>46</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>836</td>
 <td>RAWAT INAP</td>
<td>03-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>IMAM KHUDORI</td>
<td>`020559</td>
<td>07/5888</td>
<td>`0000666945235</td>
<td>`3503050608670003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-08-1967</td>
<td>55 Th</td>
<td>DESA SUKOREJO, RT : 11,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922P000167</td>
<td>NYERI KEPALA SEBELAH KIRI</td>
<td>INFUS RL 20 TPM, INJ, METOCLOP 3X1 AMPL, INJ, AMPI 3X1 GR, INJ, ANTRAIN
3X1 AMP, INJ, RANIT 2X1 AMP,PAMOL 3X1, BETAHISTINE 3X 11/2, CTM 3X1</td>
<td>140/80</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>61</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H81.0</td>
<td>
Meniere`s disease </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Biaya rawat inap pasien umum per hari<br>Pemasangan infuse<br>Layanan Unit
Gawat Darurat (UGD)<br>Biaya rawat inap pasien umum per hari<br> </td>
</tr>
<tr align='left' valign="top">
<td>837</td>
<td>PONKESDES TUMPUK</td>
<td>03-09-2022</td>
<td></td>
<td>LISANA</td>
<td>`021291</td>
<td></td>
<td>`0001036997741</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-11-1983</td>
<td>38 Th</td>
<td>RT 2 RW 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000992</td>
<td>PILEK,BATUK,PUSING</td>
<td>AMOX,PAMOL,GG,VIT.C,CTM</td>
<td>154/84</td>
<td>101</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>838</td>
<td>UGD</td>
<td>04-09-2022</td>
<td></td>
<td>DARONI</td>
<td>`021345</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>daroni</td>
<td></td>
<td>L</td>
<td>18-09-1957</td>
<td>65 Th</td>
<td>RT 23 RW 6</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>839</td>
<td>UGD</td>
<td>04-09-2022</td>
<td></td>
<td>FATHULLOH ULINNUHA RAJABI</td>
<td>`010148</td>
<td>01/3548</td>
<td>`0003075223779</td>
<td>`3503050905110001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-03-2021</td>
<td>1 Th</td>
<td>RT 14 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
 <td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>840</td>
<td>UGD</td>
<td>04-09-2022</td>
<td></td>
<td>INSANI MUSTAKIM</td>
<td>`001732</td>
<td>08/6158</td>
<td>`0000666129126</td>
<td>`3503050904820001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-1982</td>
<td>40 Th</td>
<td>RT 1 RW 1</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>841</td>
<td>UGD</td>
<td>04-09-2022</td>
<td></td>
<td>VENOS ELOVIAN PUTRA IRAWAN</td>
<td>`013174</td>
<td>04/3766</td>
<td>`0002158658471</td>
<td>`3503051904160001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-04-2016</td>
<td>6 Th</td>
<td>RT 006 RW 002</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
 <td>842</td>
<td>UGD</td>
<td>04-09-2022</td>
<td></td>
<td>YATI</td>
<td>`003146</td>
<td></td>
<td>`0000665975654</td>
<td>`3503056002750001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-02-1975</td>
<td>47 Th</td>
<td>KRAJAN, RT : 23,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>843</td>
<td>UGD</td>
<td>04-09-2022</td>
<td></td>
<td>LISANA</td>
<td>`021291</td>
<td></td>
<td>`0001036997741</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>15-11-1983</td>
<td>38 Th</td>
<td>RT 2 RW 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>844</td>
<td>UGD</td>
<td>04-09-2022</td>
<td></td>
<td>SAIFUL HADI</td>
<td>`021346</td>
<td></td>
<td>`0003076345427</td>
<td>`</td>
<td>`</td>
<td>saiful hadi</td>
<td></td>
<td>L</td>
<td>10-09-1985</td>
<td>37 Th</td>
<td>RT 21 RW 8</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>845</td>
<td>UGD</td>
<td>04-09-2022</td>
<td></td>
<td>SETYO YANTO</td>
<td>`021347</td>
<td></td>
<td>`0000665941858</td>
<td>`</td>
<td>`</td>
<td>setyo yanto</td>
<td></td>
<td>L</td>
<td>28-08-1970</td>
<td>52 Th</td>
<td>RT 4 RW 2</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
 <td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>846</td>
<td>UGD</td>
<td>04-09-2022</td>
<td></td>
<td>JESTINA AYU FITRIANI</td>
<td>`012723</td>
<td></td>
<td>`0002591823194</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-10-2008</td>
<td>13 Th</td>
<td>PRAMBON RT 15/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>847</td>
<td>UGD</td>
<td>04-09-2022</td>
<td></td>
<td>YATMIATI</td>
<td>`021348</td>
<td></td>
<td>`0001978468211</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-03-1975</td>
<td>47 Th</td>
<td>RT RW </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>848</td>
 <td>UGD</td>
<td>04-09-2022</td>
<td></td>
<td>FERRY EKA</td>
<td>`021349</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>robi restu</td>
<td></td>
<td>L</td>
<td>18-09-2006</td>
<td>16 Th</td>
<td>RT 6 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>849</td>
<td>UGD</td>
<td>04-09-2022</td>
<td></td>
<td>ATIQ ROUDLOTUS SA`ADAH</td>
<td>`007844</td>
<td>01/4440</td>
<td>`0002802763978</td>
<td>`3503056811010002</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>28-11-2001</td>
<td>20 Th</td>
<td>RT 26 RW 6</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>850</td>
<td>RAWAT INAP</td>
<td>04-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>SAIKEM</td>
<td>`019220</td>
<td></td>
<td>`0000665577898</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-01-1938</td>
<td>84 Th</td>
<td>RT 15</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
 <td>Lama</td>
<td>131506010922P000293</td>
<td>pusing berputar, badan sakit semua, nafsu makan turun, batuk</td>
<td>inf RL, inj ranit, metoclo, metamizol, PO amlo, pamol, antasid,
betahistin</td>
<td>140/80</td>
<td>95</td>
<td>36</td>
<td>20</td>
<td>148</td>
<td>46</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pemasangan infuse<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Biaya rawat inap
pasien umum per hari<br>Biaya rawat inap pasien umum per hari<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Biaya rawat inap pasien umum per hari<br> </td>
</tr>
<tr align='left' valign="top">
<td>851</td>
<td>RAWAT INAP</td>
<td>04-09-2022</td>
<td>Rawat Inap (UGD)</td>
<td>MUTINI</td>
<td>`011922</td>
<td></td>
<td>`0000666174126</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-04-1956</td>
<td>66 Th</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>PX DATANG DE4NGAN KELUHAN PANAS, PUSING, MUAL, BADAN SAKIT SEMUA,
LEMES</td>
<td>INF RL 20 TTS/MNT
INJ RANITIDIN 2X1
INJMETAMIZON 3X1
INJ METOCLOP 3X1
AMLODIPIN 1X10MG,ANTASIDA 3X1,METFORMIN 2X1</td>
<td>160/98</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11</td>
<td>
Non-insulin-dependent diabetes mellitus </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>A90</td>
<td>
Dengue fever [classical dengue] </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pemasangan infuse<br>Layanan Unit Gawat Darurat (UGD)<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Rawat Inap pasien
BPJS<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Konsultasi<br>Biaya rawat inap
pasien umum per hari<br>Biaya rawat inap pasien umum per hari<br>Tindakan medis
ringan lainnya<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>852</td>
<td>RAWAT INAP</td>
<td>04-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>FAVIAN ILYAS CAHYANA</td>
<td>`002310</td>
<td></td>
<td>`0001707122834</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-10-2011</td>
<td>10 Th</td>
<td>RT 05 RW 03</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>panas 4 hari, mual, batuk dan nyeri perut</td>
<td>inf. RL 15 tpm, inj. ampicillin 3x750 mg, inj. Ranitidin 2x1/2 amp, inj.
Meto 3x3/3 amp, Antasida sy 3x1, Pamol 4x500 mg</td>
<td>90/50</td>
<td>133</td>
 <td>36</td>
<td>20</td>
<td>130</td>
<td>25</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pemasangan infuse<br>Layanan Unit Gawat Darurat (UGD)<br>Rawat Inap pasien
BPJS<br>Tindakan medis ringan lainnya<br>Konsultasi<br>Rawat Inap pasien
BPJS<br>Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum per
hari<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Biaya rawat inap pasien umum per hari<br> </td>
</tr>
<tr align='left' valign="top">
<td>853</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SETU</td>
<td>`014450</td>
<td></td>
<td>`0002776120874</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-02-1980</td>
<td>42 Th</td>
<td>RT 07</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>125/86</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>161</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
 <td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>854</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NARENDRA ALZAHRAN</td>
<td>`002749</td>
<td></td>
<td>`0002776123877</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-05-2012</td>
<td>10 Th</td>
<td>PRAMBON RT 7/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>115</td>
<td>22</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>855</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PRIHATIN</td>
<td>`001484</td>
<td>06/1651</td>
<td>`0000665964753</td>
<td>`3503055312860001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-12-1986</td>
<td>35 Th</td>
<td>TENGGAR, RT : 7,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/82</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>53</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>856</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>ERNITA PUTRI APRILIA</td>
<td>`007456</td>
<td></td>
<td>`0000665965203</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-04-2009</td>
<td>13 Th</td>
<td>PRAMBON RT 7/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>30</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>857</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DEVANO PUTRA PERMANA</td>
<td>`004683</td>
<td></td>
<td>`0002318620836</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-12-2017</td>
 <td>4 Th</td>
<td>PRAMBON RT 7/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>100</td>
<td>13</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>858</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FITRI HANDAYANI</td>
<td>`006485</td>
<td></td>
<td>`0000666311725</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-01-1983</td>
<td>39 Th</td>
<td>PRAMBON RT 4/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
 <td>-</td>
<td>120/80</td>
<td>84</td>
<td>37</td>
<td>22</td>
<td>155</td>
<td>57</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>859</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PANIRAH</td>
<td>`002973</td>
<td></td>
<td>`0000666094768</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1966</td>
<td>55 Th</td>
<td>DUSUN TENGGAR, RT : 5,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>140/100</td>
<td>85</td>
<td>37</td>
<td>25</td>
<td>160</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>860</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>EKA SUSANTI</td>
<td>`002042</td>
<td>06/4507</td>
<td>`0000666550236</td>
<td>`3503056205800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-05-1980</td>
<td>42 Th</td>
<td>TENGGAR, RT : 6,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>57</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>861</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>OGGA VERRA VIEORENTINA</td>
<td>`006016</td>
<td>06/6185</td>
<td>`0000666028427</td>
<td>`3503055806990003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-06-1998</td>
<td>24 Th</td>
<td>RT 3 RW 1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>862</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI KOTIJAH</td>
 <td>`008244</td>
<td></td>
<td>`0000665821214</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-03-1977</td>
<td>45 Th</td>
<td>RT 02</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>125/82</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>70</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>863</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUSIATI</td>
<td>`006054</td>
<td></td>
<td>`0000665288256</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-12-1985</td>
<td>36 Th</td>
 <td>RT 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>47</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>864</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMMAD FAKHRUDDIN ANNAUFAL</td>
<td>`014448</td>
<td></td>
<td>`0000665288291</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-10-2009</td>
<td>12 Th</td>
<td>RT 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
 <td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>150</td>
<td>28</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>865</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KARYANTO</td>
<td>`013009</td>
<td></td>
<td>`0000665287885</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-08-1982</td>
<td>40 Th</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/82</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>61</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>866</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMMAD MISHBAAHUL `ULUUM</td>
<td>`012693</td>
<td></td>
<td>`0002902309244</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-10-2019</td>
<td>2 Th</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>76</td>
<td>11</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>867</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUSIATI</td>
<td>`000963</td>
<td>06/5671</td>
<td>`0002776123315</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-10-1985</td>
<td>36 Th</td>
<td>RT 07 RW 02</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/84</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>868</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IDHA MARTA DEVIANI</td>
<td>`003850</td>
 <td></td>
<td>`0000666385964</td>
<td>`3503056703990001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-03-1999</td>
<td>23 Th</td>
<td>RT : 01,RW 01 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>43</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>869</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ERIK TIARASARI</td>
<td>`014447</td>
<td></td>
<td>`0000665988401</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-08-1997</td>
<td>25 Th</td>
<td>RT 04</td>
 <td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/72</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>46</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>870</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUGIANTI</td>
<td>`008873</td>
<td></td>
<td>`0000665955033</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-1978</td>
<td>44 Th</td>
<td>RT 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/80</td>
 <td>82</td>
<td>37</td>
<td>22</td>
<td>152</td>
<td>51</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>871</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANA FAUZIYAH</td>
<td>`001244</td>
<td>06/8864</td>
<td>`0000666010809</td>
<td>`3503064903960003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-03-1996</td>
<td>26 Th</td>
<td>DUSUN TENGGAR, RT : 4,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>112/74</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>43</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>872</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SULISTYOWATI</td>
<td>`006118</td>
<td></td>
<td>`0002681897815</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-10-1986</td>
<td>35 Th</td>
<td>PRAMBON RT 8 2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>115/84</td>
<td>84</td>
<td>37</td>
<td>22</td>
<td>153</td>
<td>52</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>873</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARIFIN</td>
<td>`014381</td>
<td></td>
<td>`0002802763304</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-12-1986</td>
<td>35 Th</td>
<td>RT 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>874</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SIGIT RIZKY PUTRA</td>
<td>`001537</td>
<td>06/3537</td>
 <td>`0002594102949</td>
<td>`3503050707120002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-07-2012</td>
<td>10 Th</td>
<td>DUSUN TENGGAR, RT : 5,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>105/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>145</td>
<td>34</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>875</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LINDA ARISANTI</td>
<td>`001876</td>
<td>06/2010</td>
<td>`0002802766443</td>
<td>`3503056208950005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-08-1995</td>
<td>27 Th</td>
<td>TENGGAR, RT : 3,RW :1 </td>
<td>PRAMBON</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>876</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRI HARTATIK</td>
<td>`001119</td>
<td>06/4778</td>
<td>`0000664934512</td>
<td>`3503055811780001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-11-1978</td>
<td>43 Th</td>
<td>PRAMBON RT 4/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>130/100</td>
<td>80</td>
 <td>37</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>877</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ATTHAYA KHANZA FARIZA SESI</td>
<td>`000964</td>
<td>06/5671</td>
<td>`0002921594927</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-02-2020</td>
<td>2 Th</td>
<td>RT 07 RW 02</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>80</td>
<td>10</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>878</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SALSABIL TSAABITAH</td>
<td>`001489</td>
<td></td>
<td>`0002776123721</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-07-2008</td>
<td>14 Th</td>
<td>PRAMBON RT 7/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>140</td>
<td>22</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>879</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SISWANTO</td>
<td>`002053</td>
<td></td>
<td>`0000666550179</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-12-1975</td>
<td>46 Th</td>
<td>PRAMBON RT 6/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>880</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KATINI</td>
<td>`001604</td>
<td></td>
<td>`0002842486064</td>
 <td>`3503056511690002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-11-1969</td>
<td>52 Th</td>
<td>PRAMBON RT 9/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>881</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPRIYANTO</td>
<td>`007352</td>
<td></td>
<td>`0003068151895</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-12-1976</td>
<td>45 Th</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>164</td>
<td>63</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>882</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>NUR ALIFAH</td>
<td>`003394</td>
<td></td>
<td>`0003011258608</td>
<td>`3503055506860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-06-1986</td>
<td>36 Th</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk,pilek,nyeri telan</td>
<td>pamol,gg,ctm</td>
<td>105/70</td>
<td>80</td>
<td>37</td>
 <td>20</td>
<td>0</td>
<td>67</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.0</td>
<td>
Acute laryngopharyngitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>883</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>ANIS SETIAWATI</td>
<td>`002682</td>
<td></td>
<td>`0002681898557</td>
<td>`3503056709890002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-09-1989</td>
<td>33 Th</td>
<td>DUSUN KRAJAN, RT : 19,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kb pil</td>
<td>pil kb</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>0</td>
<td>70</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>884</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>HESTI AMINAH</td>
<td>`021678</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-04-2001</td>
<td>21 Th</td>
<td>KRAJAN</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>hamil</td>
<td>fe,folid acid</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>44</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>885</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>ARIADIN AL BAIHAQI</td>
<td>`007603</td>
<td></td>
<td>`0002681898579</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-08-2015</td>
<td>7 Th</td>
<td>PRAMBON RT 19/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>panas,batuk,pilek</td>
<td>pamol,gg,ctm</td>
<td>0/0</td>
<td>0</td>
<td>38</td>
<td>0</td>
<td>0</td>
<td>20</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.0</td>
<td>
Acute laryngopharyngitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>886</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>AUDY ZIYANA ABIDAH</td>
<td>`011235</td>
<td>06/6167</td>
<td>`0001186701412</td>
<td>`3503054112100001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-2010</td>
<td>11 Th</td>
<td>RT 18</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk,pilek,gatal</td>
<td>pamol,gg,ctm,zalh beta</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>20</td>
<td>0</td>
<td>30</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>J06.0</td>
<td>
Acute laryngopharyngitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>887</td>
<td>PROLANIS</td>
<td>05-09-2022</td>
<td></td>
<td>GUNTUR</td>
<td>`001342</td>
<td>06/3558</td>
<td>`0000106536216</td>
<td>`3503050306580002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-06-1958</td>
<td>64 Th</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y000212</td>
<td>prolanis rutin</td>
<td>obat</td>
<td>120/75</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>56</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11</td>
<td>
Non-insulin-dependent diabetes mellitus </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>888</td>
<td>PROLANIS</td>
<td>05-09-2022</td>
<td></td>
<td>KATIJAH</td>
<td>`005808</td>
<td></td>
<td>`0000077097903</td>
<td>`3503105108550001</td>
<td>`270</td>
<td></td>
<td></td>
<td>P</td>
<td>11-08-1955</td>
<td>67 Th</td>
<td>RT 05</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
 <td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>889</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>SUMANI</td>
<td>`020892</td>
<td>06/6027</td>
<td>`0001037014198</td>
<td>`3503050201800001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-01-1980</td>
<td>42 Th</td>
<td>RT 54 RW 11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000171</td>
<td>putih2 di mata penglihatan kabur</td>
<td>rujukan</td>
<td>167/106</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>70</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H25.9</td>
<td>
Senile cataract, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>890</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>ANDINITA</td>
<td>`014694</td>
<td>90/230</td>
<td>`0002293478561</td>
<td>`3503065010170001</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>10-10-2017</td>
<td>4 Th</td>
<td>DUSUN KEDUNGSANGKAL, RT : 7,RW :3 </td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000222</td>
<td>PANAS</td>
<td>CEFAD SYR</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>17</td>
<td>15</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>891</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>MUHAMMAD ALIF PUJO PRABASWARA</td>
<td>`020893</td>
<td>02/8755</td>
<td>`0002437208008</td>
<td>`3503052501160002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-01-2016</td>
<td>6 Th</td>
<td>RT 19 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000213</td>
<td>panas batuk pilek</td>
<td>amok mp ambroksol ctm salbutamol vit c pamol</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>36</td>
<td>130</td>
<td>27</td>
<td>20</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>892</td>
<td>POLI KIA</td>
<td>05-09-2022</td>
<td></td>
<td>DENI RETNO SUSANTI</td>
<td>`014968</td>
<td>07/1295</td>
<td>`0002159120913</td>
<td>`3503074403960002</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-03-1996</td>
<td>26 Th</td>
<td>RT 02 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000195</td>
<td>TAA</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>84</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>893</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>ARDIANSYAH RAHMADHAN</td>
<td>`020894</td>
<td>06/5644</td>
<td>`0002629677047</td>
<td>`3503051307150001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-07-2015</td>
<td>7 Th</td>
<td>DUSUN MLOKO, RT : 58,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000221</td>
<td>PANAS BATUK PILEK
</td>
<td>AMOK AMBROKSOL PAMOL MP CTM VIT BC</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>20</td>
<td>20</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>894</td>
<td>POLI KIA</td>
<td>05-09-2022</td>
<td></td>
<td>MURNI LESTARI</td>
<td>`011266</td>
<td>05/1083</td>
<td>`0000666185771</td>
<td>`3503055307020002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-07-2002</td>
<td>20 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000196</td>
<td>BATUK PILEK</td>
<td>-</td>
<td>110/80</td>
<td>84</td>
<td>36</td>
 <td>20</td>
<td>156</td>
<td>50</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>895</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>JEMANI</td>
<td>`000574</td>
<td>01/614</td>
<td>`0000665547546</td>
<td>`3503050506650002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-06-1965</td>
<td>57 Th</td>
<td>DUSUN KEBON, RT : 34,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000214</td>
<td>KONTROL GATAL</td>
<td>CTM GLIBEN</td>
<td>101/66</td>
<td>97</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>896</td>
<td>POLI LANSIA</td>
<td>05-09-2022</td>
<td></td>
<td>MUNGIN</td>
<td>`013011</td>
<td>04/1639</td>
<td>`0001036999405</td>
<td>` 3503051107570002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-07-1957</td>
<td>65 Th</td>
<td>DUSUN PONGGOK, RT : 20,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000172</td>
<td>tangan bengkak post jatuh 2,5 bulan yg lalu ,terasa panas </td>
<td>-</td>
<td>146/82</td>
<td>93</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>52</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>S62.5</td>
<td>
Fracture of thumb </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>897</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>KATIRIN</td>
<td>`003914</td>
<td>03/3896</td>
<td>`0002802753426</td>
<td>`3503051204680008</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1968</td>
<td>54 Th</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000236</td>
<td>KONTROL RAWAT LUKA</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z48.0</td>
<td>
Attention to surgical dressings and sutures </td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>898</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>HARYATUN</td>
<td>`000247</td>
<td>90/55</td>
<td>`0001318097283</td>
 <td>`9171036006670001</td>
<td>`</td>
<td></td>
<td>081344975763</td>
<td>P</td>
<td>20-06-1967</td>
<td>55 Th</td>
<td>RT 3 RW 1</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000173</td>
<td>kontr0l</td>
<td>rujukan</td>
<td>113/62</td>
<td>104</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>69</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>899</td>
<td>POLI GIGI</td>
<td>05-09-2022</td>
<td></td>
<td>SUWARNO</td>
<td>`015415</td>
<td>06/3257</td>
<td>`0001978489967</td>
<td>`3503050805820003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-05-1982</td>
<td>40 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000197</td>
<td>gigi geraham bawah kanan berlubang</td>
<td>konsultasi</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>65</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>900</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>YUNITA EFRIYANTI</td>
<td>`002523</td>
<td>90/1715</td>
<td>`0000661531004</td>
<td>`3502056204890001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-04-1989</td>
<td>33 Th</td>
<td>RT 01 RW 02</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000174</td>
<td>kontrol</td>
<td>rujukan</td>
<td>162/95</td>
<td>97</td>
 <td>36</td>
<td>20</td>
<td>155</td>
<td>72</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>C50.9</td>
<td>
Malignant neoplasm of breast, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>901</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>KWIN YULIATI</td>
<td>`003255</td>
<td>90/58</td>
<td>`0000106525416</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-07-1973</td>
<td>49 Th</td>
<td>RT 1 RW 1</td>
<td>SUMBER</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y000219</td>
<td>BATUK PANAS</td>
<td>OBH SYR AMOK AMBROKSOL PAMOL VIT C</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>902</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>RATNA AENINGSIH</td>
<td>`005268</td>
<td></td>
<td>`0000666287436</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-03-1996</td>
<td>26 Th</td>
<td>RT 28</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000170</td>
<td>PUSING MUAL BATUK</td>
<td>PAMOL ANTSID AMBOROXOL</td>
<td>90/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>48</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>903</td>
<td>POLI KIA</td>
<td>05-09-2022</td>
<td></td>
<td>RINA LESTARI</td>
<td>`016701</td>
<td>06/3836</td>
<td>`0000661245355</td>
<td>`3502054307980003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-07-1998</td>
<td>24 Th</td>
<td>RT 54 RW 11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000269</td>
<td>keluar cairan banyak</td>
<td>-</td>
<td>102/66</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>62</td>
<td>0</td>
<td>SAWOO</td>
<td>KASUS BARU</td>
<td>O80.0</td>
<td>
Spontaneous vertex delivery </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>904</td>
<td>POLI KIA</td>
<td>05-09-2022</td>
<td></td>
<td>ANIS MUADIBAH</td>
<td>`007374</td>
<td>01/1104</td>
<td>`0002860463452</td>
 <td>`3503055209980001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-1998</td>
<td>24 Th</td>
<td>RT 27 RW 7</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000270</td>
<td>keluar cairan banyak</td>
<td>-</td>
<td>127/86</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>151</td>
<td>61</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>O42.0</td>
<td>
Premature rupture of membranes, onset of labour within 24 hours </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>905</td>
<td>POLI KIA</td>
<td>05-09-2022</td>
<td></td>
<td>LILIN NUR INDAHSARI</td>
<td>`013274</td>
<td>06/8262</td>
<td>`0000666289991</td>
<td>`3503056512890004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-12-1989</td>
<td>32 Th</td>
<td>RT 50 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000271</td>
<td>perut kencengf-kenceng</td>
<td>-</td>
<td>115/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>149</td>
<td>48</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>O42.0</td>
<td>
Premature rupture of membranes, onset of labour within 24 hours </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>906</td>
<td>POLI KIA</td>
<td>05-09-2022</td>
<td></td>
<td>NIKEN DWI ARIES HAJAR MANGU</td>
<td>`006339</td>
<td>02/4607</td>
<td>`0000104674814</td>
<td>`3503057007920001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-07-1992</td>
<td>30 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000272</td>
<td>keluar cairan banyak</td>
<td>-</td>
<td>112/71</td>
<td>80</td>
<td>36</td>
 <td>20</td>
<td>155</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>O42.0</td>
<td>
Premature rupture of membranes, onset of labour within 24 hours </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>907</td>
<td>POLI MTBS</td>
<td>05-09-2022</td>
<td></td>
<td>MUHAMMAD IRWAN MAULANA M</td>
<td>`020895</td>
<td>03/3304</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-01-2018</td>
<td>4 Th</td>
<td>RT 04 RW 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>PANAS BATUK MUNTAH</td>
<td>PAMOL SYR DOMPERIDON B6 ANTASIDA SYR AMOK MP GG CTM VIT C</td>
<td>1/1</td>
<td>100</td>
<td>37</td>
<td>20</td>
<td>100</td>
<td>16</td>
<td>16</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R11</td>
 <td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>908</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>MARNI</td>
<td>`001408</td>
<td></td>
<td>`0000665331039</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-11-1957</td>
<td>64 Th</td>
<td>PRAMBON RT29/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000178</td>
<td>BATUK</td>
<td>PAMOL GG</td>
<td>130/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>909</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>WIDATI</td>
<td>`009508</td>
<td>06/1953</td>
<td>`0000106875685</td>
<td>`3503056202670001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-02-1967</td>
<td>55 Th</td>
<td>KRAJAN, RT : 17,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Guru</td>
<td>Lama</td>
<td>131506010922Y000228</td>
<td>KONSULTASI RUJUKAN UNTUK LUTUT NYERI</td>
<td>-</td>
<td>141/78</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>94</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>910</td>
<td>POLI KIA</td>
<td>05-09-2022</td>
<td></td>
<td>NOPI DWI LESTARI</td>
<td>`014055</td>
<td>03/4069</td>
<td>`0001978447318</td>
<td>`3503054411940001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-11-1994</td>
<td>27 Th</td>
<td>DUSUN JUMOK, RT : 11,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000258</td>
<td>taa</td>
<td>-</td>
<td>120/82</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>143</td>
<td>48</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>911</td>
<td>POLI MTBS</td>
<td>05-09-2022</td>
<td></td>
<td>APRILIA ATSANI RAMADHANIA</td>
<td>`005564</td>
<td>03/815</td>
<td>`0002932657007</td>
<td>`3503056904200002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-04-2020</td>
<td>2 Th</td>
<td>RT 7 RW 3</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000227</td>
<td>PANAS BATUK PILEK</td>
<td>IBUPROFEN SYR AMOK MP GG CTM SALBUTAMOL VIT C</td>
<td>1/1</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>70</td>
<td>10</td>
<td>10</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>912</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>ADRIAN PRADIPTA AMZARI</td>
<td>`010139</td>
<td>04/1521</td>
<td>`0003067810931</td>
<td>`3503052305170001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-05-2017</td>
<td>5 Th</td>
<td>RT 006 RW 002</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000240</td>
<td>PILEK BENJOLAN PADA LEHER KANAN</td>
<td>PCT BC CTM GG</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
 <td>100</td>
<td>16</td>
<td>15</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>913</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>NURGIANTO</td>
<td>`017954</td>
<td>04/5681</td>
<td>`0000665732564</td>
<td>`3503050610840002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-10-1984</td>
<td>37 Th</td>
<td>RT 28 RW 012</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000238</td>
<td>KONTROL TBC </td>
<td>OAT LANJUTAN 14 DOSIS ALLOPURINOL</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>49</td>
<td>47</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A15</td>
<td>
Respiratory tuberculosis, bacteriologically and histologically
confirmed </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>914</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>HENI DWI SUNDARI</td>
<td>`002555</td>
<td>08/5793</td>
<td>`0002729558068</td>
<td>`3503054108900001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-1990</td>
<td>32 Th</td>
<td>DUSUN WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000176</td>
<td>benjolan dipayudara sebelah kanan nyeri</td>
<td>-</td>
<td>115/65</td>
<td>78</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>63</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>D24</td>
<td>
Benign neoplasm of breast </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>915</td>
<td>POLI K.B</td>
<td>05-09-2022</td>
<td></td>
<td>ERNA HIDAYATI</td>
<td>`001600</td>
<td>02/284</td>
<td>`0001082380195</td>
<td>`3503127007870003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-07-1987</td>
<td>35 Th</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000198</td>
<td>IUD</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.1</td>
<td>
Insertion of (intrauterine) contraceptive device </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>916</td>
<td>POLI K.B</td>
<td>05-09-2022</td>
<td></td>
<td>DESTI ROHMAWATI</td>
<td>`020896</td>
<td>08/6134</td>
<td>`</td>
<td>`3503056512960006</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-12-1996</td>
<td>25 Th</td>
<td>RT 03 RW 01</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>CPW</td>
<td>-0</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>50</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>917</td>
<td>POLI GIGI</td>
<td>05-09-2022</td>
<td></td>
<td>MUHAMMAD KAFI ABDULLOH</td>
<td>`015856</td>
<td>02/3902A</td>
<td>`</td>
<td>`3503052605150004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-05-2015</td>
<td>7 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi depan atas kiri kesundulan</td>
<td>anasthesi topikal cabut gigi 61</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>123</td>
<td>24</td>
<td>1</td>
<td></td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>K00.1</td>
<td>
Supernumerary teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>918</td>
<td>POLI KIA</td>
<td>05-09-2022</td>
<td></td>
<td>TITIK PURNAWATI</td>
<td>`019523</td>
<td>02/3902A</td>
<td>`0001850633649</td>
<td>`3503055008820004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-08-1982</td>
<td>40 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y000259</td>
<td>taa</td>
<td>fe 1x1, aspilet 1x1, kalk 1x1</td>
<td>120/82</td>
<td>89</td>
<td>36</td>
<td>20</td>
 <td>160</td>
<td>57</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>919</td>
<td>POLI LANSIA</td>
<td>05-09-2022</td>
<td></td>
<td>SUDARNO</td>
<td>`001563</td>
<td>90/1844</td>
<td>`0000106807329</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-06-1959</td>
<td>63 Th</td>
<td>RT 10 RW 04</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y000177</td>
<td>kontrol</td>
<td>-</td>
<td>112/62</td>
<td>60</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>80</td>
<td>100</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>920</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td> ISTILAH</td>
<td>`001337</td>
<td>04/5965a</td>
<td>`0002623970529</td>
<td>`3503055003630004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-03-1963</td>
<td>59 Th</td>
<td>RT 21 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000179</td>
<td>kontrol</td>
<td>rujikan</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>921</td>
<td>POLI GIGI</td>
<td>05-09-2022</td>
<td></td>
<td>NATASHA CHELSEA QUANISA FADILA</td>
<td>`011128</td>
<td>01/9182</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-10-2016</td>
<td>5 Th</td>
<td>RT 03 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi susu geraham bawah kiri berlubang</td>
<td>pembersihan kavitas + eugenol TS gigi 75 tambalan GI gigi 74</td>
<td>1/1</td>
<td>80</td>
<td>80</td>
<td>36</td>
<td>116</td>
<td>21</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K02.1</td>
<td>
Caries of dentine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Tambal gigi sementara per gigi<br>Tambal gigi
tetap<br> </td>
</tr>
<tr align='left' valign="top">
<td>922</td>
<td>POLI LANSIA</td>
<td>05-09-2022</td>
<td></td>
<td>JADI</td>
<td>`016804</td>
<td>03/1035</td>
<td>`0001978454463</td>
<td>`3503051305480001</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-05-1948</td>
<td>74 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000180</td>
<td>kontrol</td>
<td>-</td>
<td>130/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>56</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>N40</td>
<td>
Hyperplasia of prostate </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>923</td>
<td>POLI LANSIA</td>
<td>05-09-2022</td>
<td></td>
<td>SRI SUKATMI MAMIK</td>
<td>`004731</td>
<td>02/232</td>
<td>`0001799296571</td>
<td>`3503056707590001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-07-1959</td>
<td>63 Th</td>
<td>RT 07 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000182</td>
<td>kontrol tensi perut kembung</td>
<td>amlo 5mg antasida</td>
<td>129/85</td>
<td>82</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>924</td>
<td>POLI LANSIA</td>
<td>05-09-2022</td>
<td></td>
<td>MUHANAM</td>
<td>`004549</td>
<td>08/7664</td>
<td>`0000106708239</td>
<td>`08/7664</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-05-1947</td>
<td>75 Th</td>
<td>RT 5 RW 2</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y000181</td>
<td>kontrol</td>
<td>-</td>
<td>145/70</td>
<td>78</td>
<td>36</td>
<td>22</td>
 <td>150</td>
<td>41</td>
<td>67</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>K25.9</td>
<td>
Gastric ulcer, unspecified as acute or chronic, without haemorrhage or
perforation </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>925</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>MINARTI</td>
<td>`000249</td>
<td>02/1321</td>
<td>`0000106867269</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1967</td>
<td>55 Th</td>
<td>RT 12 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000183</td>
<td>pusing meriang</td>
<td>amok mp dimen pct vit bc gg ctm syr obh</td>
<td>139/71</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>58</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
 <td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>926</td>
<td>POLI LANSIA</td>
<td>05-09-2022</td>
<td></td>
<td>ABU SUJAK</td>
<td>`001970</td>
<td>01/5322</td>
<td>`0001151452574</td>
<td>`3577016610550001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-10-1955</td>
<td>66 Th</td>
<td>RT 30 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000194</td>
<td>cek gula puasa pilek pusing </td>
<td>glimepirid,bc ctm pamol</td>
<td>116/73</td>
<td>87</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>66</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>927</td>
<td>POLI LANSIA</td>
<td>05-09-2022</td>
<td></td>
<td>ENDAH</td>
<td>`020898</td>
<td>01/228</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-1957</td>
<td>65 Th</td>
<td>RT 18 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td></td>
<td>cengeng jari kaku ,keju linu</td>
<td>amlodipin aspilet nadic bc</td>
<td>167/92</td>
<td>87</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>59</td>
<td>84</td>
<td></td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>928</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>MULYONO</td>
<td>`002782</td>
<td>06/8954</td>
<td>`0002681645152</td>
<td>`3503050709620002</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-09-1962</td>
<td>60 Th</td>
<td>DUSUN TENGGAR, RT : 9,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000226</td>
<td>NYERI BAK TERPASANG DC</td>
<td>CIPRO IBUPROFEN VIT BC PREDNISON</td>
<td>129/60</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>40</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N40</td>
<td>
Hyperplasia of prostate </td>
<td>R33</td>
<td>
Retention of urine </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>929</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>AMIRAH</td>
<td>`001231</td>
<td>06/6813</td>
<td>`0000665908841</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-12-1963</td>
<td>58 Th</td>
<td>PRAMBON RT 36/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000225</td>
<td>GATAL DI TANGAN</td>
<td>LORATADIN PREDNISON ASMEF AMOK SALEP BETASON</td>
<td>141/79</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L02.9</td>
<td>
Cutaneous abscess, furuncle and carbuncle, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>930</td>
<td>POLI MTBS</td>
<td>05-09-2022</td>
<td></td>
<td>SHAQILLA ROSALINA RIADI</td>
<td>`012938</td>
<td>07/2871</td>
<td>`0003045303718</td>
<td>`3503054308200002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-08-2020</td>
<td>2 Th</td>
<td>RT 006 RW 004</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000224</td>
<td>PANSA PILEK GATAL DI KAKI</td>
<td>SYR IBUPROFEN AMOK MP GG CTM VIT C SALBU</td>
<td>1/1</td>
<td>98</td>
<td>36</td>
<td>20</td>
 <td>70</td>
<td>11</td>
<td>11</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>931</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>FEBBIAN RAFFA ASSEGAF</td>
<td>`003246</td>
<td></td>
<td>`0001707022383</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-02-2014</td>
<td>8 Th</td>
<td>PRAMBON RT 12/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000244</td>
<td>PANAS</td>
<td>PAMOL BC</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>90</td>
<td>22</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>932</td>
<td>POLI MTBS</td>
<td>05-09-2022</td>
<td></td>
<td>KHABIB ALZAYN WICAKSONO</td>
<td>`008164</td>
<td>06/7629</td>
<td>`0003047513883</td>
<td>`3503052707200001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-07-2020</td>
<td>2 Th</td>
<td>RT 54 RW 11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000223</td>
<td>PANAS PILEK</td>
<td>IBUPROFEN SYR CTM GG AMOK VIT C SALBUTAMOL MP</td>
<td>1/1</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>70</td>
<td>11</td>
<td>11</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>933</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>SRI MURTI</td>
<td>`014656</td>
<td></td>
<td>`0002636658077</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-12-1985</td>
<td>36 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000246</td>
<td>MENELAN SAKIT</td>
<td>IBU 400 BC SIPRO</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>64</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>934</td>
<td>POLI MTBS</td>
<td>05-09-2022</td>
<td></td>
<td>HANZEL RIZKITAMA</td>
<td>`020899</td>
<td>90/3467</td>
<td>`</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>29-10-2019</td>
<td>2 Th</td>
<td>RT 18 RW06</td>
<td>SUMBERINGIN</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>KONSULTASI</td>
<td>-</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>80</td>
<td>13</td>
<td>10</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>935</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>WIWIN KUSTIANINGSIH</td>
<td>`012391</td>
<td></td>
<td>`0001269827864</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-05-1983</td>
<td>39 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>78</td>
<td>360</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>936</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>MUHAMMAD ARIF MAULLANA</td>
<td>`013910</td>
<td></td>
<td>`0002591218798</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-12-2014</td>
<td>7 Th</td>
<td>PRAMBON RT 8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000247</td>
<td>PANAS PILEK</td>
<td>DEMACOLIN SIRUP</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>90</td>
 <td>23</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>937</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>ANI KHOTUL FUADAH</td>
<td>`012390</td>
<td></td>
<td>`0001978436395</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-09-1989</td>
<td>33 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>938</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>ANI KHOTUL FUADAH</td>
<td>`012390</td>
<td></td>
<td>`0001978436395</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-09-1989</td>
<td>33 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>939</td>
 <td>POLI GIGI</td>
<td>05-09-2022</td>
<td></td>
<td>PAINI</td>
<td>`006223</td>
<td>01/5396</td>
<td>`0001478257964</td>
<td>`3503057112570007</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1957</td>
<td>64 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td>131506010922Y000199</td>
<td>konsultasi kesgilut</td>
<td>konsultasi</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>940</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>VIVI YUNIAR FITRIANI</td>
<td>`004695</td>
<td></td>
<td>`0001265121617</td>
<td>`3503054906860002</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>09-08-1986</td>
<td>36 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>158</td>
<td>43</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>941</td>
<td>POLINDES WINONG</td>
<td>05-09-2022</td>
<td></td>
<td>RATNA SRI LESTARI</td>
<td>`003082</td>
<td>08/8961</td>
<td>`0000665786158</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-03-2000</td>
<td>22 Th</td>
<td>KRAJAN, RT : 4,RW :2</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
 <td>Lama</td>
<td></td>
<td>taa</td>
<td>gestin</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>942</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SHIREEN CITRA MAHESWARI</td>
<td>`012389</td>
<td></td>
<td>`0003130335145</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-07-2021</td>
<td>1 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>kunjungan sehat</td>
<td>-</td>
<td>100/80</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>100</td>
<td>120</td>
 <td>43</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>943</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>TRI WAHYUNI</td>
<td>`001996</td>
<td>02/6148</td>
<td>`</td>
<td>`3503056604910004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-04-1991</td>
<td>31 Th</td>
<td>DUSUN CORAH MULYO, RT : 2,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>MULUT TERASA MANIS JIKA BANGUN TIDUR</td>
<td>-</td>
<td>103/36</td>
<td>83</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>944</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>IDA SITI NURHAYATI</td>
<td>`012388</td>
<td></td>
<td>`0001975820398</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-09-2000</td>
<td>22 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>110/80</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>151</td>
<td>43</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>945</td>
<td>POLI UMUM</td>
 <td>05-09-2022</td>
<td></td>
<td>SUSIANTI</td>
<td>`020900</td>
<td>02/1490</td>
<td>`</td>
<td>`3503055501710003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-01-1971</td>
<td>51 Th</td>
<td>DUSUN CORAH MULYO, RT : 4,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>TELAPAK KAKIM KESEMUTAN</td>
<td>SIMVASTATIN PAMOL BC PREDNISON</td>
<td>138/85</td>
<td>73</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>53</td>
<td>50</td>
<td></td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>946</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SALIMATUN NAJIYAH</td>
<td>`012387</td>
<td></td>
<td>`0002447811999</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>22-03-1986</td>
<td>36 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>360</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>947</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>IRA KHOIRI PURWATI</td>
<td>`011002</td>
<td>07/2050</td>
<td>`0003067871218</td>
<td>`3503055705870003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-05-1987</td>
<td>35 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
 <td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>948</td>
<td>POLI REMAJA</td>
<td>05-09-2022</td>
<td></td>
<td>M. ABBAD SYAUQON WAFA</td>
<td>`019410</td>
<td>01/2642</td>
<td>`0000665752972</td>
<td>`3503052109090001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-09-2009</td>
<td>13 Th</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000217</td>
<td>MERIANG PUSING AMPEK</td>
<td>VIT C AMOK PAMOL MP RANITIDIN OMEPRAZOLE</td>
<td>82/70</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>35</td>
<td>35</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>949</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>ACHMAD REVAN ARYA ALFAREZI</td>
<td>`012417</td>
<td></td>
<td>`0003068151467</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-01-2018</td>
<td>4 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>BE</td>
<td>Lama</td>
<td></td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>90/60</td>
<td>100</td>
<td>36</td>
<td>24</td>
<td>102</td>
<td>14</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>950</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>ALMAHESA FORTUNATA ANDANI</td>
<td>`005326</td>
<td>04/1422</td>
<td>`0002595340416</td>
<td>`3503054601150002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-11-2015</td>
<td>6 Th</td>
<td>DUSUN BENGGLE, RT : 12,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000235</td>
<td>PANAS </td>
<td>CTM ASMEF MP VIT C AMOK</td>
<td>1/1</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>130</td>
<td>29</td>
<td>30</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>951</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
 <td>KONSULTASI</td>
<td>RIADATUN NISAM</td>
<td>`012416</td>
<td></td>
<td>`0001978438421</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-04-1986</td>
<td>36 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>120/80</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>952</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>ISAROH</td>
<td>`003051</td>
<td>06/5442</td>
<td>`0000666549382</td>
<td>`3503055011700002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>04-12-1970</td>
<td>51 Th</td>
<td>PRAMBON RT 12/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000251</td>
<td>BATUK SAKIT MENELAN</td>
<td>IBU 400 GG SIPRO</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>953</td>
<td>POLI GIGI</td>
<td>05-09-2022</td>
<td></td>
<td>FEPTRISYA MA`RIFATUN</td>
<td>`020901</td>
<td>01/10</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-02-2007</td>
<td>15 Th</td>
<td>RT 17 RW 04</td>
<td>PASIR UTAMA</td>
<td>RAMBAH HILIR</td>
<td>ROKAN HULU</td>
<td>RIAU</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
 <td>gigi geraham bawah kanan kiri berlubang</td>
<td>pembersihan kavitas egenol TS gigi 46.36</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>146</td>
<td>41</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K02.1</td>
<td>
Caries of dentine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Tambal gigi sementara per gigi<br></td>
</tr>
<tr align='left' valign="top">
<td>954</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>AHMAD FAIQ NABIL ALFARIZI</td>
<td>`006435</td>
<td></td>
<td>`0003067616439</td>
<td>`</td>
<td>`</td>
<td>khoirul m</td>
<td></td>
<td>L</td>
<td>02-05-2019</td>
<td>3 Th</td>
<td>RT 8 RW 4</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>90/60</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>104</td>
<td>13</td>
<td>54</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>955</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>VREZA AQILA SAPUTRA</td>
<td>`012414</td>
<td></td>
<td>`0003067888757</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-11-2017</td>
<td>4 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>100/60</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>123</td>
<td>17</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>956</td>
<td>POLI REMAJA</td>
<td>05-09-2022</td>
<td></td>
<td>TRI SUCI RAMADHANI</td>
<td>`020902</td>
<td>04/1810</td>
<td>`</td>
<td>`9202124611040001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-11-2004</td>
<td>17 Th</td>
<td>DUSUN KASIHAN, RT : 28,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>DADA TERASA SAKIT</td>
<td>OMZ METOKLP RANITIDIN PAMOL</td>
<td>101/56</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>957</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
 <td>EKA FITRIA</td>
<td>`004721</td>
<td></td>
<td>`0001978437453</td>
<td>`3503056103860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-03-1986</td>
<td>36 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>958</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>FARID NABILATUZ ZAHIRA</td>
<td>`012413</td>
<td></td>
<td>`0003067864839</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-08-2018</td>
 <td>4 Th</td>
<td>RT RW</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>100/60</td>
<td>78</td>
<td>35</td>
<td>24</td>
<td>107</td>
<td>16</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>959</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>MUYASRI</td>
<td>`001833</td>
<td>04/2101</td>
<td>`0003050250489</td>
<td>`3503054311630001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-11-1963</td>
<td>58 Th</td>
<td>RT 23 RW 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000185</td>
<td>KONTROL</td>
 <td>-</td>
<td>140/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>151</td>
<td>67</td>
<td>80</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>H40</td>
<td>
Glaucoma </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>960</td>
<td>POLI MTBS</td>
<td>05-09-2022</td>
<td></td>
<td>RISTA SYAHIRA CERELLIA</td>
<td>`019700</td>
<td>03/4495</td>
<td>`0002452664845</td>
<td>`3503056304180001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-04-2018</td>
<td>4 Th</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000234</td>
<td>PANAS BATUK PILEK</td>
<td>IBUPROFEN SYR AMOK MP CTM AMBROKSOL VIT C SALBUTAMOL</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>90</td>
<td>14</td>
<td>15</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>961</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>HARSAKHA PRISMA DHANAJAYA</td>
<td>`012412</td>
<td></td>
<td>`0003094306266</td>
<td>`3503082003170009</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-08-2021</td>
<td>1 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>90/60</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>101</td>
<td>14</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>962</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>SUTILAH</td>
<td>`020903</td>
<td>90/3468</td>
<td>`</td>
<td>`3503055205760002</td>
<td>`154346</td>
<td></td>
<td></td>
<td>P</td>
<td>12-05-1976</td>
<td>46 Th</td>
<td>DUSUN GEBANG, RT : 019,RW :007 </td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PETANI/PEKEBUN</td>
<td>Lama</td>
<td></td>
<td>KONTROL POST OPERASI</td>
<td>BETASON LORATADIN PREDNISON</td>
<td>139/74</td>
<td>95</td>
<td>36</td>
<td>20</td>
<td>162</td>
<td>60</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>Z48.0</td>
<td>
Attention to surgical dressings and sutures </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>963</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>MISKUN</td>
 <td>`018121</td>
<td></td>
<td>`0003068425348</td>
<td>`</td>
<td>`</td>
<td>MISKUN</td>
<td></td>
<td>L</td>
<td>31-12-1959</td>
<td>62 Th</td>
<td>RT 40 RW 7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000265</td>
<td>NYERI ULU NHATI</td>
<td>PAMOL BC OMEPRAZOLE</td>
<td>130/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>964</td>
<td>POLI MTBS</td>
<td>05-09-2022</td>
<td></td>
<td>HANSEL RIZKITAMA ASMORO</td>
<td>`020941</td>
<td>90/3467</td>
<td>`0002903199996</td>
<td>`3503062910190002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-10-2019</td>
<td>2 Th</td>
 <td>RT 018 RW 006</td>
<td>SUMBERINGIN</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000296</td>
<td>KONSULTASI</td>
<td>-</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>80</td>
<td>13</td>
<td>10</td>
<td>Karangan</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>965</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>ALMEERA ZEA PRISMA NALADHIPA</td>
<td>`012411</td>
<td></td>
<td>`0002318560863</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-12-2017</td>
<td>4 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
 <td>90/60</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>109</td>
<td>16</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>966</td>
<td>PUSTU WINONG</td>
<td>05-09-2022</td>
<td></td>
<td>SETU</td>
<td>`020904</td>
<td></td>
<td>`0001037006155</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1921</td>
<td>101 Th</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td>batuk, pilek</td>
<td>ctm, ambroksol, b komlplek</td>
<td>140/90</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>167</td>
<td>61</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
 <td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>967</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>SITI ZUWARIYAH</td>
<td>`020905</td>
<td>01/4366</td>
<td>`</td>
<td>`3503054110650004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-12-1965</td>
<td>56 Th</td>
<td>DESA GONDANG, RT : 11,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>MERIANG PUSING KEJU LINU</td>
<td>PMEPRAZOLE AMOK PAMOL BC MP</td>
<td>114/69</td>
<td>95</td>
<td>36</td>
<td>20</td>
<td>163</td>
<td>62</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>968</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>AMINATUL FUAD</td>
<td>`020906</td>
<td>01/421</td>
<td>`0000664917197</td>
<td>`3503056404930001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-04-1993</td>
<td>29 Th</td>
<td>DUSUN KEBONSARI, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000231</td>
<td>PUSING NYERI PUNGGUNG</td>
<td>PAMOL IBUPROFEN BC PREDNISON DIMEN</td>
<td>113/60</td>
<td>83</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>47</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M54.5</td>
<td>
Low back pain </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>969</td>
<td>PUSTU WINONG</td>
<td>05-09-2022</td>
<td></td>
<td>DEWI MAR`ATUS SOLIKAH</td>
<td>`018720</td>
 <td></td>
<td>`0000665960646</td>
<td>`3503056110990002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-10-1999</td>
<td>22 Th</td>
<td>DESA WINONG, RT : 5,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>batuk, pilek</td>
<td>ctm, ambroksol, b komplek</td>
<td>100/70</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>43</td>
<td>67</td>
<td>Klinik PLK-UA Kampus C UNAIR</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>970</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>FITRI ANIKASARI</td>
<td>`004066</td>
<td>07/960</td>
<td>`0001969807307</td>
<td>`3503056803930006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-03-1993</td>
<td>29 Th</td>
<td>RT 5 RW 3</td>
 <td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>120/80</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>42</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>971</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>MUSRIPAH</td>
<td>`003840</td>
<td></td>
<td>`0000665864234</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-1969</td>
<td>52 Th</td>
<td>PRAMBON RT 9/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000264</td>
<td>KEJU LINU</td>
<td>NATDIK KALK ALLOPURINOL</td>
<td>120/70</td>
 <td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>972</td>
<td>POLI MTBS</td>
<td>05-09-2022</td>
<td></td>
<td>NURAZAHRA TIRTA DEWI</td>
<td>`020907</td>
<td>02/3497</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-05-2022</td>
<td>0 Th</td>
<td>RT 05 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS BATUK PILEK</td>
<td>GG CTM MP AMOK SALBU</td>
<td>1/1</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>50</td>
<td>7</td>
<td>10</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
 Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>973</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>BAYU DWI PRASETIO</td>
<td>`020908</td>
<td></td>
<td>`0000665864695</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-08-2000</td>
<td>22 Th</td>
<td>PRSMBON RT 9/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>974</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>JAINI</td>
<td>`019088</td>
<td>04/3578</td>
<td>`0000666232795</td>
<td>`3503050609660001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-09-1966</td>
<td>56 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000237</td>
<td>KONTROL TBC</td>
<td>OAT INTENSIF 14 DOSIS</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A16</td>
<td>
Respiratory tuberculosis, not confirmed bacteriologically or
histologically </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>975</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>MUNTOLIB</td>
<td>`003842</td>
 <td></td>
<td>`0000665864032</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1969</td>
<td>53 Th</td>
<td>PRAMBON RT 9/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>57</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>976</td>
<td>POLI GIGI</td>
<td>05-09-2022</td>
<td></td>
<td>AMIRA KHOIRUN NISA</td>
<td>`020909</td>
<td>04/9431</td>
<td>`0003011625123</td>
<td>`9171015409160001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-09-2016</td>
<td>6 Th</td>
<td>RT 10 RW 04</td>
 <td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000200</td>
<td>gigi depan atas kiri kesundulan</td>
<td>anasthesi topikal cabut gigi 61</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>117</td>
<td>25</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>977</td>
<td>POLI KIA</td>
<td>05-09-2022</td>
<td></td>
<td>DESI IRAWATI NINGRUM</td>
<td>`000600</td>
<td>02/8752</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-12-1986</td>
<td>35 Th</td>
<td>RT 03 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>taa</td>
<td>pamol 3x1</td>
<td>107/67</td>
 <td>89</td>
<td>36</td>
<td>20</td>
<td>148</td>
<td>51</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>978</td>
<td>PUSTU WINONG</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SANTOSO</td>
<td>`017358</td>
<td></td>
<td>`0001037005334</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-07-1962</td>
<td>60 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>130/90</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>67</td>
<td>68</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>979</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>MUYOTO</td>
<td>`000546</td>
<td>01/1104</td>
<td>`0000106835499</td>
<td>`350305</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-07-1966</td>
<td>56 Th</td>
<td>RT 18 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y000230</td>
<td>KONTROL BATUK</td>
<td>AMBROKSOL OBH SYR MP VIT C BC</td>
<td>119/81</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>56</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>980</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>MUSATUN</td>
<td>`016108</td>
<td></td>
<td>`0000665740989</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-06-1971</td>
<td>51 Th</td>
<td>RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>120/78</td>
<td>78</td>
<td>35</td>
<td>20</td>
<td>158</td>
<td>53</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>981</td>
<td>POLI KIA</td>
<td>05-09-2022</td>
<td></td>
<td>NURI YATUL MUNGA JIZAH</td>
<td>`011611</td>
<td>90/2369</td>
 <td>`0000655765132</td>
<td>`3502055107010003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-07-2001</td>
<td>21 Th</td>
<td>RT 03 RW 02</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000260</td>
<td>taa</td>
<td>obat masih</td>
<td>110/60</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>70</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>982</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>SLAMET DWI ASTUTIK</td>
<td>`003045</td>
<td>06/3431</td>
<td>`0000106802515</td>
<td>`3503056201920001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-01-1970</td>
<td>52 Th</td>
<td>DUSUN TENGGAR, RT : 5,RW :1 </td>
<td>PRAMBON</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000263</td>
<td>KONTROL JIWA</td>
<td>CPZ CLOZAPIN</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F20.0</td>
<td>
Paranoid schizophrenia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>983</td>
<td>POLI KIA</td>
<td>05-09-2022</td>
<td></td>
<td>WINARSIH</td>
<td>`013455</td>
<td>02/3609</td>
<td>`0002605891588</td>
<td>`3503055303830003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-03-1983</td>
<td>39 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000191</td>
<td>TAA</td>
<td>RUJUKAN</td>
<td>120/80</td>
<td>89</td>
 <td>36</td>
<td>20</td>
<td>150</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z35.9</td>
<td>
Supervision of high-risk pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>984</td>
<td>PUSTU WINONG</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>ERIK PURDIANTO</td>
<td>`017360</td>
<td></td>
<td>`0001037005356</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-08-1988</td>
<td>34 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>164</td>
<td>81</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>985</td>
<td>POLI KIA</td>
<td>05-09-2022</td>
<td></td>
<td>MEGA KISNAWATI</td>
<td>`009003</td>
<td>06/7409</td>
<td>`</td>
<td>`6471054409910004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-09-1991</td>
<td>31 Th</td>
<td>RT 42 RW 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>taa</td>
<td>fe 1x1, syr antasida 3x1, vit b6 3x1, asam folat 1x1</td>
<td>152/96</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>62</td>
<td>1</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>986</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SYHARUL NABAWI</td>
<td>`009534</td>
<td></td>
<td>`0001036998459</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-01-2003</td>
<td>19 Th</td>
<td>RT 015 RW 006</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/87</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>169</td>
<td>61</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>987</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>TUMIJAH</td>
<td>`014426</td>
<td></td>
<td>`0000106802493</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-05-1965</td>
<td>57 Th</td>
<td>PRAMBON RT5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000273</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>988</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>WIDIANTO</td>
<td>`004913</td>
<td>08/9067</td>
<td>`0001978468784</td>
<td>`3503052003740001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-03-1974</td>
<td>48 Th</td>
<td>DESA WINONG, RT : 8,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000233</td>
<td>KAKI TERASA KAKU</td>
<td>PREDNISON BC</td>
<td>164/103</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>87</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>989</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>LANGKIR</td>
<td>`016124</td>
<td></td>
<td>`0001036998415</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-08-1968</td>
<td>54 Th</td>
<td>RT 15 RW 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>139/89</td>
<td>87</td>
<td>36</td>
 <td>20</td>
<td>166</td>
<td>65</td>
<td>74</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>990</td>
<td>POLI GIGI</td>
<td>05-09-2022</td>
<td></td>
<td>BELGIS ZALLITA AUDRIA ZALIANTI</td>
<td>`013012</td>
<td>06/5865A</td>
<td>`0002867872037</td>
<td>`3503054708080001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-08-2008</td>
<td>14 Th</td>
<td>DUSUN TENGGAR, RT : 9,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000201</td>
<td>gigi geraham bawah kanan berlubang</td>
<td>konsultasi dan medikasi</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>52</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>991</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>KARYATI</td>
<td>`003212</td>
<td></td>
<td>`0000666089649</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-1974</td>
<td>47 Th</td>
<td>PRAMBON RT 50/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>992</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>MESENI</td>
<td>`012689</td>
<td>01/1674</td>
<td>`0001978456882</td>
<td>`3503050304610001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-04-1961</td>
<td>61 Th</td>
<td>DUSUN SETONO, RT : 15,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>993</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>ANIS FATIMATUS ZAHRO</td>
<td>`020441</td>
<td>01/2991</td>
<td>`0001438973853</td>
<td>`3503055404900002</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-04-1990</td>
<td>32 Th</td>
<td>RT 8 RW 3</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000229</td>
<td>KONTROL BAK NYERI</td>
<td>ALLOPURINOL ASMEF CIPRO</td>
<td>147/88</td>
<td>123</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N39</td>
<td>
Other disorders of urinary system </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>994</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>UMARDANI</td>
<td>`021350</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>umardani</td>
<td></td>
<td>L</td>
<td>18-09-1956</td>
<td>66 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>995</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>FATLUL MUBAROKATIN</td>
<td>`015725</td>
<td></td>
<td>`0000666118945</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-09-1988</td>
<td>34 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/78</td>
<td>76</td>
<td>35</td>
<td>20</td>
 <td>169</td>
<td>66</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>996</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>RAISA PUTRI NAIRA</td>
<td>`001142</td>
<td>02/2274</td>
<td>`</td>
<td>`9999999999999999-487395</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-04-2015</td>
<td>7 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS PUSING ABTUK PILEK</td>
<td>PAMOL MP AMOK GG CTM SALBUTAML VIT C</td>
<td>1/1</td>
<td>85</td>
<td>37</td>
<td>20</td>
<td>123</td>
<td>23</td>
<td>20</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>997</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>FAHREZAH</td>
<td>`021351</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>suroso</td>
<td></td>
<td>L</td>
<td>18-09-2015</td>
<td>7 Th</td>
<td>RT 18 RW 7</td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
 <td>998</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>IRFAN APRILIANTO</td>
<td>`020805</td>
<td></td>
<td>`0001036999618</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-04-2004</td>
<td>18 Th</td>
<td>RT 18 RW 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>999</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>MARDIONO</td>
<td>`010652</td>
<td></td>
<td>`</td>
<td>`3503050112680005</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>01-12-1968</td>
<td>53 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>PUSING</td>
<td>IBU 400 BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>170</td>
<td>70</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1000</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>YULIANINGSIH</td>
<td>`021352</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>juremi</td>
<td></td>
<td>P</td>
<td>18-09-1988</td>
<td>34 Th</td>
<td>RT 7 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1001</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>AHMAD FAIQ NABIL ALFARIZI</td>
<td>`006435</td>
<td></td>
<td>`0003067616439</td>
<td>`</td>
<td>`</td>
<td>khoirul m</td>
<td></td>
<td>L</td>
<td>02-05-2019</td>
<td>3 Th</td>
<td>RT 8 RW 4</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
 <td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1002</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>RIZKI RAMADHANI</td>
<td>`021353</td>
<td></td>
<td>`0000666092799</td>
<td>`</td>
<td>`</td>
<td>suri</td>
<td></td>
<td>P</td>
<td>18-12-2001</td>
<td>20 Th</td>
<td>RT 18 RW 1</td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1003</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>SURIN</td>
<td>`009923</td>
<td>90/1385</td>
<td>`0000666092349</td>
<td>`3503051812680002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-12-1968</td>
<td>53 Th</td>
<td>RT 18 RW 07</td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1004</td>
 <td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>RISTA SYAHIRA CERELLIA</td>
<td>`013059</td>
<td></td>
<td>`0002452664845</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-04-2018</td>
<td>4 Th</td>
<td>RT 1RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1005</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>RAYFA ZIA ALMAHYRA</td>
<td>`012410</td>
<td></td>
<td>`0003071302558</td>
<td>`3503050706110002</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>18-02-2021</td>
<td>1 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>90/60</td>
<td>100</td>
<td>36</td>
<td>24</td>
<td>105</td>
<td>15</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1006</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>MAULANA</td>
<td>`021354</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>nurkosim</td>
<td></td>
<td>L</td>
<td>18-09-2008</td>
<td>14 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
 <td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1007</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>NURUL SHOLIKATIN</td>
<td>`001831</td>
<td>07/5291</td>
<td>`0000665731157</td>
<td>`3503054610860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-10-1986</td>
<td>35 Th</td>
<td>RT 08 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>360</td>
<td>24</td>
<td>154</td>
<td>43</td>
 <td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1008</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>TUTIANI</td>
<td>`001591</td>
<td>04/5250</td>
<td>`0000666060715</td>
<td>`3503054403710001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-03-1971</td>
<td>51 Th</td>
<td>GERBO, RT : 12,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000192</td>
<td>KONTROL</td>
<td>RUJUKAN</td>
<td>147/88</td>
<td>123</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>G20</td>
<td>
Parkinson`s disease </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1009</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>TAUFIK</td>
<td>`021355</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>TOTOK</td>
<td></td>
<td>L</td>
<td>18-09-2008</td>
<td>14 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1010</td>
<td>UGD</td>
 <td>05-09-2022</td>
<td></td>
<td>RAMA</td>
<td>`021356</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>MANAN</td>
<td></td>
<td>L</td>
<td>18-09-2008</td>
<td>14 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1011</td>
<td>PUSTU WINONG</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>TUMIJAN</td>
<td>`010887</td>
<td></td>
<td>`0000665788149</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>12-10-1955</td>
<td>66 Th</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>168</td>
<td>57</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1012</td>
<td>POLI KIA</td>
<td>05-09-2022</td>
<td></td>
<td>EVI YULIANA</td>
<td>`015850</td>
<td>07/5891</td>
<td>`0000666937506</td>
<td>`3503056505880002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1988</td>
<td>34 Th</td>
<td>SUKOREJO, RT : 10,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>131506010922Y000261</td>
<td>batuk</td>
<td>-</td>
<td>134/73</td>
<td>94</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>59</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1013</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>ABI</td>
<td>`021357</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>NURKHOLIS</td>
<td></td>
<td>L</td>
<td>18-09-2008</td>
<td>14 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
 <td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1014</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>RIDHO</td>
<td>`021358</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>SOKIB</td>
<td></td>
<td>L</td>
<td>18-09-2008</td>
<td>14 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1015</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>ALMEYRA</td>
<td>`021359</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>ENDI</td>
<td></td>
<td>P</td>
<td>18-09-2020</td>
<td>2 Th</td>
<td>RT 8 RW 2</td>
<td>NGLINGGIS</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1016</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
 <td>KONSULTASI</td>
<td>APRILIA SRI KARTIKA</td>
<td>`000819</td>
<td>04/1922</td>
<td>`0000666147407</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-1998</td>
<td>24 Th</td>
<td>RT 08 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/76</td>
<td>87</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1017</td>
<td>PUSTU WINONG</td>
<td>05-09-2022</td>
<td></td>
<td>SUPARTI</td>
<td>`014189</td>
<td></td>
<td>`0000665788274</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>01-07-1961</td>
<td>61 Th</td>
<td>RT 3 RW 2</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000202</td>
<td>keju linu</td>
<td>nadic, pred, b komplek</td>
<td>130/80</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>160</td>
<td>49</td>
<td>61</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M06.0</td>
<td>
Seronegative rheumatoid arthritis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1018</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>NURUL SHOLIKATIN</td>
<td>`001831</td>
<td>07/5291</td>
<td>`0000665731157</td>
<td>`3503054610860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-10-1986</td>
<td>35 Th</td>
<td>RT 08 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
 <td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>110/70</td>
<td>780</td>
<td>36</td>
<td>24</td>
<td>143</td>
<td>32</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1019</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>NURUL SHOLIKATIN</td>
<td>`001831</td>
<td>07/5291</td>
<td>`0000665731157</td>
<td>`3503054610860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-10-1986</td>
<td>35 Th</td>
<td>RT 08 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1020</td>
<td>POLI K.B</td>
<td>05-09-2022</td>
<td></td>
<td>NIWANDA OKTAFIAN</td>
<td>`020910</td>
<td>02/681</td>
<td>`</td>
<td>`3503056610980002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-10-1998</td>
<td>23 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>CPW</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>47</td>
<td>75</td>
<td></td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1021</td>
<td>POLI KIA</td>
<td>05-09-2022</td>
<td></td>
<td> USWATUN KHASANAH</td>
<td>`006972</td>
<td>06/5026</td>
<td>`0002158256608</td>
<td>`3503044306950002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-06-1995</td>
<td>27 Th</td>
<td>PAKEL, RT : 153,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000262</td>
<td>SUNTIK</td>
<td>-</td>
<td>115/74</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1022</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
 <td>NAYRA AQILA NAFISHA PUTRI</td>
<td>`012405</td>
<td></td>
<td>`0002496733255</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-10-2018</td>
<td>3 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>100/60</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>109</td>
<td>14</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1023</td>
<td>RAWAT INAP</td>
<td>05-09-2022</td>
<td>Rawat Inap (UGD)</td>
<td>ARDIANSYAH RAHMADHAN</td>
<td>`020894</td>
<td>06/5644</td>
<td>`0002629677047</td>
<td>`3503051307150001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-07-2015</td>
 <td>7 Th</td>
<td>DUSUN MLOKO, RT : 58,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922P000370</td>
<td>panas, batuk, pilek</td>
<td>inf Rl, Inj amok, deksa, PO ctm, GG, vit C</td>
<td>100/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>20</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis ringan
lainnya<br>Pemasangan infuse<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Rawat Inap
pasien BPJS<br>Konsultasi<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>1024</td>
<td>RAWAT INAP</td>
<td>05-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>RADIFTA HAFIS SAPUTRA</td>
<td>`000854</td>
<td>06/6429</td>
<td>`0002251645029</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-05-2017</td>
<td>5 Th</td>
<td>PRAMBON RT 18</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
 <td>131506010922P000371</td>
<td>panas, bapil</td>
<td>inf rl, inj ampi, deksa, PO GG, ctm, vit C</td>
<td>100/60</td>
<td>103</td>
<td>36</td>
<td>22</td>
<td>125</td>
<td>17</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Rawat Inap pasien BPJS<br>Konsultasi<br>Pemasangan infuse<br>Tindakan medis
ringan lainnya<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>1025</td>
<td>POLI GIGI</td>
<td>05-09-2022</td>
<td></td>
<td>MUHAMMAD RIZQI FADILAH</td>
<td>`008319</td>
<td>04/1959</td>
<td>`0003067669495</td>
<td>`3503051209130002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-2013</td>
<td>9 Th</td>
<td>RT 06 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000203</td>
<td>kontrol gigi </td>
<td>bongkar tumpatan sementara</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>135</td>
 <td>32</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K02.1</td>
<td>
Caries of dentine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Tambal gigi tetap<br> </td>
</tr>
<tr align='left' valign="top">
<td>1026</td>
<td>POLI LANSIA</td>
<td>05-09-2022</td>
<td></td>
<td>SUKARTI</td>
<td>`000440</td>
<td>02/423</td>
<td>`0000106623279</td>
<td>`3503057112470015</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1947</td>
<td>74 Th</td>
<td>RT 04 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000188</td>
<td>lutut nyeri</td>
<td>-</td>
<td>130/62</td>
<td>64</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1027</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>AGUS SETIAWAN</td>
<td>`001325</td>
<td>02/423</td>
<td>`0001265000602</td>
<td>`3503050908780001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-08-1978</td>
<td>44 Th</td>
<td>DUSUN CORAH MULYO, RT : 4,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000187</td>
<td>kontrol</td>
<td>-</td>
<td>167/91</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>170</td>
<td>65</td>
<td>88</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>G40.9</td>
<td>
Epilepsy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1028</td>
 <td>PUSTU WINONG</td>
<td>05-09-2022</td>
<td></td>
<td>PANIRIN</td>
<td>`012430</td>
<td></td>
<td>`0000666134109</td>
<td>`3503050902620002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-02-1962</td>
<td>60 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Konstruksi</td>
<td>Lama</td>
<td>131506010922Y000204</td>
<td>pusinh</td>
<td>nifedipine, nadic</td>
<td>190/90</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>168</td>
<td>71</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1029</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>YULI YANTI</td>
<td>`012402</td>
<td></td>
<td>`0001978436351</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>18-07-1995</td>
<td>27 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>110/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>150</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1030</td>
<td>POLI LANSIA</td>
<td>05-09-2022</td>
<td></td>
<td>SUMARTIN</td>
<td>`020911</td>
<td>07/1277</td>
<td>`0000665809571</td>
<td>`3503057012590007</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1959</td>
<td>62 Th</td>
<td>DESA SUKOREJO, RT : 11,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
 <td>Lama</td>
<td>131506010922Y000189</td>
<td>tangan kanan terasa berat ,kaki kanan bengkak terasa berat</td>
<td>-</td>
<td>173/101</td>
<td>94</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>60</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1031</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>ABHI CANDRA RIZKY HADINATA</td>
<td>`012404</td>
<td>07/2265</td>
<td>`0003066301326</td>
<td>`</td>
<td>`</td>
<td>KRIPTON ABADI</td>
<td></td>
<td>L</td>
<td>20-05-2021</td>
<td>1 Th</td>
<td>RT 05 RW 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>90/60</td>
<td>90</td>
<td>36</td>
<td>24</td>
<td>109</td>
<td>15</td>
 <td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1032</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>LIA SULISTYORINI</td>
<td>`001880</td>
<td>07/2265</td>
<td>`0001978436305</td>
<td>`3503055012970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1997</td>
<td>24 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>145</td>
<td>43</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1033</td>
<td>PUSTU WINONG</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>JAMINI</td>
<td>`005355</td>
<td></td>
<td>`0000666134403</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-02-1971</td>
<td>51 Th</td>
<td>WINONGRT9</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>140/90</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>159</td>
<td>51</td>
<td>164</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1034</td>
<td>PONKESDES SUKOREJO</td>
 <td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SITI KHOTIMAH</td>
<td>`012401</td>
<td></td>
<td>`0002308798304</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-05-1993</td>
<td>29 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>110/80</td>
<td>76</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1035</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SRINGATUN</td>
<td>`002439</td>
<td></td>
<td>`0000665818896</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>01-07-1966</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>65</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1036</td>
<td>POLI LANSIA</td>
<td>05-09-2022</td>
<td></td>
<td>SUHARTO</td>
<td>`009010</td>
<td>02/679</td>
<td>`0000106560268</td>
<td>`3503051106550001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-06-1955</td>
<td>67 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
 <td>131506010922Y000190</td>
<td>kontrol</td>
<td>-</td>
<td>126/62</td>
<td>61</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>49</td>
<td>76</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1037</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>HAFIZH MAULANA WERDANA</td>
<td>`020912</td>
<td>03/366</td>
<td>`</td>
<td>`9202122101150006</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-01-2015</td>
<td>7 Th</td>
<td>RT 10 RW 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>JATUH DI SEKOLAH, LUKA LECET DI DAHI</td>
<td>RAWAT LUKA
PCT 3X1/2
AMOX 3X1/2</td>
<td>100/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
 <td>125</td>
<td>24</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1038</td>
<td>PUSTU WINONG</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>DEVY DWI WIJAYANTI</td>
<td>`005259</td>
<td></td>
<td>`0000666135325</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-01-2005</td>
<td>17 Th</td>
<td>9</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>155</td>
<td>47</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1039</td>
<td>PONKESDES TUMPUK</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>LASENO</td>
<td>`015889</td>
<td></td>
<td>`0001978451436</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-04-1965</td>
<td>57 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/70</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>1040</td>
<td>PONKESDES TUMPUK</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>RUDI UTOMO</td>
<td>`015888</td>
<td></td>
<td>`0001978451414</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-01-1992</td>
<td>30 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1041</td>
<td>PONKESDES TUMPUK</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>MIA SEFIRA RAGIL SAPUTRI</td>
<td>`015887</td>
<td></td>
<td>`0001978451392</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>20-09-2001</td>
<td>21 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1042</td>
<td>POLI MTBS</td>
<td>05-09-2022</td>
<td></td>
<td>CELYN AQUILA ZAHRA</td>
<td>`020913</td>
<td>06/6691</td>
<td>`0003279697301</td>
<td>`3503056505220001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-2022</td>
<td>0 Th</td>
<td>RT 48 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000210</td>
<td>konsultasi berat badan</td>
<td>-</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>50</td>
<td>6</td>
<td>10</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1043</td>
<td>PONKESDES TUMPUK</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>NYAMIRAH</td>
<td>`012791</td>
<td></td>
<td>`0001978451346</td>
<td>`3503057112430004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1943</td>
<td>78 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>128/78</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>150</td>
 <td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1044</td>
<td>PONKESDES TUMPUK</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>RANTINAH</td>
<td>`015886</td>
<td></td>
<td>`0001978451335</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1960</td>
<td>61 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/72</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1045</td>
<td>POLI LANSIA</td>
<td>05-09-2022</td>
<td></td>
<td>SUJAK</td>
<td>`000024</td>
<td>04/350</td>
<td>`0002860462866</td>
<td>`3503050508510001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-08-1951</td>
<td>71 Th</td>
<td>RT 5 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000193</td>
<td>mata kabur kanan kiri kurang lebih 1 bulan </td>
<td>-</td>
<td>142/65</td>
<td>83</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>47</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H25.9</td>
<td>
Senile cataract, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1046</td>
 <td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>ANISA LATIFA</td>
<td>`017968</td>
<td>02/1212</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-05-2015</td>
<td>7 Th</td>
<td>RT 001 RW 001</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>BELU</td>
<td>Lama</td>
<td></td>
<td>KONTROL TBC</td>
<td>BC VIT C OAT LANJUTAN 12 DOSIS</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>18</td>
<td>18</td>
<td></td>
<td>KASUS BARU</td>
<td>A16.0</td>
<td>
Tuberculosis of lung, bacteriologically and histologically negative
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1047</td>
<td>PONKESDES TUMPUK</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>KATIRAN</td>
<td>`015885</td>
<td></td>
<td>`0001978451324</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>15-09-1959</td>
<td>63 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/68</td>
<td>72</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1048</td>
<td>PONKESDES TUMPUK</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>IMAM SAHRONI</td>
<td>`015884</td>
<td></td>
<td>`0001978451313</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-01-1991</td>
<td>31 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/65</td>
<td>65</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1049</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>ANISA PUTRI NOVI MAULIDA</td>
<td>`009330</td>
<td>08/3683</td>
<td>`0000206330589</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-06-2002</td>
<td>20 Th</td>
<td>RT 007 RW 003</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000208</td>
<td>gatal </td>
<td>-</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>163</td>
 <td>63</td>
<td>99</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L23.9</td>
<td>
Allergic contact dermatitis, unspecified cause </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1050</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>KARTINI</td>
<td>`005205</td>
<td></td>
<td>`0002802772146</td>
<td>`3503054503730003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-09-1973</td>
<td>49 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000245</td>
<td>PUSING</td>
<td>NATDIK AMLO 10 MG</td>
<td>160/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1051</td>
<td>PONKESDES TUMPUK</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SUPARTI</td>
<td>`004934</td>
<td></td>
<td>`0001978451201</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-04-1974</td>
<td>48 Th</td>
<td>RT03 RW01 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/72</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1052</td>
 <td>PONKESDES TUMPUK</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>TIKAH</td>
<td>`015081</td>
<td></td>
<td>`0001978451111</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1953</td>
<td>68 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>126/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1053</td>
<td>PONKESDES TUMPUK</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SRI ANAH</td>
<td>`009902</td>
<td></td>
<td>`0001978451032</td>
<td>`3503055611710001</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>16-11-1971</td>
<td>50 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1054</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>ASMIRALAVINA NAZILLA ZAIN</td>
<td>`020914</td>
<td>06/6056</td>
<td>`0002251400556</td>
<td>`3503056504170001</td>
<td>`</td>
<td></td>
<td>082246980322</td>
<td>P</td>
<td>25-04-2017</td>
<td>5 Th</td>
<td>DUSUN KRAJAN, RT : 24,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
 <td>Lama</td>
<td>131506010922Y000232</td>
<td>BATUK PILEK BAK AMIS</td>
<td>AMOK MP PCT VIT C SALBUTAMOL CTM</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>27</td>
<td>20</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1055</td>
<td>RAWAT INAP</td>
<td>05-09-2022</td>
<td>Rawat Inap (UGD)</td>
<td>PIYONO</td>
<td>`021236</td>
<td></td>
<td>`0001036997706</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-11-1953</td>
<td>68 Th</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>PX MENGATAKAN KEMBUNG, NYERI PERUT , MUNTAH</td>
<td>INF RL 20 TPM
INJ ANTRAIN 1 A
INJ RANITIDIN 1 A
RUJUK RSUD</td>
<td>140/100</td>
<td>88</td>
<td>36</td>
 <td>20</td>
<td>160</td>
<td>56</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K56.0</td>
<td>
Paralytic ileus </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Rawat Inap pasien BPJS<br>Pemasangan infuse<br>Konsultasi<br>Layanan Unit
Gawat Darurat (UGD)<br>Tindakan medis ringan lainnya<br>Rujukan Ke RS di Trenggalek
PKM Tugu<br> </td>
</tr>
<tr align='left' valign="top">
<td>1056</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>PRASETYAWATI</td>
<td>`020915</td>
<td>05/8242</td>
<td>`0003286827393</td>
<td>`3503055707760007</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-07-1976</td>
<td>46 Th</td>
<td>RT 11 RW 05</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000207</td>
<td>-</td>
<td>-</td>
<td>123/73</td>
<td>87</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>44</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K80</td>
<td>
 Cholelithiasis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1057</td>
<td>POLI LANSIA</td>
<td>05-09-2022</td>
<td></td>
<td>MASLIAH</td>
<td>`020916</td>
<td>02/612</td>
<td>`</td>
<td>`3503056806600001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-06-1960</td>
<td>62 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>bibir kering perut perih</td>
<td>omz antasida vit d</td>
<td>102/55</td>
<td>81</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>49</td>
<td>87</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1058</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SHINDY NUR FADILAH</td>
<td>`015094</td>
<td></td>
<td>`0000666422245</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-01-2005</td>
<td>17 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>54</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1059</td>
<td>POLI LANSIA</td>
<td>05-09-2022</td>
<td></td>
<td>SARNI</td>
<td>`000015</td>
<td>02/5892</td>
 <td>`0000665920372</td>
<td>`3503053112420051</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1942</td>
<td>79 Th</td>
<td>RT 4 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000206</td>
<td>kontrol</td>
<td>-</td>
<td>123/76</td>
<td>104</td>
<td>36</td>
<td>22</td>
<td>165</td>
<td>47</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1060</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td></td>
<td>RUMINI</td>
<td>`000878</td>
<td>07/3167</td>
<td>`0001978440208</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-01-1971</td>
<td>51 Th</td>
<td>RT 01 RW 01</td>
<td>SUKOREJO</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000814</td>
<td>kontrol tensi</td>
<td>amlo 10 mg, simvastatin</td>
<td>116/76</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>64</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1061</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td></td>
<td>EVI YULIANA</td>
<td>`012982</td>
<td></td>
<td>`0000666937506</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1988</td>
<td>34 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000813</td>
<td>batuk pilek</td>
<td>gg,ctm,vit c</td>
<td>119/67</td>
<td>90</td>
 <td>36</td>
<td>24</td>
<td>156</td>
<td>59</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1062</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NURDAYATI</td>
<td>`013687</td>
<td>02/4772</td>
<td>`0001037003624</td>
<td>`3503055008780001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-11-1978</td>
<td>43 Th</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>35</td>
<td>22</td>
<td>154</td>
<td>56</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1063</td>
<td>RAWAT INAP</td>
<td>05-09-2022</td>
<td>Rawat Inap (UGD)</td>
<td>REZKY TIRTA PERDANA</td>
<td>`020949</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-03-2008</td>
<td>14 Th</td>
<td>PONDOK PINANG KEBAYORAN LAMA</td>
<td>PONDOK PINANG</td>
<td>KEBAYORAN LAMA</td>
<td>JAKARTA SELATAN</td>
<td>DKI JAKARTA</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>pusing. mual, natuk, panas</td>
<td>ampicilin 3x1, CTM 3x1m GG 3x1, Dexa 0.5mg</td>
<td>90/60</td>
<td>63</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>40</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum per
hari<br>Biaya rawat inap pasien umum per hari<br>Konsultasi<br>Pemasangan
infuse<br>Layanan Unit Gawat Darurat (UGD)<br>Konsultasi<br>Konsultasi<br>Tindakan
medis ringan lainnya<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>1064</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td></td>
<td>JEMINAH</td>
<td>`002001</td>
<td></td>
<td>`0000666979762</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-11-1946</td>
<td>75 Th</td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001593</td>
<td>kontrol tensi</td>
<td>amlo,pamol</td>
<td>154/89</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>151</td>
<td>45</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1065</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FARIDATUL UMAMI</td>
 <td>`015100</td>
<td></td>
<td>`0001037003635</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-07-1997</td>
<td>25 Th</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>87</td>
<td>35</td>
<td>22</td>
<td>154</td>
<td>52</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1066</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>RUDOTUL MUANISAH</td>
<td>`015368</td>
<td>02/2093</td>
<td>`0000666129262</td>
<td>`3503056609760004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-09-1976</td>
<td>46 Th</td>
 <td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y000215</td>
<td>KONSULTASI</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>35</td>
<td>35</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1067</td>
<td>POLI KIA</td>
<td>05-09-2022</td>
<td></td>
<td>JIHAN MAFTUHAH CHLORE</td>
<td>`002274</td>
<td>06/1816</td>
<td>`</td>
<td>`3503085612000003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-12-2000</td>
<td>21 Th</td>
<td>RT 04 RW 02</td>
<td>SAWAHAN</td>
<td>WATULIMO</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>PASANG IMPLAN</td>
<td>-</td>
 <td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z30.9</td>
<td>
Contraceptive management, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br>Pemasangan Implat<br> </td>
</tr>
<tr align='left' valign="top">
<td>1068</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ENY WAHYUNINGSIH</td>
<td>`000298</td>
<td>02/502</td>
<td>`0001037003938</td>
<td>`3503054503660001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1966</td>
<td>56 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>80</td>
<td>52</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1069</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td></td>
<td>KODIRIN</td>
<td>`019446</td>
<td></td>
<td>`0001978441468</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-08-1962</td>
<td>60 Th</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000812</td>
<td>kontrol tensi,cengeng</td>
<td>amlo10mg,pamol,b complek</td>
<td>175/95</td>
<td>62</td>
<td>36</td>
<td>24</td>
<td>167</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1070</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td>KIA PUSTU - POLINDES</td>
<td>ASTERIA HARTANTI</td>
<td>`012332</td>
<td>07/6353</td>
<td>`0002802771527</td>
<td>`3503055408880001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-08-1988</td>
<td>34 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000811</td>
<td>kontrol nifas</td>
<td>b. komplek,kalk</td>
<td>138/86</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>60</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>O95</td>
<td>
Obstetric death of unspecified cause </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1071</td>
<td>PONKESDES SUKOREJO</td>
<td>05-09-2022</td>
<td></td>
<td>WAHYU GUNTUR ADJI SYAPUTRA</td>
<td>`001188</td>
 <td>07/5891</td>
<td>`0002205851782</td>
<td>`3503050312160002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-12-2016</td>
<td>5 Th</td>
<td>RT 10 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000810</td>
<td>batuk pilek</td>
<td>gg,pamol,ctm</td>
<td>90/60</td>
<td>100</td>
<td>36</td>
<td>24</td>
<td>134</td>
<td>16.7</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1072</td>
<td>POLI REMAJA</td>
<td>05-09-2022</td>
<td></td>
<td>LAILA EGA PURWANTI</td>
<td>`020885</td>
<td>08/9251</td>
<td>`</td>
<td>`3503056908070002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-08-2007</td>
<td>15 Th</td>
<td>DUSUN BENGGLE, RT : 10,RW :4 </td>
 <td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>kontrol </td>
<td>-</td>
<td>110/69</td>
<td>81</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>72</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1073</td>
<td>POLI LANSIA</td>
<td>05-09-2022</td>
<td></td>
<td>SENTOT SUPRAPTO</td>
<td>`009482</td>
<td>02/8628</td>
<td>`0000828916986</td>
<td>`9109012304560001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-04-1956</td>
<td>66 Th</td>
<td>RT 017 RW 000</td>
<td>MIMIKA</td>
<td>MIMIKA BARAT</td>
<td>MIMIKA</td>
<td>PAPUA</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000205</td>
<td>kontrol </td>
<td>-</td>
<td>140/80</td>
 <td>80</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>55</td>
<td>85</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1074</td>
<td>POLI LANSIA</td>
<td>05-09-2022</td>
<td></td>
<td>ISMINI</td>
<td>`003623</td>
<td>05/2757</td>
<td>`0000106707172</td>
<td>`3503054508440002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-08-1944</td>
<td>78 Th</td>
<td>RT 3 RW 2</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000266</td>
<td>bak sulit dari tadi pagi perut sakit </td>
<td>cipro ibuprof </td>
<td>140/70</td>
<td>100</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N39.9</td>
<td>
 Disorder of urinary system, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1075</td>
<td>PONKESDES TUMPUK</td>
<td>05-09-2022</td>
<td>KIA PUSTU - POLINDES</td>
<td>FELICIA</td>
<td>`021292</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-06-2020</td>
<td>2 Th</td>
<td>RT 9 RW 4</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK,PILEK</td>
<td>SYR.DEMACOLIN,AMOX,GG</td>
<td>70/45</td>
<td>112</td>
<td>36</td>
<td>20</td>
<td>90</td>
<td>13.5</td>
<td>20</td>
<td></td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1076</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td></td>
<td>SURYAMI</td>
<td>`002706</td>
<td>04/5937</td>
<td>`0000665397279</td>
<td>`3503145903910001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-03-1991</td>
<td>31 Th</td>
<td>RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001777</td>
<td>KB PIL</td>
<td>PIL KB</td>
<td>125/87</td>
<td>80</td>
<td>36</td>
<td>18</td>
<td>152</td>
<td>58</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1077</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td></td>
<td>RIRIN SETIYAWATI</td>
<td>`005548</td>
<td>04/4863</td>
 <td>`0001036998549</td>
<td>`3503055209890002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-1989</td>
<td>33 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001778</td>
<td>BATUK PILEK</td>
<td>PAMOL, GG, CTM</td>
<td>118/65</td>
<td>80</td>
<td>39</td>
<td>24</td>
<td>158</td>
<td>61</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1078</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>JUMIATI</td>
<td>`016304</td>
<td></td>
<td>`0000665438242</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-07-1970</td>
<td>52 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>56</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1079</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NAFI`ATUN NUR AZIZAH</td>
<td>`016305</td>
<td></td>
<td>`0000665439254</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-2002</td>
<td>19 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
 <td>35</td>
<td>22</td>
<td>154</td>
<td>60</td>
<td>91</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1080</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YENI RACHMAWATI</td>
<td>`015037</td>
<td></td>
<td>`0000665598442</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-03-1981</td>
<td>41 Th</td>
<td>RT 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>IRT</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>78</td>
<td>35</td>
<td>22</td>
<td>154</td>
<td>54</td>
<td>91</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1081</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TITIK TIYAM TINI</td>
<td>`000399</td>
<td>02/687A</td>
<td>`0000665648831</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1967</td>
<td>54 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>78</td>
<td>35</td>
<td>22</td>
<td>155</td>
<td>62</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1082</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SELVIA ISTIQOMA NUR OKTAVIA</td>
<td>`013221</td>
<td></td>
<td>`0001978489631</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-10-1993</td>
<td>28 Th</td>
<td>RT RW </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>65</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1083</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SELVIA ISTIQOMA NUR OKTAVIA</td>
<td>`013221</td>
<td></td>
 <td>`0001978489631</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-10-1993</td>
<td>28 Th</td>
<td>RT RW </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1084</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NURJANAH</td>
<td>`013223</td>
<td></td>
<td>`0000664498686</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-06-1985</td>
<td>37 Th</td>
<td>RT RW </td>
 <td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>ME</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1085</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>CITRA CAHYANI MARFIANA</td>
<td>`001007</td>
<td>02/687A</td>
<td>`0000665648875</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-03-1996</td>
<td>26 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>110/70</td>
<td>76</td>
<td>35</td>
<td>22</td>
<td>154</td>
<td>60</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1086</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WULAN RAHMAWATI</td>
<td>`002916</td>
<td></td>
<td>`0000666096693</td>
<td>`3503056701970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-01-1997</td>
<td>25 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>49</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
 <td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1087</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>CITRA CAHYANI MARFIANA</td>
<td>`001007</td>
<td>02/687A</td>
<td>`0000665648875</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-03-1996</td>
<td>26 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>91</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1088</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MISTINI</td>
<td>`004632</td>
<td></td>
<td>`0000666531731</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-03-1983</td>
<td>39 Th</td>
<td>RT 47</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>0</td>
<td>155</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1089</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>RIZKA AYU SEFTIYANI</td>
<td>`005031</td>
<td>02/369</td>
<td>`0000665654826</td>
<td>`3503055509010001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-2001</td>
<td>21 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>53</td>
<td>91</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1090</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUNARSIH</td>
<td>`000956</td>
<td></td>
<td>`0003111283135</td>
<td>`3503054407870003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-07-1987</td>
 <td>35 Th</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>56</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1091</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YULIATIN</td>
<td>`000799</td>
<td>02/2805</td>
<td>`0000665816051</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1978</td>
<td>44 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
 <td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>65</td>
<td>95</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1092</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YULIATIN</td>
<td>`000799</td>
<td>02/2805</td>
<td>`0000665816051</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1978</td>
<td>44 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>78</td>
<td>35</td>
<td>22</td>
<td>155</td>
<td>56</td>
<td>92</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1093</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SANTI WAHYUNI</td>
<td>`002311</td>
<td></td>
<td>`0000666040792</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-10-1995</td>
<td>26 Th</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1094</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ERNI OKTAVIA</td>
<td>`007602</td>
<td>06/7300</td>
<td>`0001978488696</td>
<td>`3503056910950001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-10-1995</td>
<td>26 Th</td>
<td>RT 46 RW 9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>70</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1095</td>
<td>POLINDES PRAMBON 2</td>
 <td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DEVI SUCIATI</td>
<td>`007608</td>
<td>06/7183</td>
<td>`0000664971478</td>
<td>`3503054712930001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-12-1993</td>
<td>28 Th</td>
<td>RT 46 RW 9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1096</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ROHMATUN</td>
<td>`001314</td>
<td>06/4911</td>
<td>`0001037013715</td>
<td>`3503055510830003</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>15-10-1983</td>
<td>38 Th</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>59</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1097</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARYATI</td>
<td>`011616</td>
<td>02/5612</td>
<td>`0000665915591</td>
<td>`3503057012610001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1961</td>
<td>60 Th</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>92</td>
<td>35</td>
<td>22</td>
<td>153</td>
<td>65</td>
<td>97</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1098</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI KHOLISOH</td>
<td>`016306</td>
<td></td>
<td>`0000666042939</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-09-1980</td>
<td>42 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>35</td>
<td>22</td>
<td>154</td>
 <td>56</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1099</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI KHOLISOH</td>
<td>`016306</td>
<td></td>
<td>`0000666042939</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-09-1980</td>
<td>42 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>55</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1100</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SANIATUL HASANAH</td>
<td>`013236</td>
<td></td>
<td>`0001978488404</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-09-1998</td>
<td>24 Th</td>
<td>RT RW </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>59</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>1101</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUMIATI</td>
<td>`016307</td>
<td></td>
<td>`0000666421997</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-08-1975</td>
<td>47 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1102</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RIRIN NOVITASARI</td>
<td>`013237</td>
<td></td>
<td>`0001037014097</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>23-12-1994</td>
<td>27 Th</td>
<td>RT RW </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/79</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>53</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1103</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>OKTA WAHYU SURAYA</td>
<td>`000357</td>
<td>06/2480</td>
<td>`0002159512198</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-10-2000</td>
<td>21 Th</td>
<td>RT 47 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>60</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1104</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SINTYA NUR LAILY</td>
<td>`015093</td>
<td></td>
<td>`0000666422098</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-01-2003</td>
<td>19 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
 <td>22</td>
<td>155</td>
<td>54</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1105</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PONISIH</td>
<td>`002738</td>
<td>06/5381</td>
<td>`0002970310937</td>
<td>`3503055704830007</td>
<td>`</td>
<td></td>
<td>082331518624</td>
<td>P</td>
<td>17-04-1983</td>
<td>39 Th</td>
<td>RT 47 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>57</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1106</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SURYANA</td>
<td>`013238</td>
<td></td>
<td>`0000666192251</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-01-1990</td>
<td>32 Th</td>
<td>RT RW </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>1107</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TSANIA LAILATUN NAFI`AH</td>
<td>`007344</td>
<td>06/7024</td>
<td>`0002885137637</td>
<td>`3503055708190001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-08-2019</td>
<td>3 Th</td>
<td>RT 48 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/79</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>98</td>
<td>12</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1108</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARASELY SALSABELA MASHEL</td>
<td>`013239</td>
 <td></td>
<td>`0002446311756</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-04-2018</td>
<td>4 Th</td>
<td>RT RW </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>117</td>
<td>15</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1109</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARKANA RAFFASYA ZICO</td>
<td>`005304</td>
<td></td>
<td>`0002620284344</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-11-2018</td>
<td>3 Th</td>
 <td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>98</td>
<td>12</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1110</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ELVINA AYRA ALFARISKI</td>
<td>`016276</td>
<td></td>
<td>`0002762071389</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-04-2019</td>
<td>3 Th</td>
<td>RT 45</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>90/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>91</td>
<td>14</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1111</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FINA PATMAWATI</td>
<td>`004134</td>
<td></td>
<td>`0001037012286</td>
<td>`3503057004980002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-04-1998</td>
<td>24 Th</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>86</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1112</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ALTHAVIA PUTRI G</td>
<td>`012318</td>
<td></td>
<td>`0003063680234</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-12-2020</td>
<td>1 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>81</td>
<td>10</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1113</td>
<td>POLI UMUM</td>
<td>05-09-2022</td>
<td></td>
<td>SAMINI</td>
<td>`020917</td>
<td>04/8060</td>
<td>`0000665835761</td>
<td>`3503054807630002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-1963</td>
<td>59 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000220</td>
<td>MERIANG BATUK PILEK</td>
<td>AMOK AMBROKSOL CTM PAMOL VIT C MP OBH SYR</td>
<td>114/72</td>
<td>40</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>40</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1114</td>
<td>POLINDES NGEPEH</td>
 <td>05-09-2022</td>
<td></td>
<td>MUNIKA DEWI FATIMAH</td>
<td>`005757</td>
<td></td>
<td>`0000665582229</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-07-1996</td>
<td>26 Th</td>
<td>RT. 5 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001775</td>
<td>SPOTTING</td>
<td>PIL KB</td>
<td>108/65</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>157</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1115</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td></td>
<td>ARIK SUSANTI</td>
<td>`005384</td>
<td></td>
<td>`0002802757509</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>06-11-1989</td>
<td>32 Th</td>
<td>RT. 6 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001776</td>
<td>PERUT KEMBUNG</td>
<td>ANTASIDA, BC</td>
<td>117/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.0</td>
<td>
Acute haemorrhagic gastritis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1116</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUMINI</td>
<td>`001114</td>
<td>04/8921</td>
<td>`0001036998077</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-03-1978</td>
<td>44 Th</td>
<td>RT 21 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1117</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DWI LESTARI</td>
<td>`002895</td>
<td></td>
<td>`0000666168614</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-05-1998</td>
<td>24 Th</td>
<td>RT 24 RW 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>123/67</td>
<td>84</td>
<td>36</td>
<td>18</td>
<td>165</td>
<td>57</td>
<td>79</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1118</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>CLARISSA ADELIA SALSABILA</td>
<td>`013037</td>
<td></td>
<td>`0003057635709</td>
<td>`3503050209200001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-10-2020</td>
<td>1 Th</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>165/89</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>67</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1119</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MESTINI</td>
<td>`002902</td>
<td></td>
<td>`0000665823058</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-01-1994</td>
<td>28 Th</td>
<td>RT 24 RW 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>100/67</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>64</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1120</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>PRATAMA SAPUTRA</td>
<td>`013039</td>
<td>04/7545</td>
<td>`0002633645979</td>
<td>`3503140304140001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-12-2014</td>
<td>7 Th</td>
<td>DUSUN PONGGOK, RT : 24,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>154/87</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1121</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANGGA TITO ARDIANSYAH</td>
<td>`013041</td>
<td></td>
<td>`0002892564066</td>
<td>`3503051809190001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>18-09-2019</td>
<td>3 Th</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>143/67</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>65</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1122</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LUSIANA SAPITRI</td>
<td>`013043</td>
<td></td>
<td>`0001305293512</td>
<td>`3201376606860004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-06-1986</td>
<td>36 Th</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Tentara Nasional Indonesia</td>
<td>Lama</td>
<td>Konseling</td>
 <td>POSYANDU</td>
<td>-</td>
<td>121/69</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>53</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1123</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRI WAHYUNI</td>
<td>`000371</td>
<td>04/1615</td>
<td>`0000666350752</td>
<td>`3503055402900005</td>
<td>`51357</td>
<td></td>
<td></td>
<td>P</td>
<td>14-02-1990</td>
<td>32 Th</td>
<td>DUSUN PONGGOK, RT : 020,RW :009 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>124/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>59</td>
<td>78</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1124</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MIANAH</td>
<td>`004502</td>
<td></td>
<td>`0000666145901</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-05-1985</td>
<td>37 Th</td>
<td>RT 20 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>146/87</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1125</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARSA ADITYA PRATAMA</td>
<td>`004501</td>
<td></td>
<td>`0002196148926</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-10-2016</td>
<td>5 Th</td>
<td>RT 15 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>122/66</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1126</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>INDRAS KRISIANA</td>
<td>`003022</td>
<td></td>
<td>`0000665559314</td>
<td>`3503054711980001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-11-1998</td>
<td>23 Th</td>
<td>DUSUN PONGGOK, RT : 20,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>134/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>164</td>
<td>56</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1127</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RAISYA AMEERA MISHEL</td>
<td>`005386</td>
<td></td>
<td>`0002778023248</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-2019</td>
 <td>3 Th</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>133/78</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>56</td>
<td>77</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1128</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI KOLIFAH</td>
<td>`002882</td>
<td></td>
<td>`0000665708051</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-1988</td>
<td>34 Th</td>
<td>RT 24 RW 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
 <td>-</td>
<td>129/87</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1129</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LINA RAHMAWATI</td>
<td>`003285</td>
<td>04/5168</td>
<td>`0000666118787</td>
<td>`3503055704940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-04-1994</td>
<td>28 Th</td>
<td>RT 20 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>117/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1130</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUJARWATI</td>
<td>`001165</td>
<td>04/411</td>
<td>`0002860463575</td>
<td>`3503055408810003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-08-1981</td>
<td>41 Th</td>
<td>DUSUN PONGGOK, RT : 24,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1131</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RIZKI INDRA FIRMANSYAH</td>
<td>`013048</td>
<td></td>
<td>`0002865185537</td>
<td>`3503050509180003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-09-2018</td>
<td>4 Th</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>132/87</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1132</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ROCHMAH SAFITRI</td>
 <td>`000183</td>
<td></td>
<td>`0002158256079</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-03-1992</td>
<td>30 Th</td>
<td>RT24 RW10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>karyawan swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>100/78</td>
<td>78</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>65</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1133</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARDIYAH</td>
<td>`013647</td>
<td></td>
<td>`0000665857697</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-07-1991</td>
<td>31 Th</td>
 <td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>128/78</td>
<td>88</td>
<td>37</td>
<td>18</td>
<td>165</td>
<td>57</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1134</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANGELINA KYLA JUSTINA</td>
<td>`011265</td>
<td>04/6264</td>
<td>`0002304237813</td>
<td>`</td>
<td>`3503050603050278</td>
<td></td>
<td></td>
<td>P</td>
<td>28-10-2017</td>
<td>4 Th</td>
<td>RT 24 RW 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
 <td>108/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1135</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI RUKANA</td>
<td>`003138</td>
<td>04/1848</td>
<td>`0001036998887</td>
<td>`3503054802850002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-02-1985</td>
<td>37 Th</td>
<td>DUSUN PONGGOK, RT : 23,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>122/77</td>
<td>80</td>
<td>36</td>
<td>18</td>
<td>157</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1136</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HAFIZH AQMAR ALFARIZQI</td>
<td>`014949</td>
<td></td>
<td>`0002757146769</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-03-2019</td>
<td>3 Th</td>
<td>RT. 23 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/76</td>
<td>80</td>
<td>37</td>
<td>18</td>
<td>150</td>
<td>49</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>1137</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>REZAL ALDY SAPUTRA</td>
<td>`014948</td>
<td></td>
<td>`0002249996883</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-01-2010</td>
<td>12 Th</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/65</td>
<td>88</td>
<td>37</td>
<td>18</td>
<td>156</td>
<td>56</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1138</td>
<td>POLINDES NGEPEH</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IRHAM RIZKI SAPUTRA</td>
<td>`014947</td>
 <td></td>
<td>`0002249996613</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-05-2005</td>
<td>17 Th</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/78</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>64</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1139</td>
<td>PONKESDES BANARAN</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>GENDUT</td>
<td>`020918</td>
<td></td>
<td>`0001978462732</td>
<td>`3503050109360001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-01-1936</td>
<td>86 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
 <td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1140</td>
<td>PONKESDES BANARAN</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>PINASTI KEN LANDHUNGSIH</td>
<td>`019103</td>
<td>05/4855</td>
<td>`0001842885527</td>
<td>`3503055909090001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-09-2009</td>
<td>13 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1141</td>
<td>PONKESDES BANARAN</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>YAMINTEN HERLIS</td>
<td>`012420</td>
<td>05/4271</td>
<td>`0001978461786</td>
<td>`3503056411740001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-11-1974</td>
<td>47 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1142</td>
<td>PONKESDES BANARAN</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>KATENU</td>
<td>`020919</td>
<td></td>
<td>`0001037004074</td>
<td>`3503051103680001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-11-1968</td>
<td>53 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1143</td>
<td>PONKESDES BANARAN</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>FRENDI SUSILO</td>
<td>`014350</td>
<td></td>
<td>`0002802762742</td>
<td>`3503051101080001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-01-2008</td>
<td>14 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1144</td>
<td>PONKESDES BANARAN</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SIMPEN</td>
<td>`010237</td>
<td></td>
 <td>`0002802751435</td>
<td>`3503054107510016</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1951</td>
<td>71 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1145</td>
<td>PONKESDES BANARAN</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>ENDANG SRI SUHARLIN</td>
<td>`020839</td>
<td></td>
<td>`0002802750805</td>
<td>`3503056504620002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-04-1962</td>
<td>60 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1146</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td></td>
<td>ERLINA FAUZIANA</td>
<td>`003761</td>
<td></td>
<td>`0000665607137</td>
<td>`350305680189</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-01-1989</td>
<td>33 Th</td>
<td>DUSUN MLOKO, RT : 56,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000239</td>
<td>suntik kb</td>
<td>depo</td>
<td>120/70</td>
<td>86</td>
 <td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1147</td>
<td>PONKESDES BANARAN</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>ANGGITA VERA SIPENI</td>
<td>`014141</td>
<td></td>
<td>`0000194707449</td>
<td>`3503056209010001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-09-2001</td>
<td>21 Th</td>
<td>DUSUN TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1148</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td></td>
<td>KARTIWIANI</td>
<td>`020920</td>
<td></td>
<td>`0000664964019</td>
<td>`3503056412890001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-12-1989</td>
<td>32 Th</td>
<td>DUSUN MLOKO, RT : 56,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000241</td>
<td>suntik kb</td>
<td>depo</td>
<td>120/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1149</td>
<td>POLINDES PRAMBON 2</td>
<td>05-09-2022</td>
<td></td>
<td>WARINI</td>
<td>`020921</td>
<td></td>
<td>`0000664973649</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-1974</td>
<td>48 Th</td>
<td>MLOKO, RT : 164,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000242</td>
<td>batuk pilek</td>
<td>pct,gg,ctm</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1150</td>
<td>PONKESDES BANARAN</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SENO</td>
<td>`014757</td>
<td></td>
<td>`0002802768254</td>
 <td>`3503050807460001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-07-1946</td>
<td>76 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1151</td>
<td>PONKESDES BANARAN</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>NENDA SOFIE</td>
<td>`012141</td>
<td>05/7489</td>
<td>`0001037004783</td>
<td>`3503054506950002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-1995</td>
<td>27 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1152</td>
<td>PONKESDES BANARAN</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>KATENI</td>
<td>`014142</td>
<td></td>
<td>`0000665536015</td>
<td>`3503050611570002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-01-1957</td>
<td>65 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1153</td>
<td>PONKESDES BANARAN</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>MENTARI CIPTA NINGRUM</td>
<td>`020922</td>
<td></td>
<td>`0001444472741</td>
<td>`3503056609930002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-09-1993</td>
<td>29 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1154</td>
<td>POLI GIZI</td>
<td>05-09-2022</td>
<td></td>
<td>NURI YATUL MUNGA JIZAH</td>
<td>`011611</td>
<td>90/2369</td>
<td>`0000655765132</td>
<td>`3502055107010003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-07-2001</td>
<td>21 Th</td>
<td>RT 03 RW 02</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>taa</td>
<td>obat masih</td>
<td>110/60</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>70</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1155</td>
<td>POLI GIZI</td>
<td>05-09-2022</td>
<td></td>
<td>MEGA KISNAWATI</td>
<td>`009003</td>
<td>06/7409</td>
<td>`</td>
<td>`6471054409910004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-09-1991</td>
<td>31 Th</td>
<td>RT 42 RW 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>taa</td>
<td>fe 1x1, syr antasida 3x1, vit b6 3x1, asam folat 1x1</td>
<td>152/96</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>62</td>
<td>1</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1156</td>
<td>POLI GIZI</td>
<td>05-09-2022</td>
<td></td>
<td>TITIK PURNAWATI</td>
<td>`019523</td>
<td>02/3902A</td>
<td>`0001850633649</td>
<td>`3503055008820004</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-08-1982</td>
<td>40 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td>taa</td>
<td>fe 1x1, aspilet 1x1, kalk 1x1</td>
<td>120/82</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>57</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1157</td>
<td>POLI GIZI</td>
<td>05-09-2022</td>
<td></td>
<td>DESI IRAWATI NINGRUM</td>
<td>`000600</td>
<td>02/8752</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-12-1986</td>
<td>35 Th</td>
<td>RT 03 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>taa</td>
<td>pamol 3x1</td>
<td>107/67</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>148</td>
<td>51</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1158</td>
<td>POLI GIZI</td>
<td>05-09-2022</td>
<td></td>
<td>NOPI DWI LESTARI</td>
<td>`014055</td>
<td>03/4069</td>
<td>`0001978447318</td>
<td>`3503054411940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-11-1994</td>
<td>27 Th</td>
<td>DUSUN JUMOK, RT : 11,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>taa</td>
<td>-</td>
<td>120/82</td>
<td>98</td>
<td>36</td>
<td>20</td>
 <td>143</td>
<td>48</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1159</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>ASMIRALAVINA NAZILLA ZAIN</td>
<td>`011729</td>
<td></td>
<td>`0002251400556</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-04-2017</td>
<td>5 Th</td>
<td>RT 24</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000232</td>
<td>PANAS PILEK</td>
<td>DEMACOLI SIRUP</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>90</td>
<td>21</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1160</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>WUYUNG HANDRIANI</td>
<td>`008236</td>
<td></td>
<td>`0002087407888</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-1996</td>
<td>26 Th</td>
<td>PRAMBON RT 24/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>1161</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>MUKANI</td>
<td>`003242</td>
<td></td>
<td>`0000666482117</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-06-1955</td>
<td>67 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000243</td>
<td>PUSING</td>
<td>IBU 400 BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1162</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>ELGA V.L</td>
<td>`014616</td>
<td></td>
<td>`0000666483546</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>01-01-2001</td>
<td>21 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1163</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>ASIH RIMAYUNI</td>
<td>`003244</td>
<td></td>
<td>`0001261820182</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-06-1985</td>
<td>37 Th</td>
<td>PRAMBO RT 12/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1164</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SITI KAMDIYAH</td>
<td>`004751</td>
<td></td>
<td>`0002802765723</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-01-1968</td>
<td>54 Th</td>
<td>PRAMBON RT 12/3</td>
<td>PRAMBON</td>
<td>PRAMBON</td>
<td>SIDOARJO</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>155</td>
 <td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1165</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SEPTA PUTRA WIJAYA</td>
<td>`014647</td>
<td></td>
<td>`0002603330919</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-09-2012</td>
<td>10 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>24</td>
<td>90</td>
<td>23</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1166</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>MARYONO</td>
<td>`020923</td>
<td></td>
<td>`0000667114479</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-09-1985</td>
<td>37 Th</td>
<td>PRAMBON RT 8/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1167</td>
 <td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>ROLA FIINA TIKA</td>
<td>`013930</td>
<td></td>
<td>`0001902408412</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-04-2002</td>
<td>20 Th</td>
<td>PRAMBON RT 47</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000248</td>
<td>MUAL PUSING BATUK</td>
<td>PAMOL ANTASID GG</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1168</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>JAROT SANTOSO</td>
<td>`002784</td>
<td>06/3755</td>
<td>`0001902404575</td>
<td>`3503052402710003</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>24-02-1971</td>
<td>51 Th</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perangkat Desa</td>
<td>Lama</td>
<td>131506010922Y000249</td>
<td>PUSING LEMAS</td>
<td>NATDIK GLIBEN</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>164</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R73.9</td>
<td>
Hyperglycaemia, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1169</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>MUNAWAN</td>
<td>`004993</td>
<td></td>
<td>`0000666265331</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-04-1969</td>
<td>53 Th</td>
<td>BANARAN RT 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
 <td>Lama</td>
<td>131506010922Y000250</td>
<td>PUSING</td>
<td>NATDIK AMLO 5MG</td>
<td>140/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>75</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1170</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>TRI WAHYUNI</td>
<td>`014427</td>
<td>04/6170</td>
<td>`0000666159715</td>
<td>`3503054807970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-1997</td>
<td>25 Th</td>
<td>NGLEGOK, RT : 11,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>122/76</td>
<td>69</td>
<td>35</td>
<td>19</td>
<td>160</td>
<td>54</td>
 <td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1171</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>MINARSIH</td>
<td>`016527</td>
<td></td>
<td>`0000665853006</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-08-1976</td>
<td>46 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>130/89</td>
<td>98</td>
<td>36</td>
<td>19</td>
<td>155</td>
<td>54</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1172</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>EDI SUNARYO</td>
<td>`017199</td>
<td></td>
<td>`0000666159941</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-04-2000</td>
<td>22 Th</td>
<td>RT 9 RW 8 NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/78</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>167</td>
<td>49</td>
<td>71</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1173</td>
<td>PUSTU NGEPEH</td>
 <td>05-09-2022</td>
<td>KONSULTASI</td>
<td>MUGONO</td>
<td>`017198</td>
<td></td>
<td>`0001978432389</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1954</td>
<td>68 Th</td>
<td>GERBO RT 15 RW 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>144/88</td>
<td>78</td>
<td>35</td>
<td>20</td>
<td>170</td>
<td>71</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1174</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>TUKIMIN</td>
<td>`002134</td>
<td>04/5965A</td>
<td>`0002623970136</td>
<td>`3503055008550003</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>10-08-1955</td>
<td>67 Th</td>
<td>DUSUN PONGGOK, RT : 21,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>144/99</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>168</td>
<td>63</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1175</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>ALI MUSTOFA</td>
<td>`003710</td>
<td></td>
<td>`0000665366411</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-05-1995</td>
<td>27 Th</td>
<td>RT 15 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
 <td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/87</td>
<td>79</td>
<td>35</td>
<td>20</td>
<td>175</td>
<td>65</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1176</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>EKA WIDIAWATI</td>
<td>`005322</td>
<td></td>
<td>`0001036998437</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-01-1991</td>
<td>31 Th</td>
<td>RT 15 RW 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>123/86</td>
<td>78</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>51</td>
<td>76</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1177</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>ENDANG RAHAYUNINGSIH</td>
<td>`015763</td>
<td></td>
<td>`0000665960613</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-06-1994</td>
<td>28 Th</td>
<td>RT. 18 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>139/87</td>
<td>69</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>61</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1178</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>TIANA DWI ARISANTI</td>
<td>`017200</td>
<td></td>
<td>`0000665915196</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-04-1998</td>
<td>24 Th</td>
<td>RT 12 RW 05 GERBO</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>100/69</td>
<td>77</td>
<td>36</td>
<td>19</td>
<td>157</td>
<td>60</td>
<td>72</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1179</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
 <td>KONSULTASI</td>
<td>YATI</td>
<td>`017201</td>
<td></td>
<td>`0000666869747</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-11-1970</td>
<td>51 Th</td>
<td>RT 19 RW 8 NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/87</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1180</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SUNARTI</td>
<td>`017202</td>
<td></td>
<td>`0000666097457</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>01-02-1980</td>
<td>42 Th</td>
<td>RT 12 RW 5 GERBO</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>134/78</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>52</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1181</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>MARTIN</td>
<td>`017203</td>
<td></td>
<td>`0000665637434</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-08-1968</td>
<td>54 Th</td>
<td>RT 17 RW 7 NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
 <td>konseling</td>
<td>-</td>
<td>133/87</td>
<td>69</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>52</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1182</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>MOBIN</td>
<td>`014377</td>
<td></td>
<td>`0000666148037</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-08-1945</td>
<td>77 Th</td>
<td>RT. 5 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>144/82</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>164</td>
<td>67</td>
<td>80</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1183</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>MUTINI</td>
<td>`017204</td>
<td></td>
<td>`0000666148329</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-06-1948</td>
<td>74 Th</td>
<td>RT 5 RW 2 KRAJAN</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/88</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>45</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1184</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>DIANI</td>
<td>`002375</td>
<td>04/4838</td>
<td>`0000666124435</td>
<td>`3503056505850004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1985</td>
<td>37 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>120/90</td>
<td>87</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>52</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1185</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
 <td>SITI RUKANA</td>
<td>`003138</td>
<td>04/1848</td>
<td>`0001036998887</td>
<td>`3503054802850002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-02-1985</td>
<td>37 Th</td>
<td>DUSUN PONGGOK, RT : 23,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>134/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1186</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SRI SUNARMI</td>
<td>`002127</td>
<td></td>
<td>`0000211014742</td>
<td>`3503054208730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-08-1973</td>
 <td>49 Th</td>
<td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>142/78</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>42</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1187</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>JARWANTO</td>
<td>`017555</td>
<td></td>
<td>`0000665877227</td>
<td>`</td>
<td>`</td>
<td>jarwanto</td>
<td></td>
<td>L</td>
<td>09-07-1968</td>
<td>54 Th</td>
<td>RT 1RW 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
 <td>-</td>
<td>134/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>68</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1188</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>JAYUS</td>
<td>`017212</td>
<td></td>
<td>`0000665564679</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-07-1951</td>
<td>71 Th</td>
<td>RT 12 RW 5 GERBO</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>144/87</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>169</td>
<td>63</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1189</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>HILDA</td>
<td>`015582</td>
<td></td>
<td>`0002043360044</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-12-1996</td>
<td>25 Th</td>
<td>RT. 10 RW. 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>19</td>
<td>157</td>
<td>48</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1190</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>LILIK AGUS SETIAWATI</td>
<td>`013118</td>
<td></td>
<td>`0000666140859</td>
<td>`3503054208930002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-08-1993</td>
<td>29 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>113/76</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>158</td>
<td>61</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1191</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SITI MUHIMATUL KASANAH</td>
 <td>`018230</td>
<td></td>
<td>`0000665707432</td>
<td>`3503056404000003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-04-2000</td>
<td>22 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/7</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>45</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1192</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>EVIYAH</td>
<td>`005314</td>
<td></td>
<td>`0000665715519</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1974</td>
<td>48 Th</td>
 <td>RT 10 RW 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>100/78</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>42</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1193</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>SUYONO</td>
<td>`020996</td>
<td></td>
<td>`0000665615597</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-10-1960</td>
<td>61 Th</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000410</td>
<td>BATUK, PILEK, PANAS</td>
<td>PCT 3X1
GG 3X1
ANTASIDA 3X1</td>
<td>150/90</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>67</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1194</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>KATEMI</td>
<td>`001104</td>
<td>01/69</td>
<td>`0000665615676</td>
<td>`3503054210650001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-10-1965</td>
<td>56 Th</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000413</td>
<td>BATUK, PILEK, PANAS, NYERI ULU HATI</td>
<td>PCT 3X1
GG 3X1
DEXA 2X1
ANTASIDA 3X1</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
 <td>48</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1195</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>BARMI</td>
<td>`015767</td>
<td></td>
<td>`0000666844661</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-08-1973</td>
<td>49 Th</td>
<td>RT. 18 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>42</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1196</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>KARTIWI</td>
<td>`006768</td>
<td>04/5350</td>
<td>`0000666151907</td>
<td>`3503054402840004</td>
<td>`</td>
<td></td>
<td>082238965610</td>
<td>P</td>
<td>04-02-1984</td>
<td>38 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>130/70</td>
<td>88</td>
<td>20</td>
<td>36</td>
<td>156</td>
<td>43</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1197</td>
 <td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>KANAPI</td>
<td>`016103</td>
<td></td>
<td>`0000666383049</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-05-1975</td>
<td>47 Th</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>135/78</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>169</td>
<td>62</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1198</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SRI WAHYUNI</td>
<td>`000371</td>
<td>04/1615</td>
<td>`0000666350752</td>
<td>`3503055402900005</td>
<td>`51357</td>
<td></td>
 <td></td>
<td>P</td>
<td>14-02-1990</td>
<td>32 Th</td>
<td>DUSUN PONGGOK, RT : 020,RW :009 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>135/69</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>45</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1199</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>ABDUL SYUKUR</td>
<td>`016121</td>
<td></td>
<td>`0001978432323</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-06-2001</td>
<td>21 Th</td>
<td>RT15 RW 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
 <td>Lama</td>
<td>Konseling</td>
<td>konsultasi</td>
<td>-</td>
<td>110/87</td>
<td>87</td>
<td>35</td>
<td>20</td>
<td>165</td>
<td>56</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1200</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>MUNAH</td>
<td>`000002</td>
<td>04/7421</td>
<td>`0000666094522</td>
<td>`3503055310530001</td>
<td>`51353</td>
<td></td>
<td></td>
<td>P</td>
<td>13-10-1953</td>
<td>68 Th</td>
<td>DUSUN PONGGOK, RT : 020,RW :009 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PETANI/PEKEBUN</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>144/89</td>
<td>87</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>41</td>
 <td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1201</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SUKRI</td>
<td>`016123</td>
<td></td>
<td>`0000666294287</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-10-1965</td>
<td>56 Th</td>
<td>RT 12 RW 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>135/85</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>170</td>
<td>62</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1202</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>FITRIAH RAHMA</td>
<td>`004507</td>
<td></td>
<td>`0001036998865</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1987</td>
<td>35 Th</td>
<td>RT 15 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>120/70</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>257</td>
<td>52</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1203</td>
<td>UGD</td>
 <td>05-09-2022</td>
<td></td>
<td>IQBAL AZIZ</td>
<td>`020997</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-09-2007</td>
<td>15 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS, BATUK, PILEK</td>
<td>PCT 3X1
AMBROXOL 3X1
DEXA 2X1
CTM 3X1
BC 1X1
CTM 3X1
BC 1X1</td>
<td>100/60</td>
<td>80</td>
<td>39</td>
<td>20</td>
<td>143</td>
<td>42</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1204</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>ITA SETYO RINI</td>
<td>`019686</td>
 <td></td>
<td>`0000665344967</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-07-1984</td>
<td>38 Th</td>
<td>PRAMBON RT 20/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>74</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1205</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>KATINO</td>
<td>`020924</td>
<td></td>
<td>`0000665344833</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-08-1976</td>
<td>46 Th</td>
<td>PRAMBON RT 20/4</td>
 <td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1206</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>AMINI</td>
<td>`000085</td>
<td>04/6029</td>
<td>`0000666120058</td>
<td>`3503055107690001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1969</td>
<td>53 Th</td>
<td>RT 21 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>134/76</td>
 <td>75</td>
<td>35</td>
<td>20</td>
<td>158</td>
<td>53</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1207</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>CINDI REGITA</td>
<td>`020925</td>
<td></td>
<td>`0000665345002</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-05-2003</td>
<td>19 Th</td>
<td>PRAMBON RT 20/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>155</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1208</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>DEVANO PUTRA PERMANA</td>
<td>`004683</td>
<td></td>
<td>`0002318620836</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-12-2017</td>
<td>4 Th</td>
<td>PRAMBON RT 7/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000267</td>
<td>PANAS PILEK</td>
<td>DEMACOLIN SIRUP</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>24</td>
<td>90</td>
<td>13</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1209</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>PRIHATIN</td>
<td>`001484</td>
<td>06/1651</td>
<td>`0000665964753</td>
<td>`3503055312860001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-12-1986</td>
<td>35 Th</td>
<td>TENGGAR, RT : 7,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000268</td>
<td>SAKIT GIGI</td>
<td>PAMOL CTM</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02.0</td>
<td>
Caries limited to enamel </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1210</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td>KONSULTASI</td>
<td>SARTONO</td>
<td>`003050</td>
<td></td>
 <td>`0000666549325</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-06-1960</td>
<td>62 Th</td>
<td>PRAMBON RT 12/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1211</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>ISTITI MURIAH</td>
<td>`020926</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-09-1974</td>
<td>48 Th</td>
<td>PRAMBON RT 29/5</td>
<td>PRAMBON</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>PUSING</td>
<td>PAMOLO AMLO 5 MG</td>
<td>180/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1212</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>MARYATI</td>
<td>`020927</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-09-1966</td>
<td>56 Th</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>NYRI ULU HATI</td>
<td>PAMOL ANTASID BC</td>
<td>120/70</td>
<td>76</td>
 <td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1213</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>SUYATIN</td>
<td>`000778</td>
<td></td>
<td>`0003068090177</td>
<td>`3503054812690001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-12-1969</td>
<td>52 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000257</td>
<td>PUSING</td>
<td>NATDIK BC</td>
<td>130/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1214</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>DIAJENG MUTIARA ARDANA</td>
<td>`000896</td>
<td>06/2585</td>
<td>`0000664443281</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-2004</td>
<td>18 Th</td>
<td>PRAMBON RT 14</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000256</td>
<td>PUSING MUAL</td>
<td>PAMOL ANTASID</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>47</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1215</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>KANA SYABILA ROMADONA</td>
<td>`006820</td>
<td>90/987</td>
<td>`0003080972305</td>
<td>`3503064108110001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-2011</td>
<td>11 Th</td>
<td>JAMPI, RT : 3,RW :1 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000425</td>
<td>BAB CAIR 4 HARI, NYERI PERUT</td>
<td>DIAFORM 1X/DIARE
ANTASIDA 3X1
ORALIT 1X/HARI</td>
<td>90/60</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>140</td>
<td>31</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1216</td>
<td>PUSTU PRAMBON</td>
<td>05-09-2022</td>
<td></td>
<td>ISTIKOMAH</td>
<td>`004964</td>
 <td></td>
<td>`0002802748959</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-12-1975</td>
<td>46 Th</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000255</td>
<td>PUSING MUAL</td>
<td>PAMOL ANTASID AMLO 10 MG</td>
<td>200/100</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1217</td>
<td>UGD</td>
<td>05-09-2022</td>
<td></td>
<td>ALMERA</td>
<td>`021000</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-09-2020</td>
<td>2 Th</td>
<td>RT 8 RW 3</td>
 <td>NGLINGGIS</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS 2 HARI, BATUK, PILEK</td>
<td>PCT SYR 3X1
GG 3X1/4
CTM 3X1/4</td>
<td>80/50</td>
<td>90</td>
<td>37</td>
<td>22</td>
<td>100</td>
<td>13</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1218</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MINARTI</td>
<td>`016309</td>
<td></td>
<td>`0000666130173</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-06-1966</td>
<td>56 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>120/80</td>
<td>78</td>
<td>35</td>
<td>22</td>
<td>154</td>
<td>51</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1219</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IKA NUR FITRIANA</td>
<td>`010883</td>
<td>02/2804</td>
<td>`0000666130397</td>
<td>`3503056402960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-02-1996</td>
<td>26 Th</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>78</td>
<td>35</td>
<td>22</td>
<td>154</td>
<td>88</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1220</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DWI NUR WAHYUNI</td>
<td>`015103</td>
<td></td>
<td>`0000666131051</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-05-1998</td>
<td>24 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>80</td>
<td>35</td>
<td>22</td>
<td>153</td>
<td>55</td>
<td>91</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1221</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NAFISA HUWAIDA KARIMA</td>
<td>`015104</td>
<td></td>
<td>`0002013998927</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-01-2010</td>
<td>12 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>79</td>
<td>35</td>
<td>22</td>
<td>154</td>
<td>61</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1222</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PATONAH</td>
 <td>`016310</td>
<td></td>
<td>`0000665468627</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1955</td>
<td>66 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>63</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1223</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIDYA UTAMI</td>
<td>`016311</td>
<td></td>
<td>`0000665468796</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-10-1973</td>
<td>48 Th</td>
 <td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>61</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1224</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUSIANI</td>
<td>`016312</td>
<td></td>
<td>`0000665597856</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1958</td>
<td>63 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>120/80</td>
<td>76</td>
<td>35</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1225</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUNTAMAH</td>
<td>`016313</td>
<td></td>
<td>`0000666041365</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-09-1979</td>
<td>43 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1226</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MISRI</td>
<td>`016314</td>
<td></td>
<td>`0000666104635</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-10-1953</td>
<td>68 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>58</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>1227</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SULASTRI</td>
<td>`016315</td>
<td></td>
<td>`0000665456962</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-06-1959</td>
<td>63 Th</td>
<td>RT 02 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>60</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1228</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WASITO</td>
<td>`017473</td>
 <td></td>
<td>`0000667348569</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-08-1975</td>
<td>47 Th</td>
<td>RT 002 RW 001</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>60</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1229</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DWI LESTARI</td>
<td>`015025</td>
<td></td>
<td>`0000665582242</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-10-1991</td>
<td>30 Th</td>
<td>RT03</td>
 <td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>IRT</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>79</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>57</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1230</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPRIHATIN</td>
<td>`016299</td>
<td></td>
<td>`0000665629492</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-1969</td>
<td>53 Th</td>
<td>RT 003 RW 001</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
 <td>87</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>58</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1231</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPARTINI</td>
<td>`002373</td>
<td>02/3087</td>
<td>`0001978460335</td>
<td>`3503057112490016</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1949</td>
<td>72 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>56</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1232</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WINARNI</td>
<td>`009643</td>
<td></td>
<td>`0001978460368</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-06-1963</td>
<td>59 Th</td>
<td>RT 22</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>65</td>
<td>95</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>1233</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ELSA APRILIANDA</td>
<td>`015019</td>
<td></td>
<td>`0001978460381</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-04-2005</td>
<td>17 Th</td>
<td>RT08</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>20</td>
<td>91</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1234</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RUMINI</td>
<td>`016316</td>
<td></td>
 <td>`0001978460403</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1955</td>
<td>66 Th</td>
<td>RT 08 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>56</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1235</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RINA ALFIANA</td>
<td>`015020</td>
<td></td>
<td>`0002014006667</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-03-2002</td>
<td>20 Th</td>
<td>RT 08</td>
<td>NGLONGSOR</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>56</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1236</td>
<td>POLINDES NGLONGSOR</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUSRIATI</td>
<td>`016317</td>
<td></td>
<td>`0000665434181</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-04-1969</td>
<td>53 Th</td>
<td>RT 08 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>90</td>
 <td>35</td>
<td>22</td>
<td>154</td>
<td>56</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1237</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td></td>
<td>CARLINO DEWANATA PUTRA MELKY</td>
<td>`020587</td>
<td></td>
<td>`</td>
<td>`3503051406100003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-04-2018</td>
<td>4 Th</td>
<td>NGLEGOK, RT : 11,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>batuk pilek panas</td>
<td>pamol syr ambroxol syr ctm</td>
<td>90/60</td>
<td>100</td>
<td>37</td>
<td>22</td>
<td>90</td>
<td>23</td>
<td>48</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1238</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td></td>
<td>TUMINI</td>
<td>`021497</td>
<td></td>
<td>`</td>
<td>`3503054606740001-503962</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-06-1974</td>
<td>48 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>nyeri gigi, panas</td>
<td>nadik pamol</td>
<td>124/61</td>
<td>74</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1239</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td></td>
<td>ZAKI</td>
<td>`021498</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-09-2019</td>
<td>3 Th</td>
<td>GAMPING 26/3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gatal</td>
<td>bedak salisil ctm</td>
<td>90/60</td>
<td>110</td>
<td>35</td>
<td>22</td>
<td>86</td>
<td>12</td>
<td>48</td>
<td></td>
<td>KASUS BARU</td>
<td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1240</td>
<td>PONKESDES TUMPUK</td>
<td>05-09-2022</td>
<td></td>
<td>DITTAN NURISTA NOVIANDARI</td>
<td>`012811</td>
<td>03/2925</td>
<td>`</td>
 <td>`3503056611020001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-11-2002</td>
<td>19 Th</td>
<td>DUSUN JUMOK, RT : 10,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK</td>
<td>GG,AMOX,CTM</td>
<td>113/68</td>
<td>95</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>50</td>
<td>78</td>
<td></td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1241</td>
<td>PONKESDES TUMPUK</td>
<td>05-09-2022</td>
<td></td>
<td>WAGIYEM</td>
<td>`002470</td>
<td>03/1936</td>
<td>`</td>
<td>`3503057112630058</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1963</td>
<td>58 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Tani/Perkebunan</td>
<td>Lama</td>
<td></td>
<td>KONTROL TENSI,BATUK,PUSING</td>
<td>AMLO,AMOX,PAMOL,GG</td>
<td>180/64</td>
<td>40</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>63</td>
<td>82</td>
<td></td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1242</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td></td>
<td>SITI MARFU`AH</td>
<td>`002900</td>
<td></td>
<td>`0000665622977</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-01-1986</td>
<td>36 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001259</td>
<td>pusing, batuk, pilek</td>
<td>pamol, ctm, obh</td>
<td>131/76</td>
<td>82</td>
<td>36</td>
 <td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1243</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td></td>
<td>SINTO</td>
<td>`017326</td>
<td></td>
<td>`0000666388552</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-01-1949</td>
<td>73 Th</td>
<td>RT 21 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001262</td>
<td>pusing</td>
<td>pamol, fe, amlodipin</td>
<td>138/71</td>
<td>87</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>63</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1244</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td></td>
<td>TUSIYEM</td>
<td>`007022</td>
<td></td>
<td>`0000665713348</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1957</td>
<td>65 Th</td>
<td>RT 15 RW 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001263</td>
<td>batuk, pilek, </td>
<td> ctm, ambroxol, pamol</td>
<td>128/98</td>
<td>81</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>45</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1245</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td></td>
<td>YAUMI</td>
<td>`002886</td>
<td></td>
<td>`0002802747925</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-06-1969</td>
<td>53 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001265</td>
<td>kontrol sesak, keju</td>
<td>ambroxol, dexa, salbutamol, nadik</td>
<td>125/76</td>
<td>84</td>
<td>35</td>
<td>22</td>
<td>157</td>
<td>78</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>R06.0</td>
<td>
Dyspnoea </td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1246</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td></td>
<td>MARSINAH</td>
<td>`001046</td>
<td>04/6707</td>
<td>`0001037000147</td>
<td>`3503054107450002</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1945</td>
<td>77 Th</td>
<td>13/5 NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001268</td>
<td>keju, sebah</td>
<td>pamol, amlodipin, antasid</td>
<td>138/91</td>
<td>82</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>42</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1247</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td></td>
<td>MIANAH</td>
<td>`004502</td>
<td></td>
<td>`0000666145901</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-05-1985</td>
<td>37 Th</td>
<td>RT 20 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001269</td>
<td>batuk, pilek, panas</td>
<td>pamol, ctm, ambroxol, antasid</td>
<td>127/84</td>
<td>74</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1248</td>
<td>PUSTU NGEPEH</td>
<td>05-09-2022</td>
<td></td>
<td>ARSA ADITYA PRATAMA</td>
<td>`004501</td>
<td></td>
<td>`0002196148926</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-10-2016</td>
<td>5 Th</td>
<td>RT 15 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001270</td>
<td>batuk, pilek, panas</td>
<td>pamol, ctm, gg</td>
<td>100/60</td>
<td>100</td>
<td>37</td>
<td>22</td>
 <td>100</td>
<td>17</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1249</td>
<td>PONKESDES TUMPUK</td>
<td>05-09-2022</td>
<td>KIA PUSTU - POLINDES</td>
<td>AURORA RAHMADANI</td>
<td>`010159</td>
<td>03/9135</td>
<td>`0001978444214</td>
<td>`3503055912990001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-12-1999</td>
<td>22 Th</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001005</td>
<td>PERIKSA KEHAMILAN</td>
<td>VIT.C</td>
<td>127/66</td>
<td>94</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>44.5</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.0</td>
<td>
Supervision of normal first pregnancy </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1250</td>
<td>PONKESDES TUMPUK</td>
<td>05-09-2022</td>
<td>KIA PUSTU - POLINDES</td>
<td>FATHAN RANGGA ALFARIZI</td>
<td>`010388</td>
<td>03/2367B</td>
<td>`0002734762094</td>
<td>`3503050709190001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-09-2019</td>
<td>3 Th</td>
<td>RT 007 RW 003</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001007</td>
<td>BATUK,PILEK</td>
<td>SYR.DEMACOLIN,AMOX,GG</td>
<td>76/54</td>
<td>98</td>
<td>36</td>
<td>22</td>
<td>86</td>
<td>12.9</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>1251</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIDAYATI</td>
<td>`013210</td>
<td></td>
<td>`0000667070831</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-07-1980</td>
<td>42 Th</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>112/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>50</td>
<td>1</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1252</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHKHAMAD HATTA WIDIANTO</td>
<td>`013191</td>
<td></td>
<td>`0002269515745</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>26-07-2017</td>
<td>5 Th</td>
<td>PRAMBON RT 8/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>100</td>
<td>20</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1253</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHKHAMAD HAQI WIDIANTO</td>
<td>`012690</td>
<td></td>
<td>`0002269515194</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-07-2017</td>
<td>5 Th</td>
<td>PRAMBON RT 8/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>111</td>
<td>21</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1254</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TIARA NUR WIDIA</td>
<td>`014466</td>
<td></td>
<td>`0002126916549</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-06-2011</td>
<td>11 Th</td>
<td>RT 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>140</td>
 <td>26</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1255</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DIAH SUKMA ANGGRAINI</td>
<td>`014467</td>
<td></td>
<td>`0000667072743</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-07-2000</td>
<td>22 Th</td>
<td>RT 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1256</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KRISNA RAHMADDAN</td>
<td>`014468</td>
<td></td>
<td>`0000667073474</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-08-2009</td>
<td>13 Th</td>
<td>RT 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>143</td>
<td>25</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1257</td>
 <td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WAHYUNI FITRI WULANDARI</td>
<td>`014469</td>
<td></td>
<td>`0000667071764</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-02-1999</td>
<td>23 Th</td>
<td>DUSUN TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>46</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1258</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MESINI</td>
<td>`014470</td>
<td></td>
<td>`0000667069108</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>12-04-1960</td>
<td>62 Th</td>
<td>DUSUN TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1259</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KATIRAN</td>
<td>`018347</td>
<td></td>
<td>`0000666260122</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-08-1978</td>
<td>44 Th</td>
<td>TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
 <td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1260</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KHARIS MUHAMMAD FADIL</td>
<td>`018348</td>
<td></td>
<td>`0000666261314</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-02-2006</td>
<td>16 Th</td>
<td>TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>112/70</td>
<td>0</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>36</td>
 <td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1261</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUMARMI</td>
<td>`013649</td>
<td></td>
<td>`0000665545252</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1964</td>
<td>57 Th</td>
<td>PRAMBON RT 6/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>84</td>
<td>37</td>
<td>24</td>
<td>165</td>
<td>90</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1262</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPARNO</td>
<td>`013648</td>
<td></td>
<td>`0000665545026</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-06-1959</td>
<td>63 Th</td>
<td>PRAMBON RT 6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>162</td>
<td>58</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1263</td>
<td>POLINDES PRAMBON 1</td>
 <td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WENI MAYANGSARI</td>
<td>`013443</td>
<td></td>
<td>`0000665546398</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-06-2004</td>
<td>18 Th</td>
<td>PRAMBON RT 6/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>48</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1264</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KEENAN TSAQIF ALFARIZQI</td>
<td>`018349</td>
<td></td>
<td>`0003134040366</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>11-01-2022</td>
<td>0 Th</td>
<td>TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>58</td>
<td>7</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1265</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMMAD YUSUF ALVIAN PRATAMA</td>
<td>`004114</td>
<td>06/2010</td>
<td>`0002802766454</td>
<td>`3503051605140001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-05-2014</td>
<td>8 Th</td>
<td>TENGGAR, RT : 3,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
 <td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>115</td>
<td>25</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1266</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUGENG</td>
<td>`009426</td>
<td></td>
<td>`0003068136909</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1957</td>
<td>64 Th</td>
<td>PRAMBON RT 6/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>125/100</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>57</td>
<td>0</td>
 <td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1267</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IBNU SHIDIQ KURNIAWAN</td>
<td>`010339</td>
<td>06/4507</td>
<td>`0000666550361</td>
<td>`3503052507060002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-07-2006</td>
<td>16 Th</td>
<td>TENGGAR, RT : 6,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>112/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>49</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1268</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANDAKA RIZKY MUBAROK</td>
<td>`004828</td>
<td></td>
<td>`0002860463755</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-05-2014</td>
<td>8 Th</td>
<td>PRAMBON RT 6/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>128</td>
<td>30</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1269</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>YUNUS</td>
<td>`012047</td>
<td></td>
<td>`0003064259766</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-05-1972</td>
<td>50 Th</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/82</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1270</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMMAD HASBUNAL KAFI</td>
<td>`015631</td>
<td></td>
<td>`0003064259867</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>20-12-1999</td>
<td>22 Th</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>159</td>
<td>57</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1271</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NAHDHIYATUR ROSYIIDAH</td>
<td>`011935</td>
<td></td>
<td>`0003064259957</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-12-2015</td>
<td>6 Th</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
 <td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>120</td>
<td>23</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1272</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HILMAN DZANNADHOR</td>
<td>`003461</td>
<td></td>
<td>`0003064259924</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-04-2017</td>
<td>5 Th</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>106</td>
<td>18</td>
<td>0</td>
<td>Tugu</td>
 <td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1273</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI JUARIYAH</td>
<td>`006926</td>
<td></td>
<td>`0003064259812</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-02-1980</td>
<td>42 Th</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>130/100</td>
<td>84</td>
<td>37</td>
<td>24</td>
<td>152</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1274</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AGUS RIYANTO</td>
<td>`004431</td>
<td></td>
<td>`0002681645128</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-08-1987</td>
<td>35 Th</td>
<td>PRAMBON RT 8/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1275</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>ELFIANA KHAIRUNNISA</td>
<td>`015568</td>
<td></td>
<td>`0003256192001</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-02-2022</td>
<td>0 Th</td>
<td>RT 04</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>58</td>
<td>7</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1276</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BOIRAH</td>
<td>`015833</td>
<td></td>
<td>`0001037013748</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-04-1967</td>
 <td>55 Th</td>
<td>TENGGAR, RT : 8,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>115/85</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>54</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1277</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUSENO CAHYO DININGRAT</td>
<td>`015832</td>
<td></td>
<td>`0001037013759</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-2004</td>
<td>18 Th</td>
<td>TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
 <td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>57</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1278</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NYOTO</td>
<td>`015831</td>
<td></td>
<td>`0001037013737</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-01-1966</td>
<td>56 Th</td>
<td>TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>125/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1279</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUJIRAH</td>
<td>`013005</td>
<td></td>
<td>`0000666030947</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-11-1953</td>
<td>68 Th</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>130/100</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>48</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1280</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>QONITA SHAFIA AZAHRA</td>
<td>`011558</td>
<td></td>
<td>`0002802762922</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-10-2014</td>
<td>7 Th</td>
<td>PRAMBON RT 5/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>116</td>
<td>20</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1281</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANA HALIMATUL SAKDIYAH</td>
 <td>`013157</td>
<td>06/4517</td>
<td>`0002865185638</td>
<td>`3503054906160001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-06-2016</td>
<td>6 Th</td>
<td>DUSUN TENGGAR, RT : 5,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>104</td>
<td>16</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1282</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BINTI IMTI YAAZUR RIHADATUL A</td>
<td>`019544</td>
<td></td>
<td>`0002594793936</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-06-2007</td>
<td>15 Th</td>
 <td>TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/72</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>145</td>
<td>32</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1283</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRI UTAMI</td>
<td>`010451</td>
<td>06/4517</td>
<td>`0002842486389</td>
<td>`3503054509850001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-09-1985</td>
<td>37 Th</td>
<td>DUSUN TENGGAR, RT : 5,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
 <td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>151</td>
<td>51</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1284</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PURWANTO</td>
<td>`014462</td>
<td></td>
<td>`0002860463744</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-10-1979</td>
<td>42 Th</td>
<td>DUSUN TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>162</td>
<td>58</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1285</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FAHRUL RIZALDI</td>
<td>`014459</td>
<td></td>
<td>`0000665304851</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-04-2002</td>
<td>20 Th</td>
<td>DUSUN TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/82</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>61</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>1286</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRI KUNTARI</td>
<td>`014458</td>
<td></td>
<td>`0000665303422</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-08-1974</td>
<td>48 Th</td>
<td>RT 04</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>150/100</td>
<td>84</td>
<td>37</td>
<td>24</td>
<td>160</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1287</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>JUMARI</td>
<td>`011500</td>
 <td>06/9192</td>
<td>`0000665302825</td>
<td>`3503051210750003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-10-1975</td>
<td>46 Th</td>
<td>RT 04 RW 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>124/82</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>167</td>
<td>66</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1288</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IBNU MUCHTAROM</td>
<td>`014457</td>
<td></td>
<td>`0002158256395</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-01-1991</td>
<td>31 Th</td>
<td>RT 01</td>
 <td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>115/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1289</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IRSADI ULTHIFA THORIQUSSALIM</td>
<td>`014456</td>
<td></td>
<td>`0003098846439</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-03-2021</td>
<td>1 Th</td>
<td>RT 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
 <td>0</td>
<td>37</td>
<td>0</td>
<td>62</td>
<td>10</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1290</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RAFARDHAN AL-GHAFALI</td>
<td>`013973</td>
<td></td>
<td>`0002461111255</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-05-2018</td>
<td>4 Th</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>90</td>
<td>12</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1291</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YATENO</td>
<td>`014455</td>
<td></td>
<td>`0000666246903</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-06-1968</td>
<td>54 Th</td>
<td>RT 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/82</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>64</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>1292</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MURTIANI</td>
<td>`013974</td>
<td></td>
<td>`0000666246982</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-03-1971</td>
<td>51 Th</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1293</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SLAMET</td>
<td>`010534</td>
<td></td>
 <td>`0000665954829</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-06-1965</td>
<td>57 Th</td>
<td>PRAMBON RT 1/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1294</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HASBI ALWI</td>
<td>`003782</td>
<td></td>
<td>`0002924456951</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-03-2020</td>
<td>2 Th</td>
<td>RT 04</td>
<td>PRAMBON</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>80</td>
<td>13</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1295</td>
<td>POLINDES PRAMBON 1</td>
<td>05-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RISMA DIYAN LESTARI</td>
<td>`013972</td>
<td></td>
<td>`0000666247408</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-10-2001</td>
<td>20 Th</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/82</td>
<td>80</td>
 <td>37</td>
<td>20</td>
<td>151</td>
<td>53</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1296</td>
<td>RAWAT INAP</td>
<td>06-09-2022</td>
<td>Rawat Inap (UGD)</td>
<td>MUJIRAN</td>
<td>`011835</td>
<td></td>
<td>`0000665679453</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-03-1962</td>
<td>60 Th</td>
<td>DESA WINONG, RT : 2,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>post minum obat sapi,tenggorokan panas, myual muntah, hipersalivasi</td>
<td>infus rl 20 tpm, inj. deksa 1x1, inj. ranit 1x1</td>
<td>160/80</td>
<td>85</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T50.9</td>
<td>
Poisoning by other and unspecified drugs, medicaments and biological
substances </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Biaya rawat inap pasien umum per hari<br>Pemasangan infuse<br>Layanan Unit
Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1297</td>
<td>RAWAT INAP</td>
<td>06-09-2022</td>
<td>Rawat Inap (UGD)</td>
<td>MEIKO YUANDNA PUTRA</td>
<td>`006498</td>
<td></td>
<td>`0002932265902</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-04-2020</td>
<td>2 Th</td>
<td>RT. 17 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS, BAB WARNA COKLAT</td>
<td>INFUS RL 30 TPM MICRO</td>
<td>90/60</td>
<td>106</td>
<td>40</td>
<td>22</td>
<td>86</td>
<td>12</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>D69.6</td>
<td>
Thrombocytopenia, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
 <td>
Layanan Unit Gawat Darurat (UGD)<br>Pemasangan infuse<br>Rujukan Ke RS di
Trenggalek PKM Tugu<br> </td>
</tr>
<tr align='left' valign="top">
<td>1298</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>ELLA NURDIANA</td>
<td>`000862</td>
<td></td>
<td>`0001978462078</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-07-1993</td>
<td>29 Th</td>
<td>BANARAN RT 11</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kb suntik</td>
<td>medroxy</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>0</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1299</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>MUYATIN</td>
 <td>`002966</td>
<td>06/5933A</td>
<td>`0000666486191</td>
<td>`3503054712800004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-02-1980</td>
<td>42 Th</td>
<td>KRAJAN, RT : 17,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing,batuk,pilek</td>
<td>pamol,gg,vit c</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>0</td>
<td>51</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>J06.0</td>
<td>
Acute laryngopharyngitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1300</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANDRI PURWATI</td>
<td>`013179</td>
<td></td>
<td>`0000666397438</td>
<td>`3503054109930003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-1993</td>
<td>29 Th</td>
 <td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>112/67</td>
<td>80</td>
<td>36</td>
<td>18</td>
<td>154</td>
<td>56</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1301</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ALFIN RAFQI ABDILLAH</td>
<td>`013180</td>
<td></td>
<td>`0002762044558</td>
<td>`3503052904190001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-04-2019</td>
<td>3 Th</td>
<td>RT 027 RW 012 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
 <td>106/56</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>67</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1302</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SULIS ISTIQOMAH</td>
<td>`003005</td>
<td>04/8990</td>
<td>`0002729557078</td>
<td>`3503054202890001</td>
<td>`</td>
<td></td>
<td>085964248970</td>
<td>P</td>
<td>02-02-1989</td>
<td>33 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>132/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1303</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ROBIATUL FATIMAH</td>
<td>`002126</td>
<td></td>
<td>`0000665942859</td>
<td>`3503054905980001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-05-1998</td>
<td>24 Th</td>
<td>DUSUN KASIHAN, RT : 28,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/76</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>1304</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KENZHA ANANDA PUTRA</td>
<td>`013181</td>
<td>04/3894</td>
<td>`0002912501564</td>
<td>`3503051912190002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-12-2019</td>
<td>2 Th</td>
<td>RT 028 RW 012</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>166</td>
<td>68</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1305</td>
<td>RAWAT INAP</td>
<td>06-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>KANITA ANINDYA SHERLLY PRAMUDYA</td>
<td>`001390</td>
 <td>04/7119</td>
<td>`0002466788365</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-06-2018</td>
<td>4 Th</td>
<td>RT 06 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922P000464</td>
<td>panas 3 hari, pusing, mual muntah, nafsu makan menurun</td>
<td>infus rl 8 tpm, inj, ampi 3x 200 mg, inj.deksa 2x 0,4 cc, pamol sy 4x
2cth</td>
<td>90/50</td>
<td>88</td>
<td>38</td>
<td>22</td>
<td>100</td>
<td>12</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pemasangan infuse<br>Layanan Unit Gawat Darurat (UGD)<br>Biaya rawat inap
pasien umum per hari<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Konsultasi<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>1306</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KENZHO ANANDA RIZQI</td>
<td>`013182</td>
<td>04/3894</td>
<td>`0002912500923</td>
<td>`3503051912190001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>19-12-2019</td>
<td>2 Th</td>
<td>RT 028 RW 012</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/76</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1307</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUHARTI</td>
<td>`002380</td>
<td>04/5655</td>
<td>`0000666084868</td>
<td>`3503054701860001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-01-1986</td>
<td>36 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
 <td>POSYANDU</td>
<td>-</td>
<td>143/56</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>58</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1308</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMMAD NADHIM AFIFUDDIN</td>
<td>`000453</td>
<td>04/5655</td>
<td>`0002936856677</td>
<td>`3503052503200001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-03-2020</td>
<td>2 Th</td>
<td>DUSUN KASIHAN, RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>122/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1309</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LAILATUL HIDAYAH</td>
<td>`004211</td>
<td></td>
<td>`0001978433684</td>
<td>`3503056506870001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-06-1987</td>
<td>35 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>117/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1310</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUKHAMMAD MAKHSUN ZAKI RAMADHANI</td>
<td>`006497</td>
<td></td>
<td>`0002501164833</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-06-2017</td>
<td>5 Th</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>120/78</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>167</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1311</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>LULUK ANGGRAINI</td>
<td>`002890</td>
<td></td>
<td>`0000666212962</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-01-1993</td>
<td>29 Th</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>158/98</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>168</td>
<td>67</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1312</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIJI ASTUTIK</td>
<td>`004981</td>
<td></td>
<td>`0000666820091</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-04-1987</td>
 <td>35 Th</td>
<td>RT.27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>143/87</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>64</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1313</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TSANI SAKHA ARKAN WIRATAMA</td>
<td>`008619</td>
<td></td>
<td>`0003091778278</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-11-2020</td>
<td>1 Th</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
 <td>-</td>
<td>108/67</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>68</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1314</td>
<td>RAWAT INAP</td>
<td>06-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>WAHYU MEGA PURWATI</td>
<td>`003372</td>
<td></td>
<td>`0000106553057</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-12-1993</td>
<td>28 Th</td>
<td>BANARAN RT2</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td></td>
<td>panas 4 hari, pusing</td>
<td>infus rl 20 tpm, inj. ampicillin 2x1, inj. deksa 2x1 amp,pamol,
antasida</td>
<td>110/70</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis ringan
lainnya<br>Pemasangan infuse<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Biaya rawat
inap pasien umum per hari<br>Biaya rawat inap pasien umum per hari<br>Biaya rawat
inap pasien umum per hari<br>Konsultasi<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>1315</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRI WAHYUNI</td>
<td>`002901</td>
<td></td>
<td>`0001036997673</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-05-1986</td>
<td>36 Th</td>
<td>RT 28 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>136/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>166</td>
<td>75</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1316</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td></td>
<td>SABRINA VARISHA PUTRI</td>
<td>`005331</td>
<td></td>
<td>`0002750493734</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-03-2019</td>
<td>3 Th</td>
<td>PRAMBON RT 28/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000309</td>
<td>PANAS</td>
<td>PAMOL SIRUP KOTRI SIRUP</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>24</td>
<td>90</td>
<td>14</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1317</td>
 <td>POLI KIA</td>
<td>06-09-2022</td>
<td></td>
<td>NURI YATUL MUNGA JIZAH</td>
<td>`011611</td>
<td>90/2369</td>
<td>`0000655765132</td>
<td>`3502055107010003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-07-2001</td>
<td>21 Th</td>
<td>RT 03 RW 02</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000324</td>
<td>keluar cairan banyak</td>
<td>-</td>
<td>127/78</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>52</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>O42.0</td>
<td>
Premature rupture of membranes, onset of labour within 24 hours </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1318</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>WAHYUNI</td>
<td>`003175</td>
<td></td>
<td>`0001978463665</td>
<td>`3503051307780004</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>13-07-1978</td>
<td>44 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1319</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>AYUNDA SAFFIRA PUTRI</td>
<td>`017368</td>
<td>05/5808</td>
<td>`0001978463676</td>
<td>`3503056706060001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-06-2006</td>
<td>16 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
 <td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1320</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>MUNAWIR GHOZALI</td>
<td>`015991</td>
<td></td>
<td>`0003279081216</td>
<td>`3503051003670002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-03-1967</td>
<td>55 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1321</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SUYATUN</td>
<td>`014080</td>
<td></td>
<td>`0003068092484</td>
<td>`3503055702610002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-02-1961</td>
<td>61 Th</td>
<td>TAWANG, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1322</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>JAETUN</td>
<td>`012571</td>
<td></td>
<td>`0000665496044</td>
<td>`3503057112550051</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1955</td>
<td>66 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1323</td>
 <td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SUNARYANI</td>
<td>`012180</td>
<td></td>
<td>`0002802762729</td>
<td>`3503054406670004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1967</td>
<td>55 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1324</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>KATENI</td>
<td>`020694</td>
<td>01/752</td>
<td>`</td>
<td>`3503052004640003</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>20-04-1964</td>
<td>58 Th</td>
<td>DUSUN KEBONSARI, RT : 27,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>PERUT SEBAH PERIH HIDUNG BAU</td>
<td>CIOPRO OMEPRAZOLE PCT ANTASIDA GLIMEPIRID AMLODIPIN SIMVASTATIN</td>
<td>173/97</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>66</td>
<td>67</td>
<td></td>
<td>KASUS BARU</td>
<td>J01.9</td>
<td>
Acute sinusitis, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1325</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LILIK WIGIATI</td>
<td>`016708</td>
<td></td>
<td>`0001978464194</td>
<td>`3503055605940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-05-1994</td>
<td>28 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
 <td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>111/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1326</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SRINATUN</td>
<td>`010832</td>
<td></td>
<td>`0001324006558</td>
<td>`3503055012650002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1965</td>
<td>56 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1327</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SUNARNO</td>
<td>`013341</td>
<td></td>
<td>`0000106802109</td>
<td>`3503050708410001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-08-1941</td>
<td>81 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1328</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>YUNI ASTUTI</td>
<td>`020928</td>
<td></td>
<td>`0001978462811</td>
<td>`3503055906860001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-06-1986</td>
<td>36 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1329</td>
<td>PONKESDES BANARAN</td>
 <td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SURATUN</td>
<td>`002417</td>
<td></td>
<td>`0001978462203</td>
<td>`3503054802570001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-02-1957</td>
<td>65 Th</td>
<td>DESA BANARAN, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1330</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>MUHAMMAD RIDWAN</td>
<td>`010395</td>
<td>06/5485</td>
<td>`</td>
<td>`3503066408150001</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>04-08-2015</td>
<td>7 Th</td>
<td>PRAMBON, RT : 30,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS TADI MALAM BATUK PILEK</td>
<td>IBUPROF SYR AMBROKSOL SYR SALBUTAMOL</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>18</td>
<td>18</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td>J45</td>
<td>
Asthma </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1331</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>YUNIARTI</td>
<td>`008083</td>
<td>05/5320</td>
<td>`0001978462359</td>
<td>`3503054306870006</td>
<td>`</td>
<td></td>
<td>085355488497</td>
<td>P</td>
<td>09-06-1987</td>
<td>35 Th</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
 <td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1332</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>RAVAEL JUNA SAKTI</td>
<td>`020929</td>
<td></td>
<td>`0002583547402</td>
<td>`3503052701150002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-01-2015</td>
<td>7 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1333</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NITA NURROHMAH</td>
<td>`016709</td>
<td></td>
<td>`0000666370484</td>
<td>`3503054802910003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-02-1991</td>
<td>31 Th</td>
<td>DUSUN BANGGLE, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>166</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1334</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SUNARI</td>
<td>`020930</td>
<td></td>
<td>`0001707122957</td>
<td>`3503050107920004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1992</td>
<td>30 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1335</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>NADIA AULIA PUTRI</td>
<td>`016710</td>
<td></td>
<td>`0002093929345</td>
<td>`3503055810160002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-10-2016</td>
<td>5 Th</td>
<td>DUSUN BANGGLE, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>67</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1336</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>KAINUN</td>
<td>`020931</td>
<td></td>
<td>`0001044022948</td>
<td>`3517074302870005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>03-02-1987</td>
<td>35 Th</td>
<td>DUSUN TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1337</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>TOIKEM</td>
<td>`020698</td>
<td>04/3022</td>
<td>`0000666894159</td>
<td>`350305530550001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-05-1950</td>
<td>72 Th</td>
<td>RT 28 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
 <td>rujukan masih berlaku </td>
<td>-</td>
<td>130/80</td>
<td>78</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1338</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BATMI SUCI PUSPITASARI</td>
<td>`000578</td>
<td>08/4400</td>
<td>`0001037006008</td>
<td>`3503056502960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-02-1996</td>
<td>26 Th</td>
<td>RT 07 RW 03</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>165</td>
<td>54</td>
<td>100</td>
<td>1</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1339</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>ALI MUNASIKIN</td>
<td>`020932</td>
<td></td>
<td>`0000666272193</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-10-2014</td>
<td>7 Th</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1340</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BINTI HIDAYATI</td>
<td>`013818</td>
<td></td>
<td>`0001978464238</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-03-1979</td>
<td>43 Th</td>
<td>RT9RW3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/88</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1341</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>ARAYA HIDISWANTIARA RAMADHANI</td>
<td>`013817</td>
<td></td>
<td>`0002259193915</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-06-2017</td>
<td>5 Th</td>
<td>RT9RW3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>167</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1342</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td></td>
<td>PUJI ASTUTI</td>
<td>`012523</td>
<td>06/8982</td>
<td>`0001255931965</td>
<td>`3503056509880001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>25-09-1988</td>
<td>34 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000325</td>
<td>keluar cairan banyak</td>
<td>-</td>
<td>127/78</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>52</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>O42.0</td>
<td>
Premature rupture of membranes, onset of labour within 24 hours </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1343</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LILIK INDAHSARI</td>
<td>`013796</td>
<td></td>
<td>`0001978986082</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-06-1990</td>
<td>32 Th</td>
<td>RT7RW3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
 <td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>47</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1344</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NAPI ULIL AMRI</td>
<td>`012424</td>
<td></td>
<td>`0001978986227</td>
<td>`3503060712880001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-12-1988</td>
<td>33 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>66</td>
<td>1</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1345</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FANDU ZAKI PRATAMA</td>
<td>`000955</td>
<td>08/6701</td>
<td>`0001978896881</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-03-2012</td>
<td>10 Th</td>
<td>RT 07 RW 03</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>45</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1346</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SUNARTI</td>
<td>`012581</td>
<td></td>
<td>`0000665487652</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-10-1960</td>
<td>61 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1347</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
 <td>KAYLA AYUNINDYA ZAHRA</td>
<td>`017371</td>
<td></td>
<td>`0001707122766</td>
<td>`3503054106130001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-2013</td>
<td>9 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1348</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUJIARTO</td>
<td>`016717</td>
<td></td>
<td>`0001307354703</td>
<td>`3503052708790004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-08-1979</td>
 <td>43 Th</td>
<td>DESA WINONG, RT : 8,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1349</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>ANIS YUNITA ANGGRAENI</td>
<td>`014144</td>
<td></td>
<td>`0001707122755</td>
<td>`3503055401910001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-01-1991</td>
<td>31 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1350</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ETIK WINARSIH</td>
<td>`013806</td>
<td></td>
<td>`0001307354398</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-08-1981</td>
<td>41 Th</td>
<td>RT8RW3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>167</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1351</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>GHEA KIANA EL FARAH</td>
<td>`013805</td>
<td></td>
<td>`0002467268122</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-06-2018</td>
<td>4 Th</td>
<td>RT8RW3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>65</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1352</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DIEGA AHMAD SHIDQI REYBRIAN</td>
<td>`016721</td>
<td></td>
<td>`0001307355041</td>
<td>`3503052612080001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-12-2008</td>
<td>13 Th</td>
<td>DESA WINONG, RT : 8,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>118/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>65</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1353</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ERJAWANTO</td>
 <td>`016722</td>
<td></td>
<td>`0001978898668</td>
<td>`3503052412830002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-12-1983</td>
<td>38 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1354</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ERNANDA PURNOMO APRIANTO</td>
<td>`016723</td>
<td></td>
<td>`0001978896903</td>
<td>`3503051004090001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-04-2009</td>
<td>13 Th</td>
 <td>RT - RW -</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>36</td>
<td>16</td>
<td>176</td>
<td>76</td>
<td>1</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1355</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>RIA DEWI ANJARWATI</td>
<td>`002065</td>
<td>90/417</td>
<td>`</td>
<td>`3503066508000002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-08-2000</td>
<td>22 Th</td>
<td>RT 11 RW 02</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>GATAL</td>
<td>BETASON LORATADIN PREDNISON GENTAMISIN</td>
 <td>118/68</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>47</td>
<td>40</td>
<td></td>
<td>KASUS BARU</td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1356</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>ALBIA REGITA CAHYANING AGNA</td>
<td>`020933</td>
<td>04/8668</td>
<td>`0000208834492</td>
<td>`8105015502030007</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-02-2003</td>
<td>19 Th</td>
<td>RT 12 RW 05</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td>131506010922Y000308</td>
<td>BINTIK 2 MERAH PADA PIPI SETELAH MAKAN TELUR</td>
<td>LORATADIN PREDNISON BETASON</td>
<td>100/59</td>
<td>69</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>66</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L30.9</td>
 <td>
Dermatitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1357</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>SUNARMI</td>
<td>`002778</td>
<td>90/707</td>
<td>`0002317347257</td>
<td>`3503066005650002</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>20-05-1965</td>
<td>57 Th</td>
<td>DUSUN SOKO, RT : 7,RW :2 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000274</td>
<td>kontrol</td>
<td>rujukan</td>
<td>125/69</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>71</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I21</td>
<td>
Acute myocardial infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1358</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FAJAR AFIF ALFARIZQI</td>
<td>`013815</td>
<td></td>
<td>`0002739219456</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-04-2018</td>
<td>4 Th</td>
<td>RT9RW3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1359</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AGUS SRIANTI</td>
 <td>`013814</td>
<td></td>
<td>`0001978986069</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-08-1987</td>
<td>35 Th</td>
<td>RT9RW3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>65</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1360</td>
<td>POLI REMAJA</td>
<td>06-09-2022</td>
<td></td>
<td>AHMAD ADIAN FERY NUGROHO</td>
<td>`020934</td>
<td>01/4366</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-06-2009</td>
<td>13 Th</td>
 <td>RT 11 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>SESAK MERIANG BATUK PILEK</td>
<td>AMOK PAMOL MP AMBROKSOL CTM SALBUTAMOL</td>
<td>102/59</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>44</td>
<td>40</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1361</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AZIS ARIFIANTO</td>
<td>`016726</td>
<td></td>
<td>`0000665968994</td>
<td>`3503050610800001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-10-1980</td>
<td>41 Th</td>
<td>DESA WINONG, RT : 8,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
 <td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1362</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HIDAYATI</td>
<td>`013802</td>
<td></td>
<td>`0000665968948</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-07-1985</td>
<td>37 Th</td>
<td>RT8RW3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>65</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1363</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>MUHAMMAD YASIN</td>
<td>`020402</td>
<td>08/5190</td>
<td>`0000666153718</td>
<td>`3503050409040002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-09-2004</td>
<td>18 Th</td>
<td>DUSUN SELOMUNDING, RT : 4,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000284</td>
<td>KONTROL LUKA</td>
<td>RAWAT LUKA</td>
<td>110/80</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>65</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z48.0</td>
<td>
Attention to surgical dressings and sutures </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1364</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MERYTHA RIZKA AZTIA TUROBBI`AH</td>
<td>`016728</td>
<td></td>
<td>`0000665969275</td>
<td>`3503055003100001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-03-2010</td>
<td>12 Th</td>
<td>DESA WINONG, RT : 8,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1365</td>
<td>POLI GIGI</td>
<td>06-09-2022</td>
<td></td>
<td>MOH ROBIT NAZRUL HANAN</td>
<td>`019557</td>
 <td>01/1655</td>
<td>`0000666649315</td>
<td>`3503050404050002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-04-2005</td>
<td>17 Th</td>
<td>DUSUN KEBONSARI, RT : 30,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000376</td>
<td>karang gigi bagian atas bawah kiri</td>
<td>pro scaling + konsultasi</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>62</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>k03.6</td>
<td>
Deposits [accretions] on teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>1366</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WATEMIN</td>
<td>`012941</td>
<td>08/7420</td>
<td>`0000666140725</td>
<td>`3503053012740002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-12-1974</td>
<td>47 Th</td>
<td>RT 007 RW 003</td>
 <td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1367</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRIANI</td>
<td>`013813</td>
<td></td>
<td>`0000666140861</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-04-1978</td>
<td>44 Th</td>
<td>RT7RW3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
 <td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1368</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td></td>
<td>LEMU</td>
<td>`020640</td>
<td>07/9364</td>
<td>`0001963863742</td>
<td>`5207080911590001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-11-1959</td>
<td>62 Th</td>
<td>RT 12 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000275</td>
<td>minum obat dari poli saraf alergi riwyt CVA</td>
<td>-</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>168</td>
<td>70</td>
<td>98</td>
<td>LAMONGAN</td>
<td>KASUS BARU</td>
<td>I63.9</td>
<td>
 Cerebral infarction, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1369</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>ADONIA ORLIN MAULANA</td>
<td>`011447</td>
<td>03/607</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-04-2017</td>
<td>5 Th</td>
<td>RT 09</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS BATUK PILEK</td>
<td>AMOK MP AMBROKSOL CTM VIT C SALBUTAMOL</td>
<td>1/1</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>100</td>
<td>16</td>
<td>15</td>
<td></td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1370</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>HAFIDA HANUM AGHNIYAK</td>
<td>`020935</td>
<td>03/607</td>
<td>`0003011605953</td>
<td>`3503055511980001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-11-1998</td>
<td>23 Th</td>
<td>DUSUN JUMOK, RT : 9,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td>131506010922Y000276</td>
<td>pilek serik</td>
<td>amok dexa ctm vit c</td>
<td>111/63</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>41</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1371</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>MUHAMAD ALI MURTADO</td>
<td>`020936</td>
<td>07/5987</td>
 <td>`0001265121898</td>
<td>`3503062110810001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-10-1981</td>
<td>40 Th</td>
<td>RT 05 RW 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Baru</td>
<td>131506010922Y000326</td>
<td>KONTROL POST OPNAME PERUT SEBAH</td>
<td>RANITIDIN OMEPRAZOLE PAMOL SYR SUKRALFAT</td>
<td>156/92</td>
<td>93</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>52</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1372</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td></td>
<td>SLAMET</td>
<td>`020757</td>
<td>05/3077</td>
<td>`0000666296098</td>
<td>`3503050602600001</td>
<td>`</td>
<td>slamet</td>
<td></td>
<td>L</td>
<td>06-02-1960</td>
<td>62 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>kontrol post opname herpes dipinggang dan diperut</td>
<td>acyclofir,ibuprofen prednison vit c antasida </td>
<td>127/68</td>
<td>79</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z09.9</td>
<td>
Follow-up examination after unspecified treatment for other conditions
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1373</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>SUMANTO</td>
<td>`003539</td>
<td>02/5551</td>
<td>`0000665869072</td>
<td>`3503053112710020</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1971</td>
<td>50 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000307</td>
<td>BATUK PUSING SESAK</td>
<td>AMBROKSOL OBH SYR DEXA AMOL PAMOL SALBUTAMOL DOMPERIDON HCT</td>
<td>154/87</td>
 <td>90</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>84</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45</td>
<td>
Asthma </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1374</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NASIKH IFTITAH MINADI RAHMA</td>
<td>`005347</td>
<td></td>
<td>`0001978465871</td>
<td>`3503054110130002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-2013</td>
<td>8 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1375</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>TRI WINARNO</td>
<td>`020937</td>
<td>08/8664</td>
<td>`</td>
<td>`3503051007780004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-07-1978</td>
<td>44 Th</td>
<td>RT 07 RW 03</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Baru</td>
<td></td>
<td>SKS</td>
<td>-</td>
<td>153/74</td>
<td>67</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>69</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1376</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MAYA SEPTI MINADIRAHMA</td>
<td>`016729</td>
<td></td>
<td>`0000666140894</td>
<td>`3503054109050003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-2005</td>
<td>17 Th</td>
<td>RT 007 RW 003</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>65</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1377</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FIRLY LATHIF MINADIRAHMA</td>
<td>`010841</td>
<td>08/7420</td>
 <td>`0002775763045</td>
<td>`3503051509180001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-09-2018</td>
<td>4 Th</td>
<td>RT 07 RW 03</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1378</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PURYANI</td>
<td>`016730</td>
<td></td>
<td>`0001037007369</td>
<td>`3503050708730002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-07-1974</td>
<td>48 Th</td>
<td>RT 009 RW 003</td>
<td>WINONG</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>15</td>
<td>65</td>
<td>66</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1379</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BINTANG NARENDRA IBRAHIM</td>
<td>`013801</td>
<td></td>
<td>`0002221767898</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-02-2017</td>
<td>5 Th</td>
<td>RT9RW3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
 <td>36</td>
<td>16</td>
<td>157</td>
<td>57</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1380</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MOHAMAD SULTHANA</td>
<td>`016732</td>
<td></td>
<td>`0001037007371</td>
<td>`3503053107980001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-07-1998</td>
<td>24 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>65</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1381</td>
<td>POLI REMAJA</td>
<td>06-09-2022</td>
<td></td>
<td>MUHAMMAD SYAIFULLOH</td>
<td>`020938</td>
<td>06/8058</td>
<td>`0001887571787</td>
<td>`3515162705050002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-05-2005</td>
<td>17 Th</td>
<td>DUSUN PAKEL, RT : 36,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000290</td>
<td>PANAS BATUK PILEK</td>
<td>AMOK AMBROKSOL PAMOL MP VIT C CTM</td>
<td>119/65</td>
<td>91</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>44</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1382</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KEYLA PUTRI SALSABILA</td>
<td>`016733</td>
<td></td>
<td>`0001978465779</td>
<td>`3503055502080001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-02-2008</td>
<td>14 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>10</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1383</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUJIARTO</td>
<td>`016734</td>
<td></td>
<td>`0001978465768</td>
 <td>`3503050508780002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-08-1978</td>
<td>44 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1384</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>IKHWANUDIN</td>
<td>`000218</td>
<td>01/5603</td>
<td>`0000664967193</td>
<td>`3503050105880001</td>
<td>`116109</td>
<td></td>
<td></td>
<td>L</td>
<td>01-05-1988</td>
<td>34 Th</td>
<td>DUSUN GONDANG, RT : 009,RW :002 </td>
<td>GONDANG</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000286</td>
<td>KONTROL AMBIL OBAT JIWA</td>
<td>CPZ HALOPERIDOL</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>65</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F20</td>
<td>
Schizophrenia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1385</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRI ASTUTI</td>
<td>`016735</td>
<td></td>
<td>`0001977829424</td>
<td>`3503056010850002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-10-1985</td>
<td>36 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
 <td>16</td>
<td>156</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1386</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td></td>
<td>NOVA LIANA</td>
<td>`014400</td>
<td>06/5714</td>
<td>`0000666696543</td>
<td>`3503054411010001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-11-2001</td>
<td>20 Th</td>
<td>RT 56 RW 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000377</td>
<td>taa</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1387</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>SISWANTO</td>
<td>`009386</td>
<td>06/8224</td>
<td>`0002734754872</td>
<td>`3503051609000003</td>
<td>`</td>
<td></td>
<td>082244654623</td>
<td>L</td>
<td>09-11-1997</td>
<td>24 Th</td>
<td>RT 50 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000277</td>
<td>-</td>
<td>-</td>
<td>120/53</td>
<td>71</td>
<td>36</td>
<td>20</td>
<td>166</td>
<td>59</td>
<td>69</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F20</td>
<td>
Schizophrenia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1388</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>JAZMINE NAZWA PRAMESWARI</td>
<td>`018364</td>
<td></td>
<td>`0003067630964</td>
<td>`3503056803150001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-03-2015</td>
<td>7 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>45</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1389</td>
<td>POLI MTBS</td>
<td>06-09-2022</td>
<td></td>
<td>KANITA ANINDYA SHERLLY PRAMUDYA</td>
<td>`001390</td>
<td>04/7119</td>
<td>`0002466788365</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-06-2018</td>
<td>4 Th</td>
<td>RT 06 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000327</td>
<td>PANAS BATUK</td>
<td>AMOK MP AMBROKSOL SALBUTAMOL VIT C SYR DEMACOLIN</td>
<td>1/1</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>100</td>
<td>13</td>
<td>13</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1390</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MULYONO</td>
<td>`016737</td>
<td></td>
<td>`0001037005569</td>
<td>`3503052802660001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-02-1966</td>
<td>56 Th</td>
<td>RT 009 RW 003</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1391</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RIATIN</td>
<td>`006491</td>
<td>08/3126</td>
<td>`0001037005571</td>
<td>`3503056408790001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-08-1979</td>
<td>43 Th</td>
<td>RT 9 RW 3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
 <td>156</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1392</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LISTYA KUMALASARI</td>
<td>`016738</td>
<td></td>
<td>`0001037005582</td>
<td>`3503054201990002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-01-1999</td>
<td>23 Th</td>
<td>RT 009 RW 003</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1393</td>
<td>POLI REMAJA</td>
<td>06-09-2022</td>
<td></td>
<td>RIKHO FATKUL JINAN</td>
<td>`004529</td>
<td>01/4274</td>
<td>`0001978458805</td>
<td>`3503050705060002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-05-2006</td>
<td>16 Th</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000279</td>
<td>BATUK PILEK SARIAWAN PUSING</td>
<td>PAMOL AMOK GG CTM MP VIT C GENTIAN VIOLET</td>
<td>104/67</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>55</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>K12.0</td>
<td>
Recurrent oral aphthae </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>1394</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>NURYATIN</td>
<td>`008266</td>
<td>01/4274</td>
<td>`0001978458827</td>
<td>`3503056403830001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-03-1983</td>
<td>39 Th</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000281</td>
<td>BOYOK LINU GATAL DI KAKI</td>
<td>LORATADIN PREDNISON SALEP BETASON NADIC BC</td>
<td>106/76</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1395</td>
<td>POLI REMAJA</td>
<td>06-09-2022</td>
<td></td>
<td>ZABRINA DWI AYU PALUPI</td>
<td>`020939</td>
<td>02/4319</td>
<td>`</td>
<td>`3503056212080001</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>22-12-2008</td>
<td>13 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS BATUK PILEK PUSING</td>
<td>SALBUTAMOL AMBROXOL AMOK OBH SYR MP PAMOL VIT C CTM</td>
<td>110/65</td>
<td>117</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>36</td>
<td>30</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J45</td>
<td>
Asthma </td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1396</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>SUHARTINI</td>
<td>`002746</td>
<td>02/2340</td>
<td>`0000106528869</td>
<td>`3503056510690002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-10-1969</td>
<td>52 Th</td>
<td>RT 5 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000283</td>
<td>KONSULTASI RUJUKAN</td>
<td>-</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>78</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1397</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BIMA AGUNG PRATAMA</td>
<td>`016740</td>
<td></td>
<td>`0001037005593</td>
<td>`3503052404080001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-04-2008</td>
<td>14 Th</td>
<td>RT 009 RW 003</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>176</td>
 <td>67</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1398</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>VERNANDO ULIN NUHA</td>
<td>`010571</td>
<td>01/4392</td>
<td>`0002239834588</td>
<td>`3503050804170005</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-04-2017</td>
<td>5 Th</td>
<td>RT 09 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1399</td>
<td>POLI GIGI</td>
<td>06-09-2022</td>
<td></td>
<td>BOIRAH</td>
<td>`002296</td>
<td>01/347</td>
<td>`0001978459143</td>
<td>`3503057105520001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-05-1952</td>
<td>70 Th</td>
<td>DUSUN GONDANG, RT : 17,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000378</td>
<td>gigi seluruh rahang terasa nyeri</td>
<td>konsultasi + medkasi</td>
<td>140/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>71</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>1400</td>
 <td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SLAMET WIDODO</td>
<td>`002754</td>
<td>01/4392</td>
<td>`0000665416438</td>
<td>`1201042706750004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-06-1975</td>
<td>47 Th</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1401</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SLAMET WIDODO</td>
<td>`002754</td>
<td>01/4392</td>
<td>`0000665416438</td>
<td>`1201042706750004</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>27-06-1975</td>
<td>47 Th</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1402</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>JOKO SUSANTO</td>
<td>`001693</td>
<td>02/8741</td>
<td>`</td>
<td>`3503051008710004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-08-1971</td>
<td>51 Th</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
 <td>Lama</td>
<td></td>
<td>KONTROL AMBIL OBAT</td>
<td>CLOZAPIN TFP</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>F20</td>
<td>
Schizophrenia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1403</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td></td>
<td>KATINEM</td>
<td>`012625</td>
<td>02/4647</td>
<td>`</td>
<td>`3503055003490001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-03-1949</td>
<td>73 Th</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td></td>
<td>badan masih lemes nafsu makan menurun</td>
<td>cipro,gg,ctm,pamol,amlodipin5mg ,bc</td>
<td>157/72</td>
<td>83</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>47</td>
 <td>76</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1404</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUNWARI VITA SRIWIRATMI</td>
<td>`009515</td>
<td>01/4392</td>
<td>`0000665416271</td>
<td>`3503056301870002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-01-1987</td>
<td>35 Th</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1405</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IKA SULISTIOWATI</td>
<td>`008025</td>
<td>01/2488</td>
<td>`0002231539053</td>
<td>`3503056310850001</td>
<td>`</td>
<td></td>
<td>085234232483</td>
<td>P</td>
<td>23-10-1985</td>
<td>36 Th</td>
<td>RT 7 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1406</td>
<td>POLI KIA</td>
 <td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NAUFAL MAHARDIKA AFLAH</td>
<td>`011011</td>
<td></td>
<td>`0002231539165</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-04-2012</td>
<td>10 Th</td>
<td>RT 7 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1407</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARYASATYA ADYATAMA ALHANAN</td>
<td>`016110</td>
<td></td>
<td>`0003129638073</td>
<td>`3503050501220001</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>05-01-2022</td>
<td>0 Th</td>
<td>RT 007 RW 002</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1408</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>EKA DWI LESTARI</td>
<td>`020940</td>
<td></td>
<td>`</td>
<td>`3503055510890001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-10-1989</td>
<td>32 Th</td>
<td>RT 01 RW 01</td>
<td>KEREP</td>
<td>TAROKAN</td>
<td>KEDIRI</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Baru</td>
 <td></td>
<td>SKS</td>
<td>-</td>
<td>122/73</td>
<td>72</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>40</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1409</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FITRIANI</td>
<td>`013765</td>
<td></td>
<td>`0000665911844</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-02-1986</td>
<td>36 Th</td>
<td>RT 13 RW 3</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1410</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI QOMARIYAH</td>
<td>`016113</td>
<td></td>
<td>`0002860464172</td>
<td>`3503054305850002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-05-1985</td>
<td>37 Th</td>
<td>DUSUN GONDANG, RT : 7,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1411</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>SITI MAISYAROH</td>
<td>`020942</td>
<td>03/2515</td>
<td>`</td>
<td>`3503054705770002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-05-1977</td>
<td>45 Th</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td></td>
<td>PERUT ATAS KANAN AGAK BESAR PUSING</td>
<td>OMEPRAZOLE BC MP PAMOL</td>
<td>131/65</td>
<td>64</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1412</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>AHMAD WULIDAL HABIB</td>
<td>`016114</td>
<td></td>
<td>`0002867872825</td>
<td>`3503061503820004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-03-1982</td>
<td>40 Th</td>
<td>RT 007 RW 002</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1413</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RAFA ARYA SETIAWAN</td>
<td>`013772</td>
<td></td>
<td>`0003078004004</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>07-04-2021</td>
<td>1 Th</td>
<td>RT 8 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1414</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YENI ARIYANTI</td>
<td>`000227</td>
<td>01/106</td>
<td>`0000665561812</td>
<td>`3503056006980002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-06-1998</td>
<td>24 Th</td>
<td>RT 08 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
 <td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1415</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>FIFIN EKO SRI SUNARTI</td>
<td>`020753</td>
<td>02/9360</td>
<td>`</td>
<td>`3503055005640004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-05-1964</td>
<td>58 Th</td>
<td>RT 07 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td></td>
<td>PERUT SEBAH</td>
<td>OMEPRAZOLE RANITIDIN PAMOL SYR SUKRALFAT</td>
<td>135/70</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>59</td>
<td>65</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1416</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FARID KURNIAWAN</td>
<td>`016117</td>
<td></td>
<td>`0000665057136</td>
<td>`3503050103890001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-03-1989</td>
<td>33 Th</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1417</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DWI NUR ANA</td>
<td>`006830</td>
<td>01/2991</td>
<td>`0002802754629</td>
<td>`3503055702970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-02-1997</td>
<td>25 Th</td>
<td>RT 8 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1418</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>UMMI WALIYATUN NAHDLIYAH</td>
<td>`007745</td>
<td>01/6006</td>
<td>`0003067610545</td>
<td>`3503124901850004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-01-1985</td>
<td>37 Th</td>
<td>RT 7 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1419</td>
<td>POLI REMAJA</td>
<td>06-09-2022</td>
<td></td>
<td>FAUZIAH KAMIL</td>
<td>`020943</td>
<td>01/2442</td>
<td>`0000665446195</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-03-2009</td>
 <td>13 Th</td>
<td>RT 31 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td>131506010922Y000292</td>
<td>PANAS BATUK PILEK PUSING</td>
<td>AMOK GG PAMOL VIT C CTM MP OBH SYR</td>
<td>117/66</td>
<td>147</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>47</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1420</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MEI LISTIANI</td>
<td>`006765</td>
<td>01/583</td>
<td>`0000664340883</td>
<td>`3503045005920001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-05-1992</td>
<td>30 Th</td>
<td>DUSUN GONDANG KIDUL, RT : 10,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td></td>
<td></td>
 <td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1421</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>MUHAMMAD FARRAS ZHAFIR</td>
<td>`003567</td>
<td>02/181</td>
<td>`0002435516965</td>
<td>`3503050202150001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-02-2015</td>
<td>7 Th</td>
<td>RT 5 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000306</td>
<td>BATUK MUNTAH BENTOL2 PADA WAJAH DAN BADAN</td>
<td>AMBROKSOL CTM MP AMOK</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>23</td>
<td>20</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>L50.9</td>
<td>
Urticaria, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1422</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YUNITA DWI RATNA SARI</td>
<td>`008397</td>
<td></td>
<td>`0001813873116</td>
<td>`3503115206890001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-06-1989</td>
<td>33 Th</td>
<td>DUSUN BENGGLE, RT : 11,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1423</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FAREL ARKA PRASETYO</td>
<td>`013800</td>
<td></td>
<td>`0002216019216</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-02-2016</td>
<td>6 Th</td>
<td>RT11RW4</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1424</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AZRIL RASHYA ARRAFI</td>
 <td>`013675</td>
<td>01/583</td>
<td>`0002462361928</td>
<td>`3503050811170001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-11-2017</td>
<td>4 Th</td>
<td>DUSUN GONDANG KIDUL, RT : 10,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1425</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>VANESSA GRACIELA PUTRI PRASETYO</td>
<td>`013799</td>
<td></td>
<td>`0002915382622</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-11-2018</td>
<td>3 Th</td>
 <td>RT11RW4</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1426</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>PUJI</td>
<td>`020311</td>
<td>06/2491</td>
<td>`0002729557495</td>
<td>`3503052001630001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-01-1963</td>
<td>59 Th</td>
<td>TENGGAR, RT : 8,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000289</td>
<td>KONTROL POST PASANG PLAT</td>
<td>RUJUKAN</td>
 <td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z47</td>
<td>
Other orthopaedic follow-up care </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1427</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td> </td>
<td>`011004</td>
<td>01/583</td>
<td>`0002921257271</td>
<td>`3503056701200001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-01-1970</td>
<td>52 Th</td>
<td>RT 10 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1428</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>NURHAYATUN</td>
<td>`013928</td>
<td>01/413</td>
<td>`0000364631894</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1967</td>
<td>54 Th</td>
<td>RT </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000305</td>
<td>BIBIR ATAS POST TERKENA KAYU</td>
<td>GG PAMOL AMOK VIT C FE GENTIAN VIOLET </td>
<td>116/62</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>39</td>
<td>30</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1429</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>EFI PRASTYAWAN</td>
<td>`016168</td>
<td></td>
<td>`0000666630167</td>
<td>`3503050107930012</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1993</td>
<td>29 Th</td>
<td>RT 007 RW 002</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1430</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td></td>
<td>WINARTI</td>
<td>`003245</td>
 <td>06/6167</td>
<td>`0001428661495</td>
<td>`3503056911840001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-11-1984</td>
<td>37 Th</td>
<td>KRAJAN, RT : 18,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000321</td>
<td>BATUK</td>
<td>GG PAMOL CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1431</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>EYIN SULVA LAILI</td>
<td>`016320</td>
<td></td>
<td>`0001978432828</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-05-2013</td>
<td>9 Th</td>
<td>RT 25 RW 11 KASIAN, NGEPEH </td>
 <td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>100/75</td>
<td>67</td>
<td>36</td>
<td>19</td>
<td>153</td>
<td>43</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1432</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NIKEN SAPUJI</td>
<td>`004764</td>
<td>01/8186</td>
<td>`0001978383497</td>
<td>`3503147112990003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1999</td>
<td>22 Th</td>
<td>RT 07 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
 <td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1433</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>RIDHO AHMAD FEBRIAN</td>
<td>`020944</td>
<td>02/4055</td>
<td>`0001965152621</td>
<td>`3503050302140002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-02-2014</td>
<td>8 Th</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000304</td>
<td>PANAS BATUK PILEK</td>
<td>AMOK MP AMBROKSOL VIT C SALBUTAMOL DEMACOLIN</td>
<td>1/1</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>21</td>
<td>21</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
 Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1434</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARDANA ALGHIFARI</td>
<td>`013771</td>
<td></td>
<td>`0003085447555</td>
<td>`3503051808200004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-06-2021</td>
<td>1 Th</td>
<td>RT 7 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>1435</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td></td>
<td>WIDIYA CAHYANI</td>
<td>`018448</td>
<td></td>
<td>`0000665887217</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-09-1997</td>
<td>25 Th</td>
<td>PRAMBON RT 29/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000323</td>
<td>BATUK KEMBUNG</td>
<td>PAMOL ANTASID AMBOEOXOL</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1436</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMMAD AZKA RIJALUL HAQI</td>
<td>`000167</td>
<td>01/4201A</td>
 <td>`0002748683439</td>
<td>`3503050811180002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-11-2018</td>
<td>3 Th</td>
<td>RT 8 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1437</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>ERLIKA SILFIANI MEILASARI</td>
<td>`002131</td>
<td></td>
<td>`0001978433673</td>
<td>`3503054905080001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-05-2008</td>
<td>14 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>102/76</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>45</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1438</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FIKRI FAUZAN AHMAD BADAWI</td>
<td>`016169</td>
<td>01/4201 A</td>
<td>`0002587177326</td>
<td>`3503053110110001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-10-2011</td>
<td>10 Th</td>
<td>DESA GONDANG, RT : 8,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
 <td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1439</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IDA WALIATUK KHARIYAH</td>
<td>`016170</td>
<td>01/4201 A</td>
<td>`0000666254428</td>
<td>`3503055706870004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-06-1987</td>
<td>35 Th</td>
<td>DESA GONDANG, RT : 8,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1440</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>BINTI KHOIRUL AKADIYAH</td>
<td>`017321</td>
<td></td>
<td>`0000666037012</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-1987</td>
<td>35 Th</td>
<td>RT 1 RT 1 KRAJAN</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>123/78</td>
<td>87</td>
<td>35</td>
<td>19</td>
<td>15</td>
<td>53</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FEBY AYU VERNANDA,A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1441</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARIS MUHAMMAD LUQMAN</td>
<td>`016171</td>
<td></td>
<td>`0000666254698</td>
<td>`3503051010810003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-10-1981</td>
<td>40 Th</td>
<td>DESA GONDANG, RT : 8,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Tukang Batu</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1442</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>PUPUT AYU MAHARANY</td>
<td>`006761</td>
<td>04/5532</td>
<td>`0000666235653</td>
 <td>`3503054408030002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-08-2003</td>
<td>19 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/75</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>158</td>
<td>52</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1443</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LAILATUL ULFA</td>
<td>`015198</td>
<td>01/2480</td>
<td>`0000665842735</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-08-1999</td>
<td>23 Th</td>
<td>RT 07 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1444</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>MUJI MASLAHAH</td>
<td>`000693</td>
<td>01/2157</td>
<td>`</td>
<td>`3503066008890001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-08-1989</td>
<td>33 Th</td>
<td>KEBONSARI, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>KONTROL</td>
<td>CPZ TFP</td>
<td>140/98</td>
<td>112</td>
<td>36</td>
 <td>20</td>
<td>151</td>
<td>66</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F32</td>
<td>
Depressive episode </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1445</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>POJEM</td>
<td>`016437</td>
<td></td>
<td>`0000665937279</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-08-1948</td>
<td>74 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>135/76</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>51</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1446</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AHMAD BASRONI</td>
<td>`016172</td>
<td></td>
<td>`0002802766599</td>
<td>`3503052509860005</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-09-1986</td>
<td>36 Th</td>
<td>DUSUN GONDANG KIDUL, RT : 12,RW :3</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1447</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI KHOTIJAH</td>
<td>`001316</td>
<td>01/2052</td>
<td>`0002802766601</td>
<td>`3503054211880001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-11-1988</td>
<td>33 Th</td>
<td>DUSUN GONDANG KIDUL, RT : 12,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1448</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LUSIATI</td>
<td>`015695</td>
<td></td>
<td>`0000665983506</td>
<td>` </td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-1982</td>
<td>40 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>15</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1449</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td></td>
<td>LINTANG QAIRO ALEXANDRIA SARIWAHYUNI</td>
<td>`016068</td>
<td></td>
<td>`0002926496046</td>
<td>`</td>
<td>`</td>
<td>SAIFUL ANAM</td>
<td></td>
<td>P</td>
<td>12-03-2020</td>
<td>2 Th</td>
<td>RT 29 RW 5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000322</td>
<td>GATAL</td>
<td>PAMOL SIRUP BETA SK</td>
<td>80/50</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>80</td>
<td>12</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1450</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>OCTAVIANA AYU ZAHRA</td>
<td>`016750</td>
<td>08/3992</td>
<td>`0002682083079</td>
<td>`3503054210150001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-10-2015</td>
<td>6 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
 <td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1451</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SHIFA NAVIKA PUTRI</td>
<td>`016173</td>
<td></td>
<td>`0002802766612</td>
<td>`3503056511090001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-11-2009</td>
<td>12 Th</td>
<td>DUSUN GONDANG KIDUL, RT : 12,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1452</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KATIYEM</td>
<td>`010629</td>
<td></td>
<td>`0000666336508</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-09-1947</td>
<td>75 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>amlodipine, nadic, omz</td>
<td>150/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>1453</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SUPIYATUN</td>
<td>`017323</td>
<td></td>
<td>`0001036997458</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-03-1963</td>
<td>59 Th</td>
<td>RT 6 RW 2 NGLEGOK</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/89</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>158</td>
<td>54</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1454</td>
<td>POLI GIGI</td>
<td>06-09-2022</td>
<td></td>
<td>KATINAH</td>
<td>`004142</td>
<td>06/9183</td>
<td>`</td>
<td>`3503054107390050</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>01-07-1939</td>
<td>83 Th</td>
<td>PRAMBON RT 53/11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>gigi depan bawah kanan goyang derajat 3</td>
<td>infiltrasi anasthesi cabut gigi 41.42</td>
<td>130/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>64</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi dewasa ringan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1455</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FRISNA SAPPUTRI</td>
<td>`011357</td>
<td>01/6006</td>
<td>`0000666797477</td>
<td>`3503055803940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-03-1994</td>
<td>28 Th</td>
<td>RT 07 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1456</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>EKA DESWITA MAHARANY</td>
<td>`006533</td>
<td>08/3992</td>
<td>`0001861725576</td>
<td>`3503057012050001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-2005</td>
<td>16 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
 <td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1457</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td></td>
<td>SETU ICHWANI</td>
<td>`000035</td>
<td>06/7748</td>
<td>`0002458077581</td>
<td>`3503053112530031</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1953</td>
<td>68 Th</td>
<td>RT 15 RW 3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000278</td>
<td>kontrol </td>
<td>-</td>
<td>135/80</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>50</td>
<td>88</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>I50</td>
<td>
Heart failure </td>
<td>I48</td>
<td>
Atrial fibrillation and flutter </td>
 <td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1458</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>UMI HANIK</td>
<td>`015418</td>
<td></td>
<td>`0001861724351</td>
<td>`3503057005830004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-05-1983</td>
<td>39 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1459</td>
 <td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IMRON HAMZAH</td>
<td>`016174</td>
<td></td>
<td>`0000665577742</td>
<td>`3503050707860001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-07-1986</td>
<td>36 Th</td>
<td>RT 007 RW 002</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1460</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>INDRA GUNAWAN</td>
<td>`016751</td>
<td></td>
<td>`0001861724867</td>
<td>`3503050408770001</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>04-08-1977</td>
<td>45 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>540</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1461</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>MUYAKUP</td>
<td>`014207</td>
<td></td>
<td>`0000665892202</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1950</td>
<td>71 Th</td>
<td>RT 1 RW 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
 <td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>137/78</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1462</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUYANTI</td>
<td>`016753</td>
<td></td>
<td>`0001707024429</td>
<td>`3503056901820002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-01-1982</td>
<td>40 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
 <td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1463</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td></td>
<td>TUKIYEM</td>
<td>`000506</td>
<td>02/687</td>
<td>`0000666377199</td>
<td>`3503057012430001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1943</td>
<td>78 Th</td>
<td>DUSUN CORAH MULYO, RT 006 RW 002</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000287</td>
<td>dada nyeri mriang pusing</td>
<td>antasida omz domperidon </td>
<td>142/66</td>
<td>94</td>
<td>36</td>
<td>22</td>
<td>143</td>
<td>28</td>
<td>56</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1464</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PUJI HARTO</td>
<td>`016754</td>
<td></td>
<td>`0000666103847</td>
<td>`3503052701850002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-01-1985</td>
<td>37 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1465</td>
<td>POLI LANSIA</td>
 <td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUSIATI</td>
<td>`006214</td>
<td>02/7332</td>
<td>`0001707021887</td>
<td>`3503055501800003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-01-1980</td>
<td>42 Th</td>
<td>DSN ETAN KALI, RT : 17,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk</td>
<td>ambroxol, pamol</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1466</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>KARTINI</td>
<td>`010676</td>
<td></td>
<td>`0000666062864</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>12-03-1946</td>
<td>76 Th</td>
<td>RT 004 RW -</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>135/68</td>
<td>67</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>53</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1467</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUKARJI</td>
<td>`016755</td>
<td></td>
<td>`0000666259378</td>
<td>`3503051002760001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-02-1976</td>
<td>46 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
 <td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1468</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ERNI WULANDARI</td>
<td>`006496</td>
<td>08/4829</td>
<td>`0000666259525</td>
<td>`3503055801830003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-01-1983</td>
<td>39 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
<td>1</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1469</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>WIDI KRISNANDA</td>
<td>`017624</td>
<td></td>
<td>`0000665899198</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-03-1997</td>
<td>25 Th</td>
<td>RT 17 RW 7 BEJI</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>120/78</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>49</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1470</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FAHMI KHOIRUL ANAM</td>
<td>`016756</td>
<td></td>
<td>`0000666259582</td>
<td>`3503051911050002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-11-2005</td>
<td>16 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1471</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
 <td>KONSULTASI</td>
<td>KATINO</td>
<td>`003335</td>
<td>04/3962</td>
<td>`0000665899053</td>
<td>`3503051506710001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-06-1971</td>
<td>51 Th</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>137/87</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>67</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1472</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HANIFAH KHOLIDATUL YULIANA</td>
<td>`016757</td>
<td></td>
<td>`0001707024339</td>
<td>`3503055507120001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>15-07-2012</td>
<td>10 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>19</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1473</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DEFINA PUTRI AMELIA</td>
<td>`006489</td>
<td>08/4829</td>
<td>`0002762853153</td>
<td>`3503054405190001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-05-2019</td>
<td>3 Th</td>
<td>RT 7 RW 3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
 <td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1474</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>MARSUTIN</td>
<td>`005275</td>
<td></td>
<td>`0000666099156</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-01-1970</td>
<td>52 Th</td>
<td>RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>136/7</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>52</td>
<td>78</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1475</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>BIMA GUSRIL ISA MAHENDRA</td>
<td>`017626</td>
<td></td>
<td>`0000666100552</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-08-2007</td>
<td>15 Th</td>
<td>RT 18 RW 8 NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>100/7</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1476</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>PARIYEM</td>
<td>`017628</td>
<td></td>
<td>`0000665853592</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-05-1969</td>
<td>53 Th</td>
<td>RT 18 RW 8 BEJI</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/89</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>52</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1477</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
 <td>SUWADI</td>
<td>`007675</td>
<td></td>
<td>`0000665451358</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-10-1963</td>
<td>58 Th</td>
<td>DSN ETAN KALI, RT : 17,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>amlodipine,nadic</td>
<td>160/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1478</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td></td>
<td>WARISAH</td>
<td>`020542</td>
<td>01/4948</td>
<td>`0000665418025</td>
<td>`3503054401590001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-01-1959</td>
 <td>63 Th</td>
<td>DUSUN KEBONSARI, RT : 31,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000285</td>
<td>pusing lutut nyeri </td>
<td>amlodipin10mg pamol bc</td>
<td>157/71</td>
<td>115</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1479</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SUKIDI</td>
<td>`017630</td>
<td></td>
<td>`0000666203613</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-06-1945</td>
<td>77 Th</td>
<td>RT 8 RW 3 NGLEGOK</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
 <td>-</td>
<td>140/87</td>
<td>88</td>
<td>3</td>
<td>20</td>
<td>169</td>
<td>53</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1480</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TAMDJID</td>
<td>`011879</td>
<td>02/1800</td>
<td>`0000106704472</td>
<td>`3503050508470004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-08-1947</td>
<td>75 Th</td>
<td>RT 15 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1481</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SANDIRITA WIJAYA</td>
<td>`003587</td>
<td>01/4446</td>
<td>`0001153872595</td>
<td>`3503065008910002</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>10-08-1991</td>
<td>31 Th</td>
<td>, RT : 10,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1482</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SHERINDA OKTAVANI</td>
<td>`006944</td>
<td>08/1940</td>
<td>`0002503364128</td>
<td>`3503066810180001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-10-2018</td>
<td>3 Th</td>
<td>RT 21 RW 4</td>
<td>KERJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1483</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>WAHYUDI MUNTOHA</td>
<td>`016175</td>
<td></td>
<td>`0000665371991</td>
<td>`3503051110930002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-10-1993</td>
<td>28 Th</td>
<td>DUSUN GONDANG KIDUL, RT : 10,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1484</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SEPTI RAHAYU NINGTYAS</td>
<td>`011550</td>
<td>08/1940</td>
<td>`0000665942927</td>
<td>`3503055409000004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-09-2000</td>
 <td>22 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1485</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PARMIN</td>
<td>`016176</td>
<td>01/5643</td>
<td>`0000661609642</td>
<td>`3502051003820001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-03-1982</td>
<td>40 Th</td>
<td>RT 013 RW 003</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
 <td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1486</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KHUMAIRA ISWARI MULIA</td>
<td>`012449</td>
<td></td>
<td>`0002613334961</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-11-2018</td>
<td>3 Th</td>
<td>RT </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1487</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KAMINEM</td>
<td>`012727</td>
<td></td>
<td>`0000665630526</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-04-1963</td>
<td>59 Th</td>
<td>RT 014 RW </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kembung</td>
<td>omz,pamol</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>148</td>
<td>48</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1488</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>WIYONO</td>
<td>`012322</td>
<td></td>
<td>`0000665798398</td>
<td>`3503053112490020</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1949</td>
<td>72 Th</td>
<td>DUSUN KRAJAN, RT : 9,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine</td>
<td>140/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1489</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AISYAH NABILA ALMAHIRA</td>
 <td>`000302</td>
<td></td>
<td>`0002889622956</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-09-2019</td>
<td>3 Th</td>
<td>RT 13 RW 03</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1490</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SRI ASTUTIK</td>
<td>`011766</td>
<td>04/4227</td>
<td>`0000666830935</td>
<td>`3503054304850007</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-04-1985</td>
<td>37 Th</td>
 <td>RT 009 RW 003</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>126/87</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1491</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td></td>
<td>TYARA LARASATI</td>
<td>`002610</td>
<td></td>
<td>`0002591218899</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-05-2007</td>
<td>15 Th</td>
<td>PRAMBON RT 17 /3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000312</td>
<td>BATUK</td>
<td>PAMOL AMBOROXOL CTM</td>
 <td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1492</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SURYAMI</td>
<td>`002706</td>
<td>04/5937</td>
<td>`0000665397279</td>
<td>`3503145903910001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-03-1991</td>
<td>31 Th</td>
<td>RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>132/88</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>47</td>
<td>73</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1493</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YOGA SEPTIANGGA PUTRA WIDANA</td>
<td>`000301</td>
<td>01/5643</td>
<td>`0002014109752</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-09-2002</td>
<td>20 Th</td>
<td>RT 13 RW 03</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>1494</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SURATUN</td>
<td>`020978</td>
<td>02/5703</td>
<td>`</td>
<td>`3503056810650001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-10-1965</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 9,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>pusing</td>
<td>amlodipine</td>
<td>148/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1495</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIJIATI</td>
<td>`016178</td>
 <td>01/5643</td>
<td>`0000665870095</td>
<td>`3503055406830004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-06-1983</td>
<td>39 Th</td>
<td>DESA GONDANG, RT : 13,RW :3 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1496</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td></td>
<td>KASIRAH</td>
<td>`001982</td>
<td></td>
<td>`0002595172263</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-03-1957</td>
<td>65 Th</td>
<td>PRAMBON RT17/3</td>
 <td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000311</td>
<td>BATUK</td>
<td>PAMOL AMBOROXOL CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1497</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARA`ATUL AZIZAH</td>
<td>`005695</td>
<td>01/1162</td>
<td>`0000665409699</td>
<td>`3503054603990001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-03-1999</td>
<td>23 Th</td>
<td>RT 10 RW 3</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
 <td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1498</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUPIYAH</td>
<td>`020980</td>
<td></td>
<td>`0000666159186</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-09-1960</td>
<td>62 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk</td>
<td>ambroxol</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
 Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1499</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>KHOIROTUN NISAK</td>
<td>`018238</td>
<td></td>
<td>`0000666397901</td>
<td>`3503056406900009</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-06-1990</td>
<td>32 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/78</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>64</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1500</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KHUSNUL KHOTIMAH</td>
<td>`003910</td>
<td>08/192A</td>
<td>`0001978457951</td>
<td>`3503054607990001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-07-1999</td>
<td>23 Th</td>
<td>RT 06 RW 02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1501</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>ITA ANDRIANI</td>
<td>`002609</td>
<td></td>
 <td>`0002802764777</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-01-1979</td>
<td>43 Th</td>
<td>PRAMBON RT 17/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>63</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1502</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RIA FITANTI</td>
<td>`015194</td>
<td></td>
<td>`0002860463902</td>
<td>`3503055606980004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-07-1998</td>
<td>24 Th</td>
<td>DUSUN GONDANG, RT : 7,RW :2 </td>
<td>GONDANG</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1503</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RETNO FEBRI ARIANTI</td>
<td>`007268</td>
<td>08/6696</td>
<td>`0000665937909</td>
<td>`3503051402980001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-02-1998</td>
<td>24 Th</td>
<td>RT 05 RW 02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
 <td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1504</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td></td>
<td>SUSANTO</td>
<td>`001367</td>
<td>02/181</td>
<td>`0000106703638</td>
<td>`3503051401480001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-01-1948</td>
<td>74 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y000282</td>
<td>kontrol kepoli mata</td>
<td>-</td>
<td>117/65</td>
<td>72</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>44</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>H26.4</td>
<td>
After-cataract </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1505</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>MOETINAH</td>
<td>`010672</td>
<td></td>
<td>`0000111352847</td>
<td>`3503054809420001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-09-1942</td>
<td>80 Th</td>
<td>DUSUN GERBO, RT : 13,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/88</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>45</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1506</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td></td>
<td>BEJAN</td>
<td>`013427</td>
<td>04/9225</td>
<td>`0003270442623</td>
<td>`9171012003610001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-10-1953</td>
<td>68 Th</td>
<td>DUSUN PONGGOK, RT : 21,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000280</td>
<td>kontrol</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>45</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>B17</td>
<td>
Other acute viral hepatitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1507</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>GHAYDA BAKTI WIBOWO</td>
<td>`012448</td>
<td></td>
<td>`0002742620016</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-01-2019</td>
<td>3 Th</td>
<td>RT</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1508</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td></td>
<td>NELA DWI PUTRI APRILIA</td>
<td>`007958</td>
<td></td>
<td>`0002900388565</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-04-2006</td>
<td>16 Th</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000310</td>
<td>BATUK KEMBIUNG</td>
<td>PAMOL ANTASID AMBOROXOL</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1509</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUTIKAH</td>
<td>`009645</td>
<td></td>
<td>`0001037003534</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-08-1957</td>
<td>65 Th</td>
<td>RT 14</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine,nadic</td>
<td>160/89</td>
<td>88</td>
<td>36</td>
 <td>20</td>
<td>158</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1510</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ERTA YUNIARTI</td>
<td>`012447</td>
<td></td>
<td>`0001978467906</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-12-1979</td>
<td>42 Th</td>
<td>RT</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1511</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>YUNIA NUR INAYAH</td>
<td>`017611</td>
<td></td>
<td>`0000665942174</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-06-2011</td>
<td>11 Th</td>
<td>RT 16 RW 7 BEJI</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>100/68</td>
<td>79</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>47</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1512</td>
<td>POLI KIA</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YUYUN EKA PURWANTI</td>
<td>`008916</td>
<td>01/4103</td>
<td>`0003067661351</td>
<td>`3503056912940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-12-1994</td>
<td>27 Th</td>
<td>DUSUN GONDANG KIDUL, RT : 10,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1513</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MAULANA YUSUF AL HAFIZH</td>
<td>`008438</td>
<td>08/1503</td>
<td>`0002297286911</td>
<td>`3503051904170001</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-04-2017</td>
<td>5 Th</td>
<td>RT 06 RW 02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1514</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>BANGKIT TEGUH BUDI PRATAMA</td>
<td>`017613</td>
<td></td>
<td>`0000665942051</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-10-2004</td>
<td>17 Th</td>
<td>RT 16 RW 7 BEJI</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>120/78</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>67</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1515</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>SRI RAHAYU</td>
<td>`002816</td>
<td>06/3813</td>
<td>`0000665543722</td>
<td>`3503055011740001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-11-1974</td>
<td>47 Th</td>
<td>DUSUN TENGGAR, RT : 9,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000328</td>
<td>KONSULTASI RUJUKAN</td>
<td>-</td>
<td>100/77</td>
<td>88</td>
<td>36</td>
<td>20</td>
 <td>150</td>
<td>39</td>
<td>30</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1516</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>FENTI RAHMAWATI</td>
<td>`009625</td>
<td></td>
<td>`0002900388418</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-03-1995</td>
<td>27 Th</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1517</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LINA NASIHATIN</td>
<td>`017789</td>
<td></td>
<td>`0000665668203</td>
<td>`3503056811940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-11-1994</td>
<td>27 Th</td>
<td>DUSUN TLOGOREJO, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>1518</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SAMSURI</td>
<td>`004404</td>
<td></td>
<td>`0000666127304</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-1973</td>
<td>49 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/87</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>175</td>
<td>67</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1519</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SULASTRI</td>
<td>`012267</td>
<td></td>
<td>`0001978460436</td>
<td>`3503055108470002</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>11-08-1947</td>
<td>75 Th</td>
<td>DUSUN KRAJAN, RT : 9,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk</td>
<td>ambroxol,amlodipine</td>
<td>150/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1520</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ADIBA MAULIDA WAHYUNINGTYAS</td>
<td>`012445</td>
<td></td>
<td>`0002313803204</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-08-2017</td>
<td>5 Th</td>
<td>RT</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1521</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TONO</td>
<td>`009307</td>
<td>02/1302</td>
<td>`0000100053191</td>
<td>`3503050509590002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-09-1959</td>
<td>63 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic,b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
 <td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1522</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SUWARNO</td>
<td>`000875</td>
<td>04/5532</td>
<td>`0000666234382</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-12-1971</td>
<td>50 Th</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/87</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>169</td>
<td>64</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1523</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI MUBAROKAH</td>
<td>`018473</td>
<td></td>
<td>`0000666107706</td>
<td>`3503054502890003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-02-1989</td>
<td>33 Th</td>
<td>DUSUN TLOGOREJO, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1524</td>
 <td>POLI GIGI</td>
<td>06-09-2022</td>
<td></td>
<td>DINDA NUR KAMIMAH</td>
<td>`020945</td>
<td>01/3149</td>
<td>`</td>
<td>`3503056901990002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-01-1999</td>
<td>23 Th</td>
<td>DUSUN KALIPINGGIR, RT : 19,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi depan atas kanan berlubang tidak ada keluhan</td>
<td>konsultasi</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>50</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K02.1</td>
<td>
Caries of dentine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>1525</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI ZUMROTUL ZULAIKAH</td>
<td>`017791</td>
<td></td>
<td>`0000666018685</td>
<td>` </td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>27-04-1996</td>
<td>26 Th</td>
<td>DUSUN TLOGOREJO, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1526</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>RINI AGUSTINA</td>
<td>`015728</td>
<td></td>
<td>`0000666235506</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-08-1985</td>
<td>37 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
 <td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>121/87</td>
<td>79</td>
<td>35</td>
<td>20</td>
<td>158</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1527</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUSTAM</td>
<td>`020981</td>
<td></td>
<td>`0000665433731</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-08-1963</td>
<td>59 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic,b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>60</td>
 <td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1528</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>EKA MILAWATI</td>
<td>`000222</td>
<td>08/2330</td>
<td>`0001978467849</td>
<td>`3503054102890002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-02-1989</td>
<td>33 Th</td>
<td>RT 04 RW 02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Honorer</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1529</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td></td>
<td>HAFIZA ZAHRA SA`BANIA</td>
<td>`000861</td>
<td>06/5628</td>
<td>`0002759912684</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-04-2019</td>
<td>3 Th</td>
<td>PRAMBON RT 14</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000318</td>
<td>PANAS PILEK</td>
<td>DEMACOLIN SIRUP</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>24</td>
<td>90</td>
<td>14</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1530</td>
<td>POLINDES WINONG</td>
 <td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>INTAN PANDINI</td>
<td>`012442</td>
<td></td>
<td>`0000665934974</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-03-1997</td>
<td>25 Th</td>
<td>RT</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1531</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td></td>
<td>SUMINEM</td>
<td>`020461</td>
<td>04/8411</td>
<td>`0001978432648</td>
<td>`3503056708540001</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>27-08-1954</td>
<td>68 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000288</td>
<td>kontrol kaki gringgingen pusing</td>
<td>amlodipin 10mg nadic aspilet bc </td>
<td>193/90</td>
<td>93</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>67</td>
<td>155</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1532</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>MUNIRAN</td>
<td>`005312</td>
<td></td>
<td>`0000666208113</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-03-1960</td>
<td>62 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
 <td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/87</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>169</td>
<td>54</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1533</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUKARTI</td>
<td>`009893</td>
<td>02/1934</td>
<td>`0003177400904</td>
<td>`3503057112520026</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1952</td>
<td>69 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine,antasida, nadic</td>
<td>148/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1534</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LILIS WINARNI</td>
<td>`014591</td>
<td></td>
<td>`0001037006684</td>
<td>`3503056411940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-01-1994</td>
<td>28 Th</td>
<td>DESA WINONG, RT : 5,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1535</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SURATIN</td>
<td>`010630</td>
<td></td>
<td>`0001037003578</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-02-1967</td>
<td>55 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine,nadic</td>
<td>150/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1536</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>GIBRAN ADHIYASTA RIZQULLAH</td>
<td>`012440</td>
<td></td>
<td>`0002934525429</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-05-2020</td>
<td>2 Th</td>
<td>RT</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1537</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>ANJAR PRIANTI</td>
<td>`001695</td>
<td>06/8099</td>
<td>`0000665622426</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>05-06-1985</td>
<td>37 Th</td>
<td>RT 36 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000303</td>
<td>BATUK PILEK TELINGA BERDENGING</td>
<td>OBH SYR AMBROKSOL CTM DEXA CIPRO BC</td>
<td>135/79</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>73</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.0</td>
<td>
Acute laryngopharyngitis </td>
<td>H93.1</td>
<td>
Tinnitus </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1538</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ATHHAR RAYHAN ALFARIZI</td>
<td>`010142</td>
<td>08/5719</td>
<td>`0002940272526</td>
<td>`3503052106200002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-06-2020</td>
<td>2 Th</td>
<td>RT 06 RW 02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
 <td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1539</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>SAMIRAH</td>
<td>`006415</td>
<td>06/8099</td>
<td>`0000665908841</td>
<td>`3503055512630005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-12-1963</td>
<td>58 Th</td>
<td>DUSUN PAKEL, RT : 36,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000302</td>
<td>BATUK DAHAK</td>
<td>OBH SYR AMBROKSOL CTM SALBUTAMOL MP AMOK</td>
<td>138/71</td>
<td>105</td>
<td>36</td>
<td>20</td>
<td>148</td>
<td>36</td>
<td>35</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>Z03.0</td>
<td>
Observation for suspected tuberculosis </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1540</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>USNUL KHOTIMAH</td>
<td>`011668</td>
<td></td>
<td>`0000666128676</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-11-1992</td>
<td>29 Th</td>
<td>RT. 22 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>62</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1541</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>CLARISA HIDAYATUL HESTINA</td>
<td>`012438</td>
<td></td>
<td>`0002928126036</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-03-2020</td>
<td>2 Th</td>
<td>RT</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1542</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
 <td>MEILANI TANIA UNTARI</td>
<td>`016212</td>
<td></td>
<td>`0000666390284</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-05-2001</td>
<td>21 Th</td>
<td>RT 21 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>87/78</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>62</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1543</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td></td>
<td>MOH. NURUL HUDA</td>
<td>`013470</td>
<td>06/5628</td>
<td>`0001728973956</td>
<td>`3503051111820001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-11-1982</td>
 <td>39 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000317</td>
<td>BATUK KEMBUNG</td>
<td>PAMOL ANTASID AMBOROXOL</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1544</td>
<td>RAWAT INAP</td>
<td>06-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>VERONICA CANTIKA SARI</td>
<td>`020946</td>
<td></td>
<td>`0002429046134</td>
<td>`3503056606140002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-06-2014</td>
<td>8 Th</td>
<td>DUSUN KRAJAN II, RT : 28,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PX MENGATAKAN PUSING, MUAL, BATUK</td>
 <td>INF RL 11 TPM
INJ METO 3X1/2
OS ANTASIDA 3X1
OS PCT 3X1
OS DOMP 3X1</td>
<td>100/60</td>
<td>99</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>23</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum per
hari<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Pemasangan
infuse<br>Konsultasi<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>1545</td>
<td>POLI MTBS</td>
<td>06-09-2022</td>
<td></td>
<td>ARUNA ASKANA SAKHI</td>
<td>`020947</td>
<td>02/935</td>
<td>`0002935153023</td>
<td>`3503056605200002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-05-2020</td>
<td>2 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000295</td>
<td>DALAM HIDUNG AGAK MEMBESAR</td>
<td>-</td>
<td>1/1</td>
<td>100</td>
<td>36</td>
 <td>24</td>
<td>70</td>
<td>11</td>
<td>15</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J38.7</td>
<td>
Other diseases of larynx </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1546</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SUHARTI</td>
<td>`016205</td>
<td></td>
<td>`0001036998494</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-07-1991</td>
<td>31 Th</td>
<td>RT23 RW 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>130/78</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>46</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1547</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>MUKAJI</td>
<td>`004402</td>
<td></td>
<td>`0000665722541</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1960</td>
<td>61 Th</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/87</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>167</td>
<td>53</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1548</td>
<td>POLI MTBS</td>
<td>06-09-2022</td>
<td></td>
<td>QURRATU SHEIKHA AZ-ZAHRA</td>
<td>`020948</td>
<td>02/935</td>
<td>`0002470902388</td>
<td>`3503054108180001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-2018</td>
<td>4 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000301</td>
<td>PANAS MIMISEN</td>
<td>SALBUTAMOL CTM AMOK MP AMBROKSOL</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>14</td>
<td>14</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1549</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>LAMINI</td>
<td>`004403</td>
<td></td>
<td>`0000665722743</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-12-1971</td>
<td>50 Th</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/89</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1550</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YUNITA ENDAH PRASETYANI</td>
<td>`015109</td>
<td></td>
<td>`0001037006019</td>
<td>`3503054906970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-06-1997</td>
<td>25 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1551</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KURNIA WIJI LESTARI</td>
<td>`005822</td>
<td>08/7264</td>
<td>`0000666120789</td>
<td>`3503055012970003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1997</td>
<td>24 Th</td>
<td>DUSUN BENGGLE, RT : 11,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
 <td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1552</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>MUJIATIK</td>
<td>`002992</td>
<td>04/4963</td>
<td>`0000666315178</td>
<td>`3503054505790001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-05-1979</td>
<td>43 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000300</td>
<td>PUSING BATUK PILEK</td>
<td>OBH SYR AMBROKSOL AMOK CTM MP PAMOL VIT C</td>
<td>133/57</td>
<td>85</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>58</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1553</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IIN WIDJAYANTI</td>
<td>`014259</td>
<td></td>
<td>`0001037007562</td>
<td>`3503056101920002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-01-1992</td>
<td>30 Th</td>
<td>DUSUN BANGGLE, RT : 11,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>1554</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMMAD ARASY ARDIANSYAH</td>
<td>`012432</td>
<td></td>
<td>`0002926461565</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-12-2017</td>
<td>4 Th</td>
<td>RT</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1555</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DINAR BALQIS SALSABILA</td>
<td>`002305</td>
<td></td>
<td>`0002925172438</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>15-02-2020</td>
<td>2 Th</td>
<td>RT 10 RW 04</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1556</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DEWI NURMAYASARI</td>
<td>`003729</td>
<td>08/6286</td>
<td>`0000665670407</td>
<td>`3503054807890004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-1989</td>
<td>33 Th</td>
<td>DUSUN BANGGLE, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1557</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SRIWATI</td>
<td>`003790</td>
<td>04/6448</td>
<td>`0000665868993</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-10-1976</td>
<td>45 Th</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>147/87</td>
<td>89</td>
<td>3</td>
<td>20</td>
<td>155</td>
 <td>47</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1558</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARWITI</td>
<td>`002457</td>
<td>08/6714</td>
<td>`0001978467985</td>
<td>`3503055505740002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-05-1974</td>
<td>48 Th</td>
<td>DESA WINONG, RT : 2,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1559</td>
<td>POLINDES WINONG</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TUTI FATIMAH</td>
<td>`018218</td>
<td></td>
<td>`0002260339209</td>
<td>`3503054604840003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-04-1984</td>
<td>38 Th</td>
<td>DUSUN BANGGLE, RT : 11,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>Konseling</td>
<td>1</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>34</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1560</td>
 <td>POLI GIGI</td>
<td>06-09-2022</td>
<td></td>
<td>AQILA YURISTA RAHMADHANI</td>
<td>`006483</td>
<td>03/2126</td>
<td>`</td>
<td>`3503054607150001</td>
<td>`</td>
<td></td>
<td>085331218196</td>
<td>P</td>
<td>06-07-2015</td>
<td>7 Th</td>
<td>DUSUN JUMOK, RT : 9,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi depan bawah kanan kesundulan</td>
<td>anasthesi topikal cabut gigi 82</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>123</td>
<td>26</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>1561</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td></td>
<td>MUTI</td>
<td>`000879</td>
<td></td>
<td>`0001037014863</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>01-06-1963</td>
<td>59 Th</td>
<td>PRAMBON RT23/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000314</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>155</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1562</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>SHOLIKAH ASIH PUJIATI</td>
<td>`009089</td>
<td></td>
<td>`</td>
<td>`3503055309940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-09-1994</td>
<td>28 Th</td>
<td>DSN PAKEL, RT : 003,RW :001 </td>
<td>PUCANGANAK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>WIRASWASTA</td>
 <td>Lama</td>
<td></td>
<td>SKS</td>
<td>-</td>
<td>135/81</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>85</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1563</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUMIYATI</td>
<td>`017609</td>
<td></td>
<td>`0000665430557</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-1966</td>
<td>56 Th</td>
<td>RT 011 RW 002</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine,antasida,pamol</td>
<td>150/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>560</td>
 <td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1564</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>WAFI SALMA LESTARI</td>
<td>`002433</td>
<td></td>
<td>`0000197394355</td>
<td>`3503054910060002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-10-2006</td>
<td>15 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>110/70</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>43</td>
<td>650</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1565</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SULASTRI</td>
<td>`019155</td>
<td></td>
<td>`0000665475478</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1955</td>
<td>66 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine, pamol</td>
<td>150/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1566</td>
<td>POLI LANSIA</td>
 <td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUPINARTI</td>
<td>`000749</td>
<td>02/2454</td>
<td>`0001037003602</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1964</td>
<td>57 Th</td>
<td>RT 15 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC,AMLODIPINE</td>
<td>150/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1567</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>IMAM MUKOLID</td>
<td>`002434</td>
<td></td>
<td>`0000106521276</td>
<td>`3503050606680003</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>06-06-1968</td>
<td>54 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>130/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>167</td>
<td>67</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1568</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>AISHA RAHMI NASYWA</td>
<td>`004901</td>
<td>07/3664</td>
<td>`0001548253012</td>
<td>`3503054508090001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-08-2009</td>
<td>13 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
 <td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>24</td>
<td>143</td>
<td>27</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1569</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SRI SURYANI</td>
<td>`009294</td>
<td></td>
<td>`0001458560068</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-06-1955</td>
<td>67 Th</td>
<td>RT 08</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
 <td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1570</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td></td>
<td>KASENU</td>
<td>`002755</td>
<td></td>
<td>`0001037014852</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-05-1952</td>
<td>70 Th</td>
<td>PRAMBON RT 23/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000315</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>130/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1571</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>DJEMITUN</td>
<td>`007910</td>
<td></td>
<td>`0002802748149</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1950</td>
<td>71 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC,AMLODIPINE</td>
<td>150/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1572</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
 <td>POSYANDU LANSIA</td>
<td>MUJILAN</td>
<td>`010619</td>
<td>02/3106</td>
<td>`0000666347703</td>
<td>`3503051204660002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1966</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>AMLODIPINE,NADIC
</td>
<td>150/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1573</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MAUNAH</td>
<td>`009653</td>
<td></td>
<td>`0000665466232</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>15-04-1948</td>
<td>74 Th</td>
<td>RT 016 RW 000</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk</td>
<td>amlodipine, ambroxol</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1574</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td></td>
<td>SUJIATI</td>
<td>`001024</td>
<td></td>
<td>`0000666286986</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1990</td>
<td>32 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>131506010922Y000316</td>
<td>BATUK</td>
<td>PAMOL OBH</td>
<td>90/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1575</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>JUMINEM</td>
<td>`015252</td>
<td></td>
<td>`0000665913622</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-12-1954</td>
<td>67 Th</td>
<td>DUSUN CORAH MULYO, RT : 4,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju</td>
<td>b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>80</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1576</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TUMINI</td>
<td>`001690</td>
<td>02/2067</td>
<td>`0000665910033</td>
<td>`3503054701600002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-01-1960</td>
<td>62 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>antasida, ambroxol, amlodipine</td>
<td>156/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1577</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td></td>
<td>MUSERI</td>
<td>`001682</td>
<td></td>
<td>`0000666286615</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-11-1947</td>
<td>74 Th</td>
<td>PRAMBON 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000319</td>
<td>KESEMUTSN</td>
<td>NATDIK GLIBEN</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R73.9</td>
<td>
Hyperglycaemia, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1578</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
 <td>POSYANDU LANSIA</td>
<td>SRIKATUN</td>
<td>`009655</td>
<td></td>
<td>`0000106520229</td>
<td>`3503055704550001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-04-1955</td>
<td>67 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine, ambroxol</td>
<td>150/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1579</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUPARNI</td>
<td>`009650</td>
<td></td>
<td>`0000100407982</td>
<td>`3503051803550001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>18-03-1955</td>
<td>67 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>amlodipine,nadic, b.complek</td>
<td>148/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>58</td>
<td>80</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1580</td>
<td>POLINDES PRAMBON 2</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIJI WULANDARI</td>
<td>`002967</td>
<td></td>
<td>`0001991734929</td>
<td>`3502054303970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-03-1997</td>
<td>25 Th</td>
<td>DUSUN SOOKO, RT : 50,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
 <td>-</td>
<td>-</td>
<td>110/80</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1581</td>
<td>POLINDES PRAMBON 2</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIWIN</td>
<td>`000998</td>
<td>06/1515</td>
<td>`0001978491328</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-07-1992</td>
<td>30 Th</td>
<td>RT 51 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>84</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1582</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SRI HARTINI</td>
<td>`012724</td>
<td></td>
<td>`</td>
<td>`3503055212590005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-12-1959</td>
<td>62 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>keju</td>
<td>amoksillin, b.complek</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1583</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUSIANTO</td>
<td>`012190</td>
<td>02/5835</td>
<td>`0000106623639</td>
<td>`3503051208550002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-08-1955</td>
<td>67 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>lemes</td>
<td>b.complek</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1584</td>
<td>POLINDES PRAMBON 2</td>
 <td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SAMUTI</td>
<td>`003999</td>
<td></td>
<td>`0000664525394</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-05-1976</td>
<td>46 Th</td>
<td>PRAMBON RT 49/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>53</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1585</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUKATMI</td>
<td>`010620</td>
<td></td>
<td>`0000976891331</td>
<td>` </td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>22-10-1963</td>
<td>58 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipin, omz</td>
<td>150/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1586</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td></td>
<td>HARDOJO</td>
<td>`004746</td>
<td>04/2546</td>
<td>`0000106514774</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-09-1953</td>
<td>69 Th</td>
<td>RT 04 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
 <td>Lama</td>
<td>131506010922Y000335</td>
<td>kontrol luka post heating 4 simpul</td>
<td>cipro asam mefenamat,</td>
<td>140/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z48</td>
<td>
Other surgical follow-up care </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1587</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>YATMINI</td>
<td>`005743</td>
<td>02/1961</td>
<td>`0000048418209</td>
<td>`3503054107580051</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1958</td>
<td>64 Th</td>
<td>RT 11 RW 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine,antasida,nadic</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
 <td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1588</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUKIYAM</td>
<td>`006725</td>
<td></td>
<td>`0000665916759</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-11-1946</td>
<td>75 Th</td>
<td>RT-</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic,b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1589</td>
<td>POLINDES PRAMBON 2</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KRISTINA PUTRI PURNAMI</td>
<td>`013258</td>
<td></td>
<td>`0002158256452</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-02-2002</td>
<td>20 Th</td>
<td>RT 50</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>111/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>56</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1590</td>
 <td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>RUMINI</td>
<td>`010622</td>
<td></td>
<td>`0000665627635</td>
<td>`3503057012580002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1958</td>
<td>63 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic,b.complek</td>
<td>122/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1591</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SRIATIN</td>
<td>`009300</td>
<td></td>
<td>`0000106803505</td>
<td>`3503054702620002</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>07-02-1962</td>
<td>60 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>AMLODIPINE,BETAHISTINE, B.COMPLEK</td>
<td>154/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1592</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>BIBIT</td>
<td>`007795</td>
<td>02/9071</td>
<td>`0000665944716</td>
<td>`3503050811380002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-11-1938</td>
<td>83 Th</td>
<td>RT 20 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
 <td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>AMLODIPINE,NADIC,AMBROXOL</td>
<td>150/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1593</td>
<td>POLINDES PRAMBON 2</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SULAMI</td>
<td>`008872</td>
<td></td>
<td>`0001978491363</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-03-1984</td>
<td>38 Th</td>
<td>RT 51</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>51</td>
 <td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1594</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MISIYEM</td>
<td>`009761</td>
<td>02/5134</td>
<td>`0000667353486</td>
<td>`3503057112530006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1953</td>
<td>68 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing, kembung</td>
<td>amlodipine, antasida,ctm</td>
<td>150/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1595</td>
<td>POLINDES PRAMBON 2</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SULISTRIANI</td>
<td>`013259</td>
<td></td>
<td>`0001978491194</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-04-1982</td>
<td>40 Th</td>
<td>RT 50</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>1596</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>ASIAH</td>
<td>`010636</td>
<td></td>
<td>`0000665801403</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-02-1955</td>
<td>67 Th</td>
<td>RT 016 RW 003</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine,ambroxol,nadic</td>
<td>150/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1597</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUPARMI</td>
<td>`009641</td>
<td></td>
<td>`0000665868879</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>18-11-1948</td>
<td>73 Th</td>
<td>RT 16</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine</td>
<td>145/90</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1598</td>
<td>POLINDES PRAMBON 2</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TITIK SRIWAHYUNI</td>
<td>`013260</td>
<td></td>
<td>`0003011261253</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-06-1997</td>
<td>25 Th</td>
<td>RT 51</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>52</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1599</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUSRIATI</td>
<td>`020983</td>
<td></td>
<td>`0000665434181</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-04-1969</td>
<td>53 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>amlodipine, nadic</td>
<td>148/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
 <td>156</td>
<td>550</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1600</td>
<td>POLINDES PRAMBON 2</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YESY LINDA AGUSTINA</td>
<td>`000959</td>
<td></td>
<td>`0000106773028</td>
<td>`3503055201970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-01-1997</td>
<td>25 Th</td>
<td>DUSUN MLOKO, RT : 56,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>53</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1601</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>DARMIASIH</td>
<td>`020984</td>
<td></td>
<td>`0000106580417</td>
<td>`3503056212560001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-12-1956</td>
<td>65 Th</td>
<td>DUSUN CORAH MULYO, RT : 2,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>lemes</td>
<td>b.complek</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td></td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1602</td>
<td>POLINDES PRAMBON 2</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIDYAWATI</td>
<td>`004036</td>
<td>06/7637</td>
<td>`0002802754135</td>
<td>`3516055303880003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-03-1988</td>
<td>34 Th</td>
<td>SOOKO, RT : 42 ,RW : 8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1603</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MISTIYAH</td>
<td>`012188</td>
<td>02/9208</td>
<td>`0000667343373</td>
 <td>`3503054803650004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-03-1965</td>
<td>57 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic,ambroxol</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1604</td>
<td>POLINDES PRAMBON 2</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YENI HEMAWATI</td>
<td>`013261</td>
<td></td>
<td>`0003111282461</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-12-1994</td>
<td>27 Th</td>
<td>RT 50</td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1605</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUTARTI</td>
<td>`010624</td>
<td></td>
<td>`0000106530208</td>
<td>`3503055009540002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-09-1954</td>
<td>68 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>amlodipine, nadic</td>
<td>138/88</td>
<td>78</td>
 <td>36</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>80</td>
<td>Klinik Aba Husada</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1606</td>
<td>PONKESDES TUMPUK</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SUMARMI</td>
<td>`021156</td>
<td></td>
<td>`0001978450896</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1960</td>
<td>61 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>125/76</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1607</td>
<td>PONKESDES TUMPUK</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>MUSARI</td>
<td>`013847</td>
<td></td>
<td>`0001978450885</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-06-1954</td>
<td>68 Th</td>
<td>RT 03 RW 01</td>
<td>tumpuk</td>
<td>tugu</td>
<td>trenggalek</td>
<td></td>
<td>tani</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>128/78</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1608</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUKIJAH</td>
<td>`020985</td>
<td></td>
<td>`</td>
<td>`3503053112470013</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1947</td>
<td>74 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>keju linu</td>
<td>nadic</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1609</td>
<td>POLINDES PRAMBON 2</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>JAMILAH</td>
<td>`012503</td>
<td></td>
<td>`0000666091855</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-08-1982</td>
<td>40 Th</td>
<td>PRAMBON RT 50/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>57</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1610</td>
<td>PONKESDES TUMPUK</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>JARMI</td>
<td>`013846</td>
<td></td>
<td>`0001978450863</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-02-1963</td>
<td>59 Th</td>
<td>RT 03 RW 01</td>
<td>tumpuk</td>
 <td>tugu</td>
<td>trenggalek</td>
<td></td>
<td>ibu rumah tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1611</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MURTINI</td>
<td>`013461</td>
<td></td>
<td>`0001037004006</td>
<td>`3503056609660001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-09-1966</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk, kembung</td>
<td>antasida, nadic,ambroxol</td>
<td>120/80</td>
<td>88</td>
 <td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1612</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>HARTATIK</td>
<td>`018458</td>
<td>07/6077</td>
<td>`0001978435247</td>
<td>`3503056802750001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-02-1975</td>
<td>47 Th</td>
<td>DUSUN GENDONG, RT : 9,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJGAN SEHAT</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1613</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>KUSNUL KHOTIMAH</td>
<td>`014775</td>
<td></td>
<td>`0001978442335</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-06-1993</td>
<td>29 Th</td>
<td>RT 04 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>110/70</td>
<td>870</td>
<td>360</td>
<td>24</td>
<td>143</td>
<td>32</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1614</td>
<td>POLINDES PRAMBON 2</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>INDARI</td>
<td>`013263</td>
<td></td>
<td>`0001037014514</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-01-1992</td>
<td>30 Th</td>
<td>RT 50</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1615</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>DULGHONI</td>
<td>`009788</td>
<td></td>
 <td>`0001978441571</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-03-1966</td>
<td>56 Th</td>
<td>RT 003 RW 000</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT-</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1616</td>
<td>PONKESDES TUMPUK</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>MUJIATIN</td>
<td>`013105</td>
<td></td>
<td>`0001978450762</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-08-1969</td>
<td>53 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1617</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUPARMI</td>
<td>`005474</td>
<td>02/2285</td>
<td>`0000665912439</td>
<td>`3503057112580015</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1958</td>
<td>63 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>pusing</td>
<td>amlodipine</td>
<td>158/88</td>
<td>88</td>
 <td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1618</td>
<td>PONKESDES TUMPUK</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>ENDAH SUPRIHATIN</td>
<td>`013104</td>
<td></td>
<td>`0001978450751</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-03-1999</td>
<td>23 Th</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>108/69</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1619</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KATINI</td>
<td>`009974</td>
<td>02/2628</td>
<td>`0000666049037</td>
<td>`3503055206740005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-06-1974</td>
<td>48 Th</td>
<td>DUSUN KRAJAN, RT : 13,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kembung</td>
<td>antasida, ibu profen</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1620</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>MARYANI</td>
<td>`005955</td>
<td>07/1460</td>
<td>`0001976989634</td>
<td>`3503050503050363</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-10-1967</td>
<td>54 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>67</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1621</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>NGATMINAH</td>
<td>`009787</td>
<td></td>
<td>`0001978441593</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-03-1970</td>
<td>52 Th</td>
<td>RT 003 RW 000</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>151</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1622</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUPARTINI</td>
<td>`002373</td>
<td>02/3087</td>
<td>`0001978460335</td>
<td>`3503057112490016</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1949</td>
<td>72 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine, betahistine</td>
<td>158/88</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1623</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SRIWATI</td>
<td>`011707</td>
<td></td>
<td>`0001978440941</td>
<td>`3503056006750001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-06-1975</td>
<td>47 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>sehat</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
 <td>24</td>
<td>150</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1624</td>
<td>PONKESDES TUMPUK</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>AAN DANI HAIZZAROH ALA DAWI</td>
<td>`013100</td>
<td></td>
<td>`0001978450683</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-10-2004</td>
<td>17 Th</td>
<td>RT 02 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>55</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1625</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SULIS MARKAMAH</td>
<td>`002615</td>
<td></td>
<td>`0000104796044</td>
<td>`350305 </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-05-1969</td>
<td>53 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1626</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SITI KHOLISAH</td>
<td>`012726</td>
<td></td>
<td>`</td>
<td>`3503057112680029</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1968</td>
<td>53 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td></td>
<td>keju</td>
<td>b.complek</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>58</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1627</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>BINTI MUNAWAROH</td>
<td>`012320</td>
<td></td>
<td>`0000170070906</td>
<td>`3503055803680001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-03-1968</td>
<td>54 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kembung</td>
<td>omz, nadic</td>
<td>120/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1628</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SUMARNO</td>
<td>`002132</td>
<td></td>
<td>`0001707126399</td>
<td>`3503050512520001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-12-1952</td>
<td>69 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>154/87</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>175</td>
<td>65</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1629</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>HARTATIK</td>
<td>`018458</td>
<td>07/6077</td>
<td>`0001978435247</td>
<td>`3503056802750001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-02-1975</td>
<td>47 Th</td>
<td>DUSUN GENDONG, RT : 9,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>24</td>
 <td>154</td>
<td>43</td>
<td>56</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1630</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SITI CHATIDJAH</td>
<td>`007099</td>
<td>02/5686</td>
<td>`0000106689936</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-02-1954</td>
<td>68 Th</td>
<td>RT 15 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine</td>
<td>160/99</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1631</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUSANAH</td>
<td>`019197</td>
<td>02/3180</td>
<td>`0002440065115</td>
<td>`3503057112480025</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1948</td>
<td>73 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine,b.complek</td>
<td>150/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>1632</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>HARTATIK</td>
<td>`018458</td>
<td>07/6077</td>
<td>`0001978435247</td>
<td>`3503056802750001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-02-1975</td>
<td>47 Th</td>
<td>DUSUN GENDONG, RT : 9,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>152</td>
<td>43</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1633</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUKATMI</td>
<td>`009648</td>
<td></td>
<td>`0000665886036</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>31-12-1945</td>
<td>76 Th</td>
<td>RT 13</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>omz, amlodipine</td>
<td>155/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1634</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>JAITUN</td>
<td>`011354</td>
<td></td>
<td>`0001978451379</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-06-1930</td>
<td>92 Th</td>
<td>RT 022 RW </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>amlodipine, nadic</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1635</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SITI FATIMAH</td>
<td>`004768</td>
<td>07/146</td>
<td>`0001978440581</td>
<td>`3503055505680003.</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-05-1968</td>
<td>54 Th</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>140/87</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>150</td>
 <td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1636</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>NETI SETIYO RAHAYU</td>
<td>`009840</td>
<td></td>
<td>`0001978442111</td>
<td>`3503056408810001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-08-1981</td>
<td>41 Th</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1637</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>EVA YULIANA SARI</td>
<td>`007891</td>
<td></td>
<td>`0000665799761</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-08-1992</td>
<td>30 Th</td>
<td>SUKOREJO</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/800</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>47</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1638</td>
 <td>POLI GIGI</td>
<td>06-09-2022</td>
<td></td>
<td>NAILA NUR AZIZAH</td>
<td>`018456</td>
<td>08/1628</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-01-2016</td>
<td>6 Th</td>
<td>RT 04 RW 02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>gigi depan atas kanan kiri goyang derajat 3</td>
<td>anasthesi topikal cabut gigi 51.52</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>116</td>
<td>22</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.1</td>
<td>
Supernumerary teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>1639</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SARMINAH</td>
<td>`006120</td>
<td></td>
<td>`0000665734915</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>12-06-1968</td>
<td>54 Th</td>
<td>RT 20 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>135/78</td>
<td>88</td>
<td>3</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1640</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>MISTI</td>
<td>`007092</td>
<td></td>
<td>`0000665940587</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-07-1962</td>
<td>60 Th</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
 <td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>122/87</td>
<td>87</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>47</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1641</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SEPTIAWAN NUR RAMMADANI</td>
<td>`017614</td>
<td></td>
<td>`0000665635656</td>
<td>`3503051009080002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-09-2008</td>
<td>14 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>163</td>
<td>56</td>
 <td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1642</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SAIRIN</td>
<td>`015477</td>
<td></td>
<td>`0000665869386</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1964</td>
<td>58 Th</td>
<td>RT 16/07</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>136/78</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>66</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1643</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>NUR AISAY</td>
<td>`018602</td>
<td></td>
<td>`0000665713585</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-03-1986</td>
<td>36 Th</td>
<td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>122/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1644</td>
<td>PUSTU NGEPEH</td>
 <td>06-09-2022</td>
<td>KONSULTASI</td>
<td>ALFIN OKTARIAN ROMADHON</td>
<td>`018603</td>
<td></td>
<td>`0000666354115</td>
<td>`3503052210040001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-10-2004</td>
<td>17 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>66</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1645</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>TARMAN</td>
<td>`018604</td>
<td></td>
<td>`0000666821114</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>27-03-1941</td>
<td>81 Th</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>146/87</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>63</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1646</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SELFI DWI LESTARI HANDAYANI</td>
<td>`018605</td>
<td></td>
<td>`0001978434292</td>
<td>`3517095811860007</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-11-1986</td>
<td>35 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
 <td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>120/87</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>65</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1647</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>TARYONO</td>
<td>`018606</td>
<td></td>
<td>`0000665568933</td>
<td>`3503052106730001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-06-1973</td>
<td>49 Th</td>
<td>GERBO, RT : 12,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>137/76</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>76</td>
<td>89</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1648</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>MUSANI</td>
<td>`000944</td>
<td></td>
<td>`0000666051851</td>
<td>`3503050101680005</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-01-1968</td>
<td>54 Th</td>
<td>PRAMBON RT 24</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1649</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>HAMIDAH</td>
<td>`000007</td>
<td>02/1172</td>
<td>`0000106838357</td>
<td>`3503064305830010</td>
<td>`14292</td>
<td></td>
<td></td>
<td>P</td>
<td>03-05-1983</td>
<td>39 Th</td>
<td>DUSUN KRAJAN, RT : 014,RW :004 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000329</td>
<td>batuk pilek,gatal ditngn</td>
<td>amox , vit c ,gg,ctm,fe,metformin,omz</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1650</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
 <td>KONSULTASI</td>
<td>SUTARTO</td>
<td>`018607</td>
<td></td>
<td>`0000666137957</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-04-1963</td>
<td>59 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>143/98</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1651</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>AYUN TRIAS RISTI</td>
<td>`000632</td>
<td>06/5763</td>
<td>`0002802760132</td>
<td>`3503056811130001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>28-11-2013</td>
<td>8 Th</td>
<td>DUSUN KRAJAN, RT : 24,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>24</td>
<td>90</td>
<td>24</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1652</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>MUNASRIPAH</td>
<td>`016143</td>
<td></td>
<td>`0000666145348</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-10-1971</td>
<td>50 Th</td>
<td>RT 26 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
 <td>konseling</td>
<td>-</td>
<td>123/76</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>49</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1653</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>RUPINI</td>
<td>`018610</td>
<td></td>
<td>`0002867871306</td>
<td>`3503054608860003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-08-1986</td>
<td>36 Th</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>143/87</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>45</td>
<td>78</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1654</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>IPUR NINDIANI</td>
<td>`001444</td>
<td></td>
<td>`0000666052233</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1997</td>
<td>24 Th</td>
<td>PRAMBON RT 24</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1655</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>IMAM SOPINGI</td>
<td>`018611</td>
<td></td>
<td>`0000666115457</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-06-1976</td>
<td>46 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>154/78</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>175</td>
<td>76</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1656</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td></td>
 <td>TASMI</td>
<td>`003239</td>
<td></td>
<td>`0000666051873</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-02-1978</td>
<td>44 Th</td>
<td>PRAMBON RT 24/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000320</td>
<td>GATAL</td>
<td>MICONAZOL SK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1657</td>
<td>PONKESDES TUMPUK</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SITI AMINAH</td>
<td>`000057</td>
<td></td>
<td>`0001978450547</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-05-1957</td>
 <td>65 Th</td>
<td>RT 02 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/75</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1658</td>
<td>PONKESDES TUMPUK</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>YULIANA</td>
<td>`017451</td>
<td></td>
<td>`0001978450558</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1985</td>
<td>37 Th</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>110/70</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1659</td>
<td>PONKESDES TUMPUK</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SUTRIATI</td>
<td>`009912</td>
<td></td>
<td>`0001978450334</td>
<td>`3503057112580008</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1958</td>
<td>63 Th</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/76</td>
<td>67</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>52</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1660</td>
<td>PONKESDES TUMPUK</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SAMIDI</td>
<td>`017450</td>
<td></td>
<td>`0001978450323</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1938</td>
<td>83 Th</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/78</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>58</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1661</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>JAITUN</td>
<td>`012701</td>
<td></td>
<td>`0001978451379</td>
<td>`3503054606300001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-06-1930</td>
<td>92 Th</td>
<td>ETAN KALI, RT : 22,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>keju linu</td>
<td>nadic. b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1662</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KARMINI</td>
 <td>`011352</td>
<td>02/2528</td>
<td>`0000665562633</td>
<td>`3503054812670002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1967</td>
<td>54 Th</td>
<td>RT 022 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>panas pilek</td>
<td>pamol,antasida,b.complek,ctm</td>
<td>120/80</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1663</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>RIZKI NUR FEBRIANO</td>
<td>`012396</td>
<td></td>
<td>`0002922919841</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-02-2020</td>
<td>2 Th</td>
 <td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>KUNJUNGAN SEHAT</td>
<td>-</td>
<td>90/60</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>106</td>
<td>14</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1664</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUKAWAN</td>
<td>`005243</td>
<td>02/2528</td>
<td>`0000665562453</td>
<td>`3503051207620004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-07-1962</td>
<td>60 Th</td>
<td>ETAN KALI, RT : 22,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk</td>
<td>ambroxol,antasida, pamol</td>
 <td>120/80</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1665</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td></td>
<td>SUKARNI</td>
<td>`002954</td>
<td>07/3026</td>
<td>`0001702404066</td>
<td>`3503056206740001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-06-1974</td>
<td>48 Th</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000808</td>
<td>batuk pilek panas</td>
<td>pamol,ctm,dexa,gg</td>
<td>123/93</td>
<td>103</td>
<td>36</td>
<td>24</td>
<td>150</td>
<td>67</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
 <td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1666</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SRI ATUN</td>
<td>`000737</td>
<td>02/1195a</td>
<td>`0001978460561</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1965</td>
<td>56 Th</td>
<td>RT 16 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>lemes</td>
<td>glibenclamide</td>
<td>130/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>1667</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>DAFFA ZAKY AL FARIZI</td>
<td>`012394</td>
<td></td>
<td>`0003068135368</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-04-2020</td>
<td>2 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>100/60</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>108</td>
<td>15</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1668</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUTARDJO</td>
<td>`004426</td>
 <td>02/1195A</td>
<td>`0001978460559</td>
<td>`3503053112530033</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1953</td>
<td>68 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine</td>
<td>140/88</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1669</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td></td>
<td>SAIPUDIN ZUHRI</td>
<td>`014895</td>
<td></td>
<td>`0001037005132</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-10-1994</td>
<td>27 Th</td>
<td>BANARAN RT2 RW1</td>
 <td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000989</td>
<td>radang </td>
<td>dexa,bcomplek</td>
<td>120/70</td>
<td>90</td>
<td>37</td>
<td>20</td>
<td>175</td>
<td>70</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.0</td>
<td>
Streptococcal pharyngitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1670</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td></td>
<td>SUMINI</td>
<td>`003073</td>
<td></td>
<td>`0001978441143</td>
<td>`3503055005540002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-05-1954</td>
<td>68 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>131506010922Y000809</td>
<td>kontrol tensi</td>
<td>amlo 5 mg, b. komplek</td>
<td>150/75</td>
 <td>71</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1671</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MARSIH</td>
<td>`003855</td>
<td>02/3142</td>
<td>`0000665930722</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1955</td>
<td>66 Th</td>
<td>RT22RW6 NGLONGSOR TUGU</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine, pamol</td>
<td>156/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
 Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1672</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>RULI AINUNI</td>
<td>`012393</td>
<td></td>
<td>`0001978438601</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-04-1989</td>
<td>33 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/800</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>54</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>1673</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SAPURA</td>
<td>`006694</td>
<td></td>
<td>`0000665462564</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-12-1955</td>
<td>66 Th</td>
<td>RT-</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>antasida, nadic.b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1674</td>
<td>POLI LANSIA</td>
<td>06-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>LIS MAISAROH</td>
<td>`015242</td>
<td></td>
 <td>`0000666060478</td>
<td>`3503055605850003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-05-1985</td>
<td>37 Th</td>
<td>DUSUN CORAH MULYO, RT : 2,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk</td>
<td>ambroxol, pamol</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>49</td>
<td>80</td>
<td>Klinik Aba Husada</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1675</td>
<td>POLI UMUM</td>
<td>06-09-2022</td>
<td></td>
<td>ENDAH WULANDARI</td>
<td>`000584</td>
<td>05/395</td>
<td>`0000665468482</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-1978</td>
<td>44 Th</td>
<td>RT 06 RW 03</td>
<td>BANARAN</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000297</td>
<td>PUSING PILEK NYERI PERUT TEMBUS PINGGANG</td>
<td>RANITIDIN OMEPRAZOLE CTM PAMOL BC</td>
<td>139/91</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>65</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1676</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>WIWIN KUSTIANINGSIH</td>
<td>`012391</td>
<td></td>
<td>`0001269827864</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-05-1983</td>
<td>39 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>870</td>
 <td>36</td>
<td>24</td>
<td>161</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1677</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>ANI KHOTUL FUADAH</td>
<td>`012390</td>
<td></td>
<td>`0001978436395</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-09-1989</td>
<td>33 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>110/70</td>
<td>760</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1678</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>VIVI YUNIAR FITRIANI</td>
<td>`004695</td>
<td></td>
<td>`0001265121617</td>
<td>`3503054906860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-08-1986</td>
<td>36 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>161</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1679</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>IDA SITI NURHAYATI</td>
<td>`012388</td>
<td></td>
<td>`0001975820398</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-09-2000</td>
<td>22 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>110/70</td>
<td>870</td>
<td>36</td>
<td>24</td>
<td>143</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1680</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SALIMATUN NAJIYAH</td>
<td>`012387</td>
<td></td>
<td>`0002447811999</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-03-1986</td>
<td>36 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>54</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1681</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>SALIMATUN NAJIYAH</td>
<td>`012387</td>
<td></td>
<td>`0002447811999</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-03-1986</td>
<td>36 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>76</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1682</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>IRA KHOIRI PURWATI</td>
<td>`011002</td>
<td>07/2050</td>
<td>`0003067871218</td>
<td>`3503055705870003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-05-1987</td>
<td>35 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
 <td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1683</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>ACHMAD REVAN ARYA ALFAREZI</td>
<td>`012417</td>
<td></td>
<td>`0003068151467</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-01-2018</td>
<td>4 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>BE</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>90/600</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>109</td>
<td>14</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1684</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>RIADATUN NISAM</td>
<td>`012416</td>
<td></td>
<td>`0001978438421</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-04-1986</td>
<td>36 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>540</td>
<td>780</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1685</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>AHMAD FAIQ NABIL ALFARIZI</td>
<td>`006435</td>
<td></td>
<td>`0003067616439</td>
<td>`</td>
<td>`</td>
<td>khoirul m</td>
<td></td>
<td>L</td>
<td>02-05-2019</td>
<td>3 Th</td>
<td>RT 8 RW 4</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>780</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>98</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1686</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>VREZA AQILA SAPUTRA</td>
<td>`012414</td>
<td></td>
<td>`0003067888757</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-11-2017</td>
<td>4 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>100/60</td>
<td>870</td>
<td>36</td>
<td>24</td>
<td>102</td>
<td>15</td>
<td>43</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1687</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>EKA FITRIA</td>
<td>`004721</td>
<td></td>
<td>`0001978437453</td>
<td>`3503056103860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-03-1986</td>
<td>36 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1688</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>FARID NABILATUZ ZAHIRA</td>
<td>`012413</td>
<td></td>
<td>`0003067864839</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-08-2018</td>
<td>4 Th</td>
<td>RT RW</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>76</td>
<td>36</td>
<td>24</td>
 <td>109</td>
<td>16</td>
<td>43</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1689</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>ALMEERA ZEA PRISMA NALADHIPA</td>
<td>`012411</td>
<td></td>
<td>`0002318560863</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-12-2017</td>
<td>4 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>sehat</td>
<td>-</td>
<td>100/60</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>109</td>
<td>16</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1690</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>FITRI ANIKASARI</td>
<td>`004066</td>
<td>07/960</td>
<td>`0001969807307</td>
<td>`3503056803930006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-03-1993</td>
<td>29 Th</td>
<td>RT 5 RW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>110/80</td>
<td>76</td>
<td>35</td>
<td>24</td>
<td>143</td>
<td>32</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>1691</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>RAYFA ZIA ALMAHYRA</td>
<td>`012410</td>
<td></td>
<td>`0003071302558</td>
<td>`3503050706110002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-02-2021</td>
<td>1 Th</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>90/60</td>
<td>100</td>
<td>36</td>
<td>24</td>
<td>100</td>
<td>16</td>
<td>43</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1692</td>
<td>PONKESDES SUKOREJO</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>NURUL SHOLIKATIN</td>
<td>`001831</td>
<td>07/5291</td>
<td>`0000665731157</td>
<td>`3503054610860002</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>06-10-1986</td>
<td>35 Th</td>
<td>RT 08 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>54</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1693</td>
<td>POLINDES PRAMBON 2</td>
<td>06-09-2022</td>
<td></td>
<td>PONISIH</td>
<td>`002738</td>
<td>06/5381</td>
<td>`0002970310937</td>
<td>`3503055704830007</td>
<td>`</td>
<td></td>
<td>082331518624</td>
<td>P</td>
<td>17-04-1983</td>
<td>39 Th</td>
<td>RT 47 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000298</td>
<td>Suntik kb</td>
<td>Depo</td>
<td>112/79</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>47</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1694</td>
<td>POLINDES PRAMBON 2</td>
<td>06-09-2022</td>
<td></td>
<td>SUKARMI</td>
<td>`014779</td>
<td></td>
<td>`0000666025569</td>
<td>`3503054408640001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-08-1964</td>
<td>58 Th</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000299</td>
<td>Bapil</td>
<td>Pct, gg, ctm, antas</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>156</td>
 <td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1695</td>
<td>POLINDES PRAMBON 2</td>
<td>06-09-2022</td>
<td></td>
<td>SOBIRAN</td>
<td>`015974</td>
<td></td>
<td>`0000666025468</td>
<td>`3503052508580002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-08-1958</td>
<td>64 Th</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000330</td>
<td>Keju linu</td>
<td>Nadi,ctm, b.c</td>
<td>129/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>61</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1696</td>
<td>POLINDES PRAMBON 2</td>
<td>06-09-2022</td>
<td></td>
<td>DARUNI</td>
<td>`001828</td>
<td></td>
<td>`0001978490147</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-10-1964</td>
<td>57 Th</td>
<td>PRAMBON RT 48/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000331</td>
<td>Perut sakut</td>
<td>Oralit, zinc, nadic</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1697</td>
 <td>POLINDES PRAMBON 2</td>
<td>06-09-2022</td>
<td></td>
<td>SINTO</td>
<td>`020950</td>
<td></td>
<td>`0001037014255</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-05-1952</td>
<td>70 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000332</td>
<td>Perut kembung</td>
<td>Antas</td>
<td>110/79</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1698</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SAKUR</td>
<td>`014517</td>
<td></td>
<td>`0000666230422</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>02-07-1983</td>
<td>39 Th</td>
<td>PRAMBON RT 19</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/84</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>170</td>
<td>58</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1699</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KUNI SIFA`UR ROCHMAH</td>
<td>`014421</td>
<td></td>
<td>`0002190268629</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-02-2013</td>
<td>9 Th</td>
<td>PRAMBON RT 19</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
 <td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>130</td>
<td>20</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1700</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>INEM RACHMAWATI</td>
<td>`000006</td>
<td></td>
<td>`0002190268618</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-05-1984</td>
<td>38 Th</td>
<td>RT 19</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>162</td>
<td>52</td>
 <td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1701</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PARTATIK</td>
<td>`001018</td>
<td></td>
<td>`0000666047553</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-06-1977</td>
<td>45 Th</td>
<td>PRAMBON RT19/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1702</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td></td>
<td>LIYA SANIYATUL ADYAN</td>
<td>`006818</td>
<td>04/4147</td>
<td>`0003080443048</td>
<td>`3503055401950001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-01-1995</td>
<td>27 Th</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001779</td>
<td>FLU</td>
<td>PAMOL, CTM, GG</td>
<td>120/75</td>
<td>88</td>
<td>38</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1703</td>
<td>POLINDES PRAMBON 1</td>
 <td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SAHURI</td>
<td>`005328</td>
<td></td>
<td>`0000666046708</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-02-1966</td>
<td>56 Th</td>
<td>PRAMBON RT 19/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/80</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>61</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1704</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td></td>
<td>PUPUT DWI LESTARI</td>
<td>`011959</td>
<td></td>
<td>`0001707020763</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>12-09-2009</td>
<td>13 Th</td>
<td>RT 18 RW3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001620</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/67</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1705</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td></td>
<td>MARSIYAH</td>
<td>`010254</td>
<td></td>
<td>`0000665934401</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-05-1980</td>
<td>42 Th</td>
<td>RT. 11 RW. 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
 <td>131506010922Y001612</td>
<td>POSYANDU</td>
<td>-</td>
<td>132/87</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1706</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ERSY AGUSTINA RAHAYU</td>
<td>`007930</td>
<td></td>
<td>`0002594190712</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-08-2008</td>
<td>14 Th</td>
<td>PRAMBON RT 19/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>112/72</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>47</td>
<td>0</td>
 <td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1707</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPARTO</td>
<td>`002654</td>
<td></td>
<td>`0000666001236</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-06-1961</td>
<td>61 Th</td>
<td>PRAMBON RT 18 /3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>130/92</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>63</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1708</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KATIYAH</td>
<td>`016164</td>
<td></td>
<td>`0002802746542</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1968</td>
<td>53 Th</td>
<td>DUSUN KRAJAN</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>180/110</td>
<td>86</td>
<td>37</td>
<td>24</td>
<td>152</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1709</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>ANANDA ABDULAH</td>
<td>`004126</td>
<td></td>
<td>`0001978486446</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-02-2004</td>
<td>18 Th</td>
<td>PRAMBON RT 15/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>49</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1710</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BAGUS FAJAR</td>
<td>`018406</td>
<td></td>
<td>`0001978486435</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>13-08-1996</td>
<td>26 Th</td>
<td>KRAJAN</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1711</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MISIYEM</td>
<td>`013452</td>
<td></td>
<td>`0000665842893</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-05-1957</td>
<td>65 Th</td>
<td>KRAJAN, RT : 17,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Industri</td>
<td>Lama</td>
<td>Konseling</td>
 <td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>47</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1712</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DARTIN</td>
<td>`004127</td>
<td></td>
<td>`0001978486457</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-09-1975</td>
<td>47 Th</td>
<td>PRAMBON RT 15/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>58</td>
<td>0</td>
<td>Tugu</td>
 <td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1713</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RUDI HARIADI</td>
<td>`018407</td>
<td></td>
<td>`0003088302434</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-10-1987</td>
<td>34 Th</td>
<td>KRAJAN</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>163</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1714</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARDI PUTRA PRATAMA</td>
<td>`009072</td>
<td></td>
<td>`0003000876401</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-07-2010</td>
<td>12 Th</td>
<td>PRAMBON RT 18/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>138</td>
<td>41</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1715</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>RADIFTA HAFIS SAPUTRA</td>
<td>`000854</td>
<td>06/6429</td>
<td>`0002251645029</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-05-2017</td>
<td>5 Th</td>
<td>PRAMBON RT 18</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>104</td>
<td>15</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1716</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SABUANG</td>
<td>`016161</td>
<td></td>
<td>`0000666329872</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-12-1959</td>
 <td>62 Th</td>
<td>DUSUN KRAJAN</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1717</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUKANTUN</td>
<td>`016162</td>
<td></td>
<td>`0000666330131</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1965</td>
<td>56 Th</td>
<td>DUSUN KRAJAN</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
 <td>-</td>
<td>125/82</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>58</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1718</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SENEN</td>
<td>`000867</td>
<td></td>
<td>`0000666068321</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-12-1965</td>
<td>56 Th</td>
<td>PRAMBON RT 19</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/72</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1719</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RIZKU SURYA SAPUTRA</td>
<td>`016160</td>
<td></td>
<td>`0002596027151</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-03-2007</td>
<td>15 Th</td>
<td>DUSUN KRAJAN</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>145</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1720</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARSINI</td>
<td>`001832</td>
<td></td>
<td>`0000666069243</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-11-1965</td>
<td>56 Th</td>
<td>PRAMBON RT 19/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>151</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1721</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AGUS BAYU LESIANTO</td>
 <td>`016118</td>
<td></td>
<td>`0000666069276</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-08-1999</td>
<td>23 Th</td>
<td>PRAMBON RT 19</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>159</td>
<td>58</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1722</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KARISMA DEWI YULIAFITRI</td>
<td>`008391</td>
<td>06/7416</td>
<td>`0003080443948</td>
<td>`3503055007970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-07-1997</td>
<td>25 Th</td>
 <td>DUSUN TENGGAR, RT : 9,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Honorer</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1723</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ALIFIA AZIZAH</td>
<td>`016157</td>
<td></td>
<td>`0000171056103</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-2005</td>
<td>17 Th</td>
<td>RT 13</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
 <td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>141</td>
<td>32</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1724</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NURHAYATI</td>
<td>`006966</td>
<td>06/5434</td>
<td>`0000169402847</td>
<td>`350305 </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-04-1982</td>
<td>40 Th</td>
<td>RT 13 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>162</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1725</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARIES YUNIANTO</td>
<td>`016156</td>
<td></td>
<td>`0000104371378</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-06-1978</td>
<td>44 Th</td>
<td>RT 13</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>pns</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>63</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>1726</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FINGKI AGUS ADITYA</td>
<td>`016152</td>
<td></td>
<td>`0000665808761</td>
<td>`3503052308010001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-08-2001</td>
<td>21 Th</td>
<td>DUSUN TENGGAR, RT : 9,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>48</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1727</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUTINI</td>
<td>`000851</td>
 <td></td>
<td>`0000665808489</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-03-1977</td>
<td>45 Th</td>
<td>PRAMBON RT 9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>163</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1728</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUMANI</td>
<td>`016154</td>
<td></td>
<td>`0000665807668</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-09-1967</td>
<td>55 Th</td>
<td>RT 09</td>
 <td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>p0sbal</td>
<td>-</td>
<td>125/84</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1729</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MAHARANI</td>
<td>`016155</td>
<td></td>
<td>`0003110786155</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-11-2021</td>
<td>0 Th</td>
<td>RT 13</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
 <td>0</td>
<td>37</td>
<td>20</td>
<td>62</td>
<td>10</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1730</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td></td>
<td>WINDA OKTALINA</td>
<td>`020987</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-09-1995</td>
<td>27 Th</td>
<td>RT 02 RW 01</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>periksa hamil</td>
<td>fe</td>
<td>110/70</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>Z34.0</td>
<td>
 Supervision of normal first pregnancy </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1731</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUWARNO</td>
<td>`014495</td>
<td></td>
<td>`0002802756881</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-02-1975</td>
<td>47 Th</td>
<td>RT 19</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>1732</td>
<td>PONKESDES BANARAN</td>
<td>06-09-2022</td>
<td></td>
<td>PUJIANTO</td>
<td>`020988</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-09-1966</td>
<td>56 Th</td>
<td>RT 04 RW 02</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>pusing</td>
<td>amlo 5 mg</td>
<td>135/75</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>59</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1733</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DESTAFIAN FARICANA NAFIS</td>
<td>`014496</td>
<td></td>
 <td>`0002802756903</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-12-2008</td>
<td>13 Th</td>
<td>RT 19</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>140</td>
<td>35</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1734</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YUNI TRINYAMINI</td>
<td>`014497</td>
<td></td>
<td>`0002802756892</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-06-1987</td>
<td>35 Th</td>
<td>RT 19</td>
<td>PRAMBON</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>145</td>
<td>51</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1735</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUKAR</td>
<td>`005644</td>
<td>06/6399</td>
<td>`0001037013939</td>
<td>`3503052705450004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-05-1945</td>
<td>77 Th</td>
<td>DUSUN KRAJAN, RT : 19,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
 <td>37</td>
<td>20</td>
<td>165</td>
<td>56</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1736</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>JEGEG WIBOWO</td>
<td>`016158</td>
<td></td>
<td>`0001978461279</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-08-1995</td>
<td>27 Th</td>
<td>RT 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1737</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPOMO</td>
<td>`016159</td>
<td></td>
<td>`0002802762786</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-06-1970</td>
<td>52 Th</td>
<td>DUSUN KRAJAN</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1738</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANDIKA DIMAS SW</td>
<td>`011882</td>
<td></td>
<td>`0002607569267</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-01-2004</td>
<td>18 Th</td>
<td>PRAMBON RT 15/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1739</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>JESTINA AYU FITRIANI</td>
<td>`012723</td>
<td></td>
<td>`0002591823194</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-10-2008</td>
<td>13 Th</td>
<td>PRAMBON RT 15/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>46</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1740</td>
<td>RAWAT INAP</td>
<td>06-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>MEIKO YUANDNA PUTRA</td>
<td>`006498</td>
<td></td>
<td>`0002932265902</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-04-2020</td>
<td>2 Th</td>
<td>RT. 17 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000383</td>
<td>PANAS 1 HR, BAPIL,BAB KECOKLATAN</td>
<td>INF RL</td>
<td>90/50</td>
<td>120</td>
<td>37</td>
<td>22</td>
<td>100</td>
<td>12</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Konsultasi<br>Layanan Unit Gawat Darurat (UGD)<br>Pemasangan
infuse<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>1741</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>REVIANA CITRA SOFIANTI</td>
<td>`014494</td>
<td></td>
<td>`0002610912317</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-04-2006</td>
<td>16 Th</td>
<td>DUSUN KRAJAN</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
 <td>37</td>
<td>20</td>
<td>152</td>
<td>44</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1742</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIGATI</td>
<td>`014493</td>
<td></td>
<td>`0002610912216</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-07-1983</td>
<td>39 Th</td>
<td>DUSUN KRAJAN</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>48</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1743</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DAMAYANTI</td>
<td>`014489</td>
<td></td>
<td>`0002867872746</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-09-1983</td>
<td>39 Th</td>
<td>RT 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1744</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PURNOMO</td>
<td>`014490</td>
<td></td>
<td>`0001037014571</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-05-1986</td>
<td>36 Th</td>
<td>RT 13</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/82</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>58</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1745</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KENZIE MAHARDIKA PRADANA</td>
<td>`014488</td>
<td></td>
<td>`0003103371538</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-08-2021</td>
<td>1 Th</td>
<td>DUSUN KRAJAN</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>66</td>
<td>10</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1746</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AGUS WASONO</td>
<td>`014487</td>
<td></td>
<td>`0002802758444</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-07-1980</td>
<td>42 Th</td>
<td>DUSUN KRAJAN</td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/82</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>163</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1747</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DETAMA AQIL AMANULLOH</td>
<td>`014485</td>
<td></td>
<td>`0002158256529</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-12-2009</td>
<td>12 Th</td>
<td>RT 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>108/70</td>
<td>82</td>
<td>37</td>
 <td>20</td>
<td>115</td>
<td>20</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1748</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TAMAT</td>
<td>`014486</td>
<td></td>
<td>`0002802760841</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-02-1986</td>
<td>36 Th</td>
<td>RT 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>115/74</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>58</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1749</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>APRENESA NUR HIBAH</td>
<td>`014484</td>
<td></td>
<td>`0002594977659</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-04-2017</td>
<td>5 Th</td>
<td>RT 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>110</td>
<td>15</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1750</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARDIANTO</td>
<td>`014483</td>
<td></td>
<td>`0002158256531</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-10-2011</td>
<td>10 Th</td>
<td>RT 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>111/70</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>143</td>
<td>34</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1751</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TRI PRASTY ALIMUFID</td>
<td>`014482</td>
<td></td>
<td>`0002603330908</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-11-2008</td>
<td>13 Th</td>
<td>RT 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>108/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>140</td>
<td>30</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1752</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ZEZE KANAYA</td>
<td>`006280</td>
<td></td>
<td>`0002605891612</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-09-2012</td>
<td>10 Th</td>
<td>PRAMBON RT 12/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>135</td>
<td>27</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1753</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUCIATI</td>
<td>`006281</td>
<td></td>
<td>`0000665948564</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-11-1978</td>
<td>43 Th</td>
<td>PRAMBON RT 12/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>112/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
 <td>156</td>
<td>64</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1754</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TAMAN</td>
<td>`014481</td>
<td></td>
<td>`0000665948092</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-08-1966</td>
<td>56 Th</td>
<td>RT 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>124/84</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>56</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1755</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMAD FARID KURNIAWAN</td>
<td>`014480</td>
<td></td>
<td>`0001787565802</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-12-2004</td>
<td>17 Th</td>
<td>RT 15</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>164</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>1756</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RIANI MUTHIA AZZAHRA</td>
<td>`001078</td>
<td></td>
<td>`0002492713451</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-2018</td>
<td>4 Th</td>
<td>PRAMBON RT 15/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>100</td>
<td>16</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1757</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRI UTAMI</td>
<td>`014479</td>
<td></td>
<td>`0001787565791</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>21-01-1981</td>
<td>41 Th</td>
<td>RT 15</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>posbal</td>
<td>-</td>
<td>125/84</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>162</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1758</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RICO OKTA REVANDRA ARYONO</td>
<td>`005026</td>
<td></td>
<td>`0002747872631</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-01-2018</td>
<td>4 Th</td>
<td>PRAMBON RT 15/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>95</td>
<td>15</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1759</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>VALEN YUANITA W</td>
<td>`002039</td>
<td></td>
<td>`0001978491789</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-06-2009</td>
<td>13 Th</td>
<td>PRAMBON RT 15/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>145</td>
 <td>36</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1760</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SURATMI</td>
<td>`007542</td>
<td></td>
<td>`0001978491767</td>
<td>`3503054811860001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-10-1985</td>
<td>36 Th</td>
<td>PRAMBON RT 15</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>145</td>
<td>44</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1761</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RIWIN DWI HANDAYANI</td>
<td>`002472</td>
<td>03/3679</td>
<td>`0002970311152</td>
<td>`3503056107990003</td>
<td>`</td>
<td></td>
<td>087784340517</td>
<td>P</td>
<td>21-07-1999</td>
<td>23 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1762</td>
 <td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PEBRI WAHONO</td>
<td>`014477</td>
<td></td>
<td>`0003055008273</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-02-1994</td>
<td>28 Th</td>
<td>DUSUN KRAJAN</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1763</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANIK HIDAYATI</td>
<td>`012337</td>
<td>06/4736</td>
<td>`0000665842408</td>
<td>`3503054703890003</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>07-03-1989</td>
<td>33 Th</td>
<td>KRAJAN, RT : 17,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1764</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SINTIANA DEWI</td>
<td>`000954</td>
<td>06/5776</td>
<td>`0000665520636</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1999</td>
<td>22 Th</td>
<td>RT 17 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
 <td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>42</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1765</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DARMANTO</td>
<td>`003591</td>
<td></td>
<td>`0001978486299</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-07-1985</td>
<td>37 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>125/82</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>170</td>
<td>65</td>
 <td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1766</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FUJI ASMIYAH</td>
<td>`001100</td>
<td></td>
<td>`0000666210429</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-02-1997</td>
<td>25 Th</td>
<td>PRAMBO RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>61</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1767</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AMARA NAVISHA PUTRI</td>
<td>`014474</td>
<td></td>
<td>`0002891592055</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-2019</td>
<td>3 Th</td>
<td>RT 14</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>85</td>
<td>11</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1768</td>
<td>POLINDES PRAMBON 1</td>
 <td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI MUDRIKAH</td>
<td>`004475</td>
<td></td>
<td>`0000666071919</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-03-1965</td>
<td>57 Th</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>130/86</td>
<td>82</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1769</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KATIDJO</td>
<td>`004476</td>
<td>06/4724</td>
<td>`0000666071605</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>31-12-1956</td>
<td>65 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>125/83</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>58</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1770</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YUAN PRASETYA</td>
<td>`014475</td>
<td></td>
<td>`0003000876366</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-04-2017</td>
<td>5 Th</td>
<td>RT 16</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
 <td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>120</td>
<td>20</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1771</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KARYONO</td>
<td>`014476</td>
<td></td>
<td>`0001707021742</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-08-1984</td>
<td>38 Th</td>
<td>DUSUN KRAJAN</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>125/83</td>
<td>83</td>
<td>37</td>
<td>22</td>
<td>162</td>
<td>65</td>
<td>0</td>
 <td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1772</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BELLVANIA JASMEEN PUTRI ARYONO</td>
<td>`001251</td>
<td>06/4843</td>
<td>`0003054964522</td>
<td>`3503050203180006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-10-2020</td>
<td>1 Th</td>
<td>RT 15 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>70</td>
<td>10</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1773</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUFIDATUN HUSNA</td>
<td>`001593</td>
<td></td>
<td>`0002802751953</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-08-1997</td>
<td>25 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>112/71</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>46</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1774</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>ALLEZA MILLEKA NUR JULIA</td>
<td>`001619</td>
<td></td>
<td>`0003088304493</td>
<td>`3503054407170001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-07-2017</td>
<td>5 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>104</td>
<td>16</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1775</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RESTI NUR APRILIA</td>
<td>`003765</td>
<td></td>
<td>`0002802770561</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>10-04-2014</td>
<td>8 Th</td>
<td>RT 14</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>130</td>
<td>30</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1776</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SURYONO</td>
<td>`001618</td>
<td></td>
<td>`0002802770537</td>
<td>`3503051003790003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-03-1979</td>
<td>43 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
 <td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1777</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>INTAN INDAH NUR MEI</td>
<td>`002737</td>
<td></td>
<td>`0002802770559</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-05-2004</td>
<td>18 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>112/72</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>0</td>
<td>Tugu</td>
 <td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1778</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ABRAHAM ALEXI PRATAMA</td>
<td>`014473</td>
<td></td>
<td>`0003088303582</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-10-2018</td>
<td>3 Th</td>
<td>RT 14</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>100</td>
<td>15</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1779</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>EKA SETIA WIDIANTI</td>
<td>`001502</td>
<td></td>
<td>`0000665893181</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-1996</td>
<td>25 Th</td>
<td>PRAMBON RT 14</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>p0s bal</td>
<td>-</td>
<td>110/72</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>44</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1780</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>TANISHA ZAARA MECCA</td>
<td>`011127</td>
<td>06/5305</td>
<td>`0003088303604</td>
<td>`3503054110190001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-2019</td>
<td>2 Th</td>
<td>RT 14 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>85</td>
<td>14</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1781</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRIKAH</td>
<td>`004413</td>
<td>06/6828</td>
<td>`0002802758455</td>
<td>`3503055310850003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-10-1985</td>
 <td>36 Th</td>
<td>RT 13 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/80</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1782</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI RAHAYU</td>
<td>`002251</td>
<td></td>
<td>`0002802770548</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-04-1983</td>
<td>39 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
 <td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>162</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1783</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>JANATUL MAKWA</td>
<td>`010034</td>
<td></td>
<td>`0003079971077</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-10-2017</td>
<td>4 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>100</td>
<td>14</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1784</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUNARTI</td>
<td>`001042</td>
<td></td>
<td>`0002588967281</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-02-1981</td>
<td>41 Th</td>
<td>PRAMBON RT 14</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal,</td>
<td>-</td>
<td>112/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1785</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUSIRAN</td>
<td>`000859</td>
<td></td>
<td>`0002802751942</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-04-1967</td>
<td>55 Th</td>
<td>PRAMBON RT 14</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>120/80</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1786</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI MUNAWAROH</td>
 <td>`001455</td>
<td>06/434</td>
<td>`0000106802605</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-04-1968</td>
<td>54 Th</td>
<td>PRAMBON RT 16</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/82</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1787</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PARTINI</td>
<td>`002791</td>
<td>06/5103</td>
<td>`0002802763697</td>
<td>`3503055501780002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-01-1978</td>
<td>44 Th</td>
 <td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>126/83</td>
<td>83</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>70</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1788</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SAUMI INDRIANI</td>
<td>`009348</td>
<td>06/4724</td>
<td>`0000665564602</td>
<td>`3503065301980004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-01-1998</td>
<td>24 Th</td>
<td>RT 14 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
 <td>112/72</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>48</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1789</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td></td>
<td>SAIMAH</td>
<td>`000740</td>
<td></td>
<td>`0001037015548</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1952</td>
<td>70 Th</td>
<td>PRAMBON RT 14/03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000313</td>
<td>KECETIT</td>
<td>NATDIK KAKLK CTM</td>
<td>130/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
 <td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1790</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KATINI</td>
<td>`001604</td>
<td></td>
<td>`0002842486064</td>
<td>`3503056511690002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-11-1969</td>
<td>52 Th</td>
<td>PRAMBON RT 9/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>123/80</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>54</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>1791</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>EARLYTA ARSYIFA SALSABIL</td>
<td>`002605</td>
<td></td>
<td>`0002636434721</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-03-2013</td>
<td>9 Th</td>
<td>PRAMBONRT14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>120</td>
<td>28</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1792</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MAIZHA ADIBA AZZAHRA</td>
<td>`000847</td>
 <td></td>
<td>`0002681898197</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-05-2015</td>
<td>7 Th</td>
<td>PRAMBON RT 14</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>37</td>
<td>0</td>
<td>125</td>
<td>25</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1793</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SINTARSIH</td>
<td>`002371</td>
<td>06/4158</td>
<td>`0002802752008</td>
<td>`3503054904750001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-04-1975</td>
<td>47 Th</td>
<td>PRAMBON RTV14/3</td>
 <td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>122/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>161</td>
<td>54</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1794</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUTRISNO</td>
<td>`000832</td>
<td></td>
<td>`0002802751997</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-07-1971</td>
<td>51 Th</td>
<td>PRAMBON RT14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>126/83</td>
 <td>84</td>
<td>37</td>
<td>20</td>
<td>162</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1795</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AMIN</td>
<td>`001611</td>
<td></td>
<td>`0001978486514</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-05-1978</td>
<td>44 Th</td>
<td>PRAMBON RT 16/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>105/70</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>162</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1796</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUYATIN</td>
<td>`001020</td>
<td></td>
<td>`0000666486191</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-02-1980</td>
<td>42 Th</td>
<td>PRAMBON RT 17/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal-</td>
<td>-</td>
<td>110/70</td>
<td>83</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>51</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>1797</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AGHA ARFARI MUBARROK</td>
<td>`003783</td>
<td></td>
<td>`0002584696364</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-01-2013</td>
<td>9 Th</td>
<td>RT 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>130</td>
<td>28</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1798</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MESIYAH</td>
<td>`001357</td>
<td></td>
 <td>`0000666518163</td>
<td>`3503055507740003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-07-1974</td>
<td>48 Th</td>
<td>DUSUN KRAJAN, RT : 19,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>125/85</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1799</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MURTINI</td>
<td>`001271</td>
<td></td>
<td>`0001037014648</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-08-1951</td>
<td>71 Th</td>
<td>PRAMBON RT 12/3</td>
<td>PRAMBON</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>130/84</td>
<td>85</td>
<td>37</td>
<td>22</td>
<td>155</td>
<td>54</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1800</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LIANA YUNI ISTANTI</td>
<td>`009501</td>
<td>06/8739</td>
<td>`0000207950084</td>
<td>`3503055507870002</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>15-07-1987</td>
<td>35 Th</td>
<td>RT 19 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>125/85</td>
 <td>80</td>
<td>37</td>
<td>22</td>
<td>153</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1801</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WINARTI</td>
<td>`003245</td>
<td>06/6167</td>
<td>`0001428661495</td>
<td>`3503056911840001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-11-1984</td>
<td>37 Th</td>
<td>KRAJAN, RT : 18,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>125/85</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1802</td>
<td>PUSTU PRAMBON</td>
<td>06-09-2022</td>
<td>KONSULTASI</td>
<td>MAKIRAH</td>
<td>`003566</td>
<td></td>
<td>`0000666286762</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1961</td>
<td>61 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1803</td>
<td>UGD</td>
<td>06-09-2022</td>
<td></td>
<td>BRIANNA REISA</td>
<td>`020989</td>
<td></td>
<td>`</td>
<td>`9999999999999999-481777</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-01-2016</td>
<td>6 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>LUKA ROBEK DIDAGU</td>
<td>AMOX 3X1/3
PCT 3X1/3</td>
<td>100/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>123</td>
<td>22</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1804</td>
<td>UGD</td>
<td>06-09-2022</td>
<td></td>
<td>ANTOK</td>
<td>`020990</td>
 <td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-07-1976</td>
<td>46 Th</td>
<td>RT 4 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td>PUSING CEKOT-CEKOT, TENGGOROKAN SAKIT GREGESI</td>
<td>PCT 3X1
ANTASIDA 3X1
CTM 3X1
VIT C 1X1</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>56</td>
<td>90</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1805</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SALMA YUANITA ARDIANTI</td>
<td>`016466</td>
<td></td>
<td>`0001186701401</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>09-01-2008</td>
<td>14 Th</td>
<td>PRAMBON RT 18/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>163</td>
<td>48</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1806</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td></td>
<td>MUHAMMAD ARSHAKA PUTRA KOSIM</td>
<td>`021470</td>
<td></td>
<td>`0003131503964</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-01-2022</td>
<td>0 Th</td>
<td>RT. 18 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
 <td>FLU</td>
<td>SY DEMACOLIN</td>
<td>56/34</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>87</td>
<td>9</td>
<td>12</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1807</td>
<td>UGD</td>
<td>06-09-2022</td>
<td></td>
<td>MISRI</td>
<td>`016314</td>
<td></td>
<td>`0000666104635</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-10-1953</td>
<td>68 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000414</td>
<td>PANAS HARI KE 1 , MUAL, MUNTAH</td>
<td>PCT 3X1
BC 1X1
ANTASIDA 3X1
DOMP 3X1</td>
<td>140/80</td>
<td>88</td>
<td>37</td>
<td>22</td>
<td>155</td>
 <td>53</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1808</td>
<td>UGD</td>
<td>06-09-2022</td>
<td></td>
<td>HARSO SEDYANTO</td>
<td>`001536</td>
<td></td>
<td>`0000106553035</td>
<td>`3503050711590001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-11-1959</td>
<td>62 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>131506010922Y000415</td>
<td>KEMBUNG,MBESESEK</td>
<td>ANTASIDA 3X1
OMZ 2X1
BC 1X1
PCT 3X1</td>
<td>100/69</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>51</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1809</td>
<td>UGD</td>
<td>06-09-2022</td>
<td></td>
<td>FARID YUSUF A.</td>
<td>`020998</td>
<td></td>
<td>`</td>
<td>`9101011010090001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-10-2009</td>
<td>12 Th</td>
<td>DUSUN KRAJAN, RT : 13,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS 4 HARI,BAB CAIR, BATUK, PILEK, PERUT GATAL</td>
<td>PCT 3X1
CTM 3X1
AMBROXOL 3X1
OMEGDIAR 1 TAB/DIARE
SALEP BETAMESONE</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>46</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
 <td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1810</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI FITRIATUL JANAH</td>
<td>`005759</td>
<td></td>
<td>`0000666402186</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-02-1997</td>
<td>25 Th</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/76</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1811</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>AZZAHRA AYUDIA INARA</td>
<td>`013187</td>
<td></td>
<td>`0003057609914</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-09-2020</td>
<td>2 Th</td>
<td>RT 027 RW 012</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>67/45</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>100</td>
<td>12</td>
<td>24</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1812</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MIFTAKUL JANAH</td>
<td>`003883</td>
<td>04/1462</td>
<td>`0001036922501</td>
<td>`3503056010920001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-10-1992</td>
 <td>29 Th</td>
<td>RT 28 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>109/67</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1813</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AHKTAR ARDIYANSAH</td>
<td>`013188</td>
<td></td>
<td>`0002438794809</td>
<td>`3503051203180002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-03-2018</td>
<td>4 Th</td>
<td>RT 028 RW 012 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
 <td>-</td>
<td>67/47</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>109</td>
<td>32</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1814</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>UTAMI</td>
<td>`004072</td>
<td>04/1561</td>
<td>`0000665436971</td>
<td>`3503064311930002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-11-1993</td>
<td>28 Th</td>
<td>RT 278 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>156/76</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1815</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ROFIKUL NGAZIZAH</td>
<td>`005994</td>
<td></td>
<td>`0000666401613</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-07-1995</td>
<td>27 Th</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>156/78</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>56</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1816</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KANITA ANINDYA SHERLLY PRAMUDYA</td>
<td>`001390</td>
<td>04/7119</td>
<td>`0002466788365</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-06-2018</td>
<td>4 Th</td>
<td>RT 06 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>76/45</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>102</td>
<td>23</td>
<td>21</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1817</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DWI WIDAYATI</td>
 <td>`003280</td>
<td>04/8967</td>
<td>`0001037000114</td>
<td>`3503055603910001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-03-1991</td>
<td>31 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>115/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>64</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1818</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RISKA ARUM MANITASARI</td>
<td>`002773</td>
<td>04/1445</td>
<td>`0000665114646</td>
<td>`3503054506950003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-1995</td>
<td>27 Th</td>
 <td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>124/76</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1819</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AYUNIA RISMA AINAYYA</td>
<td>`013196</td>
<td>04/1445</td>
<td>`0002463834295</td>
<td>`3503054512170002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-12-2017</td>
<td>4 Th</td>
<td>RT 025 RW 011</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
 <td>76/43</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>108</td>
<td>34</td>
<td>31</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1820</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MIA AGUSMITA</td>
<td>`007829</td>
<td></td>
<td>`0000666313391</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-08-1996</td>
<td>26 Th</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>132/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>65</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1821</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>CLARISSA PUTRI RAFANDA</td>
<td>`007830</td>
<td></td>
<td>`0002914281808</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-12-2019</td>
<td>2 Th</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>67/54</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>98</td>
<td>17</td>
<td>21</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>1822</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TUSMINAH</td>
<td>`013200</td>
<td></td>
<td>`0002970311196</td>
<td>`3503144303860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-03-1986</td>
<td>36 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>127/86</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1823</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KANIA PUTRI RAMADHANI</td>
<td>`007884</td>
 <td></td>
<td>`0002970311207</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-06-2017</td>
<td>5 Th</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>76/45</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>97</td>
<td>23</td>
<td>31</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1824</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KHOLIDIYA USWAH</td>
<td>`013205</td>
<td></td>
<td>`0002417864872</td>
<td>`3502024101180001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-01-2018</td>
<td>4 Th</td>
<td>RT RW </td>
 <td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>98/65</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>97</td>
<td>24</td>
<td>31</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1825</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KOMSATUN</td>
<td>`012060</td>
<td></td>
<td>`0000666090088</td>
<td>`3503054406790003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1979</td>
<td>43 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>143/87</td>
 <td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>62</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1826</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMMAD LUQMAN HAKIM</td>
<td>`013207</td>
<td></td>
<td>`0002431870784</td>
<td>`3503052002180001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-02-2018</td>
<td>4 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>87/54</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>109</td>
<td>30</td>
<td>34</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1827</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUKINI</td>
<td>`001393</td>
<td></td>
<td>`0000665732305</td>
<td>`3503054805880001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-05-1988</td>
<td>34 Th</td>
<td>DUSUN KASIHAN, RT : 28,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>127/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>62</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>1828</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARDIANSYAH MUBAROK</td>
<td>`013208</td>
<td></td>
<td>`0002320963604</td>
<td>`3503051512170001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-12-2017</td>
<td>4 Th</td>
<td>RT 028 RW 012 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>78/53</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>105</td>
<td>43</td>
<td>37</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1829</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KHUSNUL KHOTIMAH</td>
<td>`004982</td>
<td></td>
 <td>`0000665910382</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-07-1996</td>
<td>26 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>130/78</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1830</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRIATUN</td>
<td>`000257</td>
<td>04/3760</td>
<td>`0001978433559</td>
<td>`3503054512720001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-12-1972</td>
<td>49 Th</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>143/88</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>68</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1831</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KEMIS RIANTO</td>
<td>`013875</td>
<td></td>
<td>`0001978433548</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-06-1969</td>
<td>53 Th</td>
<td>NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/89</td>
<td>88</td>
 <td>37</td>
<td>20</td>
<td>167</td>
<td>65</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1832</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI HINDUN</td>
<td>`001888</td>
<td>04/3842</td>
<td>`0000666059354</td>
<td>`3503055209800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-1980</td>
<td>42 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/75</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1833</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARZUKI</td>
<td>`013877</td>
<td></td>
<td>`0000666059139</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-01-1973</td>
<td>49 Th</td>
<td>NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>105/78</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>57</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1834</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LAILATUL HASANAH</td>
<td>`011080</td>
<td>04/3842B</td>
<td>`0000666059556</td>
<td>`3503054310000001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-10-2000</td>
<td>21 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>109/67</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1835</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LATIFATUN NISA`</td>
<td>`011081</td>
<td>04/3842B</td>
<td>`0002126916009</td>
 <td>`3503055409120002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-09-2012</td>
<td>10 Th</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>97/56</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>132</td>
<td>45</td>
<td>77</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1836</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI ISTIKOMAH</td>
<td>`015714</td>
<td></td>
<td>`0000666187604</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-1988</td>
<td>34 Th</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/87</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>147</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1837</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AGISTA CAHYA RAMADHANI</td>
<td>`015715</td>
<td></td>
<td>`0000666187694</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-2009</td>
<td>13 Th</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>97/54</td>
<td>88</td>
<td>36</td>
 <td>24</td>
<td>146</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1838</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MURSALIN</td>
<td>`015716</td>
<td></td>
<td>`0000666186748</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-08-1982</td>
<td>40 Th</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1839</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>EKO SUJARNO</td>
<td>`015717</td>
<td></td>
<td>`0001978432593</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-09-1978</td>
<td>44 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>123/76</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>176</td>
<td>69</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1840</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ENY KUS ENDANG</td>
<td>`007654</td>
<td>04/5120</td>
<td>`0001978432626</td>
<td>`3503055911810004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-11-1981</td>
<td>40 Th</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>128/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>169</td>
<td>64</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1841</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANNISA CONY CAHYANINGTYAS</td>
<td>`015718</td>
<td></td>
<td>`0001978432615</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-03-2008</td>
<td>14 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>104/67</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>158</td>
<td>56</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1842</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AIRLANGGA SATRIA RAMADHAN</td>
<td>`015719</td>
<td></td>
<td>`0001978432604</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-07-2013</td>
<td>9 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>102/64</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>134</td>
<td>31</td>
<td>57</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1843</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RATNA TRI OKTAFIA</td>
<td>`003084</td>
<td>04/1178</td>
<td>`0000665637366</td>
<td>` 35030561100000003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-10-2000</td>
<td>21 Th</td>
<td>DUSUN KASIHAN, RT : 28,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>117/65</td>
<td>88</td>
<td>37</td>
<td>20</td>
 <td>158</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1844</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI MASRUROH</td>
<td>`001808</td>
<td>04/4688</td>
<td>`0000665860241</td>
<td>`3503054805950001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-05-1995</td>
<td>27 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>119/74</td>
<td>80</td>
<td>36</td>
<td>24</td>
<td>159</td>
<td>64</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1845</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BIRRUL AKMAL FUADI</td>
<td>`010941</td>
<td>04/4688</td>
<td>`0003104306954</td>
<td>`3503052808210001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-08-2021</td>
<td>1 Th</td>
<td>RT 25/11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>56/32</td>
<td>92</td>
<td>37</td>
<td>24</td>
<td>78</td>
<td>11</td>
<td>21</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>1846</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SINTA A</td>
<td>`012682</td>
<td>04/1644</td>
<td>`0000666135371</td>
<td>`3503055904050001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-04-2005</td>
<td>17 Th</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>109/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>49</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1847</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SLAMET PRIYANTO</td>
<td>`004503</td>
<td></td>
<td>`0000666134392</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>11-05-1984</td>
<td>38 Th</td>
<td>RT 26 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>115/64</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>61</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1848</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUTINI</td>
<td>`021472</td>
<td></td>
<td>`0000666135516</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-09-1957</td>
<td>65 Th</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>164/98</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>154</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1849</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SATRIA ZAFRANSAPUTRA</td>
<td>`014879</td>
<td></td>
<td>`0002764802889</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-05-2019</td>
<td>3 Th</td>
<td>RT 26 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>67/43</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>105</td>
 <td>16</td>
<td>23</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1850</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YATENI</td>
<td>`008523</td>
<td></td>
<td>`0001978433829</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-08-1969</td>
<td>53 Th</td>
<td>RT 28 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/63</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>58</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1851</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RINI ANTIKA</td>
<td>`002893</td>
<td></td>
<td>`0000666042107</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1991</td>
<td>31 Th</td>
<td>RT 3 RW 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>128/67</td>
<td>80</td>
<td>37</td>
<td>18</td>
<td>158</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1852</td>
 <td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SULASIH</td>
<td>`010747</td>
<td>04/1445</td>
<td>`0000665114049</td>
<td>`3503055703730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-03-1973</td>
<td>49 Th</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>178/97</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>64</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1853</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>OKTA DWI MAYA SARI</td>
<td>`015065</td>
<td></td>
<td>`0000665114681</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>09-10-1999</td>
<td>22 Th</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>115/66</td>
<td>80</td>
<td>37</td>
<td>24</td>
<td>157</td>
<td>58</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1854</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SAMSURI</td>
<td>`015721</td>
<td></td>
<td>`0000665112712</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-11-1970</td>
<td>51 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
 <td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>142/85</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>63</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1855</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUKIRAH</td>
<td>`004201</td>
<td></td>
<td>`0000665729289</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-11-1974</td>
<td>47 Th</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/78</td>
<td>80</td>
<td>37</td>
<td>18</td>
<td>152</td>
<td>49</td>
 <td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1856</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PUPUT AYU MAHARANY</td>
<td>`006761</td>
<td>04/5532</td>
<td>`0000666235653</td>
<td>`3503054408030002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-08-2003</td>
<td>19 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>76/54</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>149</td>
<td>47</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1857</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TUMINI</td>
<td>`015722</td>
<td></td>
<td>`0000665608228</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-03-1966</td>
<td>56 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>143/86</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1858</td>
<td>POLINDES NGEPEH</td>
 <td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI ZAENAB</td>
<td>`015723</td>
<td></td>
<td>`0000665868543</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1973</td>
<td>49 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/85</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1859</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SURYATI</td>
<td>`015724</td>
<td></td>
<td>`0000666115086</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>05-01-1972</td>
<td>50 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>124/78</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1860</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FATLUL MUBAROKATIN</td>
<td>`015725</td>
<td></td>
<td>`0000666118945</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-09-1988</td>
<td>34 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
 <td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>108/57</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>157</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1861</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ROBINGATUN</td>
<td>`015726</td>
<td></td>
<td>`0000665837965</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-11-1992</td>
<td>29 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>129/84</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>79</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1862</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KUSMAWATI</td>
<td>`014367</td>
<td></td>
<td>`0001036997346</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-12-1981</td>
<td>40 Th</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>143/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1863</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIDYAWATI</td>
<td>`002903</td>
<td></td>
<td>`0000665902585</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-05-1978</td>
<td>44 Th</td>
<td>RT 26 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>148/85</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>168</td>
<td>65</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1864</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>MUJIATI</td>
<td>`015727</td>
<td></td>
<td>`0000665551236</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1975</td>
<td>46 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>142/85</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>156</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1865</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RINI AGUSTINA</td>
<td>`015728</td>
<td></td>
<td>`0000666235506</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>31-08-1985</td>
<td>37 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>106/56</td>
<td>88</td>
<td>37</td>
<td>18</td>
<td>158</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1866</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NGAINUR ROHMAH</td>
<td>`004568</td>
<td></td>
<td>`0000666142896</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1975</td>
<td>46 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
 <td>POSYANDU</td>
<td>-</td>
<td>142/89</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>159</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1867</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TIPAH</td>
<td>`011812</td>
<td>04/2796</td>
<td>`0000666122242</td>
<td>`3503054812790001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-12-1979</td>
<td>42 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>168/95</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>152</td>
<td>58</td>
<td>790</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1868</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LASMINAH</td>
<td>`015729</td>
<td></td>
<td>`0000666143346</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1968</td>
<td>54 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>168/95</td>
<td>88</td>
<td>37</td>
<td>18</td>
<td>153</td>
<td>62</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1869</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI MUKAROMAH</td>
<td>`004513</td>
<td>04/2523</td>
<td>`0000665685819</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-03-1986</td>
<td>36 Th</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/65</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1870</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>SITI KOMSIYAH</td>
<td>`001057</td>
<td>04/1582</td>
<td>`0000666091056</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-06-1972</td>
<td>50 Th</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/87</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>57</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1871</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUMINI</td>
<td>`012910</td>
<td></td>
<td>`0000666094432</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-06-1975</td>
 <td>47 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>112/65</td>
<td>80</td>
<td>36</td>
<td>18</td>
<td>156</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1872</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DWI NINGSIH</td>
<td>`005748</td>
<td></td>
<td>`0000666381835</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-07-1987</td>
<td>35 Th</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
 <td>-</td>
<td>128/76</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>55</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1873</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ABDUL JAFAR</td>
<td>`014374</td>
<td></td>
<td>`0000665684324</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-06-1963</td>
<td>59 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>152/87</td>
<td>88</td>
<td>37</td>
<td>18</td>
<td>154</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1874</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIJI</td>
<td>`013785</td>
<td></td>
<td>`0000665684831</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-03-1968</td>
<td>54 Th</td>
<td>RT25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>128/95</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>152</td>
<td>57</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1875</td>
<td>POLINDES NGEPEH</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FAREL SOFYAN MARDIANA</td>
<td>`002194</td>
<td>04/2523</td>
<td>`0000665687979</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-07-2009</td>
<td>13 Th</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/79</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1876</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KATIYAM</td>
 <td>`012069</td>
<td></td>
<td>`0000666370247</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-1967</td>
<td>55 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>58</td>
<td>91</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1877</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WINARSIH</td>
<td>`015114</td>
<td></td>
<td>`0000666412907</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-12-1983</td>
<td>38 Th</td>
 <td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>76</td>
<td>35</td>
<td>20</td>
<td>153</td>
<td>54</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1878</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RISMA SEPTIANA PUTRI</td>
<td>`015115</td>
<td></td>
<td>`0000666413403</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-09-2003</td>
<td>19 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1879</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUNARMI</td>
<td>`015116</td>
<td></td>
<td>`0000666418375</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-02-1972</td>
<td>50 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>60</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1880</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DWI RAHMAWATI</td>
<td>`015135</td>
<td></td>
<td>`0000665430399</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-08-2007</td>
<td>15 Th</td>
<td>RT 14 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>56</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>1881</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DIHARTI RAHAYU</td>
<td>`010615</td>
<td></td>
<td>`0000665464318</td>
<td>`3503054110640001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-1964</td>
<td>57 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>56</td>
<td>91</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1882</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUMARTIN</td>
<td>`016393</td>
 <td></td>
<td>`0000665624722</td>
<td>`3503056112630001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-12-1963</td>
<td>58 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>93</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1883</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PRIHATIN</td>
<td>`016398</td>
<td></td>
<td>`0000665626004</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-02-1995</td>
<td>27 Th</td>
<td>RT 014 RW 004</td>
 <td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>60</td>
<td>91</td>
<td>Ngulankulon</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1884</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUNARTI</td>
<td>`016397</td>
<td></td>
<td>`0000665652104</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-12-1963</td>
<td>58 Th</td>
<td>RT 014 RW 004</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
 <td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>54</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1885</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DARIYAH</td>
<td>`016399</td>
<td></td>
<td>`0000665921935</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-1960</td>
<td>62 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1886</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TUTIK YULIANI</td>
<td>`006920</td>
<td>02/2806</td>
<td>`0000665926143</td>
<td>`3503055508810001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-08-1981</td>
<td>41 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>56</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>1887</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>INTAN NURAINI</td>
<td>`015136</td>
<td></td>
<td>`0000665926683</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-05-2003</td>
<td>19 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>65</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1888</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIDA ROYANI</td>
<td>`015137</td>
<td></td>
 <td>`0000665927741</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-09-1987</td>
<td>35 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1889</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIJI WAHYUNI</td>
<td>`007283</td>
<td>02/575</td>
<td>`0000665927864</td>
<td>`3503054302950001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-02-1995</td>
<td>27 Th</td>
<td>RT 14 RW 04</td>
<td>NGLONGSOR</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>60</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1890</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>UMI KHOSIYAH</td>
<td>`008255</td>
<td>02/3066</td>
<td>`0000665932858</td>
<td>`3503055401740002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-01-1974</td>
<td>48 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
 <td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1891</td>
<td>POLINDES PRAMBON 1</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AUDY ZIYANA ABIDAH</td>
<td>`011235</td>
<td>06/6167</td>
<td>`0001186701412</td>
<td>`3503054112100001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-2010</td>
<td>11 Th</td>
<td>RT 18</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posbal</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>22</td>
<td>153</td>
<td>30</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1892</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ASTI NITYAS SARI</td>
<td>`001896</td>
<td>02/3142</td>
<td>`0000666144797</td>
<td>`3503054610960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-10-1996</td>
<td>25 Th</td>
<td>RT 01 RW 01</td>
<td>NGADIRENGGO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1893</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PUJI RAHAYUNINGSIH</td>
<td>`008293</td>
<td>02/1665</td>
<td>`0000665426902</td>
<td>`3503055010700002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-10-1970</td>
<td>51 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>153</td>
<td>54</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1894</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TRIANA TIA PRIASIH</td>
<td>`004726</td>
<td>02/1665</td>
<td>`0000665426946</td>
 <td>`3503054208020001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-08-2002</td>
<td>20 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>65</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1895</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BETRI WAHYUNINGTIAS</td>
<td>`013957</td>
<td>02/7666</td>
<td>`0000665431255</td>
<td>`3503056711970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-11-1997</td>
<td>24 Th</td>
<td>RT 27 RW 05</td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>56</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1896</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIKI PITRI WAHYUNI</td>
<td>`016400</td>
<td></td>
<td>`0000665864662</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-03-1995</td>
<td>27 Th</td>
<td>RT 013 RW 003</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
 <td>20</td>
<td>154</td>
<td>54</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1897</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPARMI</td>
<td>`000284</td>
<td>02/2285</td>
<td>`0000665912439</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1958</td>
<td>63 Th</td>
<td>RT 11 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1898</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PARJIYEM</td>
<td>`006720</td>
<td></td>
<td>`0000666107638</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1957</td>
<td>64 Th</td>
<td>RT-</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>56</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1899</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARDYAS NUTHFA NUR AZIZAH</td>
<td>`016402</td>
<td></td>
<td>`0002014096206</td>
<td>`3503056702010002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-02-2001</td>
<td>21 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>88</td>
<td>35</td>
<td>22</td>
<td>154</td>
<td>56</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1900</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUKARTI</td>
<td>`016403</td>
<td></td>
<td>`0000666331648</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-12-1954</td>
<td>67 Th</td>
<td>RT 010 RW 003</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>78</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>54</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1901</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FEBRIANA MUSTIKA DEWI</td>
<td>`001476</td>
<td>02/9023</td>
<td>`0000665597081</td>
<td>`3503056302960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-02-1996</td>
<td>26 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>78</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>45</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1902</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LINASI WIDYAWATI</td>
<td>`000192</td>
<td>02/151</td>
<td>`0000665879084</td>
<td>`3503055104680003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-1968</td>
<td>54 Th</td>
<td>RT 12 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
 <td>153</td>
<td>56</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1903</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPRIHATIN</td>
<td>`000708</td>
<td>02/2416</td>
<td>`0000665892404</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1958</td>
<td>64 Th</td>
<td>RT 12 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>56</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1904</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>CANDRA JULIAWATI</td>
<td>`016404</td>
<td></td>
<td>`0000666110586</td>
<td>`3503056507030002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-07-2003</td>
<td>19 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>78</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>56</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>1905</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI SOPIYAH</td>
<td>`011344</td>
<td></td>
<td>`0000666148792</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-01-1956</td>
<td>66 Th</td>
<td>RT 012 RW -</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>54</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1906</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>USWATUN HASANAH</td>
<td>`016406</td>
<td></td>
<td>`0000665644577</td>
<td>`3503055010680001</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>10-10-1968</td>
<td>53 Th</td>
<td>DUSUN KRAJAN, RT : 9,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1907</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NGINDI ULIL MALIA ABADI</td>
<td>`016407</td>
<td></td>
<td>`0000665646243</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-11-1999</td>
<td>22 Th</td>
<td>RT 009 RW 003</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>35</td>
<td>22</td>
<td>154</td>
<td>65</td>
<td>95</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1908</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRI RAHAYU</td>
<td>`005469</td>
<td>02/3191</td>
<td>`0000665666662</td>
<td>`3503055302800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-02-1980</td>
<td>42 Th</td>
<td>RT 9 RW 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
 <td>45</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1909</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARIYATI</td>
<td>`002665</td>
<td>02/2565</td>
<td>`0000665810098</td>
<td>`3503055903610001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-03-1961</td>
<td>61 Th</td>
<td>DUSUN KRAJAN, RT : 9,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>78</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>60</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1910</td>
<td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NURUL HIDAYAH</td>
<td>`001525</td>
<td>02/8119</td>
<td>`0000665810482</td>
<td>`3503056004030002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-04-2003</td>
<td>19 Th</td>
<td>DUSUN KRAJAN, RT : 9,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>80</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1911</td>
 <td>POLINDES NGLONGSOR</td>
<td>06-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NIKITA FARDIANA SAPUTRI</td>
<td>`016408</td>
<td></td>
<td>`0000665911203</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-06-2007</td>
<td>15 Th</td>
<td>RT 009 RW 003</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>60</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1912</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td></td>
<td>KATIYEM</td>
<td>`004642</td>
<td></td>
<td>`0000665738199</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>07-06-1954</td>
<td>68 Th</td>
<td>RT. 11 RW. 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001271</td>
<td>pusing, keju, mata perih</td>
<td>reco salep, nadik, fe</td>
<td>117/76</td>
<td>78</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1913</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td></td>
<td>SITI FATONAH</td>
<td>`002939</td>
<td></td>
<td>`0000665920541</td>
<td>`3503055206670002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-06-1967</td>
<td>55 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
 <td>Lama</td>
<td>131506010922Y001273</td>
<td>kontrol gatal</td>
<td>dexa ctm amox miconazol</td>
<td>125/70</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1914</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td></td>
<td>RUBIATI</td>
<td>`008214</td>
<td></td>
<td>`0000665729458</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-1970</td>
<td>52 Th</td>
<td>RT 08 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001276</td>
<td>keju</td>
<td>kalk, nadik, becom</td>
<td>131/88</td>
<td>84</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>43</td>
 <td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1915</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td></td>
<td>SEMI</td>
<td>`003018</td>
<td></td>
<td>`0002158255991</td>
<td>`3503054406610001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1961</td>
<td>61 Th</td>
<td>DUSUN BEJI, RT : 17,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001277</td>
<td>sebah, kolesterol tinggi</td>
<td>simvastatin, radin, amlodipin</td>
<td>165/76</td>
<td>54</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1916</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td></td>
<td>YAHMI</td>
<td>`016553</td>
<td></td>
<td>`0000666200845</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-1969</td>
<td>53 Th</td>
<td>RT. 22 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001278</td>
<td>batuk pilek</td>
<td>gg ctm</td>
<td>112/60</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1917</td>
<td>PUSTU NGEPEH</td>
 <td>06-09-2022</td>
<td></td>
<td>SUMINTEN</td>
<td>`002905</td>
<td></td>
<td>`0000666092002</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-03-1971</td>
<td>51 Th</td>
<td>RT 21 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001279</td>
<td>batuk, pilek</td>
<td>ctm, gg, amlodipin</td>
<td>158/89</td>
<td>95</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1918</td>
<td>PUSTU NGEPEH</td>
<td>06-09-2022</td>
<td></td>
<td>EKA WIDIAWATI</td>
<td>`005322</td>
<td></td>
<td>`0001036998437</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>31-01-1991</td>
<td>31 Th</td>
<td>RT 15 RW 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001280</td>
<td>GATAL</td>
<td>CTM DEXA</td>
<td>109/66</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1919</td>
<td>POLINDES PRAMBON 1</td>
<td>07-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>SUNARTI</td>
<td>`001645</td>
<td></td>
<td>`0002588967281</td>
<td>`3503056602810002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-02-1981</td>
<td>41 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
 <td>Konseling</td>
<td>pusing,mual,kembung</td>
<td>pamol,antasid,ctm</td>
<td>120/80</td>
<td>84</td>
<td>37</td>
<td>24</td>
<td>0</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>J06.0</td>
<td>
Acute laryngopharyngitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1920</td>
<td>POLINDES PRAMBON 1</td>
<td>07-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>SURATMI</td>
<td>`007542</td>
<td></td>
<td>`0001978491767</td>
<td>`3503054811860001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-10-1985</td>
<td>36 Th</td>
<td>PRAMBON RT 15</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>pusing,mual,muntah</td>
<td>pamol,antasid,ctm</td>
<td>120/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>1</td>
<td>40</td>
<td>0</td>
 <td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>J06.0</td>
<td>
Acute laryngopharyngitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1921</td>
<td>UGD</td>
<td>07-09-2022</td>
<td></td>
<td>AHMAD M</td>
<td>`021040</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-09-2010</td>
<td>12 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS 1 HARI, PUSING, MUAL, MUNTAH, BATUK, PILEK</td>
<td>DOMP 3X1
BC 1X1
CTM 3X1
AMBROXOL 3X1
ANTASIDA 3X1
PCT 3X1</td>
<td>100/60</td>
<td>76</td>
<td>37</td>
<td>20</td>
<td>130</td>
<td>24</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
 <td>R11</td>
<td>
Nausea and vomiting </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1922</td>
<td>UGD</td>
<td>07-09-2022</td>
<td></td>
<td>DAWIM</td>
<td>`021041</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-09-2012</td>
<td>10 Th</td>
<td>RT 14</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS 3 HARI, MUNTAH, BATUK, PILEK, MA/MI MENURUN</td>
<td>AMOX 3X1
DEXA 2X1</td>
<td>100/60</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>135</td>
<td>43</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
 Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>1923</td>
<td>RAWAT INAP</td>
<td>07-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>SALAMAN</td>
<td>`020951</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>SULIANA</td>
<td></td>
<td>L</td>
<td>07-09-1965</td>
<td>57 Th</td>
<td>RT 16 RW 6</td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Baru</td>
<td></td>
<td>panas, batuk ,pilek, nyeri tenggorokan</td>
<td>infus rl 20 tpm, inj.ranit 2x1, inj, metamizole 3x1, inj ampi 3x1
gr,antasida, ctm, gg</td>
<td>100/60</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Biaya rawat inap pasien umum per hari<br>Pemasangan infuse<br>Layanan Unit
Gawat Darurat (UGD)<br>Biaya rawat inap pasien umum per
hari<br>Konsultasi<br>Konsultasi<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>1924</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
 <td>SIRAT MULYONO</td>
<td>`011364</td>
<td></td>
<td>`0002321726433</td>
<td>`3503050403730002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-03-1973</td>
<td>49 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perangkat Desa</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk pilek, keju linu</td>
<td>amlodipine,nadic,ctm, pamol</td>
<td>160/88</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1925</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MISNATUN</td>
<td>`002203</td>
<td>02/1020</td>
<td>`0000665880568</td>
<td>`3503055604680001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-04-1968</td>
 <td>54 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine,betahistine,nadic</td>
<td>140/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1926</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TUMIRAH</td>
<td>`004653</td>
<td>02/269</td>
<td>`0000665941779</td>
<td>`3503057112400079</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1940</td>
<td>81 Th</td>
<td>RT 20 RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing, kembung</td>
 <td>amlodipine,betahistine,antasida</td>
<td>150/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1927</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>BINTI SHOLIKAH</td>
<td>`012739</td>
<td></td>
<td>`0003011259543</td>
<td>`3503055002720001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-02-1972</td>
<td>50 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1928</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>PRIKE ARDANI</td>
<td>`004846</td>
<td>08/8416</td>
<td>`</td>
<td>`3503056204980001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-04-1998</td>
<td>24 Th</td>
<td>DUSUN BENGGLE, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>pusing</td>
<td>asmef dimen bc</td>
<td>120/68</td>
<td>73</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>47</td>
<td>47</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1929</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td></td>
<td>MUJIONO</td>
<td>`000407</td>
<td>01/5429</td>
<td>`0003106888896</td>
<td>`3503052311570001</td>
<td>`121064</td>
<td></td>
<td></td>
<td>L</td>
<td>23-11-1957</td>
<td>64 Th</td>
<td>DUSUN KALIPINGGIR, RT : 019,RW :005 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000360</td>
<td>kontrol obat tensi habis sariawan perut sebah</td>
<td>amlodipin10mg antasida rani bention violet</td>
<td>124/68</td>
<td>65</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>87</td>
<td>99</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1930</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td></td>
<td>SUPARTI</td>
 <td>`006203</td>
<td>01/5429</td>
<td>`0003106889032</td>
<td>`3503055207600002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-07-1960</td>
<td>62 Th</td>
<td>DUSUN KALIPINGGIR, RT : 19,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000356</td>
<td>cek gula puasa kontrol obat gula habis</td>
<td>gliben ,aspilet bc</td>
<td>137/71</td>
<td>81</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1931</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MURIKEM</td>
<td>`018209</td>
<td></td>
<td>`0000665458896</td>
<td>`3503057112550064</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1955</td>
<td>66 Th</td>
 <td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>b.complek,pamol</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1932</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>SURYADANI</td>
<td>`001336</td>
<td>08/176</td>
<td>`0000665913273</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-12-1985</td>
<td>36 Th</td>
<td>RT 06 RW 02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000336</td>
<td>KONTROL</td>
<td>RUJUKAN</td>
 <td>109/88</td>
<td>72</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>F20.9</td>
<td>
Schizophrenia, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1933</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TOYIB</td>
<td>`018216</td>
<td></td>
<td>`</td>
<td>`3503052005630003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-05-1963</td>
<td>59 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>pusing</td>
<td>b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
 <td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1934</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td></td>
<td>WATI</td>
<td>`000593</td>
<td>06/7929</td>
<td>`0000787191197</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-1962</td>
<td>60 Th</td>
<td>RT 18 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000361</td>
<td>kaki cekot cekot lutut sulit ditekuk</td>
<td>pamol bc</td>
<td>124/86</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>79</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1935</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUYATI</td>
<td>`001116</td>
<td>02/1495</td>
<td>`0002802752965</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1957</td>
<td>64 Th</td>
<td>RT 25 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>b.complek</td>
<td>120/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1936</td>
<td>POLI KIA</td>
<td>07-09-2022</td>
<td></td>
<td>IDA ROYANI</td>
<td>`020953</td>
 <td>03/4930</td>
<td>`</td>
<td>`3503054203820005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-03-1982</td>
<td>40 Th</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>TAA</td>
<td>-</td>
<td>176/91</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>65</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1937</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUJILAH</td>
<td>`015712</td>
<td></td>
<td>`0001978457376</td>
<td>`3503054701490001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-01-1949</td>
<td>73 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
 <td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing, keju linu</td>
<td>amlodipine,nadic</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1938</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TAKMINI</td>
<td>`006690</td>
<td></td>
<td>`0000665898748</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-08-1957</td>
<td>65 Th</td>
<td>RT-</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju keju</td>
<td>amlodipine,b.complek</td>
<td>140/80</td>
 <td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1939</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MARSIH</td>
<td>`009706</td>
<td></td>
<td>`0000665452181</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-11-1952</td>
<td>69 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>amlodipine,nadic</td>
<td>150/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
 Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1940</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td></td>
<td>SUNARTO</td>
<td>`005516</td>
<td>01/844</td>
<td>`0002729556551</td>
<td>`3503051212540010</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-12-1954</td>
<td>67 Th</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000363</td>
<td>cek gula puasa kontrol obat habis</td>
<td>metformin amlodipin 10mg aspilet bc </td>
<td>140/75</td>
<td>77</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>53</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1941</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SITI FATIMAH</td>
<td>`019270</td>
<td></td>
<td>`0001978460324</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-05-1972</td>
<td>50 Th</td>
<td>RT 25</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kembung</td>
<td>amlodipine, omz</td>
<td>150/89</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Klinik Aba Husada</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1942</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SULASIYAH</td>
<td>`009705</td>
<td></td>
 <td>`0002860463981</td>
<td>`3503054107690007</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1969</td>
<td>53 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine</td>
<td>140/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1943</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SULASTRI</td>
<td>`010811</td>
<td>02/4067</td>
<td>`0000666142683</td>
<td>`3503055012700002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1970</td>
<td>51 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>amlodipine, betahistine</td>
<td>140/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1944</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>FLORETTA AURA SALSABILLA HAVIZAH</td>
<td>`005618</td>
<td>05/974</td>
<td>`0001707122889</td>
<td>`3503054104150001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-2015</td>
<td>7 Th</td>
<td>RT 8 RW 4</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000388</td>
<td>PANAS BATUK PILEK</td>
<td>AMOK MP CTM SALBUTAMOL VIT C GG</td>
<td>1/1</td>
<td>88</td>
 <td>36</td>
<td>20</td>
<td>130</td>
<td>36</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1945</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>YATIN</td>
<td>`014824</td>
<td></td>
<td>`0002732106093</td>
<td>`3503057112400084</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1940</td>
<td>81 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine,pamol</td>
<td>140/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1946</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td> BUDIONO</td>
<td>`001109</td>
<td>08/6309</td>
<td>`0000665983102</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-01-1970</td>
<td>52 Th</td>
<td>RT 07 RW 03</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000337</td>
<td>KONTROL</td>
<td>RUJUKAN</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>60</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H40</td>
<td>
Glaucoma </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1947</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MARINAH</td>
<td>`009709</td>
<td></td>
<td>`0001907930272</td>
<td>`3503054211600001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-11-1960</td>
<td>61 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>keju linu</td>
<td>amlodipine,nadic,b.complek</td>
<td>140/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1948</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>WATIYEM</td>
<td>`021021</td>
<td></td>
<td>`0000665926187</td>
 <td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-01-1950</td>
<td>72 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>AMLODIPINE,NADIC</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>200</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1949</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>ANDI NAVIANTO</td>
<td>`000561</td>
<td>02/4031</td>
<td>`0000104696842</td>
<td>`3503052011790002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-11-1979</td>
<td>42 Th</td>
<td>DUSUN CORAH MULYO, RT : 2,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>131506010922Y000348</td>
<td>MERIANG BATUK TENGGOROKAN SERIK</td>
<td>AMOK DEXA AMBROKSOL OBH SYR PAMOL CTM VIT C</td>
<td>122/71</td>
<td>83</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>76</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1950</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>RISMA IKA WARDANI</td>
<td>`004824</td>
<td></td>
<td>`</td>
<td>`3503055304020003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-04-2002</td>
<td>20 Th</td>
<td>DUSUN KEBONSARI, RT : 31,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>SKS</td>
<td>-</td>
<td>114/71</td>
<td>94</td>
<td>36</td>
 <td>20</td>
<td>152</td>
<td>62</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1951</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>EMA AIDA ADELIA PUTRI</td>
<td>`010031</td>
<td>01/700</td>
<td>`0002126916033</td>
<td>`3503056309140001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-09-2014</td>
<td>8 Th</td>
<td>RT 019 RW 005</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000390</td>
<td>PANAS BATUK PILEK NYERI TELAN</td>
<td>AMOK MP AMBROKSOL CTM SALBUTAMOL VIT C</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>24</td>
<td>30</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1952</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td></td>
<td>SENEN</td>
<td>`001594</td>
<td>02/1328</td>
<td>`0001037003995</td>
<td>`3503053112570049</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1957</td>
<td>64 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000343</td>
<td>RUJUK BALIK</td>
<td>AMLODIPIN 10MG 1X1 (30)
CPG 75MG 1X1 (30)
SALBUTAMOL 2MG 2X1 (60)
SPIRONOLACTON 25MG 1X1 (30)</td>
<td>159/49</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>49</td>
<td>75</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>I11</td>
<td>
Hypertensive heart disease </td>
<td>I25.2</td>
<td>
Old myocardial infarction </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1953</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MAINI</td>
<td>`009725</td>
<td></td>
<td>`0000665937685</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1947</td>
<td>74 Th</td>
<td>RT 25</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>AMLODIPINE,OMZ,NATRIUM</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1954</td>
<td>POLI GIZI</td>
<td>07-09-2022</td>
<td></td>
<td>IDA ROYANI</td>
<td>`020953</td>
 <td>03/4930</td>
<td>`</td>
<td>`3503054203820005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-03-1982</td>
<td>40 Th</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>TAA</td>
<td>-</td>
<td>176/91</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>65</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1955</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td></td>
<td>SITI NURSIJAH</td>
<td>`000224</td>
<td>02/1007</td>
<td>`0000106618779</td>
<td>`3503056207490001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-07-1949</td>
<td>73 Th</td>
<td>RT 10 RW 03</td>
 <td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000345</td>
<td>KONTROL</td>
<td>-</td>
<td>151/79</td>
<td>87</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I15.9</td>
<td>
Secondary hypertension, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1956</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td></td>
<td>SOEWARNO</td>
<td>`000874</td>
<td>90/1467</td>
<td>`0000106715463</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1935</td>
<td>86 Th</td>
<td>RT 09 RW 02</td>
<td>KERJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y000346</td>
<td>kontrol</td>
<td>-</td>
<td>140/90</td>
 <td>80</td>
<td>36</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1957</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SAMURI</td>
<td>`010921</td>
<td></td>
<td>`0000665860228</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1945</td>
<td>76 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
 <td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1958</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>RIAN YULI SETYANI</td>
<td>`020954</td>
<td>05/5529</td>
<td>`0000665457759</td>
<td>`3503056707930002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-07-1993</td>
<td>29 Th</td>
<td>DUSUN PAKEL, RT : 36,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td>131506010922Y000354</td>
<td>PANAS BATUK PIOLEK MUAL</td>
<td>AMOK PAMOL GG CTM RANITIDIN MP</td>
<td>102/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>49</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1959</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>MUHAMMAD RENDRA SYAHPUTRA</td>
<td>`016277</td>
<td>01/581</td>
<td>`0002596505242</td>
<td>`3503050509140001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-09-2014</td>
<td>8 Th</td>
<td>RT 27 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000389</td>
<td>PANAS BATUK PILEK MUAL NYERI TELAN</td>
<td>AMOK CTM AMBROKSOL METIL PRED SALBU VIT C PAMOL DOMPERIDON</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>21</td>
<td>30</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1960</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>ERLINA</td>
<td>`015170</td>
 <td>02/5144A</td>
<td>`0001452479769</td>
<td>`2171126510859009</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-10-1985</td>
<td>36 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>BATUK</td>
<td>ambroxol, b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1961</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>LAMIRAH</td>
<td>`009720</td>
<td></td>
<td>`0000666359436</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-11-1965</td>
<td>56 Th</td>
<td>RT 25</td>
 <td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine,na dic, b.complek</td>
<td>140/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1962</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>SITI ZUWARIYAH</td>
<td>`020905</td>
<td>01/4366</td>
<td>`</td>
<td>`3503054110650004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-12-1965</td>
<td>56 Th</td>
<td>DESA GONDANG, RT : 11,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>MERIANG PUSING</td>
<td>DIMEN ASAMEF AMOK PREDNISON BC OMEPRAZOLE</td>
<td>110/68</td>
 <td>88</td>
<td>36</td>
<td>20</td>
<td>163</td>
<td>62</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1963</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>DASRI</td>
<td>`009942</td>
<td>02/1896</td>
<td>`0000665860509</td>
<td>`3503057112550021</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1955</td>
<td>66 Th</td>
<td>RT 025 RW 006</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>amlodipine,nadic</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
 Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1964</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>MUJIARNO</td>
<td>`018210</td>
<td>06/4911</td>
<td>`0001037013704</td>
<td>`3503050804790002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-04-1979</td>
<td>43 Th</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000341</td>
<td>KONTROL </td>
<td>RUJUKAN</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>55</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>D33.2</td>
<td>
Benign neoplasm of brain, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1965</td>
<td>POLI GIGI</td>
<td>07-09-2022</td>
<td></td>
<td>SUWANTI</td>
<td>`014660</td>
<td>90/779</td>
<td>`0002916357693</td>
<td>`3503064308780001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-08-1978</td>
<td>44 Th</td>
<td>DUSUN JAMPI, RT : 2,RW :1 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000340</td>
<td>GIGI DEPAN RA BERLBANG</td>
<td>KONSULTASI</td>
<td>120/70</td>
<td>90</td>
<td>35</td>
<td>24</td>
<td>157</td>
<td>49</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K02.1</td>
<td>
Caries of dentine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1966</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>ASMIRAH</td>
<td>`009707</td>
<td></td>
 <td>`0001707021764</td>
<td>`3503057112600061</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1960</td>
<td>61 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1967</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>MULYANTO</td>
<td>`000473</td>
<td>90/1648</td>
<td>`0001423950456</td>
<td>`3503050108720001</td>
<td>`</td>
<td></td>
<td>085204232461</td>
<td>L</td>
<td>01-08-1972</td>
<td>50 Th</td>
<td>RT 01 RW 01</td>
<td>JAMBU</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perangkat Desa</td>
<td>Lama</td>
<td>131506010922Y000342</td>
<td>KONTROL</td>
<td>RUJUKAN</td>
<td>133/72</td>
<td>58</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>100</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1968</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SAMIRAH</td>
<td>`002236</td>
<td></td>
<td>`0000665481611</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-02-1940</td>
<td>82 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>amlodipine, nadic</td>
<td>150/88</td>
<td>88</td>
 <td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1969</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>WATINI</td>
<td>`009729</td>
<td></td>
<td>`</td>
<td>`3503050312600001-507846</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-12-1960</td>
<td>61 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>keju linu</td>
<td>amlodipine,b.complek, nadic</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1970</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SARKAWI</td>
<td>`021023</td>
<td></td>
<td>`0001037003916</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1944</td>
<td>78 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>AMLODIPINE, NADIC</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1971</td>
<td>PUSTU WINONG</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SAMINI</td>
<td>`011869</td>
<td></td>
<td>`0001978467265</td>
<td>`3503056809700001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-09-1970</td>
<td>52 Th</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>135/90</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>157</td>
<td>49</td>
<td>68</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1972</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>AGUS PURWANTO</td>
<td>`021025</td>
<td></td>
<td>`</td>
 <td>`3503050612900003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-12-1990</td>
<td>31 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>PUSING</td>
<td>PARACETAMOL</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1973</td>
<td>POLI GIGI</td>
<td>07-09-2022</td>
<td></td>
<td>BINTI HIDAYATI</td>
<td>`016713</td>
<td>08/5324</td>
<td>`0001978464238</td>
<td>`6471056803790002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-03-1979</td>
<td>43 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000344</td>
<td>GIGI BAWAH KIRI SAKIT</td>
<td>OBAT</td>
<td>125/80</td>
<td>90</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>56</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1974</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SAMIRAH</td>
<td>`001835</td>
<td>02/7566</td>
<td>`0000665567921</td>
<td>`3503054112510001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1951</td>
<td>70 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kembung, bab cair 4x</td>
<td>amlodipine,diaform,antasida</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
 <td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1975</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SAIKEM</td>
<td>`009472</td>
<td>02/2706</td>
<td>`0003068273215</td>
<td>`3503055506630005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-06-1963</td>
<td>59 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk</td>
<td>ambroxol</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1976</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUTOMO</td>
<td>`010353</td>
<td>02/3630</td>
<td>`0000666107875</td>
<td>`3503050101520002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-01-1952</td>
<td>70 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kembung, nyeri perut</td>
<td>amlodipine,antasida, b.complek</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1977</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>ULFA JAWHAROTUL MUFIDAH</td>
<td>`020768</td>
<td></td>
<td>`0003288819047</td>
<td>`</td>
<td>`</td>
<td>rukan sanusy</td>
<td></td>
<td>P</td>
<td>17-07-1993</td>
<td>29 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Guru</td>
<td>Lama</td>
<td>131506010922Y000338</td>
<td>KONTROL POST OPNAME NGGLIYENG SESAK</td>
<td>FE DIMEN BETAHISTIN DOMPERIDON BC OMEPRAZOLE</td>
<td>85/58</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>53</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H81.3</td>
<td>
Other peripheral vertigo </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1978</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>SHEVIRA IRMA DINDA NOVIANTI</td>
<td>`001041</td>
<td></td>
<td>`0002802762843</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-11-2007</td>
<td>14 Th</td>
<td>PRAMBON RT22</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000393</td>
<td>SAKIT MENELAN</td>
<td>PAMOL BC AMOX</td>
<td>90/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1979</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>ENDANG WARSINI</td>
<td>`001838</td>
<td>02/4358</td>
<td>`</td>
<td>`3503055612720002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-12-1972</td>
<td>49 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>keju linu</td>
<td>amlodipine, glibenclamide</td>
<td>130/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1980</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUMIATI</td>
<td>`011367</td>
<td></td>
<td>`0000665671689</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-06-1977</td>
<td>45 Th</td>
<td>RT RW</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine</td>
<td>140/67</td>
<td>77</td>
<td>36</td>
<td>20</td>
 <td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1981</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td></td>
<td>SUYATI</td>
<td>`001752</td>
<td>01/3814</td>
<td>`0000665758697</td>
<td>`3503055511540001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-01-1954</td>
<td>68 Th</td>
<td>DESA GONDANG, RT : 8,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000355</td>
<td>kontrolpost opname pusing gliyeng lemes </td>
<td>amlo 10mg,metformin ,glimepirid betahistin betahistin domperidon
antasida hct pamol </td>
<td>166/87</td>
<td>105</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>65</td>
<td>85</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>E11.9</td>
 <td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1982</td>
<td>PUSTU WINONG</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUDARTO</td>
<td>`014035</td>
<td></td>
<td>`0001978467232</td>
<td>`3503051007700002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-07-1970</td>
<td>52 Th</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>167</td>
<td>69</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1983</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>WARTINI</td>
<td>`021027</td>
<td></td>
<td>`0002456177657</td>
<td>`3503055105760001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-05-1976</td>
<td>46 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine, pamol</td>
<td>140/78</td>
<td>77</td>
<td>36</td>
<td>200</td>
<td>154</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1984</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUTIYAH</td>
<td>`010918</td>
<td></td>
<td>`</td>
<td>`3503057012330002</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1933</td>
<td>88 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>kembung</td>
<td>amlodipine,antasida,b.complek</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1985</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td></td>
<td>MUNGIN</td>
<td>`013011</td>
<td>04/1639</td>
<td>`0001036999405</td>
<td>` 3503051107570002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-07-1957</td>
<td>65 Th</td>
<td>DUSUN PONGGOK, RT : 20,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000419</td>
<td>kontrol jari bengkak</td>
<td>cipro asmef ,prednison </td>
<td>128/78</td>
<td>104</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>S62.5</td>
<td>
Fracture of thumb </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1986</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>DWI AGUSTININGSIH</td>
<td>`004170</td>
<td></td>
<td>`0001978488347</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-08-1976</td>
<td>46 Th</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000395</td>
<td>GATAL</td>
<td>CTM BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
 <td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1987</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>MISNI</td>
<td>`009809</td>
<td>07/1025A</td>
<td>`0000100014208</td>
<td>`3503050702640001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-02-1964</td>
<td>58 Th</td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000387</td>
<td>KEJU LINU</td>
<td>PREDNISON SIMVASTATIN AMLODIPIN ASPILET BC ASMEF</td>
<td>141/76</td>
<td>94</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>82</td>
<td>98</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
 Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1988</td>
<td>POLINDES WINONG</td>
<td>07-09-2022</td>
<td></td>
<td>SUTRISMI</td>
<td>`002933</td>
<td></td>
<td>`0001835834152</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-03-1964</td>
<td>58 Th</td>
<td>RT1RW1</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td>keputihan</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>154</td>
<td>54</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N89.8</td>
<td>
Other specified noninflammatory disorders of vagina </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>1989</td>
<td>PUSTU WINONG</td>
<td>07-09-2022</td>
<td></td>
<td>DETRA ROSIANA</td>
<td>`011904</td>
<td></td>
<td>`0000666264543</td>
<td>`3503054107050006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-2005</td>
<td>17 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000349</td>
<td>batuk, pilek</td>
<td>ctm, b komplek, ambroxol</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>47</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1990</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>MUJIATUN</td>
<td>`020955</td>
<td>90/2351</td>
<td>`</td>
<td>`3503066608650001</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>26-08-1965</td>
<td>57 Th</td>
<td>DUSUN KEDUNGSANGKAL, RT : 11,RW :4 </td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>MERIANG BATUK</td>
<td>OBH SYR CIPRO DEXA DIMEN ASMEF BC</td>
<td>163/73</td>
<td>109</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>43</td>
<td>45</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1991</td>
<td>PUSTU WINONG</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>ABIBH FAJAR</td>
<td>`011903</td>
<td></td>
<td>`0000666264058</td>
<td>`3503051802010002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-02-2001</td>
<td>21 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/80</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>171</td>
<td>62</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1992</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MUYONO</td>
<td>`020458</td>
<td></td>
<td>`0000665510859</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-03-1965</td>
<td>57 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1993</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KARYONO</td>
<td>`012563</td>
<td></td>
<td>`0000665479743</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-01-1978</td>
<td>44 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1994</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>ERICK FATONI</td>
<td>`014342</td>
<td></td>
<td>`0001978461472</td>
<td>`3503050306940003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-06-1994</td>
<td>28 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>1995</td>
<td>PUSTU WINONG</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>UTOMO</td>
<td>`012635</td>
<td></td>
<td>`0000666263259</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-09-1973</td>
<td>49 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>1996</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>BUDIONO</td>
<td>`014323</td>
<td></td>
<td>`0002802764283</td>
<td>`3503053107970001</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>31-07-1997</td>
<td>25 Th</td>
<td>DUSUN KARAJN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1997</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MULYONO</td>
<td>`020956</td>
<td></td>
<td>`0000666247498</td>
<td>`3503050704600002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-04-1960</td>
<td>62 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1998</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>MUDMAINAH</td>
<td>`010154</td>
<td>01/421</td>
<td>`0000664916962</td>
<td>`3503054708740001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-08-1974</td>
<td>48 Th</td>
<td>DUSUN KEBONSARI, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000364</td>
<td>PERUT MBESESEK</td>
<td>OMEPRAZOLE RANITIDIN PARACETAMOL SYR SUKRALFAT</td>
<td>103/66</td>
<td>71</td>
<td>36</td>
<td>20</td>
<td>155</td>
 <td>57</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>1999</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SURYONO</td>
<td>`003460</td>
<td>05/267</td>
<td>`0000106771195</td>
<td>`3503050604580002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-04-1958</td>
<td>64 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2000</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MARGONO</td>
<td>`002422</td>
<td>05/5182</td>
<td>`0001978462157</td>
<td>`3503051503620001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-03-1962</td>
<td>60 Th</td>
<td>DESA BANARAN, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2001</td>
 <td>POLI REMAJA</td>
<td>07-09-2022</td>
<td></td>
<td>MUTIARA SITI CHUMAIRA</td>
<td>`020957</td>
<td>01/421</td>
<td>`0002609738662</td>
<td>`3503055410080001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-10-2008</td>
<td>13 Th</td>
<td>DUSUN KEBONSARI, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000347</td>
<td>PUSING MERIANG BATUK MUAL</td>
<td>AMOK MP OMEPRAZOLE GG PCT DIMEN</td>
<td>105/62</td>
<td>115</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>44</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2002</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>DIYON AZIZ SAIFULLAH</td>
<td>`020958</td>
<td></td>
<td>`0000209810979</td>
<td>`3503051710010002</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>17-10-2001</td>
<td>20 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2003</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>BUDIYONO</td>
<td>`014324</td>
<td></td>
<td>`0000106514087</td>
<td>`3503052810630001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-10-1963</td>
<td>58 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
 <td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2004</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>WARYONO</td>
<td>`020959</td>
<td></td>
<td>`0001978462574</td>
<td>`3503051309470001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-09-1947</td>
<td>75 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2005</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>BUDIONO</td>
<td>`014325</td>
<td></td>
<td>`0001978462124</td>
<td>`3503051104780001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-04-1978</td>
<td>44 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2006</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>BUDIONO</td>
<td>`014325</td>
<td></td>
<td>`0001978462124</td>
<td>`3503051104780001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-04-1978</td>
<td>44 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2007</td>
<td>PUSTU PRAMBON</td>
 <td>07-09-2022</td>
<td></td>
<td>PATONAH</td>
<td>`010879</td>
<td>06/8106</td>
<td>`0001707022416</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1972</td>
<td>50 Th</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000396</td>
<td>KEJU LINU</td>
<td>NATDIK BC</td>
<td>160/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2008</td>
<td>PUSTU WINONG</td>
<td>07-09-2022</td>
<td></td>
<td>FIKRY RAMADHAN SAPUTRA</td>
<td>`017426</td>
<td></td>
<td>`0001978468121</td>
<td>`3503052908090001</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>29-08-2009</td>
<td>13 Th</td>
<td>DESA WINONG, RT : 2,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000350</td>
<td>batuk</td>
<td>ctm, ambroksol, b komplek</td>
<td>100/70</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>145</td>
<td>45</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2009</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>LAILA CAHAYA RAMADHANA</td>
<td>`010181</td>
<td>90/233</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-07-2014</td>
<td>8 Th</td>
<td>RT 08 RW 02</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
 <td></td>
<td>PANAS PUSING MUNTAH</td>
<td>PAMOL DOMPERIDON B6 AMOK MP GG CTM SALBUTAMOL VIT BC</td>
<td>1/1</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>28</td>
<td>29</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2010</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>PUTRO BAGOS PRIONOTO</td>
<td>`015374</td>
<td></td>
<td>`0002773743355</td>
<td>`3503050208040001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-08-2004</td>
<td>18 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2011</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MUJIONO</td>
<td>`014278</td>
<td></td>
<td>`0002802745506</td>
<td>`3503050102600003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-02-1960</td>
<td>62 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2012</td>
<td>POLI KIA</td>
<td>07-09-2022</td>
<td></td>
<td>AURORA RAHMADANI</td>
<td>`010159</td>
<td>03/9135</td>
<td>`0001978444214</td>
<td>`3503055912990001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-12-1999</td>
<td>22 Th</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000420</td>
<td>MUAL</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>45</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2013</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
 <td>KONSULTASI</td>
<td>PRIYONO</td>
<td>`020960</td>
<td></td>
<td>`0000666251919</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-10-1981</td>
<td>40 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2014</td>
<td>PUSTU WINONG</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUSI PURWATIN</td>
<td>`017424</td>
<td></td>
<td>`0000666377346</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>01-07-1973</td>
<td>49 Th</td>
<td>DUSUN WINONG, RT : 4,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>130/80</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>157</td>
<td>49</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2015</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>YISNANTO</td>
<td>`016593</td>
<td>03/9265</td>
<td>`0002242461341</td>
<td>`9171021404750001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-04-1975</td>
<td>47 Th</td>
<td>RT 02 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000352</td>
 <td>GATAL BENTOL BENTOL PADA PANTAT</td>
<td>LORATADIN PREDNISON</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L50.9</td>
<td>
Urticaria, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2016</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUPARTONO</td>
<td>`002404</td>
<td>05/6829</td>
<td>`0000665523966</td>
<td>`3503051607640001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-07-1964</td>
<td>58 Th</td>
<td>RT 5 RW 3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2017</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>SUPARNO</td>
<td>`006296</td>
<td>06/2110</td>
<td>`0002802751558</td>
<td>`3503052101720002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-01-1972</td>
<td>50 Th</td>
<td>MLOKO, RT : 53,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000397</td>
<td>KEJU LINU</td>
<td>NATDIK BC ALLOPURINOL</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2018</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MUJIONO</td>
<td>`013343</td>
<td></td>
<td>`0002802772192</td>
<td>`3503051505690002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-05-1969</td>
<td>53 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2019</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
 <td>MUGIYONO</td>
<td>`020962</td>
<td></td>
<td>`0000666225729</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-05-1975</td>
<td>47 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2020</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>CAHYA SANDI WAHONO</td>
<td>`020963</td>
<td></td>
<td>`0000665502287</td>
<td>`3503051207020001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-07-2002</td>
 <td>20 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2021</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUYONO</td>
<td>`002277</td>
<td></td>
<td>`0001978463812</td>
<td>`3503052605720003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-05-1972</td>
<td>50 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2022</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUYONO</td>
<td>`002277</td>
<td></td>
<td>`0001978463812</td>
<td>`3503052605720003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-05-1972</td>
<td>50 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2023</td>
<td>POLI K.B</td>
<td>07-09-2022</td>
<td></td>
<td>SAMSUL HUDA</td>
<td>`020964</td>
<td></td>
<td>`</td>
<td>`3503121308920003</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>13-08-1992</td>
<td>30 Th</td>
<td>RT 24 RW 11 CEME. NGADIRENGGO. POGALAN, RT : 24,RW :11 </td>
<td>NGADIRENGGO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>CPP</td>
<td>-</td>
<td>121/81</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>175</td>
<td>75</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2024</td>
<td>POLI K.B</td>
<td>07-09-2022</td>
<td></td>
<td>MUHAROM NURDIANA</td>
<td>`020965</td>
<td>06/7032</td>
<td>`</td>
<td>`3503056104960004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-04-1994</td>
<td>28 Th</td>
<td>DUSUN PAKEL, RT : 35,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>CPW</td>
<td>-</td>
<td>121/71</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>43</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2025</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
 <td>JOKO CAHYONO</td>
<td>`017332</td>
<td></td>
<td>`0002802758095</td>
<td>`3503052906680002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-06-1968</td>
<td>54 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2026</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>JOKO CAHYONO</td>
<td>`017332</td>
<td></td>
<td>`0002802758095</td>
<td>`3503052906680002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-06-1968</td>
 <td>54 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2027</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>NABILI GHOZI RAMADHON</td>
<td>`020966</td>
<td></td>
<td>`0003058814992</td>
<td>`3503050209080001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-09-2008</td>
<td>14 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2028</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>LUDHVI APRILION FIRMANSYAH</td>
<td>`014773</td>
<td></td>
<td>`0002802747418</td>
<td>`3503051504120001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-04-2012</td>
<td>10 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2029</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>WASTYONO</td>
<td>`020967</td>
<td></td>
<td>`0001978461156</td>
<td>`3503052704780001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-04-1978</td>
<td>44 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2030</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>SUWARNI</td>
<td>`020968</td>
<td></td>
<td>`0001975722309</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-07-1975</td>
<td>47 Th</td>
<td>PRAMBON RT 54/11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000398</td>
<td>GATAL</td>
<td>BC CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>64</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2031</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>DONA PERMATASARI</td>
 <td>`020969</td>
<td></td>
<td>`0001978461887</td>
<td>`3503054510050001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-10-2005</td>
<td>16 Th</td>
<td>DUSUN KARAJN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2032</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUJONO</td>
<td>`010022</td>
<td>05/8571</td>
<td>`0001847994399</td>
<td>`3503050206640002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-06-1964</td>
<td>58 Th</td>
 <td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2033</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>DIDIK SUBANDRIYONO</td>
<td>`020970</td>
<td></td>
<td>`0002729554176</td>
<td>`3503061908850003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-08-1985</td>
<td>37 Th</td>
<td>DESA BANARAN, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Karangan</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2034</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUYONO</td>
<td>`014356</td>
<td></td>
<td>`0003068090335</td>
<td>`3503051205590002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-05-1959</td>
<td>63 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2035</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUYONO</td>
<td>`014356</td>
<td></td>
<td>`0003068090335</td>
<td>`3503051205590002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-05-1959</td>
<td>63 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2036</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>PARMONO</td>
<td>`013340</td>
<td></td>
<td>`0002802750772</td>
<td>`3503050606670003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-06-1967</td>
<td>55 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2037</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>PARMONO</td>
<td>`013340</td>
 <td></td>
<td>`0002802750772</td>
<td>`3503050606670003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-06-1967</td>
<td>55 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2038</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>RUDI HARTONO</td>
<td>`014345</td>
<td></td>
<td>`0002802759917</td>
<td>`3503052807810007</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-07-1981</td>
<td>41 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
 <td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2039</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>PONIYATI</td>
<td>`020971</td>
<td></td>
<td>`0001978462192</td>
<td>`3503054401940002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-01-1994</td>
<td>28 Th</td>
<td>DESA BANARAN, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2040</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KUKUH TRIONO</td>
<td>`014670</td>
<td></td>
<td>`0000665467637</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-03-1999</td>
<td>23 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2041</td>
<td>POLI GIZI</td>
<td>07-09-2022</td>
<td></td>
<td>AURORA RAHMADANI</td>
<td>`010159</td>
<td>03/9135</td>
<td>`0001978444214</td>
<td>`3503055912990001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-12-1999</td>
<td>22 Th</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>MUAL</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>45</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>2042</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>PONIRIN</td>
<td>`011439</td>
<td></td>
<td>`0001707122891</td>
<td>`3503050609580001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-09-1958</td>
<td>64 Th</td>
<td>DESA BANARAN, RT : 7,RW :47 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2043</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NURUL HIDAYAH</td>
<td>`013462</td>
<td></td>
 <td>`0001978460109</td>
<td>`3503054402810003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-02-1981</td>
<td>41 Th</td>
<td>KRAJAN, RT : 18,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>82</td>
<td>35</td>
<td>22</td>
<td>155</td>
<td>54</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2044</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>GIYONO</td>
<td>`020972</td>
<td></td>
<td>`0001037004546</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-01-1981</td>
<td>41 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2045</td>
<td>POLI MTBS</td>
<td>07-09-2022</td>
<td></td>
<td>PUJIATI NURHIDAYAH</td>
<td>`014969</td>
<td>01/2514</td>
<td>`</td>
<td>`3503050809090009</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-02-2022</td>
<td>0 Th</td>
<td>RT 33 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
 <td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2046</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUYONO</td>
<td>`014357</td>
<td></td>
<td>`0003067658763</td>
<td>`3503051002780001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-02-1978</td>
<td>44 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2047</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>FAJAR CAHYONO</td>
<td>`020973</td>
<td></td>
<td>`0001978462405</td>
<td>`3503052601990001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-01-1999</td>
<td>23 Th</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2048</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>PONIJAH</td>
<td>`013078</td>
<td>05/7708</td>
<td>`0000665504368</td>
<td>`3503054912440001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-12-1944</td>
<td>77 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2049</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRI YANTI</td>
<td>`016323</td>
<td></td>
<td>`0001978460122</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-10-1980</td>
<td>41 Th</td>
<td>RT 19 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>60</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2050</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ADINDA RISMA DAMAYANTI</td>
<td>`015009</td>
<td></td>
<td>`0001978460155</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-01-2002</td>
<td>20 Th</td>
<td>RT 20</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>47</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2051</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TATIK SUNARTI</td>
<td>`003435</td>
<td>02/7959</td>
<td>`0001978460166</td>
<td>`3503055001540002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-01-1954</td>
<td>68 Th</td>
<td>ETAN KALI, RT : 20,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>78</td>
<td>35</td>
 <td>20</td>
<td>154</td>
<td>57</td>
<td>91</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2052</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>DAFA AQILA MAULANA</td>
<td>`005491</td>
<td>08/801A</td>
<td>`0002802756813</td>
<td>`3503051006140001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-06-2014</td>
<td>8 Th</td>
<td>DESA WINONG, RT : 5,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000362</td>
<td>PANAS </td>
<td>PAMOL AMOK MP GG VIT C CTM SALBUTAMOL DOMPERIDON B6</td>
<td>1/1</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>24</td>
<td>20</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R11</td>
 <td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2053</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>KUSMAN</td>
<td>`007696</td>
<td></td>
<td>`0002802754449</td>
<td>`3503051206550001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-06-1955</td>
<td>67 Th</td>
<td>TENGGAR, RT : 2,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000400</td>
<td>NYERI ULU HATI</td>
<td>PAMOL ANTASID</td>
<td>130/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2054</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>INTAN AULIA FITRIA RAHAYU</td>
<td>`012285</td>
<td></td>
<td>`0001978460177</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-2011</td>
<td>11 Th</td>
<td>RT 20 RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>77</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>62</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2055</td>
<td>POLI KIA</td>
<td>07-09-2022</td>
<td></td>
<td>FATIMAH</td>
<td>`020219</td>
<td>06/9349</td>
<td>`0001442558384</td>
<td>`9105016702970002</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-02-1997</td>
<td>25 Th</td>
<td>RT 20 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000421</td>
<td>TAA</td>
<td>-</td>
<td>110/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>65</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2056</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUDARSIH</td>
<td>`007377</td>
<td>08/1324</td>
<td>`0001978460201</td>
<td>`3503057112610046</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1961</td>
<td>60 Th</td>
<td>ETAN KALI, RT : 20,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>60</td>
<td>91</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2057</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI IMSIKAH</td>
<td>`012768</td>
<td>02/4728</td>
<td>`0001978460223</td>
<td>`3509214602620004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-02-1962</td>
<td>60 Th</td>
<td>ETAN KALI, RT : 20,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>88</td>
<td>35</td>
<td>22</td>
 <td>153</td>
<td>56</td>
<td>95</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2058</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HALIFAH SANGGARWATI</td>
<td>`015010</td>
<td></td>
<td>`0001978460234</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-08-2008</td>
<td>14 Th</td>
<td>RT 20</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>58</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2059</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>PAITO</td>
<td>`020974</td>
<td>06/9349</td>
<td>`0001103796178</td>
<td>`9105010409630002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-09-1963</td>
<td>59 Th</td>
<td>RT 20 RW 04</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y000359</td>
<td>BENJOLAN PADA SELSNGKANGAN</td>
<td>RUJUKAN</td>
<td>138/79</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>68</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K40.9</td>
<td>
Unilateral or unspecified inguinal hernia, without obstruction or
gangrene </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2060</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NUR HAYATI</td>
<td>`003980</td>
<td></td>
<td>`0000665460821</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-1968</td>
<td>53 Th</td>
<td>RT 21 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>60</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2061</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AFNA NUR FADILA</td>
<td>`013756</td>
<td></td>
<td>`0000665461416</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-06-2005</td>
<td>17 Th</td>
<td>RT 021 RW 005</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>58</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2062</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NUR AINI SEPTIA ROMADHONA</td>
<td>`015011</td>
<td></td>
<td>`0000665636231</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-09-2007</td>
<td>15 Th</td>
<td>RT 21</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>80</td>
<td>35</td>
<td>22</td>
<td>153</td>
<td>60</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2063</td>
<td>PUSTU WINONG</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MUSATUN</td>
<td>`018331</td>
<td></td>
<td>`0000665307213</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1955</td>
<td>66 Th</td>
<td>DUSUN TENGGAR, RT : 10,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>140/90</td>
<td>88</td>
<td>36</td>
<td>16</td>
 <td>159</td>
<td>51</td>
<td>71</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2064</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NILA RUSMAYASARI</td>
<td>`000610</td>
<td>02/2577</td>
<td>`0000665635511</td>
<td>`3503056601970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-01-1997</td>
<td>25 Th</td>
<td>ETAN KALI, RT : 21,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>58</td>
<td>91</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2065</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUKATMI</td>
<td>`007686</td>
<td></td>
<td>`0000665660351</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-05-1962</td>
<td>60 Th</td>
<td>ETAN KALI, RT : 21,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>60</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>2066</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DIAS KRIS DAMAYANTI</td>
<td>`015012</td>
<td></td>
<td>`0000665660553</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-04-1999</td>
<td>23 Th</td>
<td>RT 21</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>IRT</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>60</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2067</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>YENI</td>
<td>`020975</td>
<td>06/3482</td>
<td>`0000664938189</td>
<td>`3503056301960002</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>23-01-1996</td>
<td>26 Th</td>
<td>MLOKO, RT : 54,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td>131506010922Y000358</td>
<td>PANAS BATUK PILEK</td>
<td>VIT BC AMOK AMBROKSOL OBH SYR MP CTM ASMEF</td>
<td>103/68</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>47</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2068</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>INAHA RAHMAWATI</td>
<td>`015013</td>
<td></td>
<td>`0000665633698</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-04-1978</td>
<td>44 Th</td>
<td>RT 21</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>IRT</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>58</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2069</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>MARIYATI</td>
<td>`010044</td>
<td>01/758</td>
<td>`0000665767664</td>
<td>`3503054901720002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-01-1972</td>
<td>50 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000357</td>
<td>GATAL</td>
<td>SALEP BETASON PREDNISON LORATADIN BC</td>
<td>143/72</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>150</td>
 <td>61</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2070</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NINDIA DWI RATNA HIDAYATI</td>
<td>`002600</td>
<td>02/3147</td>
<td>`0000665634238</td>
<td>`350305690460001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-04-2006</td>
<td>16 Th</td>
<td>RT 21 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>80</td>
<td>35</td>
<td>22</td>
<td>153</td>
<td>60</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2071</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>INDRI RAHMAWATI</td>
<td>`016325</td>
<td></td>
<td>`0000666120172</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-07-1998</td>
<td>24 Th</td>
<td>RT 21 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>57</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2072</td>
 <td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIJIATUN</td>
<td>`007522</td>
<td></td>
<td>`0000666388247</td>
<td>`3503055202580003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-02-1958</td>
<td>64 Th</td>
<td>ETAN KALI, RT : 20,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>60</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2073</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TRESTANTI</td>
<td>`016326</td>
<td></td>
<td>`0000666395943</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>07-06-1994</td>
<td>28 Th</td>
<td>RT 21 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>58</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2074</td>
<td>POLI REMAJA</td>
<td>07-09-2022</td>
<td></td>
<td>WINDA BELLA NUR AZMI</td>
<td>`001865</td>
<td>01/1177</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-2008</td>
<td>14 Th</td>
<td>RT 20 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
 <td>Lama</td>
<td></td>
<td>MERIANG BATUK PILEK</td>
<td>AMOK PAMOL VIT C AMBROKSOL CTM MP</td>
<td>101/69</td>
<td>108</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>44</td>
<td>40</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2075</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI MARPUAH</td>
<td>`016327</td>
<td></td>
<td>`0000666415719</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-07-1978</td>
<td>44 Th</td>
<td>RT 21 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>154</td>
<td>62</td>
 <td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2076</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>SENI</td>
<td>`020976</td>
<td></td>
<td>`0003149719356</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-12-1964</td>
<td>57 Th</td>
<td>PRAMBON RT 15/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000402</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2077</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TUTI ALAWIYAH</td>
<td>`002357</td>
<td>02/8944</td>
<td>`0000666415912</td>
<td>` 3503056503980001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-03-1998</td>
<td>24 Th</td>
<td>ETAN KALI, RT : 21,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>57</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2078</td>
<td>POLI LANSIA</td>
 <td>07-09-2022</td>
<td></td>
<td>SUGIONO</td>
<td>`008110</td>
<td>04/6173</td>
<td>`0002802756633</td>
<td>`3503052810560001</td>
<td>`</td>
<td></td>
<td>085235354270</td>
<td>L</td>
<td>28-10-1956</td>
<td>65 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y000351</td>
<td>minta rujukan untuk ke rsud nganjuk</td>
<td>-</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>C34</td>
<td>
Malignant neoplasm of bronchus and lung </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2079</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SIMPEN NURALIFAH</td>
<td>`016328</td>
<td></td>
<td>`0001037004039</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>13-03-1972</td>
<td>50 Th</td>
<td>RT 21 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>58</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2080</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>ENIK EKO LESTARI</td>
<td>`020977</td>
<td>01/1171</td>
<td>`0001847128735</td>
<td>`3503116105720004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-05-1972</td>
<td>50 Th</td>
<td>RT 27 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>131506010922Y000367</td>
<td>MATA NGGANJAL BERAIR</td>
<td>LORATADAIN MP AMOK KLORAM SALEP MATA ASMEF</td>
<td>132/65</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>74</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H10</td>
<td>
Conjunctivitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2081</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KARMINI</td>
<td>`011352</td>
<td>02/2528</td>
<td>`0000665562633</td>
<td>`3503054812670002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1967</td>
<td>54 Th</td>
<td>RT 022 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>60</td>
<td>94</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2082</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIWIK KRISNAWATI</td>
<td>`016329</td>
<td></td>
<td>`0000665563037</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-1988</td>
<td>34 Th</td>
<td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>59</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2083</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HENIK PURNAMASARI</td>
<td>`003402</td>
<td>02/4564</td>
<td>`0000665570305</td>
<td>`3503055011910005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-11-1991</td>
<td>30 Th</td>
<td>RT 22 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/68</td>
<td>76</td>
<td>35</td>
<td>22</td>
<td>152</td>
<td>56</td>
<td>91</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2084</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>INDRIA PUSPITA</td>
<td>`016330</td>
<td></td>
<td>`0000665570902</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-01-1994</td>
<td>28 Th</td>
<td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>78</td>
<td>35</td>
<td>22</td>
<td>153</td>
<td>60</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2085</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>MUNIROH</td>
<td>`007415</td>
<td></td>
<td>`0000666211195</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>10-12-1972</td>
<td>49 Th</td>
<td>PRAMBON RT 38/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000405</td>
<td>KEMBUNG</td>
<td>PAMOL ANTASID</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2086</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IDA WULANDARI</td>
<td>`013757</td>
<td></td>
<td>`0000665595562</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-05-2000</td>
<td>22 Th</td>
<td>RT 022 RW 006</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
 <td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>57</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2087</td>
<td>PUSTU WINONG</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SOLIKATUN</td>
<td>`002932</td>
<td></td>
<td>`0000665984215</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-11-1968</td>
<td>53 Th</td>
<td>DUSUN TLOGOREJO, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>166</td>
<td>52</td>
<td>64</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2088</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>ELLYSA SUSANTI</td>
<td>`020979</td>
<td>06/01</td>
<td>`0000205379673</td>
<td>`3503075701930001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-01-1993</td>
<td>29 Th</td>
<td>RT 18 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000365</td>
<td>BENJOLAN PADA PAYUDARA NYERI BERTAMBAH BESAR</td>
<td>RUJUKAN</td>
<td>114/67</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>62</td>
<td>62</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>D24</td>
<td>
Benign neoplasm of breast </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2089</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPARTI</td>
<td>`016331</td>
<td></td>
<td>`0000665902247</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-07-1969</td>
<td>53 Th</td>
<td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>58</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2090</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>MIFTA HULJANNAH</td>
<td>`015014</td>
<td></td>
<td>`0000665904148</td>
<td>`3503056002060002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-02-2006</td>
<td>16 Th</td>
<td>KRAJAN, RT : 22,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>154</td>
<td>60</td>
<td>95</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2091</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LAELA SURYANI DEWI</td>
<td>`016332</td>
<td></td>
<td>`0000665932329</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-11-1994</td>
 <td>27 Th</td>
<td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>59</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2092</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BINTI MUNTIKAH</td>
<td>`016333</td>
<td></td>
<td>`0000665930856</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-12-1981</td>
<td>40 Th</td>
<td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>57</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2093</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NURUL MAHMUDAH</td>
<td>`006462</td>
<td>02/3352</td>
<td>`0000665936706</td>
<td>`3503056004920001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-04-1992</td>
<td>30 Th</td>
<td>ETAN KALI, RT : 22,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>79</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>56</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2094</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ISTI MUNAWAROH</td>
<td>`016334</td>
<td></td>
<td>`0000666066251</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1980</td>
<td>42 Th</td>
<td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>60</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2095</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ROHMIATIN</td>
<td>`016335</td>
<td></td>
<td>`0000666327644</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-1971</td>
<td>51 Th</td>
<td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>57</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2096</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>USWATUN HASANAH</td>
 <td>`000690</td>
<td>02/2019</td>
<td>`0000666394042</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-01-1982</td>
<td>40 Th</td>
<td>RT 22 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>60</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2097</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BAHIYATUN NISA AYU</td>
<td>`016336</td>
<td></td>
<td>`0000666394558</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-12-2006</td>
<td>15 Th</td>
 <td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2098</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LILIS YUNAINI</td>
<td>`000450</td>
<td>02/1040</td>
<td>`0000666403569</td>
<td>`3503056106770005</td>
<td>`6902</td>
<td></td>
<td></td>
<td>P</td>
<td>21-06-1977</td>
<td>45 Th</td>
<td>DUSUN ETAN KALI, RT : 023,RW :006 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>56</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2099</td>
<td>POLINDES NGLONGSOR</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NIK AMAH</td>
<td>`016337</td>
<td></td>
<td>`0000667305448</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-05-1979</td>
<td>43 Th</td>
<td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>56</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2100</td>
<td>POLI K.B</td>
<td>07-09-2022</td>
<td></td>
<td>KASMINI KAYAT</td>
<td>`006020</td>
<td>02/8052</td>
<td>`0001109587061</td>
<td>`8271034711710003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-11-1971</td>
<td>50 Th</td>
<td>RT 24 RW 6</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000422</td>
<td>LEPAS IMPLAN</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.9</td>
<td>
Contraceptive management, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2101</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>ERSY AGUSTINA RAHAYU</td>
<td>`007930</td>
<td></td>
<td>`0002594190712</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-08-2008</td>
<td>14 Th</td>
<td>PRAMBON RT 19/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000408</td>
<td>BATUK DAN SAKIT MENELAN</td>
<td>PAMOL AMBOROXOL AMOX</td>
<td>90/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2102</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>LINTANG PAMBAYUN</td>
<td>`010418</td>
 <td></td>
<td>`0000174025563</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-2007</td>
<td>15 Th</td>
<td>RT 38</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000409</td>
<td>SAKIT MENELAN</td>
<td>PAMOL AMOX</td>
<td>90/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2103</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>BUDI SISWANTO</td>
<td>`008166</td>
<td></td>
<td>`0000666535612</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-11-1992</td>
<td>29 Th</td>
<td>PRAMBON RT 20/4</td>
 <td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000411</td>
<td>PUSING</td>
<td>NATDIK BC</td>
<td>90/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2104</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>MISWAN</td>
<td>`010306</td>
<td></td>
<td>`0002466028315</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-05-1966</td>
<td>56 Th</td>
<td>RT 07</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000412</td>
<td>KEJU LINU</td>
<td>NATDIK BC</td>
<td>110/70</td>
 <td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2105</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>SUBUR YANTO</td>
<td>`005728</td>
<td>02/8052</td>
<td>`0001104231159</td>
<td>`8271031207650001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-07-1965</td>
<td>57 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Tentara Nasional Indonesia (TNI)</td>
<td>Lama</td>
<td>131506010922Y000391</td>
<td>LUTUT TERASA KAKU</td>
<td>BC IBUPROFEN DIAZEPAM PAMOL</td>
<td>141/69</td>
<td>69</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>70</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
 Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2106</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td></td>
<td>DARONI</td>
<td>`018289</td>
<td>02/1120</td>
<td>`0002427295757</td>
<td>`3503050202500001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-02-1950</td>
<td>72 Th</td>
<td>DUSUN ETAN KALI, RT : 23,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000366</td>
<td>lutut nyeri batuk pilek </td>
<td>cipro gg ctm amlodipin aspilet pamol</td>
<td>184/81</td>
<td>77</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>64</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z03.0</td>
<td>
Observation for suspected tuberculosis </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2107</td>
<td>POLI MTBS</td>
<td>07-09-2022</td>
<td></td>
<td>AHMAD ZAKY ZULKARNAIN</td>
<td>`011639</td>
<td>01/9195</td>
<td>`</td>
<td>`3503050305180001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-05-2018</td>
<td>4 Th</td>
<td>RT 20 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK PILEK</td>
<td>AMOK MP AMBROKSOL CTM SALBUTAMOL VIT C</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>100</td>
<td>15</td>
<td>14</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2108</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>TRI PRASTY ALIMUFID</td>
<td>`014482</td>
<td></td>
 <td>`0002603330908</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-11-2008</td>
<td>13 Th</td>
<td>RT 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000416</td>
<td>GATAL</td>
<td>MICONAZOL SALEP</td>
<td>90/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>130</td>
<td>35</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2109</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>SITI MUDRIKAH</td>
<td>`011351</td>
<td>02/2846</td>
<td>`0003068410803</td>
<td>`3503055303680003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-03-1968</td>
<td>54 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000386</td>
<td>MIMISEN</td>
<td>VIT K ASAM TRANEKSAMAT AMLODIPIN FE</td>
<td>143/99</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>49</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2110</td>
<td>POLI REMAJA</td>
<td>07-09-2022</td>
<td></td>
<td>ELSA TIARA</td>
<td>`020982</td>
<td>04/3021</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-06-2007</td>
<td>15 Th</td>
<td>RT 19 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>KONSULTASI SURAT KETERANGAN SAKIT UNTUK TIDAK MENGIKUTI PRAMUKA</td>
<td>-</td>
<td>96/70</td>
<td>89</td>
 <td>36</td>
<td>20</td>
<td>140</td>
<td>37</td>
<td>35</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2111</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>LILIK TOERAH</td>
<td>`003210</td>
<td></td>
<td>`0002802762088</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-03-1975</td>
<td>47 Th</td>
<td>PRAMBON RT 23/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000353</td>
<td>NYERI ULU HATI</td>
<td>PAMOL ANTASID</td>
<td>120/70</td>
<td>76</td>
<td>36</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2112</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>FADHIL YAQDAN NASRULLAH</td>
<td>`009351</td>
<td>02/1398A</td>
<td>`0003047794042</td>
<td>`3503052803150001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-03-2015</td>
<td>7 Th</td>
<td>RT 007 RW 002</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>MUNTAH BATUK</td>
<td>DOMPERIDON B6 ANTASID SYR AMOK MP GG VIT C</td>
<td>97/69</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>30</td>
<td>30</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2113</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>JIYEM</td>
<td>`020986</td>
<td></td>
<td>`0000666705543</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-07-1965</td>
<td>57 Th</td>
<td>PRAMBON RT 20/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000418</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2114</td>
<td>POLI GIGI</td>
<td>07-09-2022</td>
<td></td>
<td>WILDAN ALI WASII ALRASYID</td>
<td>`019607</td>
<td>90/1043</td>
<td>`</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-2016</td>
<td>6 Th</td>
<td>RT 15 RW 03</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>GIGI BAWAH KANAN GOYANG 81</td>
<td>topical anasthesi exo 81</td>
<td>100/60</td>
<td>90</td>
<td>35</td>
<td>25</td>
<td>138</td>
<td>36</td>
<td>62</td>
<td></td>
<td>KASUS LAMA</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2115</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>ENI WIDARTI</td>
<td>`008147</td>
<td>01/490</td>
<td>`0002802765429</td>
<td>`3503055012890002</td>
<td>`</td>
<td></td>
<td>085232910472</td>
<td>P</td>
<td>10-12-1989</td>
<td>32 Th</td>
<td>RT 3 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000369</td>
<td>ADA BENJOLAN DIPAYDARA ATAS , KADANG HILANG TIMBUL</td>
<td>-</td>
<td>109/65</td>
<td>80</td>
<td>26</td>
<td>20</td>
<td>154</td>
<td>50</td>
<td>69</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N60.0</td>
<td>
Solitary cyst of breast </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2116</td>
<td>POLI MTBS</td>
<td>07-09-2022</td>
<td></td>
<td>CHAYRA NASHA RAZETA</td>
<td>`010007</td>
<td>02/1190</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-12-2019</td>
<td>2 Th</td>
<td>RT 008 RW 003</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS KAKI PLENTINGAN</td>
<td>AMOK MP CTM VIT C PAMOL SYR</td>
<td>1/1</td>
<td>100</td>
<td>36</td>
 <td>20</td>
<td>80</td>
<td>11</td>
<td>15</td>
<td></td>
<td>KASUS BARU</td>
<td>L08</td>
<td>
Other local infections of skin and subcutaneous tissue </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2117</td>
<td>PONKESDES TUMPUK</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>AMINAH</td>
<td>`015082</td>
<td></td>
<td>`0001978452922</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1960</td>
<td>61 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/70</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>53</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2118</td>
<td>PONKESDES TUMPUK</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>PURWANINGSIH</td>
<td>`021167</td>
<td></td>
<td>`0001978452911</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-10-1991</td>
<td>30 Th</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2119</td>
<td>PONKESDES TUMPUK</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MUKRI</td>
<td>`021168</td>
<td></td>
<td>`0001978452909</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1956</td>
<td>65 Th</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2120</td>
<td>PONKESDES TUMPUK</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SINTA NUGRAINI</td>
<td>`021169</td>
<td></td>
<td>`0001978452887</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-05-1990</td>
<td>32 Th</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/65</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2121</td>
<td>PONKESDES TUMPUK</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>ASMINI</td>
<td>`010560</td>
<td></td>
<td>`0001978452876</td>
<td>`3503055610650001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-10-1965</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/78</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>60</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2122</td>
<td>PONKESDES TUMPUK</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>ARIF SUBEJO</td>
<td>`007876</td>
<td>03/610</td>
<td>`0001978452865</td>
<td>`3503053112600003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1960</td>
<td>61 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/75</td>
<td>68</td>
<td>36</td>
<td>20</td>
 <td>165</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2123</td>
<td>PONKESDES TUMPUK</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>PANJI BUDIAJI</td>
<td>`021170</td>
<td></td>
<td>`0001978452843</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-01-1995</td>
<td>27 Th</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2124</td>
<td>POLINDES PRAMBON 2</td>
<td>07-09-2022</td>
<td></td>
<td>SYAHREGA KASMAYUAN</td>
<td>`009551</td>
<td>06/5147</td>
<td>`0002035589027</td>
<td>`3503050306120001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-06-2012</td>
<td>10 Th</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000374</td>
<td>Mual muntah</td>
<td>Antas srp, b. c</td>
<td>90/79</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>27</td>
<td>56</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>2125</td>
<td>PONKESDES TUMPUK</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>RUSMIATUN</td>
<td>`011058</td>
<td></td>
<td>`0001978453348</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-03-1955</td>
<td>67 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2126</td>
<td>PONKESDES SUKOREJO</td>
<td>07-09-2022</td>
<td></td>
<td>KARTIKA</td>
<td>`002444</td>
<td></td>
<td>`0000665809738</td>
<td>` </td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>27-02-1972</td>
<td>50 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000807</td>
<td>kontrol tensi</td>
<td>amlo 5mg,pamol,b. komplek</td>
<td>124/93</td>
<td>103</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>47</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2127</td>
<td>POLINDES PRAMBON 2</td>
<td>07-09-2022</td>
<td></td>
<td>SADILAH</td>
<td>`002937</td>
<td></td>
<td>`0002036474706</td>
<td>`3503056911610001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-11-1961</td>
<td>60 Th</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000375</td>
<td>Perut perih</td>
<td>Antas</td>
<td>130/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>59</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2128</td>
<td>PONKESDES TUMPUK</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KATIMIN</td>
<td>`015595</td>
<td></td>
<td>`0001978453326</td>
<td>`</td>
<td>`</td>
<td>katimin</td>
<td></td>
<td>L</td>
<td>03-03-1951</td>
<td>71 Th</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/68</td>
<td>66</td>
<td>36</td>
<td>20</td>
<td>165</td>
 <td>60</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2129</td>
<td>PONKESDES TUMPUK</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>LIDAWATI</td>
<td>`017402</td>
<td></td>
<td>`0001978453315</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-03-1985</td>
<td>37 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2130</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>SITI MUAWANAH</td>
<td>`009554</td>
<td>01/1883</td>
<td>`0000666205806</td>
<td>`3503055907660001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-07-1966</td>
<td>56 Th</td>
<td>DUSUN KEBONSARI, RT : 31,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000385</td>
<td>DIARE</td>
<td>COTRIM ORALIT PCT ZINK VIT K</td>
<td>88/63</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2131</td>
 <td>POLINDES PRAMBON 2</td>
<td>07-09-2022</td>
<td></td>
<td>SULISTRIANI</td>
<td>`020585</td>
<td></td>
<td>`0002970311264</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-11-1986</td>
<td>35 Th</td>
<td>RT 44</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000379</td>
<td>Spooting</td>
<td>Ferros, Vit c</td>
<td>102/64</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.0</td>
<td>
General counselling and advice on contraception </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2132</td>
<td>POLINDES PRAMBON 2</td>
<td>07-09-2022</td>
<td></td>
<td>KHANSA QUMILLAILA PURNAMA</td>
<td>`020586</td>
<td></td>
<td>`0002970311286</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>29-05-2013</td>
<td>9 Th</td>
<td>RT 44</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000380</td>
<td>Batuk, perut sakit</td>
<td>Sirup antas, obh</td>
<td>80/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>126</td>
<td>21</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2133</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>BARCA SBASTIAN RISKY PUTRA</td>
<td>`013921</td>
<td>04/5084</td>
<td>`0000665632899</td>
<td>`3503050405090002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-05-2009</td>
<td>13 Th</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
 <td>Lama</td>
<td>131506010922Y000423</td>
<td>PUSING TADI PAGI MERIANG BATUK PILEK</td>
<td>AMOK AMBROKSOL VIT C BC PCT CTM MP </td>
<td>117/61</td>
<td>107</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>54</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2134</td>
<td>POLI LANSIA</td>
<td>07-09-2022</td>
<td></td>
<td>KASIYAM</td>
<td>`011494</td>
<td>08/5276</td>
<td>`0000106668999</td>
<td>`3503065206590004</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>12-06-1959</td>
<td>63 Th</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>SUMBER</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
 <td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2135</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>PIPIT RENGGANING ASTUTI</td>
<td>`002896</td>
<td>08/5276</td>
<td>`0000106631245</td>
<td>`3503015611800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-11-1980</td>
<td>41 Th</td>
<td>RT1RW2</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Bidan</td>
<td>Lama</td>
<td>131506010922Y000373</td>
<td>KONTROL</td>
<td>RUJUKAN</td>
<td>160/90</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>100</td>
<td>100</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I15</td>
<td>
Secondary hypertension </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2136</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>SRI WAHYUNI</td>
<td>`001491</td>
<td>06/3941</td>
<td>`0000106590701</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1965</td>
<td>57 Th</td>
<td>RT 01 RW 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PNS</td>
<td>Lama</td>
<td>131506010922Y000424</td>
<td>kontrol f20</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>67</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F20</td>
<td>
Schizophrenia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2137</td>
 <td>POLINDES PRAMBON 2</td>
<td>07-09-2022</td>
<td></td>
<td>MURYATI</td>
<td>`002950</td>
<td></td>
<td>`0000666503919</td>
<td>`3503055603770004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-03-1977</td>
<td>45 Th</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000381</td>
<td>Greges, bapil</td>
<td>Amox, gg, ctm, Vit c, pct</td>
<td>114/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2138</td>
<td>POLINDES PRAMBON 2</td>
<td>07-09-2022</td>
<td></td>
<td>EDI SETIAWAN</td>
<td>`013579</td>
<td></td>
<td>`0001978489451</td>
<td>`3503050905830002</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>09-05-1983</td>
<td>39 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000382</td>
<td>Greges, bapil</td>
<td>Amox, pct, gg, ctm, Vit c</td>
<td>130/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>163</td>
<td>64</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2139</td>
<td>POLI UMUM</td>
<td>07-09-2022</td>
<td></td>
<td>WIWING DEWI RACHMASARI</td>
<td>`000132</td>
<td>08/4773</td>
<td>`0000106606179</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-03-1980</td>
<td>42 Th</td>
<td>RT 7 RW 3</td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
 <td>Lama</td>
<td>131506010922Y000384</td>
<td>mual muntah diare perut mules</td>
<td>vzink oralitit b6 omeprazole omegdiar domperidon</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>67</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2140</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td></td>
<td>SUTIYAM</td>
<td>`004435</td>
<td></td>
<td>`0001707020741</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-02-1965</td>
<td>57 Th</td>
<td>RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001780</td>
<td>KAKI KEJU</td>
<td>PAMOL, CTM ,PRED</td>
<td>143/75</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>62</td>
 <td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2141</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RATNA SILPIYA</td>
<td>`008210</td>
<td></td>
<td>`0000666227788</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-07-1989</td>
<td>33 Th</td>
<td>RT 18 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/76</td>
<td>80</td>
<td>36</td>
<td>18</td>
<td>156</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2142</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANYA YUNIKE QUEISHA</td>
<td>`008211</td>
<td></td>
<td>`0002771484535</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-06-2019</td>
<td>3 Th</td>
<td>RT 18 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>76/54</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>100</td>
<td>13</td>
<td>23</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2143</td>
<td>POLINDES NGEPEH</td>
 <td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARISA KHANZA NAYFAH</td>
<td>`013101</td>
<td>04/8399</td>
<td>`0003067935175</td>
<td>`3503051401200002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-01-2021</td>
<td>1 Th</td>
<td>RT 018 RW 008</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>56/43</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>102</td>
<td>16</td>
<td>23</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2144</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FITRI HANDAYANI</td>
<td>`000230</td>
<td>04/8399</td>
<td>`0002802771459</td>
<td>`3503055203990001</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>12-03-1999</td>
<td>23 Th</td>
<td>RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>62</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2145</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SARMINI</td>
<td>`003008</td>
<td>04/4743</td>
<td>`0000666054819</td>
<td>`3503056402820002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-02-1982</td>
<td>40 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>168/98</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2146</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMMAD ARKA SAPUTRA</td>
<td>`004979</td>
<td></td>
<td>`0002087563487</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-09-2016</td>
<td>6 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>65/45</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>126</td>
<td>32</td>
<td>78</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2147</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LINA AFIDATIS SALAPIYAH</td>
<td>`013109</td>
<td></td>
<td>`0000666154653</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-09-1991</td>
<td>31 Th</td>
<td>RT 018 RW 008</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>124/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>151</td>
<td>61</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2148</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ZALINA PUTRI MIFTAKUL JANNAH</td>
<td>`013110</td>
<td></td>
<td>`0003085962311</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-03-2020</td>
<td>2 Th</td>
<td>RT 018 RW 008 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>62</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2149</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>BINTI IMROATUS SANGADAH</td>
<td>`013111</td>
<td></td>
<td>`0000666153099</td>
<td>`3503057110970004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-10-1997</td>
<td>24 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>123/65</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2150</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KENZO DANIEL RAVINDRA</td>
<td>`010358</td>
<td></td>
<td>`0002923557445</td>
<td>`3503052602200001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>26-02-2020</td>
<td>2 Th</td>
<td>RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>56/43</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>98</td>
<td>13</td>
<td>21</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2151</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TINA LOVIANA</td>
<td>`002877</td>
<td></td>
<td>`0001036999247</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-09-1995</td>
<td>27 Th</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
 <td>POSYANDU</td>
<td>-</td>
<td>108/67</td>
<td>88</td>
<td>37</td>
<td>18</td>
<td>150</td>
<td>58</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2152</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MEIKO YUANDNA PUTRA</td>
<td>`006498</td>
<td></td>
<td>`0002932265902</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-04-2020</td>
<td>2 Th</td>
<td>RT. 17 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>45/32</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>98</td>
<td>13</td>
<td>23</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2153</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FAISAL ATHA PRIYA</td>
<td>`004519</td>
<td></td>
<td>`0002468740307</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-02-2018</td>
<td>4 Th</td>
<td>RT 17 RW 07</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>65/45</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>112</td>
<td>23</td>
<td>21</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2154</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LINA LESTARI</td>
<td>`004518</td>
<td></td>
<td>`0000666815297</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-05-2000</td>
<td>22 Th</td>
<td>RT 17 RW 07</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>128/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2155</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>LILIK AGUS SETIAWATI</td>
<td>`013118</td>
<td></td>
<td>`0000666140859</td>
<td>`3503054208930002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-08-1993</td>
<td>29 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>123/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2156</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RAVANIA ALMAHYRA PRASETIO</td>
<td>`003389</td>
<td>04.5937</td>
<td>`0002259015906</td>
<td>`3503055606170001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-06-2017</td>
 <td>5 Th</td>
<td>NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>78/56</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>124</td>
<td>23</td>
<td>23</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2157</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ERNAWATI</td>
<td>`006124</td>
<td></td>
<td>`0002802756699</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-03-1984</td>
<td>38 Th</td>
<td>RT 14 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
 <td>-</td>
<td>132/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>56</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2158</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI JUWARIYAH</td>
<td>`004983</td>
<td></td>
<td>`0000666374231</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-11-1999</td>
<td>22 Th</td>
<td>RT. 18 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2159</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMMAD THORIQUL HUDA</td>
<td>`013121</td>
<td>04/7539</td>
<td>`0003079617805</td>
<td>`3503050511200001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-11-2020</td>
<td>1 Th</td>
<td>RT 018 RW 008</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>78/45</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>87</td>
<td>13</td>
<td>13</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2160</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SEPTIA ANGGRAENI</td>
<td>`011670</td>
<td></td>
<td>`0000666318778</td>
<td>`3503054909960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-09-1996</td>
<td>26 Th</td>
<td>RT. 18 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>124/78</td>
<td>88</td>
<td>36</td>
<td>18</td>
<td>156</td>
<td>57</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2161</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BAGUS FARHAN RASID</td>
 <td>`006504</td>
<td></td>
<td>`0002922163852</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-11-2019</td>
<td>2 Th</td>
<td>RT. 17 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>67/45</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>102</td>
<td>16</td>
<td>13</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2162</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RITA YULIANA</td>
<td>`013123</td>
<td></td>
<td>`0000665651709</td>
<td>`3503056606910003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-06-1991</td>
<td>31 Th</td>
 <td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>129/86</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>49</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2163</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>GHINA SALMA NAZHIFAH</td>
<td>`013125</td>
<td></td>
<td>`0002473283553</td>
<td>`3503055407180002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-07-2018</td>
<td>4 Th</td>
<td>RT 018 RW 008</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
 <td>67/46</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>109</td>
<td>15</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2164</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>CHORYSTA MELLY AGUSTYN</td>
<td>`006507</td>
<td></td>
<td>`0002273825867</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-08-2017</td>
<td>5 Th</td>
<td>RT. 18 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>130/78</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>61</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2165</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DWI RAHAYU</td>
<td>`004221</td>
<td></td>
<td>`0000665355126</td>
<td>`3503056701920001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-01-1992</td>
<td>30 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>118/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>2166</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IDA YUNI LISTIANI</td>
<td>`015883</td>
<td></td>
<td>`0000664956494</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-01-1997</td>
<td>25 Th</td>
<td>RT. 18 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>121/67</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>53</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2167</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NAFIELKA RISNA AISHILA</td>
<td>`012924</td>
 <td></td>
<td>`0002419343019</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-01-2018</td>
<td>4 Th</td>
<td>RT 19 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>124/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>55</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2168</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUCI DIAN LESTARI</td>
<td>`013145</td>
<td></td>
<td>`0000665724137</td>
<td>`3503054302870002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-02-1987</td>
<td>35 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
 <td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>106/65</td>
<td>88</td>
<td>37</td>
<td>18</td>
<td>153</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2169</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KEYSA AURELLIA SYAHIRA</td>
<td>`013146</td>
<td></td>
<td>`0002271230965</td>
<td>`3503057107170001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-07-2017</td>
<td>5 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>89/56</td>
 <td>88</td>
<td>37</td>
<td>24</td>
<td>120</td>
<td>23</td>
<td>14</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2170</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NADIYAH</td>
<td>`005764</td>
<td></td>
<td>`0000666861592</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-1980</td>
<td>42 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>123/67</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2171</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANIZZA LAURA HAFIZA</td>
<td>`013148</td>
<td></td>
<td>`0002933409802</td>
<td>`3503054905200001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-05-2020</td>
<td>2 Th</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>78/54</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>121</td>
<td>21</td>
<td>14</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>2172</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HENDRI APRIANINGSIH</td>
<td>`013150</td>
<td></td>
<td>`0000665635419</td>
<td>`3503054609860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-09-1986</td>
<td>36 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>165/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>64</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2173</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ESA GIBRAN FIRDAUS</td>
<td>`013151</td>
<td></td>
 <td>`0002748392065</td>
<td>`3503052402190001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-02-2019</td>
<td>3 Th</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>56/34</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>124</td>
<td>23</td>
<td>21</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2174</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SURYAMI</td>
<td>`002706</td>
<td>04/5937</td>
<td>`0000665397279</td>
<td>`3503145903910001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-03-1991</td>
<td>31 Th</td>
<td>RT 18 RW 8</td>
<td>NGEPEH</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>125/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>82</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2175</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMMAD RAKA ABDUL GHOFUR</td>
<td>`004937</td>
<td>04/5937</td>
<td>`0002480168597</td>
<td>`3503050508180001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-08-2018</td>
<td>4 Th</td>
<td>RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>67/54</td>
<td>88</td>
 <td>37</td>
<td>24</td>
<td>132</td>
<td>34</td>
<td>25</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2176</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUMARMI</td>
<td>`000957</td>
<td>04/6023</td>
<td>`0000665726455</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-06-1976</td>
<td>46 Th</td>
<td>RT 18 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>143/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>164</td>
<td>61</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2177</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ERNAWATI</td>
<td>`015892</td>
<td></td>
<td>`0002729557045</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-06-1989</td>
<td>33 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>120/87</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2178</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NOVA SUNDARI</td>
<td>`002142</td>
<td></td>
<td>`0000666173799</td>
<td>`3503056511960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-11-1996</td>
<td>25 Th</td>
<td>DUSUN GERBO, RT : 16,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>132/76</td>
<td>80</td>
<td>36</td>
<td>18</td>
<td>162</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2179</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LENY NURHIDAYAH</td>
<td>`004478</td>
<td>04/9000</td>
<td>`0002014007376</td>
 <td>`3503054909920001</td>
<td>`</td>
<td></td>
<td>087814991726</td>
<td>P</td>
<td>09-09-1992</td>
<td>30 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>128/89</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2180</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TRI IRIANI</td>
<td>`002140</td>
<td></td>
<td>`0002802761763</td>
<td>`3503054906880004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-06-1988</td>
<td>34 Th</td>
<td>DUSUN BEJI, RT : 17,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>108/67</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2181</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUMARLAN</td>
<td>`003711</td>
<td></td>
<td>`0002802761752</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-10-1979</td>
<td>42 Th</td>
<td>RT 17 RW 07</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>126/84</td>
<td>80</td>
<td>37</td>
 <td>20</td>
<td>155</td>
<td>62</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2182</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BAGAS ARIF MUTAQIN</td>
<td>`009928</td>
<td></td>
<td>`0002802761774</td>
<td>`</td>
<td>`</td>
<td>SUMARLAN</td>
<td></td>
<td>L</td>
<td>31-12-2006</td>
<td>15 Th</td>
<td>RT 17 RW 7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>102/63</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>143</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2183</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SURYATI</td>
<td>`013871</td>
<td></td>
<td>`0001978403038</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-10-1986</td>
<td>35 Th</td>
<td>NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>134/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2184</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DINDA CITRA OKTAVIA</td>
<td>`013873</td>
<td></td>
<td>`0002602164025</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-10-2016</td>
<td>5 Th</td>
<td>NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>67/54</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>122</td>
<td>18</td>
<td>13</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2185</td>
<td>UGD</td>
<td>07-09-2022</td>
<td></td>
<td>SIMUN</td>
<td>`011895</td>
<td>04/1995</td>
<td>`0000665602828</td>
<td>`3503051007420001</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-07-1942</td>
<td>80 Th</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000392</td>
<td>DIPASANG DC 8 HARI YANG LALU</td>
<td>AFF DC</td>
<td>140/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N40</td>
<td>
Hyperplasia of prostate </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pencabutan kateter<br> </td>
</tr>
<tr align='left' valign="top">
<td>2186</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MAGHPUR KARIM</td>
<td>`017499</td>
<td></td>
<td>`0002802762821</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-06-1980</td>
<td>42 Th</td>
<td>PRAMBON RT 22/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>169</td>
<td>70</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2187</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>PAERAH</td>
<td>`000863</td>
<td></td>
<td>`0001978462089</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-08-1971</td>
<td>51 Th</td>
<td>BANARAN RT 11</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000394</td>
<td>PUSING</td>
<td>NATDIK AMLO 5 MG</td>
<td>130/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
 <td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2188</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>SEPTIANA</td>
<td>`020991</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-09-2004</td>
<td>18 Th</td>
<td>PRAMBON RT 30/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>SAKIT MENELAN</td>
<td>PAMOL CTM AMOX</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2189</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>NUR TAUFIK HIDAYAT</td>
<td>`010666</td>
<td></td>
<td>`0001707022438</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-02-2008</td>
<td>14 Th</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>2190</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KUSERI</td>
<td>`010880</td>
<td></td>
<td>`0001707022405</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1968</td>
<td>54 Th</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2191</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>NUR ASIYAH</td>
<td>`008158</td>
<td></td>
<td>`0002802751569</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>12-06-1980</td>
<td>42 Th</td>
<td>PRAMBON RT 53/11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2192</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>WIWIK</td>
<td>`020992</td>
<td></td>
<td>`0000665378144</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-09-1982</td>
<td>40 Th</td>
<td>MLOKO, RT : 162,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000399</td>
<td>KEJU LINU</td>
<td>NATDIK BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2193</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>DRAKUP</td>
<td>`020993</td>
<td></td>
<td>`0003080445232</td>
<td>`3503051009460002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-09-1946</td>
<td>76 Th</td>
<td>KRAJAN, RT : 23,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000401</td>
<td>BATUKI</td>
<td>PAMOL AMBOROXOL</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
 <td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2194</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>PAITUN</td>
<td>`001989</td>
<td></td>
<td>`0002970311141</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-12-1968</td>
<td>53 Th</td>
<td>PRAMBON RT 15/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000403</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2195</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>RIWIN DWI HANDAYANI</td>
<td>`002472</td>
<td>03/3679</td>
<td>`0002970311152</td>
<td>`3503056107990003</td>
<td>`</td>
<td></td>
<td>087784340517</td>
<td>P</td>
<td>21-07-1999</td>
<td>23 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000404</td>
<td>BATUK</td>
<td>PAMOL AMBOROXOL</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>155</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2196</td>
 <td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>ASHIFA MUHIBATUL LAIL</td>
<td>`018804</td>
<td></td>
<td>`0002607338248</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-09-2007</td>
<td>15 Th</td>
<td>PRAMBIN RT 38/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000406</td>
<td>PUSING</td>
<td>PAMOL BC</td>
<td>90/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2197</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SULASTRI HANDAYANI</td>
<td>`005460</td>
<td>04/5454</td>
<td>`0000666340121</td>
<td>`3503056907800001</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>29-07-1980</td>
<td>42 Th</td>
<td>RT</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>120/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2198</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRIANAH</td>
<td>`013289</td>
<td></td>
<td>`0002250057025</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-08-1968</td>
<td>54 Th</td>
<td>RT17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
 <td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>156/89</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>63</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2199</td>
<td>UGD</td>
<td>07-09-2022</td>
<td></td>
<td>ABI RAMA</td>
<td>`020994</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-09-2004</td>
<td>18 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>PANAS TADI SIANG, BATUK</td>
<td>PCT 3X1
AMBROXOL 3X1
BC 1X1
VIT C 500 2X1</td>
<td>110/80</td>
<td>88</td>
<td>38</td>
 <td>20</td>
<td>145</td>
<td>47</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2200</td>
<td>PUSTU PRAMBON</td>
<td>07-09-2022</td>
<td></td>
<td>MUNDARI</td>
<td>`000417</td>
<td>05/5302</td>
<td>`0002456884541</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-01-1954</td>
<td>68 Th</td>
<td>RT 12 RW 06</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000407</td>
<td>KEJU DAN BATUK</td>
<td>NATDIK KALK OBH</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2201</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SEPTI TRISUNDARI</td>
<td>`006322</td>
<td>04/8183</td>
<td>`0002745191171</td>
<td>`3503054409930003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-09-1993</td>
<td>29 Th</td>
<td>RT 18 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>120/78</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2202</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ABDUL AZIZ MUTTAQIN</td>
<td>`015566</td>
<td></td>
<td>`0002305089628</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-10-2017</td>
<td>4 Th</td>
<td>RT. 18 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>78/54</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>115</td>
<td>21</td>
<td>14</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2203</td>
<td>UGD</td>
<td>07-09-2022</td>
<td></td>
<td>OLIVIA</td>
<td>`020995</td>
<td></td>
<td>`</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-09-2005</td>
<td>17 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>BATUK, SESAK, PUSING, POST PINGSAN, KERINGAT DINGIN</td>
<td>NEBUL 1 A VENTOLIN
02 3 LT/MNT
SALBUTAMOL 3X1
PCT 3X1
AMBROXOL 3X1</td>
<td>110/60</td>
<td>102</td>
<td>37</td>
<td>33</td>
<td>150</td>
<td>50</td>
<td>90</td>
<td></td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2204</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NUR HIDAYAH</td>
<td>`003317</td>
<td>04/4786</td>
<td>`0000666302512</td>
<td>`3503054203970004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-03-1997</td>
<td>25 Th</td>
 <td>RT. 18 RW. 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>124/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2205</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IDA ROCHAYATI</td>
<td>`000343</td>
<td>04/4825</td>
<td>`0000666150568</td>
<td>`3503054806920001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-06-1992</td>
<td>30 Th</td>
<td>RT 18 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
 <td>118/76</td>
<td>88</td>
<td>36</td>
<td>18</td>
<td>151</td>
<td>52</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2206</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUSLIM</td>
<td>`015898</td>
<td></td>
<td>`0000666110564</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-06-1971</td>
<td>51 Th</td>
<td>RT. 17 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>135/88</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2207</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANA BIRROHMATIKAL KARIM</td>
<td>`015900</td>
<td></td>
<td>`0000666112792</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-05-2008</td>
<td>14 Th</td>
<td>RT. 17 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>117/74</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>2208</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ELOK PERMATA SORGA</td>
<td>`015532</td>
<td></td>
<td>`0000666111947</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-2000</td>
<td>22 Th</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>108/65</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2209</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IMAN WAHYU TARIGAN NIYANTO</td>
<td>`015903</td>
 <td></td>
<td>`0000666222614</td>
<td>`3503050709000001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-09-2000</td>
<td>22 Th</td>
<td>RT. 17 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>111/89</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>62</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2210</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RIRIN ERNAWATI</td>
<td>`002899</td>
<td></td>
<td>`0000666111205</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1981</td>
<td>41 Th</td>
<td>RT 17 RW 7</td>
 <td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>102/64</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2211</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SURATMI</td>
<td>`010257</td>
<td></td>
<td>`0002250048958</td>
<td>`3503054207720001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-07-1972</td>
<td>50 Th</td>
<td>DUSUN GERBO, RT : 16,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>117/65</td>
 <td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>63</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2212</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DANUS</td>
<td>`015905</td>
<td></td>
<td>`0000665845031</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-11-1990</td>
<td>31 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>119/63</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2213</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NURKHOLIS</td>
<td>`015907</td>
<td></td>
<td>`0000666016716</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-08-1992</td>
<td>30 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>154/98</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>176</td>
<td>69</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>2214</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BAYU AJI PRADANA</td>
<td>`015909</td>
<td></td>
<td>`0000666861985</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-12-2005</td>
<td>16 Th</td>
<td>RT. 18 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>108/76</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2215</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MISTO</td>
<td>`015910</td>
<td></td>
 <td>`0000665855583</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-01-1972</td>
<td>50 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>155/87</td>
<td>88</td>
<td>37</td>
<td>18</td>
<td>158</td>
<td>63</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2216</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WINARTI</td>
<td>`007294</td>
<td></td>
<td>`0000665855651</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-07-1977</td>
<td>45 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>147/76</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>63</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2217</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BUDI</td>
<td>`014389</td>
<td></td>
<td>`0000665856134</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-03-2002</td>
<td>20 Th</td>
<td>RT 19 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>106/75</td>
<td>88</td>
 <td>37</td>
<td>20</td>
<td>158</td>
<td>58</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2218</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>CITRA RISKA KHOIRIYAH</td>
<td>`012653</td>
<td>04/3462</td>
<td>`0001707126232</td>
<td>`3503054902150001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-02-2015</td>
<td>7 Th</td>
<td>RT 19 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>78/56</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>118</td>
<td>32</td>
<td>29</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2219</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ALI MUSTOFA</td>
<td>`015452</td>
<td></td>
<td>`0000665855842</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-07-1995</td>
<td>27 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>117/69</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>59</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2220</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PARMIATI</td>
<td>`011167</td>
<td></td>
<td>`0000666131128</td>
<td>`3503054702870003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-02-1987</td>
<td>35 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>137/88</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>65</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2221</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BELLA AYU LESTARI</td>
<td>`015912</td>
<td></td>
<td>`0000666131602</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-01-2006</td>
<td>16 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>87/62</td>
<td>92</td>
<td>36</td>
<td>24</td>
<td>152</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2222</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUROTO</td>
<td>`019279</td>
<td></td>
<td>`0000665397527</td>
<td>`3503051402820002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-02-1982</td>
<td>40 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>132/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2223</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>OKTA BUDIATURRAHMA</td>
<td>`018898</td>
<td></td>
<td>`0000665397742</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-10-2009</td>
<td>12 Th</td>
<td>BEJI RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>100/65</td>
<td>88</td>
<td>36</td>
 <td>20</td>
<td>146</td>
<td>53</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2224</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KENO</td>
<td>`001595</td>
<td>04/4743</td>
<td>`0000666053763</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-11-1954</td>
<td>67 Th</td>
<td>RT 19 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>165/96</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>159</td>
<td>63</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2225</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WARIYEM</td>
<td>`011960</td>
<td></td>
<td>`0000666053908</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1958</td>
<td>63 Th</td>
<td>RT 19 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>176/89</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>159</td>
<td>59</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2226</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SABIL</td>
<td>`015914</td>
<td></td>
<td>`0000666054281</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-08-1977</td>
<td>45 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>138/98</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>63</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2227</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>JEMIRAH</td>
<td>`015918</td>
<td></td>
<td>`0000666328274</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1935</td>
<td>86 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>128/84</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>62</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2228</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DARTO</td>
<td>`015920</td>
<td></td>
<td>`0000666329949</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-09-1971</td>
<td>51 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Buruh Tani / Perkebunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/86</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>59</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2229</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HARMI</td>
<td>`014210</td>
<td></td>
<td>`0000666328961</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-08-1978</td>
<td>44 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>117/86</td>
<td>80</td>
<td>37</td>
<td>20</td>
 <td>168</td>
<td>62</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2230</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LOIS ARDIANSAH</td>
<td>`015923</td>
<td></td>
<td>`0000666330467</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-05-2008</td>
<td>14 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>97/64</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>153</td>
<td>49</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2231</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUCIPTO</td>
<td>`015926</td>
<td></td>
<td>`0000665703663</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-06-1996</td>
<td>26 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>129/74</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>164</td>
<td>63</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>2232</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TURMI</td>
<td>`015927</td>
<td></td>
<td>`0000665702919</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-06-1958</td>
<td>64 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>163/96</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>158</td>
<td>62</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2233</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TULUS</td>
<td>`015929</td>
<td></td>
<td>`0000666122332</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>09-09-1950</td>
<td>72 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>124/76</td>
<td>80</td>
<td>37</td>
<td>24</td>
<td>153</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2234</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUSINEM</td>
<td>`015931</td>
<td></td>
<td>`0000666123197</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-07-1951</td>
<td>71 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>169/86</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>60</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2235</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUYITNO</td>
<td>`015933</td>
<td></td>
<td>`0000666124661</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-03-1979</td>
<td>43 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
 <td>63</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2236</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LINA SURYANIK</td>
<td>`015636</td>
<td>04/5259</td>
<td>`0000666124784</td>
<td>`3503055410860004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-10-1986</td>
<td>35 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Tukang Jahit</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>62</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2237</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KARMI</td>
<td>`005356</td>
<td></td>
<td>`0000665895756</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-11-1950</td>
<td>71 Th</td>
<td>RT 19 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>154/86</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>63</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2238</td>
 <td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>GONO</td>
<td>`015937</td>
<td></td>
<td>`0000665653522</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-04-1962</td>
<td>60 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/76</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2239</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KATIN</td>
<td>`015939</td>
<td></td>
<td>`0000666809212</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>09-12-1965</td>
<td>56 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>115/65</td>
<td>80</td>
<td>36</td>
<td>24</td>
<td>158</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2240</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NYAMAN</td>
<td>`015944</td>
<td></td>
<td>`0000666323245</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-02-1942</td>
<td>80 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
 <td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>148/86</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>62</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2241</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KASEMI</td>
<td>`013619</td>
<td></td>
<td>`0000666323357</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-1954</td>
<td>68 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>135/87</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>158</td>
<td>56</td>
 <td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2242</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUKANI</td>
<td>`015947</td>
<td></td>
<td>`0000666324235</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-08-1981</td>
<td>41 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>119/78</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>59</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2243</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TANIK</td>
<td>`020736</td>
<td></td>
<td>`0000665645038</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-01-1979</td>
<td>43 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Tani / Perkebunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>127/86</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>159</td>
<td>62</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2244</td>
<td>POLINDES NGEPEH</td>
 <td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NURYATI</td>
<td>`020737</td>
<td></td>
<td>`0000665645411</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-08-1988</td>
<td>34 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/84</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>58</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2245</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SENDI PRATAMA</td>
<td>`020738</td>
<td></td>
<td>`0000665645949</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>23-09-2006</td>
<td>16 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>98/57</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>109</td>
<td>46</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2246</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MISNANTO</td>
<td>`015235</td>
<td></td>
<td>`0000666151874</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-11-1979</td>
<td>42 Th</td>
<td>RT19 RW8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
 <td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>128/85</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2247</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ZULIKAH NUR SANTI</td>
<td>`020739</td>
<td></td>
<td>`0000666152436</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-08-2005</td>
<td>17 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/65</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>55</td>
<td>78</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2248</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KARTIWI</td>
<td>`006768</td>
<td>04/5350</td>
<td>`0000666151907</td>
<td>`3503054402840004</td>
<td>`</td>
<td></td>
<td>082238965610</td>
<td>P</td>
<td>04-02-1984</td>
<td>38 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>125/76</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2249</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PAELAN</td>
<td>`008819</td>
<td></td>
<td>`0000665736535</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-04-1962</td>
<td>60 Th</td>
<td>RT 19 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>168/97</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>159</td>
<td>64</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2250</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>KARTIYANI</td>
<td>`020740</td>
<td></td>
<td>`0000665736895</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1967</td>
<td>55 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/79</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2251</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RIYAN ANDRIAWAN</td>
<td>`020741</td>
<td></td>
<td>`0000665736939</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>31-07-1993</td>
<td>29 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/67</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2252</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KATEMI</td>
<td>`017583</td>
<td></td>
<td>`0000665858856</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-09-1954</td>
<td>68 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
 <td>POSYANDU</td>
<td>-</td>
<td>118/95</td>
<td>80</td>
<td>36</td>
<td>18</td>
<td>163</td>
<td>64</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2253</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUKARTI</td>
<td>`003645</td>
<td></td>
<td>`0000666156036</td>
<td>`3503056210750001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-10-1975</td>
<td>46 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/78</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>59</td>
<td>81</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2254</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PAITO</td>
<td>`017579</td>
<td></td>
<td>`0000666156857</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-04-1968</td>
<td>54 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>154/87</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>159</td>
<td>63</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2255</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SURIP</td>
<td>`017578</td>
<td></td>
<td>`0000666158501</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-08-1972</td>
<td>50 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>142/75</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>60</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2256</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>TRI WAHYUNI</td>
<td>`014427</td>
<td>04/6170</td>
<td>`0000666159715</td>
<td>`3503054807970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-1997</td>
<td>25 Th</td>
<td>NGLEGOK, RT : 11,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2257</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>EDI SUNARYO</td>
<td>`017199</td>
<td></td>
<td>`0000666159941</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-04-2000</td>
 <td>22 Th</td>
<td>RT 9 RW 8 NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/86</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2258</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NYONO</td>
<td>`013290</td>
<td></td>
<td>`0000666076162</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-04-1973</td>
<td>49 Th</td>
<td>RT19 RW8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
 <td>-</td>
<td>118/86</td>
<td>84</td>
<td>37</td>
<td>24</td>
<td>158</td>
<td>64</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2259</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>EKA NURSAPUTRI</td>
<td>`010211</td>
<td></td>
<td>`0000666076678</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-2001</td>
<td>21 Th</td>
<td>RT19 RW 8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>108/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2260</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TARMIATI</td>
<td>`010039</td>
<td></td>
<td>`0000666076364</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1979</td>
<td>43 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/87</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>154</td>
<td>58</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2261</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARATUL LATHIFAH</td>
<td>`017577</td>
<td></td>
<td>`0002860462923</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-06-2013</td>
<td>9 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>98/56</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>148</td>
<td>51</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2262</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MISERI</td>
 <td>`017576</td>
<td></td>
<td>`0000666886421</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-10-1965</td>
<td>56 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/75</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>62</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2263</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PARTINI</td>
<td>`016439</td>
<td></td>
<td>`0000666888502</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-09-1969</td>
<td>53 Th</td>
 <td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Tani/Perkebunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/85</td>
<td>80</td>
<td>37</td>
<td>24</td>
<td>154</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2264</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PARMI</td>
<td>`000049</td>
<td>04/3761</td>
<td>`0002867872724</td>
<td>`3503056701530001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-01-1953</td>
<td>69 Th</td>
<td>RT 19 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
 <td>126/84</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>63</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2265</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TRI INDARWATI</td>
<td>`009406</td>
<td>04/5289A</td>
<td>`0000665338948</td>
<td>`3503144909880001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-09-1988</td>
<td>34 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/76</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>57</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2266</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YONO</td>
<td>`017573</td>
<td></td>
<td>`0000666127067</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-05-1962</td>
<td>60 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>153/78</td>
<td>80</td>
<td>37</td>
<td>24</td>
<td>157</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>2267</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SARMI</td>
<td>`017572</td>
<td></td>
<td>`0000666128248</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-10-1965</td>
<td>56 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>132/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>62</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2268</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MULYANI</td>
<td>`017571</td>
 <td></td>
<td>`0000666128294</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-05-1992</td>
<td>30 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/79</td>
<td>86</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2269</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KATIMAH</td>
<td>`010255</td>
<td></td>
<td>`0000666077646</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-11-1948</td>
<td>73 Th</td>
<td>RT. 19 RW. 8</td>
 <td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>152/87</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>158</td>
<td>62</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2270</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KATINI</td>
<td>`015468</td>
<td></td>
<td>`0000666077692</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-12-1969</td>
<td>52 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>117/88</td>
 <td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2271</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUKONO</td>
<td>`017570</td>
<td></td>
<td>`0000666077848</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-10-1975</td>
<td>46 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>128/86</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>62</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2272</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PARJIANTO</td>
<td>`017569</td>
<td></td>
<td>`0000666300396</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-08-1980</td>
<td>42 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>119/86</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>59</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>2273</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIDIA VERNANDA</td>
<td>`017568</td>
<td></td>
<td>`0000666301983</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-09-2001</td>
<td>21 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>108/64</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2274</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RUSMIATI</td>
<td>`017567</td>
<td></td>
 <td>`0000666301555</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-01-1983</td>
<td>39 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>117/84</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2275</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRI WULAN</td>
<td>`015491</td>
<td></td>
<td>`0000666828314</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-05-1980</td>
<td>42 Th</td>
<td>RT 019 RW 008</td>
<td>NGEPEH</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>128/88</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>59</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2276</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUWITO</td>
<td>`017566</td>
<td></td>
<td>`0000666826918</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-09-1977</td>
<td>45 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>147/82</td>
<td>80</td>
 <td>37</td>
<td>20</td>
<td>157</td>
<td>62</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2277</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KADIONO</td>
<td>`017565</td>
<td></td>
<td>`0000666812856</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-03-1963</td>
<td>59 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>120/67</td>
<td>84</td>
<td>36</td>
<td>18</td>
<td>156</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2278</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SARINTEN</td>
<td>`014899</td>
<td></td>
<td>`0000666814386</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-09-1967</td>
<td>55 Th</td>
<td>RT 19 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/74</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>59</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2279</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SEMIATI</td>
<td>`004500</td>
<td></td>
<td>`0000666182564</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-1962</td>
<td>60 Th</td>
<td>RT 19 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>132/78</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>159</td>
<td>62</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2280</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NITASARI</td>
<td>`003083</td>
<td>04/3462</td>
<td>`0000666182619</td>
 <td>` 3503054102020001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-02-2002</td>
<td>20 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>106/68</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>154</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2281</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TOHIR</td>
<td>`017564</td>
<td></td>
<td>`0000665904903</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-08-1974</td>
<td>48 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>167/98</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>164</td>
<td>68</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2282</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PUTRI VINA MASRUROH</td>
<td>`017563</td>
<td></td>
<td>`0000665907085</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-03-2008</td>
<td>14 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>98/57</td>
<td>88</td>
<td>37</td>
 <td>24</td>
<td>154</td>
<td>58</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2283</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DAMIS</td>
<td>`017562</td>
<td></td>
<td>`0000665903259</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-10-1942</td>
<td>79 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>168/79</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>57</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2284</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MISINI</td>
<td>`016438</td>
<td></td>
<td>`0000665904565</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-01-1956</td>
<td>66 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>154/86</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>156</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2285</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td> SAMURI</td>
<td>`001704</td>
<td>04/8934</td>
<td>`0000665931216</td>
<td>`3503050111450002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-11-1945</td>
<td>76 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>176/85</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>62</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2286</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PANGIR PRIANTO</td>
<td>`017525</td>
<td></td>
<td>`0000665938585</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-01-1979</td>
<td>43 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>128/98</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>59</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2287</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SEMO</td>
<td>`017386</td>
<td>04/8053</td>
<td>`0000665106456</td>
<td>`3503050806360001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-06-1936</td>
<td>86 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>165/87</td>
<td>80</td>
<td>37</td>
<td>24</td>
<td>156</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2288</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPARNI</td>
<td>`017524</td>
<td></td>
<td>`0000665706295</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-10-1962</td>
<td>59 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/78</td>
<td>76</td>
<td>38</td>
<td>20</td>
 <td>154</td>
<td>51</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2289</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HERA YULIANA</td>
<td>`002145</td>
<td></td>
<td>`0000665717635</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-07-1993</td>
<td>29 Th</td>
<td>DUSUN GERBO, RT : 16,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>112/78</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>67</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2290</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KOMARUDIN</td>
<td>`017523</td>
<td></td>
<td>`0000665706947</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-03-1993</td>
<td>29 Th</td>
<td>RT. 16 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>132/89</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>165</td>
<td>62</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>2291</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SASMAKA FELIX DANISWARA</td>
<td>`017522</td>
<td></td>
<td>`0003000876129</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-08-2019</td>
<td>3 Th</td>
<td>RT. 16 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>56/32</td>
<td>92</td>
<td>37</td>
<td>24</td>
<td>100</td>
<td>12</td>
<td>23</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2292</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HENI BACHTIAR</td>
<td>`004569</td>
<td></td>
<td>`0000665338871</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>21-04-1997</td>
<td>25 Th</td>
<td>RT.19 RW.8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/78</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>57</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2293</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HERI BUDIANTO</td>
<td>`017521</td>
<td></td>
<td>`0000666815264</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1990</td>
<td>32 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Perdagangan</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2294</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ALZENA NUHA WANATHIF</td>
<td>`004499</td>
<td></td>
<td>`0002227521385</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-02-2017</td>
<td>5 Th</td>
<td>RT 19 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>56/41</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>134</td>
 <td>25</td>
<td>32</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2295</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PARDAN</td>
<td>`016761</td>
<td></td>
<td>`0000666210363</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-10-1972</td>
<td>49 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>154/87</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>62</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2296</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PATIYAH</td>
<td>`017520</td>
<td></td>
<td>`0000666210745</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-08-1975</td>
<td>47 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>149</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2297</td>
 <td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ENDRA</td>
<td>`017519</td>
<td></td>
<td>`0000666211184</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-10-2000</td>
<td>21 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>127/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2298</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SLAMET</td>
<td>`017518</td>
<td></td>
<td>`0000666860567</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>20-12-1977</td>
<td>44 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>154/86</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>164</td>
<td>58</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2299</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>EKA WIJAYANTI</td>
<td>`017517</td>
<td></td>
<td>`0002190269676</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-06-2008</td>
<td>14 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
 <td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>99/65</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>146</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2300</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KITRIANI</td>
<td>`016752</td>
<td></td>
<td>`0000665112251</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-12-1981</td>
<td>40 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>108/56</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>64</td>
 <td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2301</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LASIYEM</td>
<td>`012901</td>
<td></td>
<td>`0000665863108</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-09-1930</td>
<td>92 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>143/86</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2302</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SAYAT</td>
<td>`017516</td>
<td></td>
<td>`0000665633586</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-12-1960</td>
<td>61 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>136/84</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2303</td>
<td>POLINDES NGEPEH</td>
 <td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SEMI</td>
<td>`016442</td>
<td></td>
<td>`0000665634115</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-10-1962</td>
<td>59 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>128/83</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2304</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SABAR IRAWAN</td>
<td>`017515</td>
<td></td>
<td>`0000665635127</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>17-08-1980</td>
<td>42 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/76</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2305</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MILA ROUDHOTUL JANNAH</td>
<td>`017478</td>
<td></td>
<td>`0002802756701</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-09-2002</td>
<td>20 Th</td>
<td>RT. 17 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
 <td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>119/76</td>
<td>80</td>
<td>37</td>
<td>24</td>
<td>149</td>
<td>52</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2306</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FARIDA ANGGRAENI</td>
<td>`003191</td>
<td>04/5286</td>
<td>`0000665816973</td>
<td>`3503056703800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-03-1980</td>
<td>42 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>136/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>62</td>
<td>84</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2307</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IQBAL KURNIADI</td>
<td>`017513</td>
<td></td>
<td>`0000665817208</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-05-2002</td>
<td>20 Th</td>
<td>RT. 18 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>87/58</td>
<td>24</td>
<td>37</td>
<td>24</td>
<td>126</td>
<td>43</td>
<td>47</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2308</td>
<td>UGD</td>
<td>07-09-2022</td>
<td></td>
<td>RAFIDA AHMAD</td>
<td>`020999</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-09-2006</td>
<td>16 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>PANAS 1 HARI, MUAL, MUNTAH</td>
<td>ANTASIDA 3X1
AMBROXOL 3X1
CTM 3X1
BC 1X1
PCT 3X1</td>
<td>100/60</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>49</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2309</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUSMIATI</td>
<td>`002133</td>
<td></td>
<td>`0000666893272</td>
<td>`3503056407810001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-07-1981</td>
<td>41 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>134/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>52</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2310</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUTRAN</td>
<td>`017512</td>
<td></td>
<td>`0000666893417</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-03-1978</td>
<td>44 Th</td>
<td>RT. 18 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>154/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>64</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2311</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HANA KHAIRUNNISA</td>
<td>`017511</td>
<td></td>
<td>`0000666893946</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-08-2009</td>
<td>13 Th</td>
<td>RT. 17 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>87/54</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>148</td>
<td>51</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2312</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>JEMIRAH</td>
<td>`017510</td>
<td></td>
<td>`0000666892866</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-04-1960</td>
<td>62 Th</td>
<td>RT. 18 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>142/87</td>
<td>88</td>
<td>36</td>
<td>20</td>
 <td>156</td>
<td>62</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2313</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YAHYA BIL FAQIH</td>
<td>`004028</td>
<td>04/5286</td>
<td>`0002229974818</td>
<td>`35030550503170001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-03-2017</td>
<td>5 Th</td>
<td>RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>65/34</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>116</td>
<td>43</td>
<td>23</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2314</td>
<td>UGD</td>
<td>07-09-2022</td>
<td></td>
<td>JEHAN AZKADINA NAIRA</td>
<td>`010005</td>
<td>01/2963</td>
<td>`0003067900356</td>
<td>`3503054603180001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-03-2018</td>
<td>4 Th</td>
<td>RT 004 RW 001</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000417</td>
<td>MUNTAH 1X, NYERI PERUT, DIARE 1X AMPAS</td>
<td>ANTASIDA SYR 3X1/2
PCT 3X1/3
DOMP 3X1/3</td>
<td>80/50</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>100</td>
<td>15</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2315</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PANUDIN</td>
<td>`017509</td>
<td></td>
<td>`0000666410703</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-03-1968</td>
<td>54 Th</td>
<td>RT. 18 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>157/75</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>65</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2316</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPINI</td>
<td>`011116</td>
<td></td>
<td>`0002802749049</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-03-1955</td>
<td>67 Th</td>
<td>RT 12 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>132/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2317</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LASIMAN</td>
<td>`012920</td>
<td></td>
<td>`0002802749038</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-02-1960</td>
<td>62 Th</td>
<td>RT 7 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>168/84</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>164</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2318</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMMAD ARSHAKA PUTRA KOSIM</td>
<td>`021470</td>
<td></td>
<td>`0003131503964</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-01-2022</td>
<td>0 Th</td>
<td>RT. 18 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>posyandu</td>
<td>-</td>
<td>56/34</td>
<td>88</td>
<td>37</td>
 <td>20</td>
<td>113</td>
<td>16</td>
<td>23</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2319</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARSUTIN</td>
<td>`005275</td>
<td></td>
<td>`0000666099156</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-01-1970</td>
<td>52 Th</td>
<td>RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>154/98</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>61</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2320</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPATMI ASIH</td>
<td>`009531</td>
<td></td>
<td>`0000666242346</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-03-1980</td>
<td>42 Th</td>
<td>RT 018 RW 008</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>posyandu</td>
<td>-</td>
<td>124/76</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2321</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SAPINGI</td>
<td>`018037</td>
<td></td>
<td>`0001978434033</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-06-1960</td>
<td>62 Th</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>124/76</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2322</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>DAVI KUNCORO</td>
<td>`018613</td>
<td></td>
<td>`0001707126491</td>
<td>`3503052804010002</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-04-2001</td>
<td>21 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>110</td>
<td>77/36</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>169</td>
<td>60</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2323</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SRIWATI</td>
<td>`003790</td>
<td>04/6448</td>
<td>`0000665868993</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-10-1976</td>
<td>45 Th</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/69</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2324</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>IWAYAN SUGITO</td>
<td>`016206</td>
<td></td>
<td>`0000665867529</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-06-1971</td>
<td>51 Th</td>
<td>RT 19 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/78</td>
<td>89</td>
<td>36</td>
<td>20</td>
 <td>170</td>
<td>67</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2325</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>HENDRI APRIANINGSIH</td>
<td>`013150</td>
<td></td>
<td>`0000665635419</td>
<td>`3503054609860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-09-1986</td>
<td>36 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>123/78</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>69</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2326</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MEILANI TANIA UNTARI</td>
<td>`016212</td>
<td></td>
<td>`0000666390284</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-05-2001</td>
<td>21 Th</td>
<td>RT 21 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>2327</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>NABILA ALYA OKTARINA</td>
<td>`016213</td>
<td></td>
<td>`0000666390824</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-10-2006</td>
<td>15 Th</td>
<td>RT 21 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>100/76</td>
<td>88</td>
<td>36</td>
<td>19</td>
<td>156</td>
<td>48</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2328</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>RENI SUSANTI</td>
<td>`005761</td>
<td>04/8532</td>
<td>`0000666143864</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>01-09-1992</td>
<td>30 Th</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>61</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2329</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>RAGILIA ROHANA</td>
<td>`011137</td>
<td></td>
<td>`0000665921643</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-10-2004</td>
<td>17 Th</td>
<td>RT 20 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>100/75</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2330</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MISTIATUN</td>
<td>`018239</td>
<td>04/3631</td>
<td>`0000665949756</td>
<td>`3503056010580001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-10-1958</td>
<td>63 Th</td>
<td>KRAJAN, RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>143/78</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>155</td>
 <td>45</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2331</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>ANIK RIANTI</td>
<td>`017309</td>
<td></td>
<td>`0001292867109</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-05-1980</td>
<td>42 Th</td>
<td>RT 20 RW 9 NGLEGOK</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>134/76</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>66</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2332</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SALIKEM</td>
<td>`010250</td>
<td></td>
<td>`0000666822543</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-09-1946</td>
<td>76 Th</td>
<td>RT21 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/87</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>47</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2333</td>
 <td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MUDANI</td>
<td>`017313</td>
<td></td>
<td>`0000666859972</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-12-1944</td>
<td>77 Th</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>143/68</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>68</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2334</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MUSIRAH</td>
<td>`005365</td>
<td></td>
<td>`0000666820991</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>01-12-1933</td>
<td>88 Th</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>136/87</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>42</td>
<td>72</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2335</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SAMIKUN</td>
<td>`005366</td>
<td></td>
<td>`0000666837123</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-08-1942</td>
<td>80 Th</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
 <td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>153/77</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>165</td>
<td>58</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2336</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUKARNI</td>
<td>`005950</td>
<td>04/3631</td>
<td>`0000665948823</td>
<td>`3503051207540001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-07-1954</td>
<td>68 Th</td>
<td>RT 1 RW 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/78</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>62</td>
 <td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2337</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>JASMANU</td>
<td>`006073</td>
<td>04/5343</td>
<td>`0000666080504</td>
<td>`3503050709830004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-09-1983</td>
<td>39 Th</td>
<td>RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>140/78</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>170</td>
<td>66</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2338</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUJARNO</td>
<td>`017160</td>
<td></td>
<td>`0000666203995</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-07-1977</td>
<td>45 Th</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>123/76</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>168</td>
<td>66</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2339</td>
<td>PUSTU NGEPEH</td>
 <td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MUSATUN</td>
<td>`016108</td>
<td></td>
<td>`0000665740989</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-06-1971</td>
<td>51 Th</td>
<td>RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>134/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>48</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2340</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KATIN</td>
<td>`015939</td>
<td></td>
<td>`0000666809212</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>09-12-1965</td>
<td>56 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>140/78</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2341</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>ALDO SAPUTRA</td>
<td>`017590</td>
<td></td>
<td>`0000666810448</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-05-2007</td>
<td>15 Th</td>
<td>RT 19 RW 8 BEJI</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
 <td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>100/70</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>165</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2342</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MISBAHAK</td>
<td>`013615</td>
<td></td>
<td>`0000665681578</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-12-1969</td>
<td>52 Th</td>
<td>DUSUN GERBO, RT : 13,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>132/70</td>
<td>87</td>
<td>35</td>
<td>20</td>
<td>170</td>
<td>58</td>
<td>80</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2343</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KARYATI</td>
<td>`010228</td>
<td></td>
<td>`0000665455105</td>
<td>`3503054103730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-01-1973</td>
<td>49 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2344</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>IKA RAHMAWATI</td>
<td>`021001</td>
<td></td>
<td>`0000666266703</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-03-1992</td>
<td>30 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2345</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
 <td>KONSULTASI</td>
<td>KATEMI</td>
<td>`014174</td>
<td></td>
<td>`0000665479708</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-12-1959</td>
<td>62 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Industri</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2346</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KATENU</td>
<td>`020919</td>
<td></td>
<td>`0001037004074</td>
<td>`3503051103680001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>03-11-1968</td>
<td>53 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2347</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KASTARI</td>
<td>`021002</td>
<td></td>
<td>`0000665488023</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-05-1940</td>
<td>82 Th</td>
<td>DUSUN KARAJN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
 <td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2348</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUKARTI</td>
<td>`019780</td>
<td></td>
<td>`0002802770739</td>
<td>`3503055008750004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-08-1975</td>
<td>47 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2349</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>RISCA NUR KAFIDAH</td>
<td>`001234</td>
<td>05/2428</td>
<td>`0002802772181</td>
<td>`3503055205940004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-05-1994</td>
<td>28 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2350</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SRIKAH</td>
<td>`005260</td>
<td></td>
<td>`0001978462146</td>
<td>`3503057005810001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-05-1981</td>
<td>41 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2351</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
 <td>SUKARDI</td>
<td>`021003</td>
<td></td>
<td>`0001978462822</td>
<td>`3503052106650002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-06-1965</td>
<td>57 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2352</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KARTINI</td>
<td>`005205</td>
<td></td>
<td>`0002802772146</td>
<td>`3503054503730003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-09-1973</td>
 <td>49 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2353</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>FARIKA RACHMAWATI</td>
<td>`015354</td>
<td></td>
<td>`0001736917288</td>
<td>`3503057011920001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-11-1992</td>
<td>29 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2354</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KARWATI</td>
<td>`021004</td>
<td></td>
<td>`0003058814878</td>
<td>`3503055604710002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-04-1971</td>
<td>51 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2355</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KALIYEM</td>
<td>`021005</td>
<td></td>
<td>`0001707122878</td>
<td>`3503055901350001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-01-1935</td>
<td>87 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2356</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KATIJAH</td>
<td>`021006</td>
<td></td>
<td>`0000665464239</td>
<td>`3503054107460010</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-01-1946</td>
<td>76 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2357</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KASIDI</td>
 <td>`021007</td>
<td></td>
<td>`0000665487358</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-06-1942</td>
<td>80 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2358</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KATIYAH</td>
<td>`021008</td>
<td></td>
<td>`0001978462989</td>
<td>`3503044208720001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-08-1972</td>
<td>50 Th</td>
 <td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2359</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KATEMI</td>
<td>`010300</td>
<td></td>
<td>`0000665507406</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-08-1960</td>
<td>62 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2360</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MUSRIKAH</td>
<td>`012608</td>
<td></td>
<td>`0002802772315</td>
<td>`3503054504550001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-05-1955</td>
<td>67 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2361</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KASIM</td>
<td>`011547</td>
<td>05/5182</td>
<td>`0001707122935</td>
<td>`3503051104460001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-04-1946</td>
<td>76 Th</td>
<td>DESA BANARAN, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2362</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KASDI</td>
<td>`005239</td>
<td>05/4153</td>
<td>`0001037004838</td>
<td>`3503052003470001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-03-1947</td>
<td>75 Th</td>
<td>BANARAN RT 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2363</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUKAMTO</td>
<td>`021009</td>
 <td></td>
<td>`0000665459278</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-11-1966</td>
<td>55 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2364</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>DEFIT NOPRIKA</td>
<td>`021010</td>
<td></td>
<td>`0000666285197</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-01-1999</td>
<td>23 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
 <td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2365</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KADIRAH</td>
<td>`021011</td>
<td></td>
<td>`0001814565936</td>
<td>`3503054709490002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-09-1949</td>
<td>73 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2366</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td></td>
<td>HANI KHAIRUNNISA</td>
<td>`021499</td>
<td></td>
<td>`0000106847897</td>
<td>`3503056001980003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-01-1998</td>
<td>24 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>sesak batuk</td>
<td>dexa amox gg</td>
<td>120/78</td>
<td>92</td>
<td>35</td>
<td>22</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>R06.0</td>
<td>
 Dyspnoea </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2367</td>
<td>PONKESDES TUMPUK</td>
<td>07-09-2022</td>
<td></td>
<td>BEKTI NURIANSYAH</td>
<td>`017466</td>
<td></td>
<td>`0001978453495</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-02-2008</td>
<td>14 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001008</td>
<td>BATUK,PILEK,DEMAM,PUSING,MUAL</td>
<td>PAMOL,CTM,AMBROXOL,ANTACYDA</td>
<td>103/56</td>
<td>108</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2368</td>
<td>PONKESDES TUMPUK</td>
<td>07-09-2022</td>
<td></td>
<td>PAIJEM</td>
<td>`021293</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1950</td>
<td>71 Th</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>KONTROL TENSI, NYERI PERUT</td>
<td>AMLO,ANTACYDA</td>
<td>163/86</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>53</td>
<td>78</td>
<td></td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2369</td>
<td>PONKESDES TUMPUK</td>
<td>07-09-2022</td>
<td></td>
<td>RINDRA PRASTIA PUTRI</td>
<td>`005189</td>
<td>03/4176</td>
 <td>`0001978449074</td>
<td>`3503054107030022</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-2003</td>
<td>19 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>SAKIT GIGI</td>
<td>ASMEF,CIPRO,METIL</td>
<td>100/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K05.1</td>
<td>
Chronic gingivitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2370</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUKIDJAH</td>
<td>`021012</td>
<td></td>
<td>`0002802766544</td>
<td>`3503054308370001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-08-1937</td>
<td>85 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2371</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MUKIRAH</td>
<td>`021013</td>
<td></td>
<td>`0001978461606</td>
<td>`3503054107470028</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1947</td>
<td>75 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2372</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUKIR</td>
<td>`017345</td>
<td></td>
<td>`0003068092427</td>
<td>`3503050506570002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-06-1957</td>
<td>65 Th</td>
<td>TAWANG, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2373</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MAKIJEM</td>
<td>`003275</td>
<td>05/4242</td>
<td>`0002737430932</td>
<td>`3503057112400065</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1940</td>
<td>81 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2374</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>RIZKI ARTHA PUTRA</td>
<td>`009171</td>
<td>0501</td>
<td>`0002802762731</td>
<td>`3503052005990001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-05-1999</td>
<td>23 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2375</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUKIYAT</td>
<td>`021014</td>
<td></td>
<td>`0000666253631</td>
 <td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-08-1953</td>
<td>69 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2376</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SASKIA RATRI DEWI</td>
<td>`016500</td>
<td></td>
<td>`0000665494874</td>
<td>`3503056810070001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-10-2007</td>
<td>14 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2377</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>KIKI PUTRI RAHAYU</td>
<td>`017369</td>
<td></td>
<td>`0001978462135</td>
<td>`3503055807000002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-2000</td>
<td>22 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2378</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td></td>
<td>LULUK ANGGRAINI</td>
<td>`002890</td>
<td></td>
<td>`0000666212962</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-01-1993</td>
<td>29 Th</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001781</td>
<td>KONSULTASI</td>
<td>-</td>
<td>131/88</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>145</td>
<td>58</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2379</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MUKIN</td>
<td>`012251</td>
<td></td>
<td>`0001037005108</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-10-1941</td>
<td>80 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2380</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>TUKIRAH</td>
<td>`007162</td>
<td></td>
<td>`0002802750107</td>
<td>`3503055901480001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-01-1948</td>
<td>74 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2381</td>
<td>POLINDES NGEPEH</td>
<td>07-09-2022</td>
<td></td>
<td>ANIS AYU</td>
<td>`004220</td>
<td></td>
<td>`0000665900651</td>
<td>`3503054311960001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-11-1996</td>
<td>25 Th</td>
<td>KRAJAN, RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001782</td>
<td>SAKIT GIGI</td>
<td>AMOK, PAMOL, PRED</td>
<td>122/86</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>58</td>
<td>82</td>
<td>Karangan</td>
<td>KASUS BARU</td>
<td>K02.0</td>
<td>
Caries limited to enamel </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2382</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>TUKIYAH</td>
<td>`014699</td>
<td>05/1276</td>
<td>`0000666269965</td>
<td>`3503054605620002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-05-1962</td>
<td>60 Th</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>125/75</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2383</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>BASUKI RAHMAT</td>
<td>`021015</td>
<td></td>
<td>`0002014141421</td>
<td>`3503052606720002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-06-1972</td>
<td>50 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2384</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUKINEM</td>
<td>`002388</td>
<td></td>
<td>`0000666280765</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-07-1968</td>
<td>54 Th</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2385</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUKIRAH</td>
<td>`009204</td>
<td></td>
<td>`0000666194589</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-03-1953</td>
<td>69 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>2386</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>PAKIYATI</td>
<td>`021016</td>
<td></td>
<td>`0000666263081</td>
<td>`3503055704630002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-04-1963</td>
<td>59 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2387</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>TUKIJAH</td>
<td>`010227</td>
<td></td>
<td>`0002802750862</td>
<td>`3503054304420002</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>03-04-1942</td>
<td>80 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2388</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>SUKIYAM</td>
<td>`002002</td>
<td>06/3558</td>
<td>`0001707122586</td>
<td>`3503054507480001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-07-1948</td>
<td>74 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2389</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>REKI NURSITO</td>
<td>`001373</td>
<td>05/7361</td>
<td>`0001978461538</td>
<td>`3503051712940001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-12-1994</td>
<td>27 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2390</td>
<td>PONKESDES BANARAN</td>
<td>07-09-2022</td>
<td>KONSULTASI</td>
<td>MUKINI</td>
<td>`021017</td>
<td></td>
<td>`0001814563361</td>
<td>`3503051907400001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-07-1940</td>
<td>82 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2391</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td></td>
<td>WIWIN ERNAWATI</td>
<td>`017753</td>
<td></td>
<td>`0000666181675</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1989</td>
<td>33 Th</td>
<td>RT 11 RW 4 NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001282</td>
<td>BATUK, PILEK, DEMAM</td>
<td>PAMOL GG CTM</td>
<td>102/64</td>
<td>95</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2392</td>
 <td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td></td>
<td>JAIKEM</td>
<td>`016468</td>
<td></td>
<td>`0002729556843</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-12-1964</td>
<td>57 Th</td>
<td>RT 20 RW 09 PONGGOK</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001283</td>
<td>PUSING, NYERI GIGI</td>
<td>NADIK, AMLO</td>
<td>174/88</td>
<td>105</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2393</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td></td>
<td>SITI MUKAROMAH</td>
<td>`004513</td>
<td>04/2523</td>
<td>`0000665685819</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>12-03-1986</td>
<td>36 Th</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001284</td>
<td>batuk pilek panas</td>
<td>pamol gg vit c</td>
<td>120/78</td>
<td>97</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>45</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2394</td>
<td>PUSTU NGEPEH</td>
<td>07-09-2022</td>
<td></td>
<td>HANIF ANSYARI</td>
<td>`004577</td>
<td></td>
<td>`0002898301239</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-10-2019</td>
<td>2 Th</td>
<td>RT. 25 RW.. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
 <td>Lama</td>
<td>131506010922Y001288</td>
<td>batuk pilek panas</td>
<td>pamol gg vit c</td>
<td>90/70</td>
<td>100</td>
<td>37</td>
<td>22</td>
<td>80</td>
<td>17</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2395</td>
<td>UGD</td>
<td>08-09-2022</td>
<td></td>
<td>BAMBANG</td>
<td>`020886</td>
<td>06/8665</td>
<td>`0000664959947</td>
<td>`3503050204010002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-04-2001</td>
<td>21 Th</td>
<td>DUSUN SOKO, RT : 51,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>131506010922Y000487</td>
<td>KONTROL RAWAT LUKA DI JARI TANGAN KANAN</td>
<td>RAWAT LUKA</td>
<td>110/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>49</td>
 <td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>2396</td>
<td>UGD</td>
<td>08-09-2022</td>
<td></td>
<td>HERIYANTO</td>
<td>`018737</td>
<td></td>
<td>`0001036997739</td>
<td>`</td>
<td>`</td>
<td>HERIYANTO</td>
<td></td>
<td>L</td>
<td>19-03-1982</td>
<td>40 Th</td>
<td>RT 2 RW 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000488</td>
<td>BATUK, PILEK, PUSING</td>
<td>CTM 3X1
PCT 3X1
AMBROXOL 3X1</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2397</td>
<td>UGD</td>
<td>08-09-2022</td>
<td></td>
<td>RIA DINIATI ARSITA</td>
<td>`011181</td>
<td>08/2114</td>
<td>`0001978464429</td>
<td>`3503056904040002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-04-2004</td>
<td>18 Th</td>
<td>DUSUN BANGGLE, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000489</td>
<td>POST KLL LECET DI KAKI KIRI, HEMATOME DI DAHI KIRI 4 CM</td>
<td>RAWAT LUKA
ASMEF 3X1
AMOX 3X1</td>
<td>120/88</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>45</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2398</td>
<td>UGD</td>
<td>08-09-2022</td>
<td></td>
<td>ANIZA DWI</td>
<td>`021042</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-02-2005</td>
<td>17 Th</td>
<td>RT 9 RW 3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>POST KLL, NYERI PADA GIGI KARENA BEHEL LEPAS</td>
<td>AMOX 3X1
ASMEF 3X1</td>
<td>100/60</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>43</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2399</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARTINI</td>
<td>`013742</td>
<td></td>
 <td>`0001978459817</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1950</td>
<td>71 Th</td>
<td>RT 001 RW 001</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>61</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2400</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DWI LESTARI</td>
<td>`015025</td>
<td></td>
<td>`0000665582242</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-10-1991</td>
<td>30 Th</td>
<td>RT03</td>
<td>NGLONGSOR</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>IRT</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2401</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SALMA HANIF `AFIFATUR ROHMAH</td>
<td>`009511</td>
<td>02/9119</td>
<td>`0000665946088</td>
<td>`3503054709990004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-09-1999</td>
<td>23 Th</td>
<td>DUSUN CORAH MULYO, RT : 3,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>79</td>
 <td>35</td>
<td>20</td>
<td>154</td>
<td>60</td>
<td>95</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2402</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NIKEN LARASATI</td>
<td>`015026</td>
<td></td>
<td>`0000666369911</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-02-2000</td>
<td>22 Th</td>
<td>RT 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>78</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>57</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2403</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WINARSIH</td>
<td>`013751</td>
<td></td>
<td>`0001978459942</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-03-1963</td>
<td>59 Th</td>
<td>RT 004 RW 002</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>58</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2404</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WAHYU WINARNI</td>
<td>`016290</td>
<td></td>
<td>`0000665440053</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-11-1976</td>
<td>45 Th</td>
<td>RT 004 RW 002</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>59</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2405</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DWI SITI NURHIDAYAH</td>
<td>`015027</td>
<td></td>
<td>`0000665639886</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-01-2000</td>
<td>22 Th</td>
<td>RT 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>79</td>
<td>35</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2406</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRI KAWIT</td>
<td>`002195</td>
<td>02/7911</td>
<td>`0000666136541</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1969</td>
<td>53 Th</td>
<td>RT 04 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>60</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2407</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RIRIN AMAYANTI</td>
<td>`015030</td>
<td></td>
<td>`0000666321928</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-05-1996</td>
<td>26 Th</td>
<td>RT 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>IRT</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
 <td>20</td>
<td>153</td>
<td>57</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2408</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUJIATI</td>
<td>`016293</td>
<td></td>
<td>`0000666349841</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-12-1960</td>
<td>61 Th</td>
<td>RT 004 RW 002</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2409</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARKAMAH</td>
<td>`016291</td>
<td></td>
<td>`0000667333596</td>
<td>`3503056904660001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-04-1966</td>
<td>56 Th</td>
<td>DUSUN CORAH MULYO, RT : 4,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2410</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>RIYANI</td>
<td>`011627</td>
<td></td>
<td>`0000666705723</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-01-2011</td>
<td>11 Th</td>
<td>PRAMBON RT20/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>24</td>
<td>90</td>
<td>23</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2411</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>BARI</td>
<td>`021018</td>
<td></td>
<td>`0000666705486</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1958</td>
<td>64 Th</td>
<td>PRAMBON RT 20/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2412</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>ZEZE KANAYA</td>
<td>`006280</td>
<td></td>
<td>`0002605891612</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-09-2012</td>
<td>10 Th</td>
<td>PRAMBON RT 12/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>90</td>
<td>25</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2413</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>TAMAN</td>
<td>`014481</td>
<td></td>
<td>`0000665948092</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-08-1966</td>
<td>56 Th</td>
<td>RT 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
 <td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2414</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>SUPATMI</td>
<td>`004645</td>
<td>06/3558</td>
<td>`0000106536227</td>
<td>`3503055412710001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-12-1971</td>
<td>50 Th</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000427</td>
<td>BATUK</td>
<td>PAMOL OBH</td>
<td>90/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>49</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2415</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>ROSA NURLAELA RAHMAWATI</td>
<td>`005658</td>
<td></td>
<td>`0002270865475</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-2004</td>
<td>18 Th</td>
<td>PRAMBON RT 44/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>2416</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>BELLVANIA JASMEEN PUTRI ARYONO</td>
<td>`001251</td>
<td>06/4843</td>
<td>`0003054964522</td>
<td>`3503050203180006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-10-2020</td>
<td>1 Th</td>
<td>RT 15 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000428</td>
<td>PANAS</td>
<td>PAMOL SIRUP KOTRI SIRUP</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>24</td>
<td>80</td>
<td>10</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2417</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>HILMAN DZANNADHOR</td>
<td>`003461</td>
<td></td>
<td>`0003064259924</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>05-04-2017</td>
<td>5 Th</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000495</td>
<td>BATUK MATA MERAH</td>
<td>PAMOL AMBOROXOL KLORAMPENIKOL SM</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>24</td>
<td>80</td>
<td>15</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H10</td>
<td>
Conjunctivitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2418</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>NAHDHIYATUR ROSYIIDAH</td>
<td>`011935</td>
<td></td>
<td>`0003064259957</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-12-2015</td>
<td>6 Th</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000429</td>
<td>BATUK</td>
<td>PAMOL AMBOROXOL</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>90</td>
<td>15</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2419</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>YUNITA MELIZA PUTRI</td>
<td>`001641</td>
<td></td>
<td>`0002802762099</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-06-2008</td>
<td>14 Th</td>
<td>PRAMBON RT23</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
 <td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2420</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>ISTIROHMAWATI</td>
<td>`008052</td>
<td>04/3824</td>
<td>`0000106605224</td>
<td>`3503056602820001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-02-1982</td>
<td>40 Th</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>131506010922Y000463</td>
<td>PUSING CENUT2</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2421</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>ANA PUSPITA SARI</td>
<td>`017817</td>
<td>02/2309</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-12-2017</td>
<td>4 Th</td>
<td>RT 012 RW -</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS BATUK PILEK</td>
<td>AMOK MP GG SALBUTAMOL VIT C DEMACOLIN SYR</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>100</td>
<td>13</td>
<td>15</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2422</td>
 <td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>PARTATIK</td>
<td>`001018</td>
<td></td>
<td>`0000666047553</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-06-1977</td>
<td>45 Th</td>
<td>PRAMBON RT19/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2423</td>
<td>POLI KIA</td>
<td>08-09-2022</td>
<td></td>
<td>RINAWATI</td>
<td>`011541</td>
<td>90/1585</td>
<td>`0000660534579</td>
<td>`3502055303930001</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>13-03-1993</td>
<td>29 Th</td>
<td>RT 02 RW 02</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000465</td>
<td>KAKI BENGKAK</td>
<td>-</td>
<td>126/84</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>148</td>
<td>65</td>
<td>1</td>
<td>SAWOO</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2424</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>NURKHOLIS</td>
<td>`008786</td>
<td>02/3185</td>
<td>`0000665598159</td>
<td>`3503050104720003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-1972</td>
<td>50 Th</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
 <td>Lama</td>
<td>131506010922Y000430</td>
<td>mata terasa nyeri</td>
<td>-</td>
<td>160/90</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>70</td>
<td>69</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H40</td>
<td>
Glaucoma </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2425</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARSYA DIAN WULANDARI</td>
<td>`009038</td>
<td>02/2430</td>
<td>`0001978460032</td>
<td>`3503055203050001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-03-2005</td>
<td>17 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>79</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>58</td>
 <td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2426</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ENY AMALIA WIDAYATI</td>
<td>`015031</td>
<td></td>
<td>`0001978460043</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-12-2003</td>
<td>18 Th</td>
<td>RT 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>35</td>
<td>22</td>
<td>155</td>
<td>48</td>
<td>91</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2427</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HARYATI</td>
<td>`015276</td>
<td></td>
<td>`0000665463958</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-06-1964</td>
<td>58 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>35</td>
<td>22</td>
<td>154</td>
<td>56</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2428</td>
<td>POLI KIA</td>
 <td>08-09-2022</td>
<td></td>
<td>EKA YULIA WULANDARI</td>
<td>`014179</td>
<td>07/1459</td>
<td>`0002085241184</td>
<td>`3503065107940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-07-1994</td>
<td>28 Th</td>
<td>RT 01 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y000466</td>
<td>taa</td>
<td>-</td>
<td>110/70</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2429</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NURHIDAYATI</td>
<td>`001054</td>
<td>02/7255</td>
<td>`0000665577358</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>12-08-1972</td>
<td>50 Th</td>
<td>RT 05 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>57</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2430</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KARUNIA NIATI</td>
<td>`015032</td>
<td></td>
<td>`0000665578326</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-01-2002</td>
<td>20 Th</td>
<td>RT 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
 <td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>60</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2431</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUTI</td>
<td>`016294</td>
<td></td>
<td>`0000665578552</td>
<td>`3503055404340001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-04-1934</td>
<td>88 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>60</td>
<td>94</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2432</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td></td>
<td>SUTIYEM</td>
<td>`000168</td>
<td>02/7295</td>
<td>`0001037003321</td>
<td>`3503054101500002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-01-1950</td>
<td>72 Th</td>
<td>RT 14 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000445</td>
<td>kepala terasa gliyeng</td>
<td>glimepiride
metformin
amlo
pamol
antasida</td>
<td>148/65</td>
<td>67</td>
<td>36</td>
<td>19</td>
<td>153</td>
<td>61</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>I10</td>
 <td>
Essential (primary) hypertension </td>
<td>R51</td>
<td>
Headache </td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2433</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>PUJI RAHAYUNINGSIH</td>
<td>`008293</td>
<td>02/1665</td>
<td>`0000665426902</td>
<td>`3503055010700002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-10-1970</td>
<td>51 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000496</td>
<td>PUSING BATUK PILEK KAKI GRINGGINGEN</td>
<td>AMLODIPIN BC DIMEN AMBROKSOL AMOK</td>
<td>163/93</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>61</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2434</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td></td>
<td>MATSAJI</td>
<td>`021019</td>
<td>02/8374</td>
<td>`0002802754348</td>
<td>`3503053112440019</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1944</td>
<td>77 Th</td>
<td>KRAJAN, RT : 18,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000432</td>
<td>mata kabur dan berair selama 2 minggu</td>
<td>-</td>
<td>183/94</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>59.3</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H52.5</td>
<td>
Disorders of accommodation </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2435</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>SITI ZUBAIDAH</td>
<td>`008452</td>
<td>01/2120</td>
<td>`0003068132488</td>
<td>`3503055310740001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-10-1974</td>
<td>47 Th</td>
<td>RT 27 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000446</td>
<td>PUSING NYERI ULU HATI</td>
<td>DIMEN OMEPRAZOLE RANITIDIN PAMOL</td>
<td>119/75</td>
<td>74</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>73</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2436</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>RAFA IZZYAN MAULANA</td>
<td>`008112</td>
<td>04/4547</td>
<td>`0002802745102</td>
<td>`3503052505120001</td>
<td>`</td>
<td></td>
<td>082234124704</td>
<td>L</td>
<td>25-05-2012</td>
<td>10 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000473</td>
<td>PANAS BATUK PILEK</td>
<td>PCT AMOK MP VIT C AMBROKSOL CTM</td>
<td>1/1</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>26</td>
<td>25</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J03.0</td>
<td>
Streptococcal tonsillitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2437</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>ALFI NURAIDA</td>
<td>`003835</td>
<td>02/222</td>
<td>`0001707022045</td>
<td>`3503056005840001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-05-1984</td>
<td>38 Th</td>
<td>DUSUN CORAH MULYO, RT : 3,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000433</td>
<td>kontrol</td>
<td>rujukan</td>
<td>120/70</td>
<td>98</td>
<td>36</td>
<td>20</td>
 <td>150</td>
<td>65</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>G40</td>
<td>
Epilepsy </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2438</td>
<td>POLI REMAJA</td>
<td>08-09-2022</td>
<td></td>
<td>SANTIKA MAHARANI</td>
<td>`002376</td>
<td>04/4838</td>
<td>`0000666124738</td>
<td>`3503054905080002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-05-2008</td>
<td>14 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000449</td>
<td>PANAS BATUK PILEK</td>
<td>ASMEF AMBROKSOLCTM MP AMOK VIT C</td>
<td>115/75</td>
<td>128</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>69</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2439</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td></td>
<td>SIYONO</td>
<td>`001629</td>
<td>06/9159</td>
<td>`0001037014874</td>
<td>`3503053112530036</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1953</td>
<td>68 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000443</td>
<td>kaki keju linu</td>
<td>alimepirid
ibuprofen
bc</td>
<td>128/66</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>44</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2440</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>ANTIK</td>
<td>`001757</td>
<td>05/5673</td>
<td>`0000107085238</td>
<td>`3503055105640001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-05-1964</td>
<td>58 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000435</td>
<td>KONTROL</td>
<td>RUJUKAN</td>
<td>130/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I15</td>
<td>
Secondary hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2441</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>DARMIATI</td>
<td>`002844</td>
<td>06/5356</td>
<td>`0001978488088</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-04-1981</td>
<td>41 Th</td>
<td>RT 45 RW 9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000436</td>
<td>KONTROL</td>
<td>-</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>54</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F20.1</td>
<td>
Hebephrenic schizophrenia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2442</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>SUHARTINI</td>
<td>`002746</td>
<td>02/2340</td>
<td>`0000106528869</td>
<td>`3503056510690002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-10-1969</td>
<td>52 Th</td>
<td>RT 5 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000438</td>
<td>KONTROL</td>
<td>-</td>
<td>138/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>78</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2443</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>SITI KOMSIYAH</td>
<td>`012802</td>
<td>03/403</td>
<td>`</td>
<td>`3503054312650005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-12-1965</td>
<td>56 Th</td>
<td>RT 07 RW 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>PUSING BERPUTAR MUAL PERUT KADANG PERIH</td>
<td>AMLODIPIN BC OMEPRAZOLE BETAHISTIN DIMENHIDRINAT</td>
<td>176/103</td>
<td>86</td>
 <td>36</td>
<td>20</td>
<td>150</td>
<td>58</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H81.3</td>
<td>
Other peripheral vertigo </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2444</td>
<td>POLI GIGI</td>
<td>08-09-2022</td>
<td></td>
<td>SOFIYA FITRI RAMADHANI</td>
<td>`001588</td>
<td>01/1831</td>
<td>`0002069585921</td>
<td>`3503054307160001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-07-2016</td>
<td>6 Th</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000437</td>
<td>gigi bawa kiri kesundulan</td>
<td>extractie 71</td>
<td>110/70</td>
<td>90</td>
<td>36</td>
<td>24</td>
<td>128</td>
<td>26</td>
<td>61</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2445</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>EKA SETIA WIDIANTI</td>
<td>`001502</td>
<td></td>
<td>`0000665893181</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-1996</td>
<td>25 Th</td>
<td>PRAMBON RT 14</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000431</td>
<td>BATUK SESAK</td>
<td>PAMOL AMBOROXOL SALBUTAMOL</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>40</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45</td>
<td>
Asthma </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2446</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>JARMI</td>
<td>`021022</td>
<td>06/3374</td>
<td>`0003080444433</td>
<td>`3503054703800003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-03-1980</td>
<td>42 Th</td>
<td>TENGGAR, RT : 2,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Baru</td>
<td>131506010922Y000472</td>
<td>SERING PUSING BENJOLAN PADA ATAS DAGU</td>
<td>AMOK PAMOL CTM DEXA</td>
<td>116/76</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>44</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L04</td>
<td>
Acute lymphadenitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2447</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>DIANA ANGGRAINI</td>
<td>`000653</td>
<td>06/2736</td>
<td>`0002802763271</td>
 <td>`3503055009940002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-09-1994</td>
<td>28 Th</td>
<td>PRAMBON, RT : 29,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000434</td>
<td>PUSING PILEK</td>
<td>PAMOL CTM</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2448</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>TUMINI</td>
<td>`011418</td>
<td></td>
<td>`0001978462743</td>
<td>`3503055802440001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-02-1944</td>
<td>78 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2449</td>
<td>POLI MTBS</td>
<td>08-09-2022</td>
<td></td>
<td>FAUZAN AGUNG RAHMANI</td>
<td>`021024</td>
<td>01/1177</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-05-2018</td>
<td>4 Th</td>
<td>RT 20 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>PANAS BATUK PILEK</td>
<td>AMOK MP AMBROKSOL VIT C SALBUTAMOL SYR DEMACOLIN</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
 <td>20</td>
<td>90</td>
<td>18</td>
<td>20</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2450</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>TUMINI</td>
<td>`014073</td>
<td></td>
<td>`0001978462686</td>
<td>`3503055206670005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-06-1967</td>
<td>55 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2451</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>INSIYAH</td>
<td>`002116</td>
<td></td>
<td>`0002584965341</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1972</td>
<td>50 Th</td>
<td>PRAMBON RT 29/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000494</td>
<td>PANAS</td>
<td>PAMOL BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>64</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2452</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td></td>
<td>ROBIYAH</td>
<td>`006324</td>
<td>06/5727A</td>
<td>`0000664432143</td>
<td>`3503057112570028</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1957</td>
<td>64 Th</td>
<td>DUSUN PAKEL, RT : 155,RW :8 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>131506010922Y000442</td>
<td>batuk 3 hari, pilek, meriaang, pusing</td>
<td>pamol
ambroxol
vit C
loratadin</td>
<td>169/88</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>58</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2453</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>PAINI</td>
<td>`015369</td>
 <td></td>
<td>`0001037005277</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-04-1939</td>
<td>83 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2454</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>JUBAIDI</td>
<td>`001011</td>
<td>06/9090</td>
<td>`0000664402577</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-02-1968</td>
<td>54 Th</td>
<td>PRAMBON RT 29/5</td>
 <td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000492</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2455</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>TOERAN</td>
<td>`012606</td>
<td></td>
<td>`0000666284951</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-12-1963</td>
<td>58 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
 <td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>85</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2456</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MANIRAH</td>
<td>`009726</td>
<td></td>
<td>`0000665890705</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-12-1952</td>
<td>69 Th</td>
<td>RT 005 RW 00</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>69</td>
<td>35</td>
<td>22</td>
<td>153</td>
<td>59</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2457</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRI ENDRAWATI</td>
<td>`015033</td>
<td></td>
<td>`0000665941937</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-09-1965</td>
<td>57 Th</td>
<td>RT 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>IRT</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>2458</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SELFI DESI WULANDARI</td>
<td>`015034</td>
<td></td>
<td>`0000665943096</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-12-2004</td>
<td>17 Th</td>
<td>RT05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>46</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2459</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td></td>
<td>TOERAH</td>
<td>`021026</td>
<td>06/9361</td>
 <td>`0000666582129</td>
<td>`3503057012590006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1959</td>
<td>62 Th</td>
<td>PAKEL, RT : 40,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Baru</td>
<td>131506010922Y000441</td>
<td>perut terasa panas, mual mual sudah 2 hari dan telinga kurang
pendengaran</td>
<td>omz
antasid
dom</td>
<td>145/74</td>
<td>111</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>40</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K29</td>
<td>
Gastritis and duodenitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2460</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FEBRIANA DWI KUSUMAWATI</td>
<td>`016297</td>
<td></td>
<td>`0000665942297</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-02-1994</td>
 <td>28 Th</td>
<td>RT 005 RW 002</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2461</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUYATI</td>
<td>`016298</td>
<td></td>
<td>`0000666152605</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-06-1962</td>
<td>60 Th</td>
<td>RT 005 RW 002</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>95</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2462</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SINEM</td>
<td>`012829</td>
<td></td>
<td>`0001037004941</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-10-1948</td>
<td>73 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>52</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2463</td>
<td>POLI K.B</td>
<td>08-09-2022</td>
<td></td>
<td>ARI SETYANI</td>
<td>`021028</td>
<td>02/1377</td>
<td>`</td>
<td>`3503055307780001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-07-1978</td>
<td>44 Th</td>
<td>DUSUN CORAH MULYO, RT : 4,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td></td>
<td>LEPAS IMPLAN</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z30.9</td>
<td>
Contraceptive management, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Suharti </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2464</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPRIHATIN</td>
<td>`016299</td>
<td></td>
<td>`0000665629492</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-1969</td>
<td>53 Th</td>
<td>RT 003 RW 001</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>60</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2465</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>MUGO WIYANTO</td>
 <td>`003277</td>
<td>05/4920</td>
<td>`0001978462798</td>
<td>`3503050409770001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-09-1977</td>
<td>45 Th</td>
<td>RT 1 RW 1</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2466</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SAMILAH</td>
<td>`016318</td>
<td></td>
<td>`0000665929372</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1956</td>
<td>66 Th</td>
 <td>RT 03 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>55</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2467</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>ADIES RISKI PUTRA</td>
<td>`000968</td>
<td></td>
<td>`0000665996308</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-01-2008</td>
<td>14 Th</td>
<td>PRAMBON RT 31/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000493</td>
<td>BATUK</td>
<td>PAMOL GG CTM</td>
 <td>90/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2468</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPATINAH</td>
<td>`016321</td>
<td></td>
<td>`0000666420197</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-07-1963</td>
<td>59 Th</td>
<td>RT 03 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>78</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2469</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td></td>
<td>LASMINI</td>
<td>`003923</td>
<td>01/858</td>
<td>`0000107539299</td>
<td>`350305 </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-11-1959</td>
<td>62 Th</td>
<td>DUSUN KEBONSARI, RT : 31,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000440</td>
<td>kontrol tensi dan cek gula</td>
<td>amlo
metformin
aspilet
bc
pamol</td>
<td>153/85</td>
<td>99</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>66</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
 <td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2470</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>JURIYAH</td>
<td>`016322</td>
<td></td>
<td>`0000667311658</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-06-1968</td>
<td>54 Th</td>
<td>RT 03 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2471</td>
<td>POLINDES NGLONGSOR</td>
 <td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NAFISA HUWAIDA KARIMA</td>
<td>`015104</td>
<td></td>
<td>`0002013998927</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-01-2010</td>
<td>12 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2472</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>MUHIBBATUL ASMAH</td>
<td>`002634</td>
<td>07/7981</td>
<td>`0001978440412</td>
<td>`3503057008820003</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>30-08-1982</td>
<td>40 Th</td>
<td>RT 1 RW 1</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000444</td>
<td>KONSULTASI</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>40</td>
<td>30</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2473</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PATONAH</td>
<td>`016310</td>
<td></td>
<td>`0000665468627</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1955</td>
<td>66 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/76</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2474</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIDYA UTAMI</td>
<td>`016311</td>
<td></td>
<td>`0000665468796</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-10-1973</td>
<td>48 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>79</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>60</td>
<td>94</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2475</td>
<td>POLI GIGI</td>
<td>08-09-2022</td>
<td></td>
<td>MUSRINI</td>
<td>`010371</td>
<td>01/264</td>
<td>`0002315211715</td>
<td>`3503055505660002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-05-1966</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000439</td>
<td>gigi atas kiri goyang sakit</td>
<td>obat</td>
<td>188/100</td>
<td>90</td>
<td>36</td>
<td>25</td>
<td>172</td>
<td>67</td>
<td>74</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2476</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUSIANI</td>
<td>`016312</td>
<td></td>
<td>`0000665597856</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1958</td>
<td>63 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>58</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2477</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>MUNTAMAH</td>
<td>`016313</td>
<td></td>
<td>`0000666041365</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-09-1979</td>
<td>43 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>57</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2478</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td></td>
<td>MUSANAH</td>
<td>`019197</td>
<td>02/3180</td>
<td>`0002440065115</td>
<td>`3503057112480025</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>31-12-1948</td>
<td>73 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td>131506010922Y000448</td>
<td>keju linu, kaki kiri gringgingen</td>
<td>amlo
aspilet
bc
pamol</td>
<td>146/75</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>60</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2479</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>TAJEM</td>
<td>`005177</td>
<td>05/2123</td>
<td>`0001037004816</td>
<td>`3503054804510001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-04-1951</td>
<td>71 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2480</td>
<td>POLINDES NGLONGSOR</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MISRI</td>
<td>`016314</td>
<td></td>
<td>`0000666104635</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-10-1953</td>
<td>68 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>79</td>
<td>36</td>
<td>22</td>
<td>155</td>
 <td>56</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2481</td>
<td>POLI K.B</td>
<td>08-09-2022</td>
<td></td>
<td>ISIYAH</td>
<td>`003422</td>
<td>90/3086</td>
<td>`0001978481799</td>
<td>`3503056611860003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-11-1986</td>
<td>35 Th</td>
<td>DERMOSARI, RT : 016,RW :006 </td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>MENGURUS RUMAH TANGGA</td>
<td>Lama</td>
<td></td>
<td>SUNTIK</td>
<td>-</td>
<td>115/74</td>
<td>890</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
DIANTI DWI PANGESTUTI, A.MD.KEB </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2482</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SUTAJI</td>
<td>`021229</td>
<td></td>
<td>`0001978462618</td>
<td>`3503050307450002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-03-1945</td>
<td>77 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2483</td>
 <td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>MUHAMMAD RAFI ALGOZALI</td>
<td>`021029</td>
<td>02/9362</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-09-2014</td>
<td>8 Th</td>
<td>RT 21 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>NYERI PERUT</td>
<td>ANTASID SYR AMOK B6 DOMPERIDON AMBROKSOL</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>21</td>
<td>20</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2484</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SURIPMI</td>
<td>`001146</td>
<td>05/4475</td>
<td>`0000666188043</td>
<td>`3503066402710003</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>24-02-1971</td>
<td>51 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/85</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2485</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SURATIN</td>
<td>`020868</td>
<td></td>
<td>`0001037004085</td>
<td>`3503054108700002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-01-1970</td>
<td>52 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
 <td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>53</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2486</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>WARSITO</td>
<td>`003342</td>
<td>05/4335</td>
<td>`0003056720657</td>
<td>`3503051308750002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-08-1975</td>
<td>47 Th</td>
<td>DUSUN TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>168</td>
<td>52</td>
 <td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2487</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>SARIYAM</td>
<td>`004672</td>
<td></td>
<td>`0002314207067</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1949</td>
<td>72 Th</td>
<td>PRAMBON RT 8/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000486</td>
<td>DIARE</td>
<td>PAMOL KAOLIN</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2488</td>
<td>POLI REMAJA</td>
<td>08-09-2022</td>
<td></td>
<td>RHEVANI HARDYAN CANDRA</td>
<td>`020749</td>
<td>02/1359</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-10-2005</td>
<td>16 Th</td>
<td>RT 24 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS PUSING NYERI TELAN</td>
<td>VITAMIN BC AMOK ASMEF VIT C DEXA</td>
<td>149/67</td>
<td>99</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>52</td>
<td>50</td>
<td></td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2489</td>
<td>PUSTU PRAMBON</td>
 <td>08-09-2022</td>
<td></td>
<td>PARTIYAH</td>
<td>`003796</td>
<td></td>
<td>`0002802744988</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-10-1981</td>
<td>40 Th</td>
<td>PRAMBON RT 8/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000485</td>
<td>DIARE</td>
<td>PAMOL KAOLIN</td>
<td>120/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2490</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>KATINI</td>
<td>`014077</td>
<td></td>
<td>`0001978462629</td>
<td>`3503054303510001</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>03-03-1951</td>
<td>71 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>110/63</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>62</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2491</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>MUHAMMAD FAIZ NURILHUDA</td>
<td>`021030</td>
<td></td>
<td>`0002802744999</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-07-2010</td>
<td>12 Th</td>
<td>PRAMBON RT 8/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
 <td>131506010922Y000484</td>
<td>GATAL</td>
<td>BETA SK</td>
<td>80/60</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>120</td>
<td>30</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2492</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SHERLY FERYANA DEWY</td>
<td>`015360</td>
<td></td>
<td>`0000666260919</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-07-1999</td>
<td>23 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>80</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2493</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td></td>
<td>AHMAD RIYADI</td>
<td>`000269</td>
<td>90/55</td>
<td>`0001318095268</td>
<td>`9171031009490001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-09-1949</td>
<td>73 Th</td>
<td>RT 03 RW 01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000447</td>
<td>tangan kanan dan kiri sakit untuk dibuat aktivitas</td>
<td>ibuprofen
prednison
antasid</td>
<td>149/75</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>62</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2494</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>WALUYO HADI S.</td>
<td>`021031</td>
<td>01/523</td>
<td>`0000665881964</td>
<td>`3503051405980001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-05-1998</td>
<td>24 Th</td>
<td>DUSUN GONDANG KIDUL, RT : 10,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000542</td>
<td>KONSULTASI</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>56</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2495</td>
 <td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>MUKIRAN</td>
<td>`021250</td>
<td></td>
<td>`0001978462697</td>
<td>`3503052907430001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-07-1943</td>
<td>79 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2496</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>MURTINI</td>
<td>`014072</td>
<td></td>
<td>`0001978462631</td>
<td>`3503054510520001</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>01-01-2000</td>
<td>22 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2497</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>LILIK</td>
<td>`010298</td>
<td></td>
<td>`0001886438575</td>
<td>`3503055005640001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-10-1964</td>
<td>57 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
 <td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>52</td>
<td>85</td>
<td>Klinik Aba Husada</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2498</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>TUMINI</td>
<td>`014083</td>
<td></td>
<td>`0001037005288</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-05-1950</td>
<td>72 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>sekrining</td>
<td>sekrining</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
 <td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2499</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>ISTIKOMAH</td>
<td>`012616</td>
<td>06/9215</td>
<td>`0003080443342</td>
<td>`3503055712670001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-12-1967</td>
<td>54 Th</td>
<td>TENGGAR, RT : 6,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000483</td>
<td>SAKIT GIGI</td>
<td>IBU 400 CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02.0</td>
<td>
Caries limited to enamel </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2500</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SUPARDI</td>
<td>`021251</td>
<td></td>
<td>`0001978462719</td>
<td>`3503052208580001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-08-1958</td>
<td>64 Th</td>
<td>TAWANG BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2501</td>
<td>POLI LANSIA</td>
 <td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SUPARLAN</td>
<td>`014758</td>
<td></td>
<td>`0000174041346</td>
<td>`3503053112600028</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1960</td>
<td>61 Th</td>
<td>DUSUN TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>55</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2502</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td></td>
<td>INDRA RENA LEVIANICA</td>
<td>`015558</td>
<td></td>
<td>`0002583129778</td>
<td>`3503056710880002</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>27-10-1988</td>
<td>33 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000452</td>
<td>Gatal</td>
<td>Genta, ibuf, dexa</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2503</td>
<td>POLI KIA</td>
<td>08-09-2022</td>
<td></td>
<td>RIBUT WINARTI</td>
<td>`014563</td>
<td>06/4801</td>
<td>`0000665773896</td>
<td>`3503055711810002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-11-1981</td>
<td>40 Th</td>
<td>RT 21</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
 <td>131506010922Y000467</td>
<td>TAA</td>
<td>-</td>
<td>126/84</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2504</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SAMINI</td>
<td>`017359</td>
<td></td>
<td>`0001978462787</td>
<td>`3503055102640001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-02-1964</td>
<td>58 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2505</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>MUKINI</td>
<td>`021017</td>
<td></td>
<td>`0001814563361</td>
<td>`3503051907400001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-07-1940</td>
<td>82 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>110/75</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2506</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td></td>
<td>FITRI LESTARI</td>
<td>`012647</td>
<td>06/7004</td>
<td>`0000664485298</td>
<td>`3503056709990003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-09-1998</td>
<td>24 Th</td>
<td>PRAMBON, RT : 31,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000453</td>
<td>Flu</td>
<td>Pct, gg, ctm, vitc</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2507</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
 <td>KONSULTASI</td>
<td>KARYATI</td>
<td>`010228</td>
<td></td>
<td>`0000665455105</td>
<td>`3503054103730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-01-1973</td>
<td>49 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2508</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>HERI</td>
<td>`011082</td>
<td>05/1992</td>
<td>`0002290808226</td>
<td>`3503052803710001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>28-03-1971</td>
<td>51 Th</td>
<td>DUSUN TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2509</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SRI WAHYUNI</td>
<td>`021253</td>
<td></td>
<td>`0001272438988</td>
<td>`3503055801800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-01-1980</td>
<td>42 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
 <td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Klinik Aba Husada</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2510</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>KADIRAH</td>
<td>`021011</td>
<td></td>
<td>`0001814565936</td>
<td>`3503054709490002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-09-1949</td>
<td>73 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2511</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>MUTINAH</td>
<td>`009220</td>
<td></td>
<td>`0001978462585</td>
<td>`3503055507610001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-07-1961</td>
<td>61 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2512</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>DEFIT NOPRIKA</td>
<td>`021010</td>
<td></td>
<td>`0000666285197</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-01-1999</td>
<td>23 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2513</td>
<td>POLI KIA</td>
<td>08-09-2022</td>
<td></td>
 <td>SITI ALIMAH</td>
<td>`003550</td>
<td>08/1637</td>
<td>`0000666167872</td>
<td>`3503057008900003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-08-1990</td>
<td>32 Th</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000468</td>
<td>TAA</td>
<td>-</td>
<td>117/71</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>48</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2514</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>YAMUTI</td>
<td>`010302</td>
<td></td>
<td>`0000666214334</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-1961</td>
 <td>61 Th</td>
<td>RT 12 RW 06</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000482</td>
<td>SAKIT GIGI</td>
<td>IBU 400 KALK</td>
<td>130/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>66</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02.0</td>
<td>
Caries limited to enamel </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2515</td>
<td>POLI KIA</td>
<td>08-09-2022</td>
<td></td>
<td>ARISKA SAPUTRI</td>
<td>`015329</td>
<td>04/2809</td>
<td>`0000666224548</td>
<td>`3503056511030001</td>
<td>`156806</td>
<td></td>
<td></td>
<td>P</td>
<td>25-11-2003</td>
<td>18 Th</td>
<td>DUSUN GEBANG, RT : 018,RW :007 </td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000469</td>
<td>DIARE</td>
 <td>-</td>
<td>115/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>65</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2516</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>RIRIN SETYOWATI</td>
<td>`021234</td>
<td></td>
<td>`0000664496109</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-09-1989</td>
<td>33 Th</td>
<td>DUSUN TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/700</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>80</td>
<td>Bodag </td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2517</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SUPARMI</td>
<td>`021254</td>
<td></td>
<td>`0000106780869</td>
<td>`3503054607650005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-05-1965</td>
<td>57 Th</td>
<td>DUSUN TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2518</td>
<td>POLI K.B</td>
<td>08-09-2022</td>
<td></td>
<td>SETIAJI</td>
<td>`021032</td>
<td>01/2092</td>
<td>`0000664922373</td>
<td>`3503051004860001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-04-1986</td>
<td>36 Th</td>
<td>DUSUN KEBONSARI, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>CPP</td>
<td>-</td>
<td>132/84</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>163</td>
<td>45</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2519</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>ASTUTIK</td>
 <td>`003391</td>
<td></td>
<td>`0000666557324</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-04-1969</td>
<td>53 Th</td>
<td>PRAMBON RT 9/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000480</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2520</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>RAFAEL ANGGA </td>
<td>`003152</td>
<td></td>
<td>`0001975775861</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-02-2011</td>
<td>11 Th</td>
 <td>PRAMBON RT 09/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000481</td>
<td>BATUK KEMBUNG</td>
<td>PAMOL ANTASID GG</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2521</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>WINARTI</td>
<td>`007578</td>
<td></td>
<td>`0000666220972</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-07-1977</td>
<td>45 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
 <td>120/75</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2522</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>SITI ASMIATUN</td>
<td>`002078</td>
<td>90/1019B</td>
<td>`0000666569305</td>
<td>`3503054107730003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1973</td>
<td>49 Th</td>
<td>RT 18 RW 07</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000456</td>
<td>KONTROL TENSI</td>
<td>AMLODIPIN </td>
<td>124/68</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>53</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
 <td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2523</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td></td>
<td>SUPARNO</td>
<td>`010397</td>
<td>90/1019 B</td>
<td>`0000666568113</td>
<td>`3503050912590001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-12-1959</td>
<td>62 Th</td>
<td>MOJO KIDUL, RT : 018,RW :007 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PETANI/PEKEBUN</td>
<td>Lama</td>
<td>131506010922Y000451</td>
<td>kepala terasa nyeri sudah 4 hari</td>
<td>asmef
bc</td>
<td>130/76</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>42</td>
<td>70</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2524</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>MESIYEM</td>
<td>`020672</td>
<td></td>
<td>`0001978462708</td>
<td>`3503055304520001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-04-1952</td>
<td>70 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/75</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>56</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2525</td>
<td>POLI MTBS</td>
<td>08-09-2022</td>
<td></td>
<td>JEHAN AZKADINA NAIRA</td>
 <td>`010005</td>
<td>01/2963</td>
<td>`0003067900356</td>
<td>`3503054603180001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-03-2018</td>
<td>4 Th</td>
<td>RT 004 RW 001</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000476</td>
<td>PANAS</td>
<td>PAMOL DOMPERIDON B6</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>90</td>
<td>15</td>
<td>15</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2526</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>ANGGITA VERA SIPENI</td>
<td>`014141</td>
<td></td>
<td>`0000194707449</td>
<td>`3503056209010001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-09-2001</td>
<td>21 Th</td>
 <td>DUSUN TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2527</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td></td>
<td>MESELAN</td>
<td>`000793</td>
<td>02/1961</td>
<td>`0000666331975</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-12-1945</td>
<td>76 Th</td>
<td>RT 11 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000450</td>
<td>kontrol</td>
<td>-</td>
 <td>130/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J44.9</td>
<td>
Chronic obstructive pulmonary disease, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2528</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>TITIK SUGIARTI</td>
<td>`012172</td>
<td></td>
<td>`0001309902153</td>
<td>`3503055808830001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-08-1983</td>
<td>39 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>52</td>
<td>85</td>
<td>Klinik Aba Husada</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2529</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>HAFIS MAULANA</td>
<td>`004185</td>
<td></td>
<td>`0002603923391</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-01-2014</td>
<td>8 Th</td>
<td>PRAMBON RT 24/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000479</td>
<td>BAYTUK</td>
<td>PAMOL GG</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>90</td>
<td>23</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2530</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SURYADI</td>
<td>`009211</td>
<td></td>
<td>`0003054474178</td>
<td>`3503052307700001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-07-1970</td>
<td>52 Th</td>
<td>TAWANG BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2531</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>TUKINI</td>
<td>`015989</td>
 <td></td>
<td>`0000665534169</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1953</td>
<td>68 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2532</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>IKA INDRAYANI</td>
<td>`021033</td>
<td>01/285A</td>
<td>`0000106502962</td>
<td>`350305</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-02-1981</td>
<td>41 Th</td>
<td>RT 04 RW 02</td>
 <td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y000461</td>
<td>PENGLIHATAN KABUR</td>
<td>RUJUKAN</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>162</td>
<td>58</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H52.5</td>
<td>
Disorders of accommodation </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2533</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>EKA SUSANTI</td>
<td>`002042</td>
<td>06/4507</td>
<td>`0000666550236</td>
<td>`3503056205800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-05-1980</td>
<td>42 Th</td>
<td>TENGGAR, RT : 6,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000478</td>
<td>SAKIT GIGI</td>
<td>IBU 400 CTM</td>
<td>120/70</td>
 <td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02.0</td>
<td>
Caries limited to enamel </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2534</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>SIH WAHYUDIATI</td>
<td>`001685</td>
<td>90/1694</td>
<td>`0000106631605</td>
<td>`3503056803750005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-03-1975</td>
<td>47 Th</td>
<td>KRAJAN, RT : 003,RW :001 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000497</td>
<td>batuk </td>
<td>cipro gg ctm dexa</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
 Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2535</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>ANDRIK SEKTIYONO</td>
<td>`009346</td>
<td>90/1353</td>
<td>`0000106861792</td>
<td>`3503121010710007</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-10-1971</td>
<td>50 Th</td>
<td>RT/RW: 23/10 DESA NGULANWETAN, RT : 23,RW :10 </td>
<td>NGULANWETAN</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>131506010922Y000475</td>
<td>PUSING PANAS BATUK PILEK</td>
<td>AMOK AMBROKSOL SYR OBH</td>
<td>100/80</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>63</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R50</td>
<td>
Fever of other and unknown origin </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2536</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SUTRI</td>
<td>`005897</td>
<td>05/2318</td>
<td>`0001978462721</td>
<td>`3503055406640001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-06-1964</td>
<td>58 Th</td>
<td>RT 1 RW 1</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2537</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td></td>
<td>RIFAN ABID AQILA RAJENDRA</td>
<td>`003593</td>
<td></td>
 <td>`0002221785641</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-02-2017</td>
<td>5 Th</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000454</td>
<td>Batuk, muntah</td>
<td>Antas, obh</td>
<td>80/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>119</td>
<td>17</td>
<td>43</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2538</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>TUMIRAH</td>
<td>`021188</td>
<td>05/3428</td>
<td>`0000666259334</td>
<td>`3503055203710002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-12-1971</td>
<td>50 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2539</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td></td>
<td>EKA ANJARWATI</td>
<td>`000300</td>
<td>06/5875</td>
<td>`0000665853276</td>
<td>`3503055103990002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-04-1999</td>
<td>23 Th</td>
<td>RT 48 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000457</td>
<td>Pusing</td>
<td>Pct, </td>
<td>98/60</td>
<td>36</td>
 <td>36</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2540</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SUPARTINI</td>
<td>`008412</td>
<td>05/4225</td>
<td>`0001978462899</td>
<td>`3503055205750003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-05-1975</td>
<td>47 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2541</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>HARINI</td>
<td>`021235</td>
<td></td>
<td>`0000106743137</td>
<td>`3503055603690002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-03-1969</td>
<td>53 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>123/75</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>80</td>
<td>58</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2542</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td></td>
<td>MISWANTO</td>
<td>`012128</td>
<td>06/3015</td>
<td>`0003067630694</td>
<td>`3503050112580002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-12-1958</td>
<td>63 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000458</td>
<td>Perut perih</td>
<td>Antas</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2543</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SUGENG</td>
<td>`018630</td>
<td>05/2683</td>
<td>`0000106743126</td>
 <td>`3503051304620001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-04-1962</td>
<td>60 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2544</td>
<td>POLI MTBS</td>
<td>08-09-2022</td>
<td></td>
<td>RANIA ALFATHUNNISA SHAQUEENA ELSHANUM</td>
<td>`021034</td>
<td>07/7563</td>
<td>`0003129997983</td>
<td>`3503054601220002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-01-2022</td>
<td>0 Th</td>
<td>RT 002 RW 002</td>
<td>SUKOREJO</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000455</td>
<td>KONTROL </td>
<td>RUJUKAN</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>50</td>
<td>8</td>
<td>8</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z09.8</td>
<td>
Follow-up examination after other treatment for other conditions </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2545</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>KATIJAH</td>
<td>`021006</td>
<td></td>
<td>`0000665464239</td>
<td>`3503054107460010</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-01-1946</td>
<td>76 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/85</td>
<td>88</td>
<td>36</td>
 <td>22</td>
<td>150</td>
<td>52</td>
<td>52</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2546</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>YUNI ASTUTI</td>
<td>`020928</td>
<td></td>
<td>`0001978462811</td>
<td>`3503055906860001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-06-1986</td>
<td>36 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>52</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2547</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SUSANTI</td>
<td>`004941</td>
<td></td>
<td>`0001978463542</td>
<td>`3503054712810001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-12-1981</td>
<td>40 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>45</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2548</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>TAMSO</td>
<td>`008287</td>
<td>05/4225</td>
<td>`0000666320859</td>
<td>`3503050505410001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-05-1941</td>
<td>81 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2549</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>DWI NUR KURNIAWAN</td>
<td>`014747</td>
<td></td>
<td>`0001978462664</td>
<td>`3503050901050001</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-01-2005</td>
<td>17 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>85</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2550</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>TIMOR ANDHI SUBAGYO</td>
<td>`020713</td>
<td></td>
<td>`0001105293262</td>
<td>`3503053009750002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-09-1975</td>
<td>47 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Tentara Nasional Indonesia (TNI)</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>52</td>
<td>85</td>
<td>Klinik Aba Husada</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2551</td>
<td>POLI GIGI</td>
<td>08-09-2022</td>
<td></td>
<td>SASYA AULIA SABRINA</td>
<td>`019808</td>
<td>08/6221</td>
<td>`0003068161301</td>
<td>`35030546031600001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-03-2016</td>
<td>6 Th</td>
<td>RT 6 RW 2</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000477</td>
<td>gigi bawah kiri i goyang</td>
<td>cabut gigi 71</td>
<td>90/60</td>
<td>90</td>
<td>36</td>
<td>24</td>
 <td>132</td>
<td>28</td>
<td>61</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2552</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>MUJARI</td>
<td>`005256</td>
<td></td>
<td>`0003054474189</td>
<td>`3503050104690003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-1969</td>
<td>53 Th</td>
<td>DUSUN KRAJAN I, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perangkat Desa</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2553</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>ERNAWATI</td>
<td>`021264</td>
<td></td>
<td>`0000665535958</td>
<td>`3503055302880001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-02-1988</td>
<td>34 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>2554</td>
<td>POLI MTBS</td>
<td>08-09-2022</td>
<td></td>
<td>ARKANA ELANO MAHARDIKA</td>
<td>`013641</td>
<td>05/4892</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-09-2021</td>
<td>1 Th</td>
<td>RT 05 RW 03</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS</td>
<td>AMOK GG MP VIT C SALBUTAMOL DEMACOLIN SYR</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>60</td>
<td>10</td>
<td>10</td>
<td></td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2555</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td></td>
<td>SITI NUR AISAH</td>
<td>`021035</td>
<td></td>
<td>`0001975810004</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>16-05-2003</td>
<td>19 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000459</td>
<td>Pusing, batuk</td>
<td>Pct, gg, ctm, vitc</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>49</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2556</td>
<td>PUSTU WINONG</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SIWUH</td>
<td>`011848</td>
<td></td>
<td>`0001037005683</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1955</td>
<td>66 Th</td>
<td>RT 09</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/80</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>157</td>
<td>44</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2557</td>
<td>POLI LANSIA</td>
<td>08-09-2022</td>
<td></td>
<td>SUMIDI</td>
<td>`020445</td>
<td>06/7412</td>
<td>`0000665806509</td>
<td>`3503053105530001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-05-1953</td>
<td>69 Th</td>
<td>SOOKO, RT : 156,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000462</td>
<td>kontrol tensi</td>
<td>furosemid</td>
<td>188/77</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>150</td>
 <td>51</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2558</td>
<td>PUSTU WINONG</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>MURTILAH</td>
<td>`013479</td>
<td></td>
<td>`0000666550901</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-08-1961</td>
<td>61 Th</td>
<td>RT 09</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>130/90</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>161</td>
<td>53</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2559</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>SUHADI</td>
<td>`000659</td>
<td>03/2286</td>
<td>`0001978447511</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-12-1970</td>
<td>51 Th</td>
<td>RT 11 RW 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000460</td>
<td>KONTROL</td>
<td>RUJUKAN</td>
<td>120/90</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>G40</td>
<td>
Epilepsy </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2560</td>
 <td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>JAYANTI SUPRIHATIN</td>
<td>`013251</td>
<td></td>
<td>`0000666042535</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-07-1986</td>
<td>36 Th</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>70</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2561</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>JARIYAH</td>
<td>`004688</td>
<td>06/5827a</td>
<td>`0000664426989</td>
<td>`3503055906820004</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>12-12-1980</td>
<td>41 Th</td>
<td>RT 52 RW 11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>53</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2562</td>
<td>PUSTU WINONG</td>
<td>08-09-2022</td>
<td></td>
<td>SAMSURI</td>
<td>`021036</td>
<td></td>
<td>`0001978467456</td>
<td>`3503051411570001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-11-1957</td>
<td>64 Th</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000470</td>
<td>keju linu</td>
<td>pred, b komplk, nadic</td>
<td>130/80</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>168</td>
<td>61</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M06.00</td>
<td>
Seronegative rheumatoid arthritis, multiple sites </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2563</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HARMINI</td>
<td>`007226</td>
<td></td>
<td>`0001707022888</td>
<td>`3502135509870001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1987</td>
<td>35 Th</td>
<td>MLOKO, RT : 163,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>110</td>
<td>36</td>
<td>20</td>
 <td>156</td>
<td>52</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2564</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUYATI</td>
<td>`013252</td>
<td></td>
<td>`0000666224155</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-08-1985</td>
<td>37 Th</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2565</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SULASMINI</td>
<td>`004610</td>
<td></td>
<td>`0000665804777</td>
<td>`3503056703890002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-03-1989</td>
<td>33 Th</td>
<td>MLOKO, RT : 164,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>56</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2566</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ROLASIH</td>
<td>`013253</td>
<td></td>
<td>`0000664465937</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-03-1988</td>
<td>34 Th</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>57</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2567</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUJI GERNINGSIH</td>
<td>`013254</td>
 <td></td>
<td>`0000666253078</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-12-1987</td>
<td>34 Th</td>
<td>RT 43</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2568</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KRISMA AYU FEBRIANI</td>
<td>`000990</td>
<td>01/2555</td>
<td>`0000665611705</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-02-2002</td>
<td>20 Th</td>
 <td>RT 24 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>57</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2569</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUTINI</td>
<td>`013255</td>
<td></td>
<td>`0002159512481</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1976</td>
<td>45 Th</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>120/80</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2570</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DIAN NINGTIANI</td>
<td>`007033</td>
<td>06/3836</td>
<td>`0000665802639</td>
<td>`3503056811980002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-11-1998</td>
<td>23 Th</td>
<td>MLOKO, RT : 163,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>52</td>
<td>82</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2571</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUWADITA ERNALASARI</td>
<td>`008924</td>
<td>06/7776</td>
<td>`0000666088479</td>
<td>`3503054706940005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-06-1994</td>
<td>28 Th</td>
<td>MLOKO, RT : 54,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>56</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2572</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUWANTI</td>
<td>`013256</td>
<td></td>
<td>`0000667041581</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-1999</td>
<td>23 Th</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2573</td>
 <td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANA NUR SETIANTI</td>
<td>`013257</td>
<td></td>
<td>`0001976022775</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-01-1987</td>
<td>35 Th</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>52</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2574</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IKA RATNAWATI</td>
<td>`010575</td>
<td>06/7761</td>
<td>`0000667130095</td>
<td>`3503054702910001</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>07-02-1991</td>
<td>31 Th</td>
<td>MLOKO, RT : 53,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2575</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KURNIASARI</td>
<td>`005191</td>
<td>06/6985</td>
<td>`0000666070299</td>
<td>`3503055107990002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-07-1999</td>
<td>23 Th</td>
<td>DUSUN MLOKO, RT : 52,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>53</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2576</td>
<td>PUSTU WINONG</td>
<td>08-09-2022</td>
<td></td>
<td>BIBIT</td>
<td>`014803</td>
<td></td>
<td>`0001037006965</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-08-1968</td>
<td>54 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>131506010922Y000471</td>
<td>mual</td>
<td>antasida, ctm, vib b</td>
<td>110/80</td>
<td>80</td>
<td>36</td>
 <td>16</td>
<td>167</td>
<td>62</td>
<td>71</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.1</td>
<td>
Other acute gastritis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2577</td>
<td>PUSTU WINONG</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>MUNTAMAH</td>
<td>`000145</td>
<td>08/5638</td>
<td>`0001037006976</td>
<td>`3503054507700002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1970</td>
<td>52 Th</td>
<td>RT 7 RW 3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>169</td>
<td>54</td>
<td>68</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2578</td>
<td>PONKESDES SUKOREJO</td>
<td>08-09-2022</td>
<td></td>
<td>SUYADI</td>
<td>`009789</td>
<td></td>
<td>`0000666930879</td>
<td>`3503051507670004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-07-1967</td>
<td>55 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000803</td>
<td>keju linu</td>
<td>amlo 5 mg, alopurinol</td>
<td>127/72</td>
<td>79</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M19.0</td>
<td>
Primary arthrosis of other joints </td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2579</td>
<td>PONKESDES SUKOREJO</td>
<td>08-09-2022</td>
<td></td>
<td>ANI SUCI RAHAYU</td>
<td>`012364</td>
<td></td>
<td>`0000666933491</td>
<td>`3503054203940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-03-1994</td>
<td>28 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000805</td>
<td>pusing,lemes</td>
<td>pamol,ttd</td>
<td>130/112</td>
<td>79</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>45</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2580</td>
<td>PONKESDES SUKOREJO</td>
<td>08-09-2022</td>
<td></td>
<td>ALFISIANNISA ARSYAFARA</td>
<td>`006604</td>
<td></td>
<td>`0003067664589</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-01-2012</td>
<td>10 Th</td>
<td>SUKOREJO TUGU TRENGGALEK</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td></td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000806</td>
<td>panas,pilek</td>
<td>pamol,vit c,ctm</td>
<td>99/61</td>
<td>95</td>
<td>36</td>
<td>24</td>
<td>142</td>
<td>32</td>
<td>56</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2581</td>
<td>PONKESDES TUMPUK</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SUPIYAN ASHARI</td>
<td>`017399</td>
<td></td>
<td>`0001978453282</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-01-1994</td>
<td>28 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/65</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2582</td>
<td>PONKESDES TUMPUK</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>EKA AYU SETIYORINI</td>
<td>`015083</td>
<td></td>
<td>`0001978452955</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-03-1997</td>
<td>25 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/64</td>
<td>76</td>
<td>36</td>
<td>20</td>
 <td>160</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2583</td>
<td>PONKESDES TUMPUK</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>KUSNUL KOTIMAH</td>
<td>`015085</td>
<td></td>
<td>`0001978453012</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-04-1987</td>
<td>35 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>52</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2584</td>
<td>PONKESDES TUMPUK</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>MASDINIKA FENDI N</td>
<td>`015086</td>
<td></td>
<td>`0001978453045</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-03-1995</td>
<td>27 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/68</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>780</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>2585</td>
<td>POLI REMAJA</td>
<td>08-09-2022</td>
<td></td>
<td>SEKAR ARUM PALUPI</td>
<td>`005766</td>
<td>04/3595</td>
<td>`0000209709224</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-04-2008</td>
<td>14 Th</td>
<td>RT 14 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000474</td>
<td>panas, batuk, pilek</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>22</td>
<td>155</td>
<td>45</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2586</td>
<td>PONKESDES TUMPUK</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>GALIH PRADANANTA</td>
<td>`015087</td>
<td></td>
<td>`0001978453091</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>24-08-1993</td>
<td>29 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/72</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>70</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2587</td>
<td>PONKESDES TUMPUK</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>CHRISDA BELLA AUSTRALIANA</td>
<td>`015893</td>
<td></td>
<td>`0001978453146</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-08-1998</td>
<td>24 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>55</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2588</td>
<td>PONKESDES TUMPUK</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>R. SUBEKTI EKO PUTRA</td>
<td>`017467</td>
<td></td>
<td>`0001978453506</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-09-1976</td>
<td>46 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>116/72</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>165</td>
 <td>60</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2589</td>
<td>PONKESDES TUMPUK</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>PUJI SETIOWATI</td>
<td>`004057</td>
<td></td>
<td>`0001978453517</td>
<td>`3503054205820006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-05-1982</td>
<td>40 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/65</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>148</td>
<td>35</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2590</td>
<td>PONKESDES TUMPUK</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>PUGUH HERMAWANTO</td>
<td>`017468</td>
<td></td>
<td>`0001978453563</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-03-1979</td>
<td>43 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/74</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2591</td>
 <td>PONKESDES TUMPUK</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>ANINDIRA BUANA INTINAN NASIHA</td>
<td>`017469</td>
<td></td>
<td>`0001978453574</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-12-2006</td>
<td>15 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2592</td>
<td>UGD</td>
<td>08-09-2022</td>
<td></td>
<td>MUHAMMAD HAZIQ FAUZAN HASIM</td>
<td>`009332</td>
<td></td>
<td>`0002735131577</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>02-03-2018</td>
<td>4 Th</td>
<td>CORAH MULYO 1/1</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000731</td>
<td>batuk sesak sejak siang</td>
<td>nebulizer</td>
<td>1/1</td>
<td>90</td>
<td>36</td>
<td>26</td>
<td>110</td>
<td>30</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J45</td>
<td>
Asthma </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pel. Penguapan saluran nafas<br> </td>
</tr>
<tr align='left' valign="top">
<td>2593</td>
<td>UGD</td>
<td>08-09-2022</td>
<td></td>
<td>BINTI ROHMATIN</td>
<td>`021207</td>
<td></td>
<td>`</td>
<td>`3503057107830003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-07-1983</td>
<td>39 Th</td>
<td>DSN KRAJAN DESA JAMBU RT 04 RW 02 KEC. TUGU, RT : 004,RW :002 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>BELUM/TIDAK BEKERJA</td>
 <td>Lama</td>
<td></td>
<td>post KLL, luka di dahi kanan,jari manis kiri, dan punggung kanan
kiri</td>
<td>rawat luka</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>65</td>
<td>80</td>
<td></td>
<td>KASUS LAMA</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Perawatan Luka sedang<br> </td>
</tr>
<tr align='left' valign="top">
<td>2594</td>
<td>UGD</td>
<td>08-09-2022</td>
<td></td>
<td>SUJI</td>
<td>`021208</td>
<td></td>
<td>`0000665089064</td>
<td>` </td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>17-04-1955</td>
<td>67 Th</td>
<td>DUSUN SOKO, RT : 11,RW :2 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>perut terasa kaku, nyeri, tidak bisa kentut, tidak bisa sendawa</td>
<td>antasid
pamol</td>
<td>140/60</td>
<td>84</td>
<td>36</td>
 <td>20</td>
<td>160</td>
<td>58</td>
<td>70</td>
<td></td>
<td>KASUS LAMA</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2595</td>
<td>UGD</td>
<td>08-09-2022</td>
<td></td>
<td>RIRIN DWI RAHAYU</td>
<td>`007832</td>
<td>04/1911</td>
<td>`0001978434336</td>
<td>`3503056411930001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-11-1993</td>
<td>28 Th</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000733</td>
<td>panas 1 hari, mual pusing</td>
<td>antasid
pamol
bc</td>
<td>110/70</td>
<td>80</td>
<td>38</td>
<td>22</td>
<td>153</td>
<td>45</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>R50</td>
<td>
 Fever of other and unknown origin </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2596</td>
<td>UGD</td>
<td>08-09-2022</td>
<td></td>
<td>DWI ADI PRAYITNO</td>
<td>`005190</td>
<td></td>
<td>`0001978443292</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-05-1992</td>
<td>30 Th</td>
<td>RT 06</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000734</td>
<td>nyeri ulu hati, mual, kembung</td>
<td>pamol
antasid
omz
cipro</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2597</td>
<td>POLI UMUM</td>
<td>08-09-2022</td>
<td></td>
<td>SEKAR ARUM PALUPI</td>
<td>`005766</td>
<td>04/3595</td>
<td>`0000209709224</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-04-2008</td>
<td>14 Th</td>
<td>RT 14 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000474</td>
<td>PANAS BATUK PILEK</td>
<td>AMOK PAMOL CTM GG DEXA VIT C</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>40</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2598</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
 <td>DAMAR</td>
<td>`002824</td>
<td></td>
<td>`0002737770074</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-08-1947</td>
<td>75 Th</td>
<td>PRAMBON RT 44</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>56</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2599</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>DAMIATI</td>
<td>`002871</td>
<td></td>
<td>`0000666269245</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>01-03-1975</td>
<td>47 Th</td>
<td>RT 44</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2600</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>MARYATI</td>
<td>`002659</td>
<td></td>
<td>`0001978490024</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-06-1974</td>
<td>48 Th</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>53</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2601</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>MUYATI</td>
<td>`002910</td>
<td></td>
<td>`0001978488235</td>
<td>`3503055302740001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-02-1974</td>
<td>48 Th</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
 <td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2602</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>ALINTANISSAU SHOFIA MIFTAKUL JANNAH</td>
<td>`002915</td>
<td>06/3015</td>
<td>`0000106646949</td>
<td>`3503054804040001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-04-2004</td>
<td>18 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>51</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2603</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>ULFA RIDHATUL MAHMUDAH</td>
<td>`002920</td>
<td></td>
<td>`0000666274904</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-05-2010</td>
<td>12 Th</td>
<td>RT 56</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>134</td>
<td>40</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2604</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>MARTINAH</td>
<td>`001152</td>
<td></td>
<td>`0000667058736</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-04-1976</td>
<td>46 Th</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>57</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2605</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>FAHRI DWI APRILIA</td>
<td>`002631</td>
<td>06/3252</td>
<td>`0002596006596</td>
 <td>`3503051904110003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-04-2011</td>
<td>11 Th</td>
<td>RT 45 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2606</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>WAGIRAH</td>
<td>`002935</td>
<td></td>
<td>`0001978489473</td>
<td>`3503054109660001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-1966</td>
<td>56 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2607</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>WINARTI</td>
<td>`002945</td>
<td></td>
<td>`0001978489822</td>
<td>`3503054508760001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-08-1976</td>
<td>46 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
 <td>86</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>51</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2608</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SINI</td>
<td>`003751</td>
<td></td>
<td>`0000666254171</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-11-1970</td>
<td>51 Th</td>
<td>DUSUN MLOKO, RT : 57,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>51</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
 <td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2609</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>PAIDJAH</td>
<td>`003764</td>
<td></td>
<td>`0002158256441</td>
<td>`3503057112530012</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1953</td>
<td>68 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2610</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SLAMET</td>
<td>`000682</td>
<td>06/5536</td>
<td>`0000666675483</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-02-1965</td>
<td>57 Th</td>
<td>RT 45 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>54</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2611</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>RENIATI</td>
<td>`013241</td>
<td></td>
<td>`0002729557642</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-01-1995</td>
<td>27 Th</td>
<td>RT RW </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/80</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>56</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2612</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KUNTARIANI</td>
<td>`005391</td>
<td>06/8647</td>
<td>`0002867872689</td>
<td>`3503054301010001</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>08-09-2000</td>
<td>22 Th</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/79</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2613</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FITRI RAHMAWATI</td>
<td>`002022</td>
<td>06/6270</td>
<td>`0001978488832</td>
<td>`3503054802970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-02-1997</td>
<td>25 Th</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
 <td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>53</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2614</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RAISYA CANTYA FARIZZA</td>
<td>`011245</td>
<td></td>
<td>`0002913088195</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-12-2019</td>
<td>2 Th</td>
<td>RT 51</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>110</td>
 <td>15</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2615</td>
<td>POLINDES PRAMBON 2</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>CLARITA AUDIYA QURROTUL FALISA</td>
<td>`013395</td>
<td></td>
<td>`0002621572481</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-12-2018</td>
<td>3 Th</td>
<td>PRAMBON RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>110</td>
<td>14</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2616</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>NUR HIDAYAH</td>
<td>`003317</td>
<td>04/4786</td>
<td>`0000666302512</td>
<td>`3503054203970004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-03-1997</td>
<td>25 Th</td>
<td>RT. 18 RW. 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>67</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2617</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>KHARISMA LAILATUSSYAHWA</td>
<td>`014944</td>
<td></td>
<td>`0000665708354</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-05-2012</td>
<td>10 Th</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>98/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>45</td>
<td>71</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2618</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>INDAH DWI ANGGRAINI</td>
<td>`010601</td>
<td>04/5938</td>
<td>`0000666104488</td>
<td>`3503054107980001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1998</td>
<td>24 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>123/78</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2619</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>LASMINAH</td>
<td>`015729</td>
<td></td>
<td>`0000666143346</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1968</td>
<td>54 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>135/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2620</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SITI MASRUROH</td>
<td>`001808</td>
<td>04/4688</td>
<td>`0000665860241</td>
<td>`3503054805950001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-05-1995</td>
<td>27 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
 <td>156</td>
<td>49</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2621</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>ANGGUN PUTRI UTAMI</td>
<td>`014857</td>
<td>04/4180</td>
<td>`0000666408036</td>
<td>`3503056404050001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-04-2005</td>
<td>17 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/76</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2622</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>HERA YULIANA</td>
<td>`002145</td>
<td></td>
<td>`0000665717635</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-07-1993</td>
<td>29 Th</td>
<td>DUSUN GERBO, RT : 16,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>120/76</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>158</td>
<td>65</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>2623</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>SEPTIANA WIJIANINGRUM</td>
<td>`013626</td>
<td>04/8703</td>
<td>`0001978432255</td>
<td>`3515134309890001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-09-1989</td>
<td>33 Th</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/78</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2624</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>BROTO</td>
<td>`004449</td>
<td></td>
<td>`0001036999888</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>05-07-1957</td>
<td>65 Th</td>
<td>RT 21 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/76</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2625</td>
<td>RAWAT INAP</td>
<td>08-09-2022</td>
<td>Rawat Inap (UGD)</td>
<td>JEHAN AZKADINA NAIRA</td>
<td>`010005</td>
<td>01/2963</td>
<td>`0003067900356</td>
<td>`3503054603180001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-03-2018</td>
<td>4 Th</td>
<td>RT 004 RW 001</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000476</td>
<td>PANAS 2 HARI, MUAL, MUNTAH, TIDAK MAU MAKAN</td>
<td>INF RL 6-7 TPM, INJ AMPICILIN 3X225 MG
INJ METO 3X03 CC, INJ ANTRAIN (EXTRA) 0,3-0,4 CC, SYR PCT 4X2 CTH </td>
<td>90/50</td>
<td>92</td>
<td>39</td>
<td>20</td>
<td>110</td>
<td>15</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td>R14</td>
<td>
Flatulence and related conditions </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pemasangan infuse<br>Konsultasi<br>Layanan Unit Gawat Darurat
(UGD)<br>Rujukan Ke RS di Trenggalek PKM Tugu<br> </td>
</tr>
<tr align='left' valign="top">
<td>2626</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td>KONSULTASI</td>
<td>MARYANTO</td>
<td>`011548</td>
<td></td>
<td>`0000666751228</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-03-1983</td>
<td>39 Th</td>
<td>PRAMBON RT 10/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
 <td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2627</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>SITI ROMELAH</td>
<td>`021037</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-09-1962</td>
<td>60 Th</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>PUSING</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2628</td>
<td>PUSTU PRAMBON</td>
<td>08-09-2022</td>
<td></td>
<td>WIJI LESTARI</td>
<td>`021038</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-09-1977</td>
<td>45 Th</td>
<td>BANARAN RT7</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>PUSING</td>
<td>IBU 400 BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>72</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2629</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TUSRINA ANGGIANI</td>
<td>`003938</td>
<td></td>
<td>`0000665916344</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-08-1989</td>
<td>33 Th</td>
<td>RT 12 RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>100/67</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2630</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARKANA PUTRA TRENGGAYANA</td>
<td>`008354</td>
<td>04/6276</td>
<td>`0003095736445</td>
<td>`3503050407210001</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-07-2021</td>
<td>1 Th</td>
<td>RT 12 RW 05</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>67/40</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>67</td>
<td>12</td>
<td>13</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2631</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FITRIAH RAHMA</td>
<td>`004507</td>
<td></td>
<td>`0001036998865</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1987</td>
<td>35 Th</td>
<td>RT 15 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/76</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>165</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2632</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANINDITA KEISHA ZAHRA</td>
<td>`003707</td>
<td></td>
<td>`0002747557361</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-11-2018</td>
<td>3 Th</td>
<td>RT 15 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>67/45</td>
<td>88</td>
<td>37</td>
<td>24</td>
 <td>121</td>
<td>23</td>
<td>27</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2633</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIJIATI</td>
<td>`007286</td>
<td>04/6004</td>
<td>`0000665848034</td>
<td>`3503054804830003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-04-1983</td>
<td>39 Th</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>120/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>167</td>
<td>65</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2634</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPRIHATIN</td>
<td>`005278</td>
<td>04/8145</td>
<td>`0002751986799</td>
<td>`3503055011810006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-11-1981</td>
<td>40 Th</td>
<td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>132/76</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>2635</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUNARTI</td>
<td>`002897</td>
<td></td>
<td>`0000665733982</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1988</td>
<td>34 Th</td>
<td>RT 12 RW 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>129/87</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>156</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2636</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIWIT MURTIANI</td>
<td>`000781</td>
<td>04/5565</td>
<td>`0001036998303</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>01-02-1988</td>
<td>34 Th</td>
<td>RT 12 RW 05</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>108/66</td>
<td>80</td>
<td>37</td>
<td>24</td>
<td>167</td>
<td>61</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2637</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SAFIYA HANA HUMAIRA</td>
<td>`013161</td>
<td></td>
<td>`0003079202297</td>
<td>`3503054403210001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-03-2021</td>
<td>1 Th</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>56/34</td>
<td>80</td>
<td>37</td>
<td>24</td>
<td>78</td>
<td>13</td>
<td>21</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2638</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RATNA KARTIKASARI</td>
<td>`013832</td>
<td></td>
<td>`0000666907806</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-05-1997</td>
<td>25 Th</td>
<td>NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>165/89</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>156</td>
 <td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2639</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUMARNI</td>
<td>`013835</td>
<td></td>
<td>`0003068057452</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-11-1983</td>
<td>38 Th</td>
<td>NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>117/67</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>166</td>
<td>60</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2640</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIJIATI</td>
<td>`015479</td>
<td></td>
<td>`0000665732259</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-03-1963</td>
<td>59 Th</td>
<td>GERBO, RT : 12,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>108/66</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2641</td>
 <td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUKAJI</td>
<td>`015540</td>
<td></td>
<td>`0000665732193</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-03-1964</td>
<td>58 Th</td>
<td>RT. 12 RW. 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>118/67</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2642</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI SUNDARI</td>
<td>`015534</td>
<td></td>
<td>`0000666209283</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>01-12-1992</td>
<td>29 Th</td>
<td>RT. 14 RW. 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>108/56</td>
<td>80</td>
<td>36</td>
<td>18</td>
<td>165</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2643</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AHZA NABILA DZAKIRA</td>
<td>`008836</td>
<td>04/2471</td>
<td>`0001978432086</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-09-2013</td>
<td>9 Th</td>
<td>RT 12 RW 05</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
 <td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>100/55</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>123</td>
<td>34</td>
<td>23</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2644</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MARYATI</td>
<td>`015539</td>
<td></td>
<td>`0000666069581</td>
<td>`3503055706840001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-06-1984</td>
<td>38 Th</td>
<td>GERBO, RT : 12,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/67</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>154</td>
<td>49</td>
 <td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2645</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ANA OKTAVIANI</td>
<td>`015535</td>
<td></td>
<td>`0000207939723</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-10-1985</td>
<td>36 Th</td>
<td>RT. 13 RW. 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Guru</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>109/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2646</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DWI KASANAH</td>
<td>`015538</td>
<td></td>
<td>`0000665842746</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-01-1989</td>
<td>33 Th</td>
<td>RT. 14 RW. 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>115/56</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2647</td>
<td>POLINDES NGEPEH</td>
 <td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRI SUNARMI</td>
<td>`002127</td>
<td></td>
<td>`0000211014742</td>
<td>`3503054208730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-08-1973</td>
<td>49 Th</td>
<td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>154/87</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>165</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2648</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AZIZAH ILVIA PUTRI</td>
<td>`005323</td>
<td></td>
<td>`0001978432481</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>27-01-1988</td>
<td>34 Th</td>
<td>RT 15 RW 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>108/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2649</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NELY PURWATI</td>
<td>`015533</td>
<td></td>
<td>`0001609744004</td>
<td>`3503054506950004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-1995</td>
<td>27 Th</td>
<td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>141/87</td>
<td>80</td>
<td>37</td>
<td>24</td>
<td>166</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2650</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPRIHATIN</td>
<td>`004258</td>
<td>04/8991</td>
<td>`0001085843136</td>
<td>`3503055008850004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-08-1985</td>
<td>37 Th</td>
<td>RT 15 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/65</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>55</td>
<td>78</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2651</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIWIN IRIANA WATI</td>
<td>`013522</td>
<td>04/1289</td>
<td>`0000665682243</td>
<td>`3503055404790001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-04-1979</td>
<td>43 Th</td>
<td>DUSUN GERBO, RT : 13,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>POSYANDU</td>
<td>-</td>
<td>116/76</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2652</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MISBAHAK</td>
<td>`013615</td>
<td></td>
<td>`0000665681578</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-12-1969</td>
<td>52 Th</td>
<td>DUSUN GERBO, RT : 13,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>POSYANDU</td>
<td>-</td>
<td>110/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2653</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>MUHAMMAD SAHRUL FADLI</td>
<td>`015839</td>
<td></td>
<td>`0000665683479</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-06-2003</td>
<td>19 Th</td>
<td>RT. 13 RW. 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/87</td>
<td>88</td>
<td>37</td>
<td>18</td>
<td>156</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2654</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>ZURKA AHMAD ZUR</td>
<td>`015840</td>
<td>04/7764</td>
<td>`0001978432097</td>
<td>`3503051102120001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>11-02-2012</td>
<td>10 Th</td>
<td>RT. 13 RW. 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/87</td>
<td>88</td>
<td>36</td>
<td>18</td>
<td>154</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2655</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>PUGUH KURNIAWAN</td>
<td>`015841</td>
<td></td>
<td>`0000665842825</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-09-1986</td>
<td>36 Th</td>
<td>RT. 14 RW. 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
 <td>POSYANDU</td>
<td>-</td>
<td>108/65</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2656</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>FARAS ALIF ARDIANSYAH</td>
<td>`015842</td>
<td></td>
<td>`0000665842869</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-02-2011</td>
<td>11 Th</td>
<td>RT. 14 RW. 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>116/57</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2657</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RANGGA WAHYUDIANTO</td>
<td>`012931</td>
<td>04/6029</td>
<td>`0001978432165</td>
<td>`3503052304130002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-04-2013</td>
<td>9 Th</td>
<td>RT 014 RW 006</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>100/56</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2658</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>QOIRIA FATMAWATI</td>
<td>`021471</td>
<td></td>
<td>`0001978432301</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-09-2000</td>
<td>22 Th</td>
<td>RT. 14 RW. 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>POSYANDU</td>
<td>-</td>
<td>125/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2659</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
 <td>EZZAR RADITYA</td>
<td>`019343</td>
<td></td>
<td>`0001978432299</td>
<td>`3503051407100001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-07-2010</td>
<td>12 Th</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>100/56</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2660</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUPRAPTI</td>
<td>`017477</td>
<td></td>
<td>`0001978432312</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-07-1972</td>
 <td>50 Th</td>
<td>RT. 14 RW. 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>127/88</td>
<td>88</td>
<td>37</td>
<td>18</td>
<td>154</td>
<td>65</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2661</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TUTIANI</td>
<td>`000623</td>
<td>04/5250</td>
<td>`0000666060715</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1971</td>
<td>51 Th</td>
<td>RT 12 RW 05</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
 <td>-</td>
<td>169/98</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>154</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2662</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BIBIT</td>
<td>`017698</td>
<td></td>
<td>`0001978432018</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-12-1953</td>
<td>68 Th</td>
<td>RT. 12 RW. 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>198/95</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>67</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2663</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SURADI</td>
<td>`016839</td>
<td></td>
<td>`0001978432007</td>
<td>`</td>
<td>`</td>
<td>SURADI</td>
<td></td>
<td>L</td>
<td>31-12-1952</td>
<td>69 Th</td>
<td>RT 12 RW 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>165/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>157</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2664</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KAMIR</td>
<td>`018599</td>
<td></td>
<td>`0000666146259</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-11-1942</td>
<td>79 Th</td>
<td>GERBO, RT : 12,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>128/78</td>
<td>88</td>
<td>37</td>
<td>18</td>
<td>155</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2665</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUKINI</td>
 <td>`012659</td>
<td>04/5565</td>
<td>`0001036998292</td>
<td>`3503054810570001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-10-1957</td>
<td>64 Th</td>
<td>GERBO, RT : 12,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>126/67</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>162</td>
<td>58</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2666</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MITUN</td>
<td>`018541</td>
<td></td>
<td>`0000665873853</td>
<td>`3503057009650001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-09-1965</td>
<td>57 Th</td>
 <td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>POSYANDU</td>
<td>-</td>
<td>124/76</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2667</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>CACA PUTRI DEWI</td>
<td>`019087</td>
<td>04/7289</td>
<td>`0003011605751</td>
<td>`3503054304160003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-04-2016</td>
<td>6 Th</td>
<td>DUSUN NGEPEH RT : 16,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001338</td>
<td>batuk pilek panas</td>
<td>pamol gg vit c</td>
 <td>90/60</td>
<td>100</td>
<td>37</td>
<td>22</td>
<td>110</td>
<td>20</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2668</td>
<td>PONKESDES TUMPUK</td>
<td>08-09-2022</td>
<td></td>
<td>MARKATIN</td>
<td>`010033</td>
<td></td>
<td>`0001978444102</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1956</td>
<td>65 Th</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001009</td>
<td>KONTROL TENSI,PUSING</td>
<td>AMLO,VIT.B.C</td>
<td>157/87</td>
<td>102</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
 <td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2669</td>
<td>PONKESDES TUMPUK</td>
<td>08-09-2022</td>
<td></td>
<td>AKHTAR</td>
<td>`021294</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-02-2022</td>
<td>0 Th</td>
<td>RT 7 RW 3</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK,PILEK,DIARE</td>
<td>PAMOL,CTM,ZINK,AMBROXOL</td>
<td>70/45</td>
<td>112</td>
<td>36</td>
<td>22</td>
<td>70</td>
<td>8.4</td>
<td>25</td>
<td></td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2670</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>SITI MARPUAH</td>
<td>`005389</td>
<td>04/5901</td>
<td>`0000666205558</td>
<td>`3503055308870001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-08-1987</td>
<td>35 Th</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001862</td>
<td>KB KONDOM</td>
<td>KONDOM</td>
<td>126/87</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.8</td>
<td>
Other contraceptive management </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2671</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>IDA ROCHAYATI</td>
<td>`000343</td>
 <td>04/4825</td>
<td>`0000666150568</td>
<td>`3503054806920001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-06-1992</td>
<td>30 Th</td>
<td>RT 18 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001863</td>
<td>KONSULTASI</td>
<td>-</td>
<td>108/66</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>48</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2672</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>ANGGA TITO ARDIANSYAH</td>
<td>`013041</td>
<td></td>
<td>`0002892564066</td>
<td>`3503051809190001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-09-2019</td>
<td>3 Th</td>
<td>RT RW </td>
 <td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001865</td>
<td>PILEK</td>
<td>SY DEMACOLIN</td>
<td>56/34</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>98</td>
<td>21</td>
<td>24</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2673</td>
<td>POLINDES NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>MARYATI</td>
<td>`021656</td>
<td></td>
<td>`0001551474573</td>
<td>`3503054908780001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-08-1978</td>
<td>44 Th</td>
<td>KRAJAN, RT : 3,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001864</td>
<td>PERUT PERIH</td>
<td>ANTASID, BC</td>
<td>118/85</td>
 <td>88</td>
<td>37</td>
<td>20</td>
<td>159</td>
<td>62</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.0</td>
<td>
Acute haemorrhagic gastritis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2674</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>SUPARMI</td>
<td>`009370</td>
<td></td>
<td>`0000211460736</td>
<td>`3503056210490001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-10-1949</td>
<td>72 Th</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001289</td>
<td>perut sebah, flu</td>
<td>loratadin antasid</td>
<td>154/60</td>
<td>83</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
 Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2675</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>SITI ZUBAIDAH</td>
<td>`002960</td>
<td></td>
<td>`0001831820872</td>
<td>`3504034712690003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-12-1969</td>
<td>52 Th</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001290</td>
<td>kontrol tensi, pusing keju</td>
<td>amlodipin nadik pamol</td>
<td>123/73</td>
<td>73</td>
<td>35</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2676</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>MUKHAMMAD RISQI PUTRA MA`ARIF</td>
<td>`013192</td>
<td>04/1445</td>
<td>`0002463854499</td>
<td>`3503052105140003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-05-2014</td>
<td>8 Th</td>
<td>RT 025 RW 011</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001291</td>
<td>batuk panas nyeri perut</td>
<td>antasid syr pamol ambroxol</td>
<td>90/60</td>
<td>100</td>
<td>37</td>
<td>22</td>
<td>110</td>
<td>25</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2677</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>MURINI</td>
<td>`003007</td>
<td></td>
 <td>`0000666092788</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-02-1956</td>
<td>66 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001292</td>
<td>vertigo</td>
<td>betahistin, becom</td>
<td>141/85</td>
<td>93</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2678</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>SUTINAH</td>
<td>`002894</td>
<td></td>
<td>`0000666050613</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-03-1978</td>
<td>44 Th</td>
<td>RT 11 RW 4</td>
<td>NGEPEH</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001293</td>
<td>cek tensi, sebah</td>
<td>amlodipin, antasid</td>
<td>132/77</td>
<td>92</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2679</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>SUKARTI</td>
<td>`011671</td>
<td></td>
<td>`0000666128621</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-06-1973</td>
<td>49 Th</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001294</td>
<td>vertigo, keju</td>
<td>betahistin nadik amlo</td>
<td>168/85</td>
<td>100</td>
 <td>35</td>
<td>20</td>
<td>156</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2680</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>KAHAR</td>
<td>`016556</td>
<td></td>
<td>`0000666128351</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-01-1971</td>
<td>51 Th</td>
<td>RT. 22 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001309</td>
<td>pusing batuk pilek</td>
<td>pamol ambroxol ctm</td>
<td>123/72</td>
<td>79</td>
<td>35</td>
<td>20</td>
<td>159</td>
<td>62</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
 <td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2681</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>MITUN</td>
<td>`018541</td>
<td></td>
<td>`0000665873853</td>
<td>`3503057009650001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-09-1965</td>
<td>57 Th</td>
<td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001310</td>
<td>keju</td>
<td>nadik BC</td>
<td>132/62</td>
<td>82</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2682</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>WAGINEM</td>
<td>`003699</td>
<td></td>
<td>`0001978432402</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-08-1971</td>
<td>51 Th</td>
<td>RT 15 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001311</td>
<td>sesak batuk</td>
<td>salbu dexa ambroxol</td>
<td>118/72</td>
<td>110</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R06.0</td>
<td>
Dyspnoea </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2683</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>MOETINAH</td>
<td>`010672</td>
<td></td>
<td>`0000111352847</td>
 <td>`3503054809420001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-09-1942</td>
<td>80 Th</td>
<td>DUSUN GERBO, RT : 13,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001312</td>
<td>gatal</td>
<td>deksa ctm</td>
<td>125/88</td>
<td>91</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2684</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>PAITUN</td>
<td>`005313</td>
<td></td>
<td>`0000665879343</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-12-1954</td>
<td>67 Th</td>
<td>RT 13 RW 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001313</td>
<td>batuk, keju</td>
<td>gg amlo bc nadik</td>
<td>148/90</td>
<td>78</td>
<td>35</td>
<td>20</td>
<td>154</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2685</td>
<td>PUSTU NGEPEH</td>
<td>08-09-2022</td>
<td></td>
<td>KADIONO</td>
<td>`008760</td>
<td></td>
<td>`0000106553158</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-01-1967</td>
<td>55 Th</td>
<td>RT 15</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y001314</td>
<td>gula tinggi</td>
<td>gliben</td>
<td>128/72</td>
<td>96</td>
<td>35</td>
 <td>20</td>
<td>160</td>
<td>62</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2686</td>
<td>RAWAT INAP</td>
<td>08-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>SURAJI</td>
<td>`021039</td>
<td></td>
<td>`</td>
<td>`3503053112400048-412553</td>
<td>`47373</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1940</td>
<td>81 Th</td>
<td>DUSUN KRAJAN, RT : 003,RW :001 </td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PETANI/PEKEBUN</td>
<td>Baru</td>
<td></td>
<td>px mengatakan batuk 1 minggu, sesak,panas 1 minggu</td>
<td>inf RL 20 tpm, inj. ranitidin 2x1, inj. dexa 2x1, cipro 2x1, pamol 3x1,
salbu 3x1, GG 3x1, Gliben 1x1, metformin 2x1, amlo 10 mg 1x1, glimepirid 1x1</td>
<td>160/80</td>
<td>92</td>
<td>36</td>
<td>32</td>
<td>165</td>
<td>54</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J44</td>
<td>
Other chronic obstructive pulmonary disease </td>
 <td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum per
hari<br>Pemasangan infuse<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Biaya
rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum per hari<br>Biaya
rawat inap pasien umum per hari<br> </td>
</tr>
<tr align='left' valign="top">
<td>2687</td>
<td>RAWAT INAP</td>
<td>09-09-2022</td>
<td>Rawat Inap (UGD)</td>
<td>TRISNO UTOMO</td>
<td>`020495</td>
<td></td>
<td>`0000543890777</td>
<td>`3305263112470007</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1947</td>
<td>74 Th</td>
<td>RT 4 RW 1</td>
<td>KEDUNGWARU</td>
<td>KARANGSAMBUNG</td>
<td>KEBUMEN</td>
<td>JAWA TENGAH</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td>PANAS 1 HARI, MUNTAH KECOKLATAN, SESAK</td>
<td>INF RL 6-7 TPM
OKSIGEN 3-4 L/MNT
EKG</td>
<td>90/50</td>
<td>45</td>
<td>39</td>
<td>36</td>
<td>150</td>
<td>35</td>
<td>0</td>
<td>dr. Nita Ariani Safitri</td>
<td>KASUS BARU</td>
<td>A41</td>
<td>
Other sepsis </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Rujukan Ke RS di Trenggalek PKM Tugu<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Layanan Unit Gawat Darurat (UGD)<br>EKG<br> </td>
</tr>
<tr align='left' valign="top">
<td>2688</td>
<td>RAWAT INAP</td>
<td>09-09-2022</td>
<td>Rawat Inap (UGD)</td>
<td>ABHIRAMA NIRWANA</td>
<td>`021063</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-04-2004</td>
<td>18 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PX PANAS 4 HARI, BATUK, PILEK, PUSING</td>
<td>AMOX 3X1
PCT 3X1
GG 3X1
CTM 3X1
BC 1X1
VIT C 1X1
</td>
<td>120/70</td>
<td>95</td>
<td>38</td>
<td>20</td>
<td>155</td>
<td>52</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
 <td>
Layanan Unit Gawat Darurat (UGD)<br>Pemasangan infuse<br>Tindakan medis
ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>2689</td>
<td>RAWAT INAP</td>
<td>09-09-2022</td>
<td>Rawat Inap (UGD)</td>
<td>KABIBATULROHMAN</td>
<td>`021064</td>
<td></td>
<td>`0000665874933</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1988</td>
<td>33 Th</td>
<td>RT 27 RW7</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>POST KLL , PUSING, MUNTAH, LUKA ROBEK DI KEPALA BELAKANG 4 CM, HEMATOMA,
NYERI BAHU KANAN</td>
<td>INF RL 20 TPM
RUJUK RSUD</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pemasangan infuse<br>Jahit luka lebih
dari 6-10 jahitan per lokasi<br>Rujukan Ke RS di Trenggalek PKM
Tugu<br>Konsultasi<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>2690</td>
 <td>RAWAT INAP</td>
<td>09-09-2022</td>
<td>Rawat Inap (UGD)</td>
<td>MUSALI</td>
<td>`021065</td>
<td></td>
<td>`</td>
<td>`3503050310610001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-10-1961</td>
<td>60 Th</td>
<td>DUSUN PONGGOK, RT : 21,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>PX DATANG DG KELUHAN PUSING BERPUTAR, MUAL, MUNTAH</td>
<td>INF RL 20 TTS/MNT
INJ ANTRAIN 3X1
INJ RANITIDIN 2X1
INJ METO 3X1
INJ FUROSEMID 1X1
OS AMLODIPIN 1X10 MG
OS BETAHISTIN 3X1
OS ANTASIDA 3X1
</td>
<td>230/110</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>80</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>I63.9</td>
<td>
Cerebral infarction, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Rujukan Ke RS di Trenggalek PKM
Tugu<br>Pemasangan infuse<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Pemasangan oksigen/jam<br> </td>
</tr>
<tr align='left' valign="top">
<td>2691</td>
 <td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>WINATUN</td>
<td>`011569</td>
<td></td>
<td>`0000666868241</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-05-1955</td>
<td>67 Th</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>134/87</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>46</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2692</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>TARMUJI</td>
<td>`014954</td>
<td></td>
<td>`0000666100798</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>17-03-1974</td>
<td>48 Th</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>143/76</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>168</td>
<td>64</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2693</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>GONO</td>
<td>`015937</td>
<td></td>
<td>`0000665653522</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-04-1962</td>
<td>60 Th</td>
<td>RT. 19 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
 <td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/78</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2694</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>NYITMI</td>
<td>`004494</td>
<td></td>
<td>`0002158255978</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-04-1953</td>
<td>69 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/76</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>48</td>
 <td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2695</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>MUDA NUR AWALUDIN</td>
<td>`014369</td>
<td></td>
<td>`0000665622832</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-05-1983</td>
<td>39 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/76</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>65</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2696</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>MARJI</td>
<td>`017598</td>
<td></td>
<td>`0000665102024</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-03-1958</td>
<td>64 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>135/88</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>60</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2697</td>
<td>PUSTU NGEPEH</td>
 <td>09-09-2022</td>
<td>KONSULTASI</td>
<td>EMI SUGIARTI</td>
<td>`016505</td>
<td></td>
<td>`0000666298449</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-04-1982</td>
<td>40 Th</td>
<td>RT 10 RW 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>120/76</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>62</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2698</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>DENI MALIK FAJAR</td>
<td>`017605</td>
<td></td>
<td>`0000666153358</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>09-03-2003</td>
<td>19 Th</td>
<td>RT 18 NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>120/76</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>167</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2699</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>BINTI IMROATUS SANGADAH</td>
<td>`013111</td>
<td></td>
<td>`0000666153099</td>
<td>`3503057110970004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-10-1997</td>
<td>24 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
 <td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/68</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>48</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2700</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SUYADI</td>
<td>`016204</td>
<td></td>
<td>`0000666108977</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-09-1943</td>
<td>79 Th</td>
<td>RT 21 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>145/76</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>64</td>
<td>87</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2701</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>MISILAH</td>
<td>`016214</td>
<td></td>
<td>`0000666304312</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-08-1969</td>
<td>53 Th</td>
<td>RT 10 RW4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>123/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>46</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2702</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>JUMADI</td>
<td>`001990</td>
<td>04/5953</td>
<td>`0000666304211</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-07-1968</td>
<td>54 Th</td>
<td>RT 10 RW 04</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>135/78</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>63</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2703</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
 <td>KONSULTASI</td>
<td>MARJUNI</td>
<td>`008204</td>
<td></td>
<td>`0002802748511</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-07-1954</td>
<td>68 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>128/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>54</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2704</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>MUSALAM</td>
<td>`017616</td>
<td></td>
<td>`0000665923792</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>10-04-1954</td>
<td>68 Th</td>
<td>RT 9 RW 3 NGLEGOK</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>134/78</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>67</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2705</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SUKIDI</td>
<td>`017630</td>
<td></td>
<td>`0000666203613</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-06-1945</td>
<td>77 Th</td>
<td>RT 8 RW 3 NGLEGOK</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
 <td>konseling</td>
<td>-</td>
<td>140/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2706</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>KAWIT</td>
<td>`017633</td>
<td></td>
<td>`0000665661238</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-11-1948</td>
<td>73 Th</td>
<td>RT 11 RW 4 NGLEGOK</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>132/76</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2707</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>JANAM</td>
<td>`017317</td>
<td></td>
<td>`0000665734173</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-08-1948</td>
<td>74 Th</td>
<td>RT 24 RW 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>132/87</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>163</td>
<td>65</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2708</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>IMAM MUDHORI</td>
<td>`015399</td>
<td></td>
<td>`0002802748623</td>
<td>`3503051109730001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-09-1973</td>
<td>49 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>136/76</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2709</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
 <td>PARDAN</td>
<td>`016761</td>
<td></td>
<td>`0000666210363</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-10-1972</td>
<td>49 Th</td>
<td>RT. 19 RW. 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>110/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2710</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SUMARTIN</td>
<td>`005991</td>
<td></td>
<td>`0002014089669</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-04-1983</td>
 <td>39 Th</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
<td>-</td>
<td>122/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2711</td>
<td>PUSTU NGEPEH</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>MARJUDI</td>
<td>`006125</td>
<td></td>
<td>`0000666155711</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-12-1958</td>
<td>63 Th</td>
<td>RT 11 RW 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>konseling</td>
 <td>-</td>
<td>143/87</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2712</td>
<td>PUSTU PRAMBON</td>
<td>09-09-2022</td>
<td></td>
<td>SUMARNO</td>
<td>`001255</td>
<td></td>
<td>`0000666525429</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-08-1956</td>
<td>66 Th</td>
<td>PRAMBON RT 03/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000491</td>
<td>PUSING</td>
<td>IBU 400 BC</td>
<td>140/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2713</td>
<td>UGD</td>
<td>09-09-2022</td>
<td></td>
<td>LULUK WIJAYANTI</td>
<td>`021043</td>
<td>90/2295</td>
<td>`</td>
<td>`3503054606070001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-06-2007</td>
<td>15 Th</td>
<td>JAMBU, RT : 023,RW :008 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>LUKA BABRAS PADA LUTUT KANAN</td>
<td>RAWAT LUKA AMOK PAMOL</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>60</td>
<td>Pucanganak</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2714</td>
<td>POLI LANSIA</td>
<td>09-09-2022</td>
<td></td>
<td>SLAMET</td>
<td>`020757</td>
<td>05/3077</td>
<td>`0000666296098</td>
<td>`3503050602600001</td>
<td>`</td>
<td>slamet</td>
<td></td>
<td>L</td>
<td>06-02-1960</td>
<td>62 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000529</td>
<td>KONTROL HERPES MULAI KERING</td>
<td>ACYCLOFIR VIT D BC ASMEF</td>
<td>137/78</td>
<td>104</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>57</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>B02.8</td>
<td>
Zoster with other complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2715</td>
<td>POLI LANSIA</td>
<td>09-09-2022</td>
<td></td>
<td>SUTAJI</td>
 <td>`002200</td>
<td>01/535</td>
<td>`0001037002588</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-12-1949</td>
<td>72 Th</td>
<td>RT 10 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000535</td>
<td>PUSING CEKOT CEKOT MRIANG BATUK MUAL</td>
<td>PAMOL GG ANTASIDA CTM</td>
<td>135/63</td>
<td>76</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>54</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2716</td>
<td>POLI LANSIA</td>
<td>09-09-2022</td>
<td></td>
<td>MARJITO</td>
<td>`010424</td>
<td>07/750</td>
<td>`0001978438847</td>
<td>`3503052010570003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-10-1957</td>
<td>64 Th</td>
 <td>DUSUN KRAJAN, RT : 10,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000498</td>
<td>RUJUK BALIK</td>
<td>AMLODIPIN 10MG 1X1 (30)
BISOPROLOL 5MG 1X1 (30)
SPIRONOLACTON 25MG 1X1 (30)
VIT B12 1X1 (30)</td>
<td>112/63</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>40</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I50</td>
<td>
Heart failure </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2717</td>
<td>POLI LANSIA</td>
<td>09-09-2022</td>
<td></td>
<td>SUPARNO</td>
<td>`006284</td>
<td>04/1658</td>
<td>`0000106882694</td>
<td>`3503053103540001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-03-1954</td>
<td>68 Th</td>
<td>RT 5 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
 <td>131506010922Y000499</td>
<td>KONTROL</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>53</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>C18.7</td>
<td>
Malignant neoplasm of sigmoid colon </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2718</td>
<td>POLI MTBS</td>
<td>09-09-2022</td>
<td></td>
<td>SHAKILA ANANDA AGUSTIN</td>
<td>`021044</td>
<td>90/2728</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-08-2019</td>
<td>3 Th</td>
<td>RT 22 RW 08</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>PANAS BATUK PILEK</td>
<td>RAWAT INAP</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>105</td>
<td>12</td>
<td>15</td>
 <td></td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2719</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>AMIRAH</td>
<td>`001231</td>
<td>06/6813</td>
<td>`0000665908841</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-12-1963</td>
<td>58 Th</td>
<td>PRAMBON RT 36/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000523</td>
<td>GATAL DI TANGAN</td>
<td>LORATADIN PREDNISON ASMEF SALEP BETASON DIMEN ANTASIDA</td>
<td>155/82</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L02.9</td>
<td>
Cutaneous abscess, furuncle and carbuncle, unspecified </td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
 </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2720</td>
<td>POLI GIGI</td>
<td>09-09-2022</td>
<td></td>
<td>ANJAR ROHMAH RM</td>
<td>`004147</td>
<td>07/5447</td>
<td>`0001978435473</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-10-2000</td>
<td>21 Th</td>
<td>RT 100 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000501</td>
<td>gigi bawah kanan sakit bengkak 46</td>
<td>obat </td>
<td>120/70</td>
<td>90</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>49</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.4</td>
<td>
Disturbances in tooth formation </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2721</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
 <td></td>
<td>ANIS FATIMATUS ZAHRO</td>
<td>`020441</td>
<td>01/2991</td>
<td>`0001438973853</td>
<td>`3503055404900002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-04-1990</td>
<td>32 Th</td>
<td>RT 8 RW 3</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000540</td>
<td>KONTROL ISK</td>
<td>PREDNISON ALLOPURINOL ASMEF BC</td>
<td>127/89</td>
<td>118</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>49</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N39.9</td>
<td>
Disorder of urinary system, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2722</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>SULAIMAH</td>
<td>`021045</td>
<td>02/631</td>
<td>`</td>
<td>`3503056010700002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>20-10-1970</td>
<td>51 Th</td>
<td>RT 05 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Baru</td>
<td></td>
<td> NYERI PERUT SAMPAI PUNGGUNG</td>
<td>PAMOL OMEPRZOLE RANITIDIN SUKRALFAT SYR</td>
<td>127/77</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>66</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2723</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>NURMA YULITA SARI</td>
<td>`021046</td>
<td>01/1916</td>
<td>`</td>
<td>`3503055507000001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-07-2000</td>
<td>22 Th</td>
<td>DUSUN KEBON, RT : 34,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
 <td>BATUK PILEK PUSING</td>
<td>AMOK ASMEF AMBROKSOL MP CTM RANITIDIN</td>
<td>100/66</td>
<td>106</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>50</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2724</td>
<td>POLI LANSIA</td>
<td>09-09-2022</td>
<td></td>
<td>WARAS</td>
<td>`011318</td>
<td>03/218</td>
<td>`0001978443729</td>
<td>`3503053112590001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1959</td>
<td>62 Th</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000525</td>
<td>telinga terasa penuh,pendengaran menurun,</td>
<td>phenol gliserin ,amlo10mg </td>
<td>184/85</td>
<td>60</td>
<td>36</td>
<td>22</td>
<td>170</td>
<td>72</td>
<td>98</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>H61.2</td>
<td>
Impacted cerumen </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2725</td>
<td>PUSTU PRAMBON</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>AHMAD RUBIANTO</td>
<td>`004965</td>
<td></td>
<td>`0002681898985</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-11-2001</td>
<td>20 Th</td>
<td>PRAMBON RT 29/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2726</td>
<td>PUSTU PRAMBON</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>AQLAN HARITH RIDAUDDIN</td>
<td>`002468</td>
<td>06/4219</td>
<td>`0002903501013</td>
<td>`3503052510190001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-10-2019</td>
<td>2 Th</td>
<td>RT 31 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>80</td>
<td>14</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2727</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
 <td>YULIANA KUSUMA DEWI</td>
<td>`021047</td>
<td>06/5526</td>
<td>`</td>
<td>`3503055707980001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-07-1998</td>
<td>24 Th</td>
<td>RT 52 RW 11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>PUSING BERPUTAR</td>
<td>OMEPRAZOLE PAMOL DIMENHIDRINAT BETAHISTIN BC FE</td>
<td>162/109</td>
<td>97</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>101</td>
<td>90</td>
<td></td>
<td>KASUS BARU</td>
<td>H81.3</td>
<td>
Other peripheral vertigo </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2728</td>
<td>PUSTU PRAMBON</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>RAHMAT AFANDI</td>
<td>`002033</td>
<td></td>
<td>`0000665893776</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-04-2003</td>
 <td>19 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2729</td>
<td>UGD</td>
<td>09-09-2022</td>
<td></td>
<td>SHAKILA ANANDA AGUSTIN</td>
<td>`021044</td>
<td>90/2728</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-08-2019</td>
<td>3 Th</td>
<td>RT 22 RW 08</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS BATUK PILEK</td>
 <td>RAWAT INAP</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>105</td>
<td>12</td>
<td>15</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2730</td>
<td>PUSTU PRAMBON</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>KOYO WIDIANTORO</td>
<td>`011425</td>
<td></td>
<td>`0000665892966</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-06-1970</td>
<td>52 Th</td>
<td>PRAMBON RT 14</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2731</td>
<td>POLI MTBS</td>
<td>09-09-2022</td>
<td></td>
<td>AYUNIA RISMA AINAYYA</td>
<td>`013196</td>
<td>04/1445</td>
<td>`0002463834295</td>
<td>`3503054512170002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-12-2017</td>
<td>4 Th</td>
<td>RT 025 RW 011</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000521</td>
<td>BATUK PILEK PANAS</td>
<td>AMOK MP GG VIT C CTM SALBUTAMOL PCT</td>
<td>1/1</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>105</td>
<td>14</td>
<td>15</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2732</td>
<td>POLI REMAJA</td>
<td>09-09-2022</td>
<td></td>
<td>GLADINA MAJDA IZZATI</td>
<td>`012817</td>
<td>01/3149</td>
<td>`0001539358795</td>
<td>`3503056208090002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-08-2009</td>
<td>13 Th</td>
<td>RT 19 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000522</td>
<td>PANAS BATUK</td>
<td>AMOK PAMOL MP VIT C AMBROKSOL</td>
<td>90/55</td>
<td>137</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>51</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2733</td>
<td>PONKESDES TUMPUK</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SITI AMINAH</td>
 <td>`020377</td>
<td></td>
<td>`0001978453664</td>
<td>`3503054112560001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1956</td>
<td>65 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Industri</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/65</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2734</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>RADIFTA HAFIS SAPUTRA</td>
<td>`000854</td>
<td>06/6429</td>
<td>`0002251645029</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-05-2017</td>
<td>5 Th</td>
 <td>PRAMBON RT 18</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000543</td>
<td>BATUK KONTROL POST OPNAME</td>
<td>TERAPI DILANJUTKAN</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>110</td>
<td>17</td>
<td>20</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2735</td>
<td>PONKESDES TUMPUK</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>FATIMAH WIJAYANTI</td>
<td>`000372</td>
<td>03/2214</td>
<td>`0001978453675</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-06-1992</td>
<td>30 Th</td>
<td>RT 04 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>110/68</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2736</td>
<td>PONKESDES TUMPUK</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>ABU NASIR</td>
<td>`010554</td>
<td></td>
<td>`0001978453686</td>
<td>`3503050102550002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-02-1955</td>
<td>67 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2737</td>
<td>PONKESDES TUMPUK</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>YATINAH</td>
<td>`010320</td>
<td>03/4929</td>
<td>`0001978453697</td>
<td>`3503054410630001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-01-1963</td>
<td>59 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>125/72</td>
<td>74</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>2738</td>
<td>POLI GIGI</td>
<td>09-09-2022</td>
<td></td>
<td>HALIM RAFFA ALFIANO</td>
<td>`021049</td>
<td>01/6313</td>
<td>`0002215886657</td>
<td>`9202121408150001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-08-2015</td>
<td>7 Th</td>
<td>RT 04 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000503</td>
<td>GIGI BAWAH KANAN KESUNDULAN</td>
<td>extracsi gigi 71</td>
<td>90/60</td>
<td>89</td>
<td>375</td>
<td>25</td>
<td>132</td>
<td>31</td>
<td>63</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2739</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>HALIM RAFFA ALFIANO</td>
<td>`021049</td>
 <td>01/6313</td>
<td>`0002215886657</td>
<td>`9202121408150001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-08-2015</td>
<td>7 Th</td>
<td>RT 04 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000541</td>
<td>BATUK PILEK SUMER</td>
<td>AMOK MP AMBROKSOL CTM VIT C SALBUTAMOL</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>10</td>
<td>10</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2740</td>
<td>PUSTU PRAMBON</td>
<td>09-09-2022</td>
<td></td>
<td>TUMILAH</td>
<td>`003799</td>
<td></td>
<td>`0001037004118</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-01-1963</td>
<td>59 Th</td>
<td>BANARAN RT 6/3</td>
 <td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000500</td>
<td>BATUK SESAK</td>
<td>GG CTM SALBUTAMOL</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45</td>
<td>
Asthma </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2741</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>YATMIATI</td>
<td>`000261</td>
<td>08/5687</td>
<td>`</td>
<td>`3503055703750001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-01-1970</td>
<td>52 Th</td>
<td>RT 02 RW 01</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>NYERI ULU HATI</td>
<td>RANITIDIN BC</td>
<td>129/69</td>
 <td>92</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>45</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2742</td>
<td>POLI KIA</td>
<td>09-09-2022</td>
<td></td>
<td>WULAN INDAH SARI</td>
<td>`018995</td>
<td>01/2374</td>
<td>`0001724489717</td>
<td>`3503057007950002</td>
<td>`</td>
<td></td>
<td>087894108935</td>
<td>P</td>
<td>30-07-1995</td>
<td>27 Th</td>
<td>GONDANG </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000506</td>
<td>HIDUNG MELER </td>
<td>-</td>
<td>114/63</td>
<td>98</td>
<td>36</td>
<td>22</td>
<td>159</td>
<td>57</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z34.9</td>
<td>
 Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2743</td>
<td>POLI LANSIA</td>
<td>09-09-2022</td>
<td></td>
<td>PARMI</td>
<td>`000049</td>
<td>04/3761</td>
<td>`0002867872724</td>
<td>`3503056701530001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-01-1953</td>
<td>69 Th</td>
<td>RT 19 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000528</td>
<td>CEK GULA PUASA PUSING CEKOT CEKOT MATA GATAL,KAKI NYERI ,PERUT NYERI</td>
<td>PAMOL GLIBEN AMLO 10MG ,CTM </td>
<td>170/94</td>
<td>97</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>62</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2744</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>YUHANA ISTIKOMAH</td>
<td>`009533</td>
<td>06/4631</td>
<td>`</td>
<td>`3503054507020003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-07-2002</td>
<td>20 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000508</td>
<td>MERIANG PUSING BATUK PILEK</td>
<td>CIPRO ASMEF DEXA GG VIT C</td>
<td>115/67</td>
<td>113</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>59</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2745</td>
<td>POLI REMAJA</td>
<td>09-09-2022</td>
<td></td>
<td>KAYYSA LATIFA VEERUBY</td>
<td>`021050</td>
<td>06/4631</td>
 <td>`0002190269103</td>
<td>`3503057006080002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-06-2008</td>
<td>14 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000505</td>
<td>PUSING MERIANG BATUK PILEK NYERI TENGGOROKAN</td>
<td>AMOK PCT MP AMBROKSOL VIT C</td>
<td>116/66</td>
<td>72</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>52</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2746</td>
<td>POLI LANSIA</td>
<td>09-09-2022</td>
<td></td>
<td>SUTINI</td>
<td>`011295</td>
<td>05/3000</td>
<td>`0001978463463</td>
<td>`3503055802500001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-02-1950</td>
<td>72 Th</td>
<td>RT 04 RW 02</td>
<td>BANARAN</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000502</td>
<td>KONTROL</td>
<td>-</td>
<td>150/80</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>47</td>
<td>74</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2747</td>
<td>PUSTU WINONG</td>
<td>09-09-2022</td>
<td></td>
<td>FATHUR ROKHIM</td>
<td>`018510</td>
<td></td>
<td>`0000666129914</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-10-1982</td>
<td>39 Th</td>
<td>DUSUN SANGGRAHAN, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000537</td>
<td>batuk, pilek</td>
<td>ctm, b komplek, ambroxol</td>
<td>100/70</td>
<td>80</td>
 <td>36</td>
<td>16</td>
<td>169</td>
<td>63</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2748</td>
<td>POLI LANSIA</td>
<td>09-09-2022</td>
<td></td>
<td>TUMINI</td>
<td>`020494</td>
<td>01/4299</td>
<td>`0002212044772</td>
<td>`3503055509510001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1951</td>
<td>71 Th</td>
<td>DUSUN GONDANG KIDUL, RT : 12,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>131506010922Y000531</td>
<td>TELINGA GEMRUBUK KADANG PUSING PENDENGARAN BERKURANG</td>
<td>PAMOL VIT D</td>
<td>148/61</td>
<td>71</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>57</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H91.9</td>
<td>
Hearing loss, unspecified </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2749</td>
<td>POLI K.B</td>
<td>09-09-2022</td>
<td></td>
<td>IKA TRISNAWATI</td>
<td>`018761</td>
<td>08/5802</td>
<td>`0002016453183</td>
<td>`3503057105870005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-05-1987</td>
<td>35 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922P001158</td>
<td>SUNTIK</td>
<td>-</td>
<td>115/74</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Istirohmawati,S.S.T. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2750</td>
<td>PUSTU WINONG</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>BIRROTUL PAIDAH</td>
<td>`018511</td>
<td></td>
<td>`0000666129982</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-07-1991</td>
<td>31 Th</td>
<td>DUSUN SANGGRAHAN, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>157</td>
<td>51</td>
<td>68</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2751</td>
<td>POLI GIGI</td>
<td>09-09-2022</td>
<td></td>
<td>MULYONO</td>
<td>`020814</td>
<td>01/6044</td>
<td>`</td>
 <td>`3503053003750004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-03-1975</td>
<td>47 Th</td>
<td>RT9 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td>kontrol gigi 23</td>
<td> tumpatan tetap</td>
<td>130/90</td>
<td>93</td>
<td>36</td>
<td>25</td>
<td>162</td>
<td>78</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2752</td>
<td>POLI GIGI</td>
<td>09-09-2022</td>
<td></td>
<td>ZIDNA FAHMA MAZAYYA</td>
<td>`004815</td>
<td>01/454</td>
<td>`0002423115472</td>
<td>`3503055209160001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-2016</td>
<td>6 Th</td>
<td>DUSUN KALIPINGGIR, RT : 18,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000509</td>
<td>gigi rahang bawah depan kesundulan</td>
<td>extractie 81</td>
<td>100/60</td>
<td>87</td>
<td>35</td>
<td>24</td>
<td>132</td>
<td>31</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2753</td>
<td>POLI KIA</td>
<td>09-09-2022</td>
<td></td>
<td>TITIN SULISTIYANI</td>
<td>`007936</td>
<td>01/454</td>
<td>`0002084359421</td>
<td>`3503057012860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1986</td>
<td>35 Th</td>
<td>RT 18 RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2754</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>EKSA KARUNIA MULYANA</td>
<td>`009931</td>
<td>04/5084</td>
<td>`0002802766048</td>
<td>`3503053101110001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-01-2011</td>
<td>11 Th</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000536</td>
<td>PANAS BATUK PILEK PUSING</td>
<td>PAMOL AMOK AMBROKSOL MP</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>36</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2755</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>WIWIT WAHYUNI</td>
<td>`011974</td>
<td>04/5084</td>
<td>`0000665632091</td>
<td>`3503054308870001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-08-1987</td>
<td>35 Th</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000538</td>
<td>MUAL, MRIANG, BATUK,PILEK</td>
<td>PAMOL, AMOX, OMZ, METILPRED, OBH SY, GG</td>
<td>115/69</td>
<td>101</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>68.9</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2756</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>EKO SUSANTO</td>
<td>`017349</td>
<td>04/5084</td>
<td>`0000665631843</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-06-1982</td>
<td>40 Th</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000539</td>
<td>MERIANG BATUK PILEK</td>
<td>CIPRO GG CTM DEXA</td>
<td>135/79</td>
<td>83</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>82</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2757</td>
<td>POLI LANSIA</td>
<td>09-09-2022</td>
<td></td>
<td>MARSIDI</td>
<td>`005047</td>
<td>02/01</td>
<td>`0000665814104</td>
<td>`3503050705590001</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-05-1959</td>
<td>63 Th</td>
<td>RT 11 RW 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000533</td>
<td>BATUK KONTROL OBAT HABIS KAKI BENGKAK</td>
<td>ALLOPURINOL NADIC,OBH SY</td>
<td>143/75</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>76</td>
<td>99</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2758</td>
<td>PUSTU WINONG</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>WAHID BAHA`UDIN</td>
<td>`018512</td>
<td></td>
<td>`0000666130162</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-04-2008</td>
<td>14 Th</td>
<td>DUSUN SANGGRAHAN, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/80</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>49</td>
<td>61</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2759</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>FAVIAN ILYAS CAHYANA</td>
<td>`005948</td>
<td>05/5721</td>
<td>`0001707122834</td>
<td>`3503052410110002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-10-2011</td>
<td>10 Th</td>
<td>RT 05 RW 03</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000514</td>
<td>BATUK PILEK</td>
<td>GG CTM MP BC</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
 <td>125</td>
<td>20</td>
<td>20</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2760</td>
<td>POLI MTBS</td>
<td>09-09-2022</td>
<td></td>
<td>ATTALARIC ZAKARIA CAHYANA</td>
<td>`020432</td>
<td>05/5721</td>
<td>`0003284262314</td>
<td>`3503050601220002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-01-2022</td>
<td>0 Th</td>
<td>RT 005 RW 003</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000513</td>
<td>BATUK PILEK</td>
<td>AMOK MP GG CTM SALBUTAMOL</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>50</td>
<td>7</td>
<td>8</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2761</td>
<td>PUSTU WINONG</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>MULYONO</td>
<td>`016687</td>
<td></td>
<td>`0001978464396</td>
<td>`3503051606700003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-03-1967</td>
<td>55 Th</td>
<td>DUSUN BANGGLE, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>53</td>
<td>165</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>2762</td>
<td>POLI LANSIA</td>
<td>09-09-2022</td>
<td></td>
<td>ASROF</td>
<td>`009972</td>
<td>02/1132</td>
<td>`0000666357153</td>
<td>`3503053112450023</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1945</td>
<td>76 Th</td>
<td>DUSUN ETAN KALI, RT : 23,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000507</td>
<td>KONTROL POLI PARU</td>
<td>-</td>
<td>112/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>35</td>
<td>70</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>J44.9</td>
<td>
Chronic obstructive pulmonary disease, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2763</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>SUPARTINI</td>
<td>`008412</td>
<td>05/4225</td>
<td>`0001978462899</td>
<td>`3503055205750003</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>12-05-1975</td>
<td>47 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000534</td>
<td>BATUK NYERI TENGGOROKAN</td>
<td>AMBROKSOL PCT AMBROKSOL</td>
<td>151/84</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>63</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J03.9</td>
<td>
Acute tonsillitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2764</td>
<td>PUSTU WINONG</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SUGIARTO</td>
<td>`016355</td>
<td></td>
<td>`0001978466657</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-05-1977</td>
<td>45 Th</td>
<td>RT 01 RW 01</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>57</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2765</td>
<td>PUSTU PRAMBON</td>
<td>09-09-2022</td>
<td></td>
<td>SUMIATUN</td>
<td>`007545</td>
<td></td>
<td>`0002155560333</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1972</td>
<td>50 Th</td>
<td>PRAMBON RT 21/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000504</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>90/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
 <td>66</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2766</td>
<td>POLI REMAJA</td>
<td>09-09-2022</td>
<td></td>
<td>MAULANA RIDHO H.</td>
<td>`021051</td>
<td>01/3598</td>
<td>`0000666232661</td>
<td>`3503051709090001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-09-2009</td>
<td>13 Th</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000544</td>
<td>PANAS PUSING</td>
<td>DEMACOLIN VIT C AMBROKSOL</td>
<td>102/65</td>
<td>116</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>38</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2767</td>
<td>POLINDES WINONG</td>
<td>09-09-2022</td>
<td></td>
<td>SUPATMI</td>
<td>`002918</td>
<td></td>
<td>`0000666131387</td>
<td>`3503055306830009</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-06-1983</td>
<td>39 Th</td>
<td>DUSUN TLOGOREJO, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001803</td>
<td>taa</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2768</td>
 <td>POLINDES WINONG</td>
<td>09-09-2022</td>
<td></td>
<td>MAULIDA PUTRI UTAMI</td>
<td>`021664</td>
<td></td>
<td>`0000666131916</td>
<td>`3503054703090001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-03-2009</td>
<td>13 Th</td>
<td>DUSUN TLOGOREJO, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001804</td>
<td>batuk</td>
<td>1</td>
<td>110/88</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>122</td>
<td>20</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2769</td>
<td>POLINDES WINONG</td>
<td>09-09-2022</td>
<td></td>
<td>SASYA AULIA SABRINA</td>
<td>`019808</td>
<td>08/6221</td>
<td>`0003068161301</td>
<td>`35030546031600001</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>06-03-2016</td>
<td>6 Th</td>
<td>RT 6 RW 2</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001806</td>
<td>flu</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>379</td>
<td>16</td>
<td>124</td>
<td>22</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2770</td>
<td>POLI LANSIA</td>
<td>09-09-2022</td>
<td></td>
<td> SUTINI</td>
<td>`000409</td>
<td>01/1193A</td>
<td>`</td>
<td>`3503055808490002</td>
<td>`49995</td>
<td></td>
<td></td>
<td>P</td>
<td>18-08-1949</td>
<td>73 Th</td>
<td>DUSUN KALIPINGGIR, RT : 018,RW :005 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
 <td>Lama</td>
<td></td>
<td>KONTROL OBAT HABIS PUSING GLIYENG SULIT TIDUR</td>
<td>AMLODIPIN 10MG HCT METFORMIN CTM</td>
<td>160/90</td>
<td>100</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>51</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2771</td>
<td>PUSTU PRAMBON</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>ARYA HENDRA SAPUTRA</td>
<td>`013219</td>
<td></td>
<td>`0002155560355</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-04-1995</td>
<td>27 Th</td>
<td>PRAMBON RT 21</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
 <td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2772</td>
<td>POLINDES WINONG</td>
<td>09-09-2022</td>
<td></td>
<td>WITO UTOMO</td>
<td>`021665</td>
<td></td>
<td>`0000666131253</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-04-1979</td>
<td>43 Th</td>
<td>DSN TLOGOREJO RT6</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001807</td>
<td>taa</td>
<td>1</td>
<td>110/82</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>55</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2773</td>
<td>POLINDES WINONG</td>
<td>09-09-2022</td>
<td></td>
<td>HUMAIRA USAID AL ADAWIYAH</td>
<td>`003358</td>
<td></td>
<td>`0001862871254</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-06-2015</td>
<td>7 Th</td>
<td>RT2RW1 WINONG</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001808</td>
<td>taa</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>122</td>
<td>20</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2774</td>
<td>POLI K.B</td>
 <td>09-09-2022</td>
<td></td>
<td>PERMINI</td>
<td>`001051</td>
<td>01/2751</td>
<td>`0001978455969</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-09-1975</td>
<td>47 Th</td>
<td>RT 32 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000532</td>
<td>BONGKAR PASANG IMPLAN</td>
<td>-</td>
<td>120/800</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.9</td>
<td>
Contraceptive management, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Suharti </td>
<td>
Pelayanan Rawat Jalan<br>Pemasangan Implat<br> </td>
</tr>
<tr align='left' valign="top">
<td>2775</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>PERMINI</td>
<td>`001051</td>
<td>01/2751</td>
<td>`0001978455969</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>14-09-1975</td>
<td>47 Th</td>
<td>RT 32 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000532</td>
<td>BATUK PILEK MERIANG</td>
<td>PCT LORATADIN GG ANTASIDA</td>
<td>112/77</td>
<td>106</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>56</td>
<td>59</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2776</td>
<td>POLINDES WINONG</td>
<td>09-09-2022</td>
<td></td>
<td>GOUD PANDU INDRIAWATI</td>
<td>`013530</td>
<td></td>
<td>`0001862870681</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-06-1991</td>
<td>31 Th</td>
<td>RT 02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
 <td>131506010922Y001810</td>
<td>taa</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>50</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2777</td>
<td>POLINDES WINONG</td>
<td>09-09-2022</td>
<td></td>
<td>ADHI RAHMAT PRASETYO</td>
<td>`013537</td>
<td></td>
<td>`0001862869781</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-03-1990</td>
<td>32 Th</td>
<td>RT 02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001811</td>
<td>taa</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>45</td>
<td>1</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2778</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>TAMBIR</td>
<td>`021052</td>
<td>90/3287</td>
<td>`0000106740505</td>
<td>`3503060112660002</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>01-12-1966</td>
<td>55 Th</td>
<td>DUSUN TALUN, RT : 2,RW :1 </td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>131506010922Y000510</td>
<td>KONTROL</td>
<td>RUJUKAN</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M51.9</td>
<td>
Intervertebral disc disorder, unspecified </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2779</td>
<td>POLINDES WINONG</td>
<td>09-09-2022</td>
<td></td>
<td>SAYIDATINA UMMU MASYITOH</td>
<td>`012472</td>
<td></td>
<td>`0002735132297</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-09-2019</td>
<td>3 Th</td>
<td>WINONG RT 02 RW 01</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001812</td>
<td>taa</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>98</td>
<td>12</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.1</td>
<td>
Routine child health examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2780</td>
<td>POLINDES WINONG</td>
 <td>09-09-2022</td>
<td></td>
<td>DZU AL MAWAHIB WAROZATUL ANBIYA</td>
<td>`017713</td>
<td></td>
<td>`0002895056908</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-2017</td>
<td>5 Th</td>
<td>RT2RW1 DESA WINONG</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001813</td>
<td>taa</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>99</td>
<td>14</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.1</td>
<td>
Routine child health examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2781</td>
<td>POLI REMAJA</td>
<td>09-09-2022</td>
<td></td>
<td>DEDIK NUR AFIF SAPUTRA</td>
<td>`018018</td>
<td>04/4805</td>
<td>`0000666160097</td>
<td>`3503050212060001</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>02-12-2006</td>
<td>15 Th</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000530</td>
<td>BATUK PANAS DINGIN PILEK NYERI TENGGOROKAN</td>
<td>CIPRO PCT AMBROKSOL</td>
<td>101/84</td>
<td>93</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2782</td>
<td>POLI KIA</td>
<td>09-09-2022</td>
<td></td>
<td>WIDAYATI</td>
<td>`008912</td>
<td>05/4271</td>
<td>`</td>
<td>`3505186908820002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-08-1982</td>
<td>40 Th</td>
<td>RT 06 RW 03</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2783</td>
<td>POLI K.B</td>
<td>09-09-2022</td>
<td></td>
<td>SITI NURHIDAYATI</td>
<td>`005429</td>
<td>01/302</td>
<td>`0000664941025</td>
<td>`3503055011830001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-11-1983</td>
<td>38 Th</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922P001157</td>
<td>SUNTIK</td>
<td>-</td>
<td>120/80</td>
<td>95</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>51</td>
<td>1</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Istirohmawati,S.S.T. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2784</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>MUJILAN</td>
<td>`010619</td>
<td>02/3106</td>
<td>`0000666347703</td>
<td>`3503051204660002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1966</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000516</td>
<td>DADA NYERI</td>
<td>GLIMEPIRID ISDN OMEPRAZOLE ASPILET</td>
<td>116/72</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2785</td>
<td>UGD</td>
<td>09-09-2022</td>
<td></td>
<td>ALVIAN AKBAR RINO</td>
<td>`021053</td>
<td>01/10</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-04-2010</td>
<td>12 Th</td>
<td>RT</td>
<td>SUMBER JAYA</td>
<td>SIRAPIT</td>
<td>LANGKAT</td>
<td>SUMATERA UTARA</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>post syncop pusing mual</td>
<td>pamol
antasid
02 3 lpm</td>
<td>100/60</td>
<td>75</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>75</td>
<td></td>
<td>KASUS LAMA</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pemasangan oksigen/jam<br> </td>
</tr>
<tr align='left' valign="top">
 <td>2786</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>MESINI</td>
<td>`020752</td>
<td>06/7543</td>
<td>`</td>
<td>`3503054910750001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-10-1975</td>
<td>46 Th</td>
<td>DUSUN MLOKO, RT : 55,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>BADAN MENGGIGIL NYERI ULU HATI</td>
<td>PCT RANITIDIN ANTASIDA</td>
<td>118/92</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>60</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td>R53</td>
<td>
Malaise and fatigue </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2787</td>
<td>POLI GIGI</td>
<td>09-09-2022</td>
<td></td>
<td>MARETHA RYAN MAHARANI</td>
<td>`000198</td>
<td>06/8167</td>
<td>`</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>07-03-2012</td>
<td>10 Th</td>
<td>RT 29 RW 5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>gigi atas kanan saklit</td>
<td>extraktie 54</td>
<td>100/60</td>
<td>87</td>
<td>35</td>
<td>23</td>
<td>132</td>
<td>39</td>
<td>67</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.4</td>
<td>
Disturbances in tooth formation </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2788</td>
<td>PUSTU PRAMBON</td>
<td>09-09-2022</td>
<td></td>
<td>WIJI</td>
<td>`003902</td>
<td></td>
<td>`0001037015561</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-11-1960</td>
<td>61 Th</td>
<td>PRAMBON RT 5/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000545</td>
<td>KEJU LINU</td>
<td>NATDIK BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2789</td>
<td>PUSTU PRAMBON</td>
<td>09-09-2022</td>
<td></td>
<td>MARDI</td>
<td>`003900</td>
<td></td>
<td>`0001037015559</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-12-1945</td>
<td>76 Th</td>
<td>PRAMBON RT 5/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000546</td>
<td>BATUK</td>
<td>PAMOL GG</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
 <td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2790</td>
<td>PUSTU PRAMBON</td>
<td>09-09-2022</td>
<td></td>
<td>NADYA FERRARY VEULETTE</td>
<td>`004166</td>
<td></td>
<td>`0002802745607</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-06-2008</td>
<td>14 Th</td>
<td>PRAMBON RT 5/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000548</td>
<td>SAKIT GIGI</td>
<td>IBU 400 KALK</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02.0</td>
<td>
Caries limited to enamel </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2791</td>
<td>PUSTU PRAMBON</td>
<td>09-09-2022</td>
<td></td>
<td>MINAH</td>
<td>`010857</td>
<td>04/6894</td>
<td>`0000665897769</td>
<td>`3503054107470042</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1947</td>
<td>75 Th</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000547</td>
<td>NYERI ULU HATI</td>
<td>PAMOL ANTASD RANITIDIN BC</td>
<td>120/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2792</td>
 <td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>LILIK</td>
<td>`021054</td>
<td>90/3469</td>
<td>`0000666258164</td>
<td>`3503054505850005</td>
<td>`166267</td>
<td></td>
<td></td>
<td>P</td>
<td>05-05-1985</td>
<td>37 Th</td>
<td>JATEN, RT : 013,RW :005 </td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>MENGURUS RUMAH TANGGA</td>
<td>Baru</td>
<td>131506010922Y000526</td>
<td>BATUK TENGGOROKAN GATAL</td>
<td>CIPRO AMBROKSOL PREDNISON</td>
<td>126/66</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>61</td>
<td>65</td>
<td>Pucanganak</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>Z03.0</td>
<td>
Observation for suspected tuberculosis </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2793</td>
<td>POLI GIGI</td>
<td>09-09-2022</td>
<td></td>
<td>WIRYAMANTA HAMZAH</td>
<td>`010469</td>
<td>05/1379</td>
<td>`0001850207242</td>
<td>`3503050306150001</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>03-06-2015</td>
<td>7 Th</td>
<td>RT 04 RW 02</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000511</td>
<td>gigi atas goyang</td>
<td>extractie 54</td>
<td>100/60</td>
<td>90</td>
<td>35</td>
<td>25</td>
<td>139</td>
<td>34</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2794</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>SAINI</td>
<td>`004763</td>
<td>06/8955</td>
<td>`0002734759967</td>
<td>`3503055511790001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-11-1979</td>
<td>42 Th</td>
<td>KRAJAN, RT : 18,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
 <td>Lama</td>
<td>131506010922Y000527</td>
<td>KONTROL MENGAMBIL OBAT</td>
<td>HALOPERIDOL CPZ TFP</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F20</td>
<td>
Schizophrenia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2795</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>SAITUN</td>
<td>`021055</td>
<td>07/7827</td>
<td>`0002480073603</td>
<td>`3503055510650003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-10-1965</td>
<td>56 Th</td>
<td>RT 07 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td>131506010922Y000512</td>
<td>MATA BLAWUR</td>
<td>-</td>
<td>175/85</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>101.2</td>
 <td>120</td>
<td>Kel. Pasar Baru </td>
<td>KASUS BARU</td>
<td>H25.9</td>
<td>
Senile cataract, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2796</td>
<td>POLI MTBS</td>
<td>09-09-2022</td>
<td></td>
<td>MUHAMMAD AZRIL RISKY PRATAMA</td>
<td>`021056</td>
<td>01/01</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-08-2018</td>
<td>4 Th</td>
<td>RT 21 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BAB CAIR</td>
<td>ZINK ORALIT DIAFORM SYR ANTASIDA DOMPERIDON B6</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>103</td>
<td>20</td>
<td>20</td>
<td></td>
<td>KASUS BARU</td>
<td>A09.9</td>
<td>
Gastroenteritis and colitis of unspecified origin </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2797</td>
<td>POLI LANSIA</td>
<td>09-09-2022</td>
<td></td>
<td>SUMADJI</td>
<td>`000150</td>
<td>06/1339</td>
<td>`0000667103905</td>
<td>`3503053112580018</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-12-1958</td>
<td>63 Th</td>
<td>RT 6 RW 1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000520</td>
<td>NYERI LUTUT</td>
<td>OMEPRAZOLE ANTASIDA NADIF</td>
<td>159/87</td>
<td>87</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>61</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2798</td>
<td>POLI UMUM</td>
 <td>09-09-2022</td>
<td></td>
<td>JAMI</td>
<td>`000151</td>
<td>06/1339</td>
<td>`0000667103951</td>
<td>`3503055111650001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1965</td>
<td>56 Th</td>
<td>RT 06 RW 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000517</td>
<td>GRINGGINGEN KAKI NYERI JARI KAKU</td>
<td>BC VIT D</td>
<td>105/58</td>
<td>72</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>73</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>G90.9</td>
<td>
Disorder of autonomic nervous system, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2799</td>
<td>POLI MTBS</td>
<td>09-09-2022</td>
<td></td>
<td>AMMAR ZAKI WIJAYANTO</td>
<td>`021057</td>
<td>06/6879</td>
<td>`0003080967939</td>
<td>`3503053103200002</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>31-03-2020</td>
<td>2 Th</td>
<td>RT 06 RW 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000518</td>
<td>PANAS</td>
<td>PCT CTM BC </td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>70</td>
<td>10</td>
<td>10</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2800</td>
<td>POLI UMUM</td>
<td>09-09-2022</td>
<td></td>
<td>DWI SUSANTI</td>
<td>`000722</td>
<td>01/5034</td>
<td>`0002161669612</td>
<td>`3503054702850003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-02-1985</td>
<td>37 Th</td>
<td>DESA GONDANG, RT : 13,RW :3 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>131506010922Y000515</td>
<td>MERIANG BATUK</td>
<td>AMLO PAMOL GG OBH SYR CIPRO</td>
<td>167/86</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>62</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2801</td>
<td>POLI LANSIA</td>
<td>09-09-2022</td>
<td></td>
<td>BEJAN</td>
<td>`013427</td>
<td>04/9225</td>
<td>`0003270442623</td>
<td>`9171012003610001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-10-1953</td>
<td>68 Th</td>
<td>DUSUN PONGGOK, RT : 21,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000519</td>
<td>KONTROL AMBIL OBAT TBC</td>
<td>OAT LANJUTAN 14 DOSIS</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>60</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>A16</td>
<td>
Respiratory tuberculosis, not confirmed bacteriologically or
histologically </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2802</td>
<td>POLI REMAJA</td>
<td>09-09-2022</td>
<td></td>
<td>M.BARIK ATMAJA AJI</td>
<td>`010891</td>
<td>90/851</td>
<td>`</td>
<td>`3503111906070001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>19-06-2007</td>
<td>15 Th</td>
<td>RT 11 RW 04 DS SUKOSARI, RT : 11,RW :4 </td>
<td>SUKOSARI</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000524</td>
<td>BATUK DAHAK SULIT KELUAR</td>
<td>AMOK AMBROKSOL OBH SYR DEXA</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>48</td>
<td>50</td>
<td>Rejowinangun</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2803</td>
<td>RAWAT INAP</td>
<td>09-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>JIMIN</td>
<td>`021088</td>
<td></td>
<td>`0000662069013</td>
<td>`3502052307540001</td>
<td>`</td>
<td>jimin</td>
<td></td>
<td>L</td>
<td>23-07-1954</td>
<td>68 Th</td>
<td>RT 2 RW 1</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922P000559</td>
<td>panas 3 hari, pusing, bab cair sering,mual, muntah, batuk pilek, sesak
nafas</td>
<td>infus rl 20 tpm,inj ranitidine 2x1 ampl, inj.metoclop 3x1 amp,pamol, ctm,
gg,oralit, antasida, omegdiar,ciprofloxacyn</td>
<td>160/90</td>
<td>102</td>
<td>38</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J91</td>
<td>
Pleural effusion in conditions classified elsewhere </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Biaya rawat inap pasien umum per hari<br>Layanan Unit Gawat Darurat
(UGD)<br>Pemasangan infuse<br>Biaya rawat inap pasien umum per hari<br> </td>
</tr>
<tr align='left' valign="top">
<td>2804</td>
<td>PONKESDES TUMPUK</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SITI NASIROH</td>
<td>`017470</td>
<td></td>
<td>`0001978453585</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-11-1979</td>
<td>42 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/65</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2805</td>
<td>PONKESDES TUMPUK</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>IKA AGUSTINA</td>
<td>`009009</td>
<td>03/5750</td>
<td>`0001978454125</td>
 <td>`3503054908850001</td>
<td>`</td>
<td></td>
<td>0895352343050</td>
<td>P</td>
<td>09-08-1985</td>
<td>37 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2806</td>
<td>PONKESDES TUMPUK</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>PURWATI</td>
<td>`010544</td>
<td></td>
<td>`0001978454169</td>
<td>`3503055201630003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-01-1963</td>
<td>59 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/75</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2807</td>
<td>PONKESDES TUMPUK</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>MUHTADI</td>
<td>`010542</td>
<td></td>
<td>`0001978454158</td>
<td>`3503051008600001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-08-1960</td>
<td>62 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/75</td>
<td>72</td>
<td>36</td>
 <td>20</td>
<td>165</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2808</td>
<td>PONKESDES TUMPUK</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SETU</td>
<td>`013124</td>
<td></td>
<td>`0001978454226</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-06-1969</td>
<td>53 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2809</td>
<td>UGD</td>
<td>09-09-2022</td>
<td></td>
<td>DIANA RETNONINGTYAS</td>
<td>`021209</td>
<td></td>
<td>`0002872633375</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-2007</td>
<td>15 Th</td>
<td>RT 1 RW 1</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000736</td>
<td>panas 1 hari, nyeri telan, pusing, nyeri dada</td>
<td>pamol
bc
vit C</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>R50</td>
<td>
Fever of other and unknown origin </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
 Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2810</td>
<td>PONKESDES TUMPUK</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SITI KHOLISAH</td>
<td>`013128</td>
<td></td>
<td>`0001978454259</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-01-1973</td>
<td>49 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>116/72</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2811</td>
<td>UGD</td>
<td>09-09-2022</td>
<td></td>
<td>DENISSA</td>
<td>`021210</td>
<td></td>
 <td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-04-2005</td>
<td>17 Th</td>
<td>RT 19 RW 7</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>batukpilek panas 2 hari</td>
<td>pamol
ambroxol
ctm
antasid</td>
<td>110/70</td>
<td>94</td>
<td>37</td>
<td>22</td>
<td>153</td>
<td>45</td>
<td>75</td>
<td></td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2812</td>
<td>RAWAT INAP</td>
<td>09-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>MUHAMMAD GEZA MIKAIL</td>
<td>`021090</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>ZAENAL ARIFIN</td>
<td></td>
<td>L</td>
<td>27-02-2019</td>
 <td>3 Th</td>
<td>RT 16 RW 6</td>
<td>SALAMREJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>panas hari kedua, batuk, pilek</td>
<td>inf. RL mikro 33 tpm, inj. ampicillin 3x200 mg, inj. dexa 2x0,3cc, inj.
metamizole 0,3 cc, sanmol sy 3x cth 1,5 dan puyer 3x1</td>
<td>1/1</td>
<td>112</td>
<td>40</td>
<td>22</td>
<td>110</td>
<td>12</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Biaya rawat inap pasien umum per hari<br>Pemasangan infuse<br>Layanan Unit
Gawat Darurat (UGD)<br>Biaya rawat inap pasien umum per hari<br>Biaya rawat inap
pasien umum per hari<br>Biaya rawat inap pasien umum per hari<br> </td>
</tr>
<tr align='left' valign="top">
<td>2813</td>
<td>RAWAT INAP</td>
<td>09-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>TITIK ANDAYANI</td>
<td>`020864</td>
<td>08/9250</td>
<td>`</td>
<td>`3503066909800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1980</td>
<td>42 Th</td>
<td>RT 05 RW02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
 <td>Lama</td>
<td></td>
<td>PX MENGATAKAN HAMIL 3 BULAN, PUSING, MUAL, MUNTAH SERING</td>
<td>INF RL 20 TPM, INJ. METO 3X1, ANTASID 3X1, B6 1X1</td>
<td>100/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>53</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>O21.9</td>
<td>
Vomiting of pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum per
hari<br>Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum per
hari<br> </td>
</tr>
<tr align='left' valign="top">
<td>2814</td>
<td>UGD</td>
<td>09-09-2022</td>
<td></td>
<td>ARUM BINARTI</td>
<td>`006307</td>
<td>04/2546</td>
<td>`0000193498391</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-07-2000</td>
<td>22 Th</td>
<td>RT 12 RW 05</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>luka dijari trlunjuk kiri post kena kater</td>
<td>amok
pamol
rawat luka</td>
<td>110/70</td>
<td>84</td>
 <td>36</td>
<td>22</td>
<td>155</td>
<td>55</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Perawatan Luka sedang<br> </td>
</tr>
<tr align='left' valign="top">
<td>2815</td>
<td>UGD</td>
<td>09-09-2022</td>
<td></td>
<td>SUGIANTO</td>
<td>`021211</td>
<td></td>
<td>`0003080447098</td>
<td>`3503052505820003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-05-1982</td>
<td>40 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>post kll luka pada jari kaki</td>
<td>amox
pamol
rawat luka</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>80</td>
<td></td>
<td>KASUS LAMA</td>
<td>T14.0</td>
 <td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Perawatan Luka sedang<br> </td>
</tr>
<tr align='left' valign="top">
<td>2816</td>
<td>RAWAT INAP</td>
<td>09-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>SHAKILA ANANDA AGUSTIN</td>
<td>`021044</td>
<td>90/2728</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-08-2019</td>
<td>3 Th</td>
<td>RT 22 RW 08</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS NAIK TURUN 1 MINGGU</td>
<td>INF RL 5-6 TTS/MNT
INJ AMPICILIN 3X150
INJ DEXA 2X0,3 CC
SYR PCT 4X1,5 CTH
PUYER 3X1</td>
<td>90/50</td>
<td>120</td>
<td>37</td>
<td>22</td>
<td>106</td>
<td>11</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Biaya rawat inap pasien umum per hari<br>Pemasangan infuse<br>Layanan Unit
Gawat Darurat (UGD)<br>Biaya rawat inap pasien umum per hari<br>Biaya rawat inap
pasien umum per hari<br>Tindakan medis ringan lainnya<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>2817</td>
<td>POLINDES PRAMBON 2</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>ISMADI</td>
<td>`003771</td>
<td></td>
<td>`0001978487921</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-03-1964</td>
<td>58 Th</td>
<td>RT 45</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2818</td>
<td>POLINDES PRAMBON 2</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SUTIYEM</td>
<td>`002855</td>
<td></td>
<td>`0001978489056</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-09-1951</td>
<td>71 Th</td>
<td>PRAMBON RT 47/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>53</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2819</td>
<td>POLINDES PRAMBON 2</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SUMARTIN</td>
<td>`001912</td>
<td></td>
<td>`0001978489089</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-07-1972</td>
<td>50 Th</td>
<td>PRAMBON RT 47/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>52</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2820</td>
<td>UGD</td>
<td>09-09-2022</td>
<td></td>
<td>REFKIANO TAHTA AULIA BAIHAQI</td>
<td>`011360</td>
<td></td>
<td>`0003067668371</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-09-2010</td>
<td>12 Th</td>
<td>RT 21 RW 6</td>
<td>GONDANG</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000741</td>
<td>bapipa</td>
<td>pamol
ctm
gg
bc</td>
<td>100/70</td>
<td>80</td>
<td>360</td>
<td>22</td>
<td>140</td>
<td>44</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2821</td>
<td>POLINDES PRAMBON 2</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>DIMUN</td>
<td>`002941</td>
<td></td>
<td>`0001978488854</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-02-1940</td>
<td>82 Th</td>
<td>RT 47</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>162</td>
<td>56</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2822</td>
<td>POLINDES PRAMBON 2</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SUMAJI</td>
<td>`004192</td>
<td></td>
<td>`0002035587565</td>
<td>`3503052110840002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-10-1984</td>
<td>37 Th</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>53</td>
<td>84</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2823</td>
<td>POLINDES PRAMBON 2</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>RESTU ADITYA</td>
<td>`005305</td>
<td></td>
<td>`0001978488224</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-09-2001</td>
<td>21 Th</td>
<td>RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>53</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2824</td>
<td>POLINDES PRAMBON 2</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>WARSINI</td>
<td>`005020</td>
<td></td>
<td>`0000666194387</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-10-1989</td>
<td>32 Th</td>
<td>RT 56</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>53</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2825</td>
 <td>POLINDES PRAMBON 2</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>HIDAYATUL MAHMUDAH</td>
<td>`005299</td>
<td></td>
<td>`0000663868629</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-08-1994</td>
<td>28 Th</td>
<td>RT 43</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>42</td>
<td>800</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2826</td>
<td>POLINDES PRAMBON 2</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SOINEM</td>
<td>`004868</td>
<td></td>
<td>`0001978488257</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>06-11-1955</td>
<td>66 Th</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2827</td>
<td>POLINDES PRAMBON 2</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>MARSINI</td>
<td>`003747</td>
<td></td>
<td>`0001978487471</td>
<td>`3503055205710001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-05-1971</td>
<td>51 Th</td>
<td>SOOKO, RT : 45,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2828</td>
<td>POLINDES PRAMBON 2</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>INDRA CAHYANTI</td>
<td>`005987</td>
<td></td>
<td>`0002013997432</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-08-1999</td>
<td>23 Th</td>
<td>RT 47</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
 <td>20</td>
<td>154</td>
<td>56</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2829</td>
<td>POLINDES PRAMBON 2</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>WARIMIN</td>
<td>`006993</td>
<td></td>
<td>`0000665785078</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1940</td>
<td>81 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>53</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2830</td>
<td>POLINDES PRAMBON 2</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>JALIMANTO</td>
<td>`004867</td>
<td></td>
<td>`0001978488202</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-07-1969</td>
<td>53 Th</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>2831</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SUKIDJAH</td>
<td>`021012</td>
<td></td>
<td>`0002802766544</td>
<td>`3503054308370001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-08-1937</td>
<td>85 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2832</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>MUKIRAH</td>
<td>`021013</td>
 <td></td>
<td>`0001978461606</td>
<td>`3503054107470028</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1947</td>
<td>75 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2833</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SUKIR</td>
<td>`017345</td>
<td></td>
<td>`0003068092427</td>
<td>`3503050506570002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-06-1957</td>
<td>65 Th</td>
<td>TAWANG, RT : 5,RW :3 </td>
 <td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2834</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>MAKIJEM</td>
<td>`003275</td>
<td>05/4242</td>
<td>`0002737430932</td>
<td>`3503057112400065</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1940</td>
<td>81 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2835</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>RIZKI ARTHA PUTRA</td>
<td>`009171</td>
<td>0501</td>
<td>`0002802762731</td>
<td>`3503052005990001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-05-1999</td>
<td>23 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2836</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SUKIYAT</td>
<td>`021014</td>
<td></td>
<td>`0000666253631</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-08-1953</td>
<td>69 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2837</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>TUKIRAH</td>
<td>`007162</td>
<td></td>
<td>`0002802750107</td>
<td>`3503055901480001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-01-1948</td>
<td>74 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2838</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>BASUKI RAHMAT</td>
<td>`021015</td>
<td></td>
 <td>`0002014141421</td>
<td>`3503052606720002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-06-1972</td>
<td>50 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2839</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SUKINEM</td>
<td>`002388</td>
<td></td>
<td>`0000666280765</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-07-1968</td>
<td>54 Th</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2840</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>RISKI MARLINO PUTRA</td>
<td>`021058</td>
<td></td>
<td>`0001707122711</td>
<td>`3503052501100003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-01-2010</td>
<td>12 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2841</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>PAKIYATI</td>
<td>`021016</td>
<td></td>
<td>`0000666263081</td>
<td>`3503055704630002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-04-1963</td>
<td>59 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2842</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>TUKIYO</td>
<td>`004273</td>
<td>05/8993</td>
<td>`0000665503975</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-05-1935</td>
<td>87 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2843</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>EKO HADI SUSILO</td>
<td>`014349</td>
<td></td>
<td>`0000665519499</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-07-1987</td>
<td>35 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2844</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>KOFIFAH DWI SINTA</td>
<td>`014359</td>
<td></td>
<td>`0003068092078</td>
 <td>`3503056205000002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-05-2000</td>
<td>22 Th</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2845</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>ISTIKOMAH</td>
<td>`001377</td>
<td>05/6826</td>
<td>`0001978463632</td>
<td>`3503056304680001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-04-1968</td>
<td>54 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2846</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>KOMARIYAH</td>
<td>`012595</td>
<td></td>
<td>`0001978462056</td>
<td>`3503055206740001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-06-1974</td>
<td>48 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2847</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SUHARMOKO</td>
<td>`005061</td>
<td>05/9007</td>
<td>`0002802750816</td>
<td>`3503052204630002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-04-1963</td>
<td>59 Th</td>
<td>RT 11 RW 6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2848</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>YAHYA KUSUMA</td>
<td>`013313</td>
<td></td>
<td>`0000106592545</td>
<td>`3503050308580001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-08-1958</td>
<td>64 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2849</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>BAGAS KURNIA PUTRA</td>
<td>`021059</td>
<td></td>
<td>`0000107085339</td>
<td>`3503050302980002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-02-1998</td>
<td>24 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Klinik Wirasatya</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2850</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>MISIKEM NGAISAH</td>
<td>`009544</td>
<td>05/5581</td>
<td>`0000665523235</td>
<td>`3503054506500001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-1950</td>
<td>72 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2851</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>NOVELLIA KEISHA AZZAHRA</td>
<td>`021060</td>
<td></td>
<td>`0002204392533</td>
<td>`3503056511160001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-11-2016</td>
<td>5 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2852</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>SUKESI</td>
<td>`021061</td>
<td></td>
<td>`0001978463169</td>
<td>`3503056412770001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-12-1977</td>
<td>44 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
 <td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2853</td>
<td>PONKESDES BANARAN</td>
<td>09-09-2022</td>
<td>KONSULTASI</td>
<td>KETIM</td>
<td>`021062</td>
<td></td>
<td>`0002802749567</td>
<td>`3503050104600002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-1960</td>
<td>62 Th</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2854</td>
<td>RAWAT INAP</td>
<td>10-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>SUDARTO</td>
<td>`021091</td>
<td></td>
<td>`0000665338847</td>
<td>`</td>
<td>`</td>
<td>sudarto</td>
<td></td>
<td>L</td>
<td>12-12-1966</td>
<td>55 Th</td>
<td>RT 2 RW 1 PARAKAN</td>
<td>PARAKAN</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>PX DATANG DG KELUHAN PANAS MULAI TADI MALAM, MUAL, MUNTAH SERING, PUSING,
BAB CAIR 2X1</td>
<td>INF RL 20 TTS/MNT
INJ RANITIDIN 2X1
INJ METO 3X1
OS PCT 4X1
OS ANTASIDA 3X1
OS ATTALPUGIT 1X/DIARE
OS ORALIT 1X/HARI</td>
<td>130/80</td>
<td>98</td>
<td>38</td>
<td>20</td>
<td>165</td>
<td>63</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Rawat Inap pasien BPJS<br>Pemasangan infuse<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis
ringan lainnya<br>Rawat Inap pasien BPJS<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Biaya rawat inap pasien umum per hari<br>Rawat Inap pasien
BPJS<br>Tindakan medis ringan lainnya<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>2855</td>
<td>POLI MTBS</td>
<td>10-09-2022</td>
<td></td>
<td>KANITA ANINDYA SHERLLY PRAMUDYA</td>
<td>`001390</td>
<td>04/7119</td>
<td>`0002466788365</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-06-2018</td>
<td>4 Th</td>
<td>RT 06 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000562</td>
<td>KONTROL POST OPNAME BATUK</td>
<td>OBAT DILANJUT</td>
<td>1/1</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>102</td>
<td>12</td>
<td>15</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2856</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>KATIRIN</td>
<td>`003914</td>
<td>03/3896</td>
<td>`0002802753426</td>
<td>`3503051204680008</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1968</td>
<td>54 Th</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000567</td>
<td>KONTROL RAWAT LUKA</td>
<td>RAWAT LUKA</td>
<td>120/67</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>52</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td>L98.4</td>
<td>
Chronic ulcer of skin, not elsewhere classified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2857</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>AMBARWATI</td>
<td>`002625</td>
<td>07/5810</td>
 <td>`0001978436248</td>
<td>`3503056801820001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-01-1982</td>
<td>40 Th</td>
<td>RT 05 RW 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000549</td>
<td>kontrol</td>
<td>rujukan</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F23</td>
<td>
Acute and transient psychotic disorders </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2858</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>ARIF NURHUDA</td>
<td>`021066</td>
<td>01/10</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-04-2003</td>
<td>19 Th</td>
<td>RT 04 RW 05</td>
<td>SIDOMUKTI</td>
 <td>ABUNG TIMUR</td>
<td>LAMPUNG UTARA</td>
<td>LAMPUNG</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PUSING NGGLIYENG BTUK PILEK</td>
<td>AMOK DIMEN ASMEF DEXA BC AMBROKSOL CTM</td>
<td>131/83</td>
<td>50</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>57</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2859</td>
<td>POLI KIA</td>
<td>10-09-2022</td>
<td></td>
<td>IDA ROYANI</td>
<td>`020953</td>
<td>03/4930</td>
<td>`</td>
<td>`3503054203820005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-03-1982</td>
<td>40 Th</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>TAA</td>
<td>-</td>
<td>140/90</td>
<td>89</td>
 <td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2860</td>
<td>PUSTU PRAMBON</td>
<td>10-09-2022</td>
<td></td>
<td>ELVIRA</td>
<td>`021067</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-09-2018</td>
<td>4 Th</td>
<td>PRAMBON RT 22/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS</td>
<td>PAMOL SIRUP KOTRI SIRUP</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>80</td>
<td>15</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2861</td>
<td>PONKESDES SUKOREJO</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>PUJIATI</td>
<td>`002684</td>
<td></td>
<td>`0001978435978</td>
<td>`3503056103800002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-03-1980</td>
<td>42 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>56</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2862</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MULYATI</td>
<td>`007180</td>
<td></td>
<td>`0001978448837</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-07-1965</td>
<td>57 Th</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>taa</td>
<td>-</td>
<td>120/65</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2863</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KATIYEM</td>
<td>`007006</td>
<td></td>
<td>`0001978448578</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1950</td>
<td>71 Th</td>
<td>RT 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>pusing</td>
<td>amlodipin,bc,pct</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2864</td>
<td>PUSTU PRAMBON</td>
<td>10-09-2022</td>
<td></td>
<td>SUMANI</td>
<td>`021068</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-09-1988</td>
<td>34 Th</td>
<td>PRAMBON RT 4/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>KONTROL JIWA</td>
<td>CPZ</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>65</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>F20.0</td>
<td>
Paranoid schizophrenia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2865</td>
<td>POLI KIA</td>
<td>10-09-2022</td>
<td></td>
<td>HAMIDAH</td>
<td>`000007</td>
<td>02/1172</td>
<td>`0000106838357</td>
<td>`3503064305830010</td>
<td>`14292</td>
<td></td>
<td></td>
<td>P</td>
<td>03-05-1983</td>
<td>39 Th</td>
<td>DUSUN KRAJAN, RT : 014,RW :004 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>taa</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
 <td>20</td>
<td>156</td>
<td>62</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2866</td>
<td>PONKESDES SUKOREJO</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>TUMIRAH</td>
<td>`008938</td>
<td>07/721</td>
<td>`0002729557888</td>
<td>`3503057112630059</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1963</td>
<td>58 Th</td>
<td>RT 05 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>110/80</td>
<td>87</td>
<td>35</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2867</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KAMIJAH</td>
<td>`005250</td>
<td>03/7383</td>
<td>`0001978448218</td>
<td>`3503055210510001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-10-1951</td>
<td>70 Th</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic</td>
<td>112/56</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2868</td>
<td>PONKESDES SUKOREJO</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>RINAWATI</td>
<td>`020133</td>
<td></td>
<td>`0001037007933</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-02-1985</td>
<td>37 Th</td>
<td>SUKOREJO RT 06</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2869</td>
<td>POLI MTBS</td>
<td>10-09-2022</td>
<td></td>
<td>BIRRUL AKMAL FUADI</td>
<td>`010941</td>
<td>04/4688</td>
<td>`0003104306954</td>
<td>`3503052808210001</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-08-2021</td>
<td>1 Th</td>
<td>RT 25/11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000556</td>
<td>BAB CAIR</td>
<td>COTRIM SYR ORALIT ZINK SYR</td>
<td>1/1</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>65</td>
<td>9</td>
<td>13</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2870</td>
<td>PONKESDES SUKOREJO</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>EKA YULIA WULANDARI</td>
<td>`014179</td>
<td>07/1459</td>
<td>`0002085241184</td>
<td>`3503065107940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-07-1994</td>
<td>28 Th</td>
<td>RT 01 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>56</td>
<td>760</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2871</td>
<td>UGD</td>
<td>10-09-2022</td>
<td></td>
<td>MARDANI</td>
<td>`021565</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>MARDANI</td>
<td></td>
<td>L</td>
<td>26-09-1957</td>
<td>65 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
 <td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2872</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>PONIRAH</td>
<td>`018250</td>
<td></td>
<td>`0000665134367</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-07-1964</td>
<td>58 Th</td>
<td>RT 001 RW 001</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>nyeri epigastrik</td>
<td>pct,antasida</td>
<td>110/63</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2873</td>
<td>UGD</td>
<td>10-09-2022</td>
<td></td>
<td>NISA ELVINA</td>
<td>`021566</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>SUWOTO</td>
<td></td>
<td>P</td>
<td>26-09-2000</td>
<td>22 Th</td>
<td>RT 19 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
 <td>2874</td>
<td>PONKESDES SUKOREJO</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>ZIDAN AMAR ZUHRI</td>
<td>`012313</td>
<td></td>
<td>`0002802745124</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-05-2016</td>
<td>6 Th</td>
<td>SUKOREJO</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>100/60</td>
<td>100</td>
<td>36</td>
<td>24</td>
<td>119</td>
<td>18</td>
<td>43</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2875</td>
<td>UGD</td>
<td>10-09-2022</td>
<td></td>
<td>BAHRUDIN ISHAQ</td>
<td>`021567</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
 <td>NUR AMIN</td>
<td></td>
<td>L</td>
<td>26-09-2001</td>
<td>21 Th</td>
<td>RT 8 RW 4 </td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2876</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SARWEN</td>
<td>`015076</td>
<td></td>
<td>`0001978448771</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-07-1967</td>
<td>55 Th</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipin,bc</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2877</td>
<td>POLI MTBS</td>
<td>10-09-2022</td>
<td></td>
<td>KENZHA ANANDA PUTRA</td>
<td>`013181</td>
<td>04/3894</td>
<td>`0002912501564</td>
<td>`3503051912190002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-12-2019</td>
<td>2 Th</td>
<td>RT 028 RW 012</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000563</td>
<td>BATUK PILEK PANAS</td>
<td>AMOK DEXA AMBROKSOL SALBUTAMOL VIT C</td>
<td>1/1</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>95</td>
 <td>10</td>
<td>13</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2878</td>
<td>UGD</td>
<td>10-09-2022</td>
<td></td>
<td>ASYURA</td>
<td>`021568</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>imam komari</td>
<td></td>
<td>P</td>
<td>26-09-2009</td>
<td>13 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2879</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>PAIMIN</td>
<td>`004053</td>
<td>03/3277</td>
<td>`0001978447926</td>
<td>`3503050307380001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-07-1938</td>
<td>84 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipin,bc</td>
<td>120/70</td>
<td>89</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>67</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2880</td>
 <td>PONKESDES SUKOREJO</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>ZIDAN AMAR ZUHRI</td>
<td>`012313</td>
<td></td>
<td>`0002802745124</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-05-2016</td>
<td>6 Th</td>
<td>SUKOREJO</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>100/60</td>
<td>100</td>
<td>36</td>
<td>24</td>
<td>107</td>
<td>17</td>
<td>43</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2881</td>
<td>UGD</td>
<td>10-09-2022</td>
<td></td>
<td>KOLBI</td>
<td>`021569</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>PURWITO</td>
 <td></td>
<td>L</td>
<td>26-09-2008</td>
<td>14 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2882</td>
<td>UGD</td>
<td>10-09-2022</td>
<td></td>
<td>KHABIB ALZAYN WICAKSONO</td>
<td>`008164</td>
<td>06/7629</td>
<td>`0003047513883</td>
<td>`3503052707200001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-07-2020</td>
<td>2 Th</td>
<td>RT 54 RW 11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
 <td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2883</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MURSINI</td>
<td>`015074</td>
<td></td>
<td>`0001978448736</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-11-1969</td>
<td>52 Th</td>
<td>RT 01RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipin,bc</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>52</td>
 <td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R52.0</td>
<td>
Acute pain </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2884</td>
<td>UGD</td>
<td>10-09-2022</td>
<td></td>
<td>TUMISAH</td>
<td>`004371</td>
<td>01/3335</td>
<td>`0001037002937</td>
<td>`3503055510560001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-1956</td>
<td>65 Th</td>
<td>RT 32 RW 56</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2885</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>CASMINAH</td>
<td>`007177</td>
<td></td>
<td>`0001978448286</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-03-1980</td>
<td>42 Th</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipin,b c</td>
<td>120/70</td>
<td>89</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>45</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2886</td>
<td>POLI MTBS</td>
 <td>10-09-2022</td>
<td></td>
<td>KENZHO ANANDA RIZQI</td>
<td>`013182</td>
<td>04/3894</td>
<td>`0002912500923</td>
<td>`3503051912190001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-12-2019</td>
<td>2 Th</td>
<td>RT 028 RW 012</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000565</td>
<td>BATUK PILEK PANAS</td>
<td>DEMACOLIN SYR AMOK DEXA AMBROKSOL SALBUTAMOL VITAMIN C</td>
<td>1/1</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>95</td>
<td>9</td>
<td>10</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2887</td>
<td>PONKESDES SUKOREJO</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>SUKARTI</td>
<td>`008978</td>
<td></td>
<td>`0001978441716</td>
<td>`3503054908740002</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>09-08-1974</td>
<td>48 Th</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td></td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2888</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>JEMINI</td>
<td>`013836</td>
<td></td>
<td>`0001978448477</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-07-1967</td>
<td>55 Th</td>
<td>RT 01 RW 01 DUSUN KRAJAN</td>
<td>tumpuk</td>
<td>tugu</td>
<td>trenggalek</td>
<td></td>
<td>ibu rumahtangga</td>
<td>Lama</td>
 <td></td>
<td>keju linu</td>
<td>nadic,bc</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2889</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>LASDI</td>
<td>`021101</td>
<td>03/7022</td>
<td>`0001978447904</td>
<td>`3503053112500021</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1950</td>
<td>71 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>pct</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>85</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2890</td>
<td>UGD</td>
<td>10-09-2022</td>
<td></td>
<td>SUPRIYONO</td>
<td>`021570</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>SUPRIYONO</td>
<td></td>
<td>L</td>
<td>26-09-1971</td>
<td>51 Th</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2891</td>
<td>PONKESDES SUKOREJO</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>RUMINI</td>
<td>`000878</td>
<td>07/3167</td>
<td>`0001978440208</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-01-1971</td>
<td>51 Th</td>
<td>RT 01 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>54</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2892</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
 <td>POSYANDU LANSIA</td>
<td>RISKA WIJAYANTI</td>
<td>`004935</td>
<td>03/3247</td>
<td>`0000666317687</td>
<td>`3503056308970003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-08-1997</td>
<td>25 Th</td>
<td>RT 01,RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>taa</td>
<td>-</td>
<td>110/63</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2893</td>
<td>PONKESDES SUKOREJO</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>SITI FATIMAH</td>
<td>`004768</td>
<td>07/146</td>
<td>`0001978440581</td>
<td>`3503055505680003.</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>15-05-1968</td>
<td>54 Th</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>90</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2894</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>YATMIATIN CITRA KIRANA</td>
<td>`003712</td>
<td>03/1127</td>
<td>`0001978448365</td>
<td>`3503056512850004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-12-1985</td>
<td>36 Th</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
 <td>pusing</td>
<td>pct</td>
<td>110/65</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2895</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUTINI</td>
<td>`007175</td>
<td></td>
<td>`0001978448602</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-09-1964</td>
<td>58 Th</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>taa</td>
<td>-</td>
<td>120/70</td>
<td>89</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>56</td>
<td>78</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2896</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>SEMI</td>
<td>`020486</td>
<td>06/5393</td>
<td>`0000665812326</td>
<td>`3503056812620001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-12-1962</td>
<td>59 Th</td>
<td>TENGGAR, RT : 7,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>TELINGA KANAN GEMBRUBUK</td>
<td>PAMOL LORATADIN AMOK AMLODIPIN BC ASPILET </td>
<td>172/90</td>
<td>83</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2897</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>AFIDATUL FUAD</td>
<td>`021106</td>
<td></td>
<td>`0003067741653</td>
<td>`3503056011900001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-11-1990</td>
<td>31 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>minta vit</td>
<td>bc,fe</td>
<td>120/70</td>
<td>89</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>65</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2898</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
 <td>WIJIATI</td>
<td>`007170</td>
<td></td>
<td>`0001978448916</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-10-1958</td>
<td>63 Th</td>
<td>RT-1 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kejulinu</td>
<td>nadic</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>157</td>
<td>76</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2899</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TARMINI</td>
<td>`021108</td>
<td></td>
<td>`0001978448804</td>
<td>`3503057112630050</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1963</td>
 <td>58 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>kontrol</td>
<td>amlodipin,bc</td>
<td>120/70</td>
<td>67</td>
<td>36</td>
<td>22</td>
<td>145</td>
<td>45</td>
<td>76</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2900</td>
<td>POLI GIGI</td>
<td>10-09-2022</td>
<td></td>
<td>KOLIFAH YONA MUSTIKA</td>
<td>`021069</td>
<td>06/3836</td>
<td>`0001707022945</td>
<td>`3503055002160001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-02-2016</td>
<td>6 Th</td>
<td>MLOKO, RT : 162,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000569</td>
<td>gigi atas kanan goyang</td>
 <td>cabut gigi sulung</td>
<td>100/60</td>
<td>90</td>
<td>35</td>
<td>23</td>
<td>132</td>
<td>28</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.1</td>
<td>
Supernumerary teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2901</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>EKA SUSI RAHMAWATI</td>
<td>`003681</td>
<td></td>
<td>`0001978448321</td>
<td>`3503055602820005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-02-1982</td>
<td>40 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>amlodipin 5,bc</td>
<td>amlodipin,bc</td>
<td>110/78</td>
<td>90</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>56</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2902</td>
<td>PONKESDES TUMPUK</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>EMI AYU NURAZIZAH</td>
<td>`021190</td>
<td></td>
<td>`0001978453708</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-05-2001</td>
<td>21 Th</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>56</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2903</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>DEWI SUNARTIK</td>
<td>`007172</td>
<td></td>
<td>`0001978448984</td>
<td>`3503056508840001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-08-1984</td>
<td>38 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>taa</td>
<td>-</td>
<td>110/70</td>
<td>89</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>78</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2904</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>HENI INDRAWATI</td>
 <td>`004285</td>
<td></td>
<td>`0001978449085</td>
<td>`3503056512840001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-12-1984</td>
<td>37 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>keju linu</td>
<td>ibu profen</td>
<td>120/70</td>
<td>89</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>89</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2905</td>
<td>PONKESDES TUMPUK</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>MUTIYAH</td>
<td>`021191</td>
<td></td>
<td>`0001978453743</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1952</td>
<td>69 Th</td>
 <td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>108/65</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>53</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2906</td>
<td>POLI REMAJA</td>
<td>10-09-2022</td>
<td></td>
<td>UMI MAFUDOH</td>
<td>`021070</td>
<td>90/3470</td>
<td>`0000661530609</td>
<td>`3502056006090001</td>
<td>`</td>
<td></td>
<td>082335189966</td>
<td>P</td>
<td>20-06-2009</td>
<td>13 Th</td>
<td>RT 02 RW 02</td>
<td>TUMPUK</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td>131506010922Y000568</td>
<td>TELINGA KIRI NYERI</td>
<td>AMOK DEXA AMBROKSOL CTM ASMEF PHENOL GLIS</td>
 <td>108/67</td>
<td>126</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>44</td>
<td>45</td>
<td>SAWOO</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2907</td>
<td>PONKESDES TUMPUK</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>SUYOTO</td>
<td>`021194</td>
<td></td>
<td>`0001978453934</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-12-1977</td>
<td>44 Th</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>116/64</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2908</td>
<td>PONKESDES TUMPUK</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>REZA DWI FAJARI</td>
<td>`021195</td>
<td></td>
<td>`0001978453967</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-01-2011</td>
<td>11 Th</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>2909</td>
<td>PONKESDES TUMPUK</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>AHMAD ROSID</td>
<td>`021196</td>
<td></td>
<td>`0001978453978</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-01-1973</td>
<td>49 Th</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/72</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2910</td>
<td>PONKESDES TUMPUK</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>EKA SYAHRUL F</td>
<td>`021197</td>
 <td></td>
<td>`0001978453989</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-07-1998</td>
<td>24 Th</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2911</td>
<td>PUSTU WINONG</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>SUNAR</td>
<td>`018220</td>
<td></td>
<td>`0000666373408</td>
<td>`3503051504570002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-04-1957</td>
<td>65 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
 <td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/80</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>163</td>
<td>57</td>
<td>61</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2912</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>RIZQI IBNU DARMAWAN</td>
<td>`009505</td>
<td>90/245</td>
<td>`0001906307829</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-04-2015</td>
<td>7 Th</td>
<td>RT 013 003</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000566</td>
<td>PUSING PANAS MUNTAH BATUK PI8LEK</td>
<td>AMBROKSOL PAMOL AMOK SALBUTAMOL CTM DEXA</td>
<td>104/51</td>
 <td>51</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>61</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2913</td>
<td>PUSTU WINONG</td>
<td>10-09-2022</td>
<td></td>
<td>MUJIRIN</td>
<td>`016599</td>
<td></td>
<td>`0000666191878</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-07-1950</td>
<td>72 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td></td>
<td>mual</td>
<td>ctm, antasida, b komplek</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>159</td>
<td>49</td>
<td>61</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.1</td>
<td>
 Other acute gastritis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2914</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>ANGGITA AULIA ZAHRA</td>
<td>`021071</td>
<td>03/356</td>
<td>`0002072361238</td>
<td>`3503054503160001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-03-2016</td>
<td>6 Th</td>
<td>DUSUN JUMOK, RT : 11,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000581</td>
<td>PANAS BATUK PILEK MUNTAH</td>
<td>AMOK PAMOL AMBROKSOL CTM PREDNISON</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>103</td>
<td>15</td>
<td>15</td>
<td>Klinik Bukaka</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2915</td>
<td>POLI REMAJA</td>
<td>10-09-2022</td>
<td></td>
<td>TRI SUCI RAMADHANI</td>
<td>`020902</td>
<td>04/1810</td>
<td>`</td>
<td>`9202124611040001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-11-2004</td>
<td>17 Th</td>
<td>DUSUN KASIHAN, RT : 28,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>batuk pilek pusing meriang kaki ngilu</td>
<td>amok ambroksol syr obh vit c ctm pamol prednison</td>
<td>96/57</td>
<td>118</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2916</td>
<td>PONKESDES TUMPUK</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>MILA</td>
<td>`018956</td>
<td></td>
 <td>`0001978453991</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-01-1973</td>
<td>49 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/70</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2917</td>
<td>PUSTU WINONG</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>HERI PURWANTO</td>
<td>`016601</td>
<td></td>
<td>`0000666193228</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-10-1990</td>
<td>31 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>171</td>
<td>61</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2918</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>AZIZ MALAROMY</td>
<td>`021072</td>
<td>06/4033</td>
<td>`</td>
<td>`3503052412020003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-12-2002</td>
<td>19 Th</td>
<td>DUSUN SOOKO, RT : 50,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>BATUK PILEK PANAS PUSING</td>
<td>AMOK PREDNISON RANITIDIN CTM PAMOL AMBROKSOL</td>
<td>114/65</td>
<td>116</td>
 <td>36</td>
<td>20</td>
<td>172</td>
<td>47</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2919</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>WARIS WASKITO</td>
<td>`006266</td>
<td>06/4033</td>
<td>`0001978490788</td>
<td>`3503052002810002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-02-1981</td>
<td>41 Th</td>
<td>RT 50 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000555</td>
<td>BATUK NYRI TENGGOROKAN PUSING GREGES</td>
<td>CIPRO DEXA ASMEF GG LORATADIN</td>
<td>125/70</td>
<td>81</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>56</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
 <td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2920</td>
<td>PUSTU WINONG</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>MUKASIH</td>
<td>`004452</td>
<td>08/6738</td>
<td>`0000666342145</td>
<td>`3503055111610001</td>
<td>`</td>
<td></td>
<td>082197804576</td>
<td>P</td>
<td>11-11-1961</td>
<td>60 Th</td>
<td>RT 9 RW 3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>140/75</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>49</td>
<td>59</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2921</td>
<td>POLI GIGI</td>
<td>10-09-2022</td>
<td></td>
<td>ERNINGTYAS ANDARWATI</td>
<td>`006317</td>
<td>01/6809</td>
<td>`</td>
<td>`3503056206950001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-06-1995</td>
<td>27 Th</td>
<td>RT 30 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perawat</td>
<td>Lama</td>
<td></td>
<td>GIGI ATAS KIRI SAKIT</td>
<td>Tumpptan sementara</td>
<td>110/70</td>
<td>90</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>49</td>
<td>70</td>
<td>Klinik Rawat Jalan Rampal</td>
<td>KASUS BARU</td>
<td>K00.4</td>
<td>
Disturbances in tooth formation </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2922</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>SUNARSIH</td>
<td>`011784</td>
<td>03/3160</td>
<td>`</td>
 <td>`3503056501710002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-01-1971</td>
<td>51 Th</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>KONTROL TENSI DM BATUK</td>
<td>GLIBEN AMLODIPIN ASPILET FUROSEMID</td>
<td>171/91</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>97</td>
<td>98</td>
<td>Poskes 05.10.04 Trenggalek</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2923</td>
<td>PUSTU WINONG</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>CICIK CITRAWATI</td>
<td>`018304</td>
<td></td>
<td>`0000666342933</td>
<td>`3503055509930001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1993</td>
<td>29 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>100/80</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>46</td>
<td>61</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2924</td>
<td>UGD</td>
<td>10-09-2022</td>
<td></td>
<td>SATRIA EKA ARI WIBOWO PUTRA</td>
<td>`021581</td>
<td></td>
<td>`0001328466778</td>
<td>`3503051910120001</td>
<td>`</td>
<td>jaksen</td>
<td></td>
<td>L</td>
<td>19-10-2012</td>
<td>9 Th</td>
<td>DESA GONDANG, RT : 13,RW :3 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
 <td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2925</td>
<td>UGD</td>
<td>10-09-2022</td>
<td></td>
<td>SUMINI</td>
<td>`020404</td>
<td>01/5518</td>
<td>`0000664934984</td>
<td>`3503057112600003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1960</td>
<td>61 Th</td>
<td>DUSUN KALIPINGGIR, RT : 18,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>2926</td>
<td>POLI MTBS</td>
<td>10-09-2022</td>
<td></td>
<td>ALIFA ZAHRA FITRIANA</td>
<td>`021073</td>
<td>90/3212</td>
<td>`</td>
<td>`3502055902220003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-02-2022</td>
<td>0 Th</td>
<td>RT 01 RW 04</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>batuk,pilek</td>
<td>demacolin,gg,vit c</td>
<td>1/1</td>
<td>97</td>
<td>36</td>
<td>28</td>
<td>69</td>
<td>6.9</td>
<td>47</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2927</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>WIWIK KRISNAWATI</td>
<td>`016329</td>
<td></td>
<td>`0000665563037</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-1988</td>
<td>34 Th</td>
<td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2928</td>
<td>PUSTU WINONG</td>
<td>10-09-2022</td>
<td></td>
<td>ADI JAYA PUTRA</td>
<td>`016448</td>
<td></td>
<td>`0000666134605</td>
<td>` </td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-12-1998</td>
<td>23 Th</td>
<td>DUSUN BANGGLE, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Kepolisian RI (POLRI)</td>
<td>Lama</td>
<td></td>
<td>batuk, pilek</td>
<td>ctm, ambroksol, b komplk</td>
<td>100/70</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>173</td>
<td>61</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2929</td>
<td>PUSTU WINONG</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>MISRI</td>
<td>`011827</td>
<td></td>
<td>`0000666134054</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-05-1965</td>
<td>57 Th</td>
<td>RT 10 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>130/80</td>
<td>88</td>
<td>35</td>
<td>16</td>
<td>168</td>
<td>61</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2930</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>HENIK PURNAMASARI</td>
<td>`003402</td>
<td>02/4564</td>
<td>`0000665570305</td>
<td>`3503055011910005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-11-1991</td>
<td>30 Th</td>
<td>RT 22 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
 <td>155</td>
<td>48</td>
<td>91</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2931</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>ARIK SUBETI</td>
<td>`021074</td>
<td>03/4077</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-09-1968</td>
<td>54 Th</td>
<td>RT 002 RW 001</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td></td>
<td>sks</td>
<td>-</td>
<td>146/86</td>
<td>95</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>74</td>
<td>90</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2932</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IDA WULANDARI</td>
<td>`013757</td>
<td></td>
<td>`0000665595562</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-05-2000</td>
<td>22 Th</td>
<td>RT 022 RW 006</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>2933</td>
<td>POLI KIA</td>
<td>10-09-2022</td>
<td></td>
<td>UUS SUGIARTI</td>
<td>`021075</td>
<td>02/3064</td>
<td>`</td>
<td>`3503054809860001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-09-1986</td>
<td>36 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>PUSING, MUAL</td>
<td>-</td>
<td>110/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>147</td>
<td>57</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2934</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MIFTA HULJANNAH</td>
<td>`015014</td>
<td></td>
<td>`0000665904148</td>
<td>`3503056002060002</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>20-02-2006</td>
<td>16 Th</td>
<td>KRAJAN, RT : 22,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2935</td>
<td>POLI REMAJA</td>
<td>10-09-2022</td>
<td></td>
<td>MUTIARA SITI CHUMAIRA</td>
<td>`020957</td>
<td>01/421</td>
<td>`0002609738662</td>
<td>`3503055410080001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-10-2008</td>
<td>13 Th</td>
<td>DUSUN KEBONSARI, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000579</td>
<td>BATUK MUAL NDREDEK</td>
<td>AMOK PRED GG BC ANTASIDA PAMOL DOMPERIDON</td>
<td>92/62</td>
<td>97</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2936</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LAELA SURYANI DEWI</td>
<td>`016332</td>
<td></td>
<td>`0000665932329</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-11-1994</td>
<td>27 Th</td>
<td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>154</td>
 <td>56</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2937</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BINTI MUNTIKAH</td>
<td>`016333</td>
<td></td>
<td>`0000665930856</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-12-1981</td>
<td>40 Th</td>
<td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2938</td>
<td>POLI KIA</td>
<td>10-09-2022</td>
<td></td>
<td>LILIK WAHYUNI NINGSIH</td>
<td>`020651</td>
<td>01/9358</td>
<td>`0000209556988</td>
<td>`3503056402940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-02-1994</td>
<td>28 Th</td>
<td>DUSUN KEBONSARI, RT : 31,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>TAA</td>
<td>FE, KALK</td>
<td>121/84</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
DIANTI DWI PANGESTUTI, A.MD.KEB </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2939</td>
 <td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NURUL MAHMUDAH</td>
<td>`006462</td>
<td>02/3352</td>
<td>`0000665936706</td>
<td>`3503056004920001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-04-1992</td>
<td>30 Th</td>
<td>ETAN KALI, RT : 22,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2940</td>
<td>PONKESDES TUMPUK</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>MUH JOHAN W W</td>
<td>`021200</td>
<td></td>
<td>`0001978454079</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>03-05-1987</td>
<td>35 Th</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/72</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>68</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2941</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ISTI MUNAWAROH</td>
<td>`016334</td>
<td></td>
<td>`0000666066251</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1980</td>
<td>42 Th</td>
<td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
 <td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2942</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>SITI RUKAYAH</td>
<td>`002753</td>
<td>03/8995</td>
<td>`0001978451818</td>
<td>`3503055809710001</td>
<td>`</td>
<td></td>
<td>082131894641</td>
<td>P</td>
<td>18-09-1971</td>
<td>51 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000554</td>
<td>KONTROL </td>
<td>RUJUKAN</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
 <td>60</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2943</td>
<td>PUSTU WINONG</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>MAHFUR</td>
<td>`021076</td>
<td></td>
<td>`0003102502195</td>
<td>`3503051808730002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-08-1973</td>
<td>49 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>130/90</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>162</td>
<td>61</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2944</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ROHMIATIN</td>
<td>`016335</td>
<td></td>
<td>`0000666327644</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-1971</td>
<td>51 Th</td>
<td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2945</td>
<td>POLINDES NGLONGSOR</td>
 <td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>USWATUN HASANAH</td>
<td>`000690</td>
<td>02/2019</td>
<td>`0000666394042</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-01-1982</td>
<td>40 Th</td>
<td>RT 22 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2946</td>
<td>POLI MTBS</td>
<td>10-09-2022</td>
<td></td>
<td>DENIS FADLI NOVA PRADANA</td>
<td>`005017</td>
<td>05/5599</td>
<td>`0002306515768</td>
<td>`3503050611170001</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>06-11-2017</td>
<td>4 Th</td>
<td>RT 06 RW 02</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000585</td>
<td>batuk, pilek, panas</td>
<td>pamol bcom,gg</td>
<td>1/1</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>98</td>
<td>22</td>
<td>49</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2947</td>
<td>POLI MTBS</td>
<td>10-09-2022</td>
<td></td>
<td>AHMAD FARIS AL FANDI</td>
<td>`005016</td>
<td>05/5599</td>
<td>`0003053101105</td>
<td>`3503052809200001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-09-2020</td>
<td>2 Th</td>
<td>RT -06 RW 02</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
 <td>131506010922Y000583</td>
<td>batuk pilek panas,bercak putih di dahi</td>
<td>mikonazol,demacolin,gg,bcom cloranm sm</td>
<td>1/1</td>
<td>96</td>
<td>373</td>
<td>30</td>
<td>98</td>
<td>147</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>B36.9</td>
<td>
Superficial mycosis, unspecified </td>
<td>H10.9</td>
<td>
Conjunctivitis, unspecified </td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2948</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>ENIK HARYATI</td>
<td>`001998</td>
<td>05/5599</td>
<td>`0000666275545</td>
<td>`3503055207840005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-07-1984</td>
<td>38 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000564</td>
<td>BATUK PILEKTENGGOROKAN GTAL</td>
<td>PAMOL VIT C GG</td>
<td>150/77</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>58</td>
<td>88</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2949</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BAHIYATUN NISA AYU</td>
<td>`016336</td>
<td></td>
<td>`0000666394558</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-12-2006</td>
<td>15 Th</td>
<td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>46</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2950</td>
<td>PUSTU PRAMBON</td>
<td>10-09-2022</td>
<td></td>
<td>ISTIKOMAH</td>
<td>`004964</td>
<td></td>
<td>`0002802748959</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-12-1975</td>
<td>46 Th</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000550</td>
<td>KEMBUMG</td>
<td>ANTASID</td>
<td>180/90</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2951</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
 <td>POSYANDU BALITA</td>
<td>LILIS YUNAINI</td>
<td>`000450</td>
<td>02/1040</td>
<td>`0000666403569</td>
<td>`3503056106770005</td>
<td>`6902</td>
<td></td>
<td></td>
<td>P</td>
<td>21-06-1977</td>
<td>45 Th</td>
<td>DUSUN ETAN KALI, RT : 023,RW :006 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2952</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NIK AMAH</td>
<td>`016337</td>
<td></td>
<td>`0000667305448</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>02-05-1979</td>
<td>43 Th</td>
<td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>35</td>
<td>22</td>
<td>155</td>
<td>56</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2953</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td></td>
<td>TARIMAH</td>
<td>`021077</td>
<td>07/121</td>
<td>`0001037007832</td>
<td>`3503057012420004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1942</td>
<td>79 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000560</td>
 <td>TANGAN KIRI BENGKAK PUNGGUNG TANGAN</td>
<td>CIPRO CTM PAMOL</td>
<td>140/66</td>
<td>79</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>53</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L03.9</td>
<td>
Cellulitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2954</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ELSINTA HANDAYANI</td>
<td>`013758</td>
<td></td>
<td>`0000667305663</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-08-2004</td>
<td>18 Th</td>
<td>RT 022 RW 006</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>58</td>
<td>92</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2955</td>
<td>PUSTU WINONG</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>SUMINI</td>
<td>`009767</td>
<td>08/4400</td>
<td>`0001037005986</td>
<td>`3503056705740001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-05-1974</td>
<td>48 Th</td>
<td>RT 007 RW 003</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>100/80</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>156</td>
<td>53</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2956</td>
<td>PUSTU PRAMBON</td>
<td>10-09-2022</td>
<td></td>
<td>TUKIJAH</td>
<td>`002029</td>
<td></td>
<td>`0002159512029</td>
<td>`3503050811500001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-11-1950</td>
<td>71 Th</td>
<td>DUSUN PAKEL, RT : 41,RW :8 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000551</td>
<td>KONTROL TENSI</td>
<td>NATDIK AMLO 5MG</td>
<td>150/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2957</td>
<td>PUSTU PRAMBON</td>
<td>10-09-2022</td>
<td></td>
 <td>TRINAWATI</td>
<td>`000868</td>
<td></td>
<td>`0000665509972</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1981</td>
<td>41 Th</td>
<td>BANARAN RT 12</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000552</td>
<td>KEJU LINU</td>
<td>PAMOL KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2958</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td></td>
<td>SAMSUL HADI</td>
<td>`000042</td>
<td>02/3507</td>
<td>`0002518640201</td>
<td>`3503053012450008</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-12-1945</td>
 <td>76 Th</td>
<td>RT 5 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000558</td>
<td>kontrol tensi mata sakit terasa ganjal nyeri epigastrik</td>
<td>CHLORAM SALEP MATA AMLODIPIN 5MG ANTASIDA CTM</td>
<td>152/63</td>
<td>61</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>61</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>H10</td>
<td>
Conjunctivitis </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2959</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td> MIATUN</td>
<td>`000461</td>
<td>06/5157</td>
<td>`0000665321376</td>
<td>`3503056703760002</td>
<td>`66625</td>
<td></td>
<td></td>
<td>P</td>
<td>27-03-1976</td>
<td>46 Th</td>
<td>DUSUN TENGGAR, RT : 004,RW :001 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000575</td>
<td>KONTROL AMBIL OBAT</td>
 <td>CPZ THD RISPERIDON</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F28</td>
<td>
Other nonorganic psychotic disorders </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2960</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>NANING AULIYA MALIKATUS SALAFIAH</td>
<td>`021078</td>
<td>01/3159</td>
<td>`0003000875646</td>
<td>`3503056612150002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-12-2015</td>
<td>6 Th</td>
<td>DESA GONDANG, RT : 8,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000582</td>
<td>PUSING PANAS BATUK DIARE</td>
<td>PAMOK ZINC SYR KOTRIM SYR ORALIT GG CTM PRED VIT C SALBUTAMOL</td>
<td>1/1</td>
<td>88</td>
<td>38</td>
<td>20</td>
<td>110</td>
<td>16</td>
<td>20</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2961</td>
<td>PUSTU PRAMBON</td>
<td>10-09-2022</td>
<td></td>
<td>SUMINAH</td>
<td>`007250</td>
<td></td>
<td>`0002802750131</td>
<td>`3503054304480001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-04-1948</td>
<td>74 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000553</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2962</td>
<td>PUSTU WINONG</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>TUMINATUN</td>
<td>`016929</td>
<td></td>
<td>`0000665684651</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-08-1968</td>
<td>54 Th</td>
<td>DUSUN BENGGLE, RT : 11,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>140/90</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>153</td>
<td>49</td>
<td>61</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2963</td>
<td>POLI GIGI</td>
<td>10-09-2022</td>
<td></td>
<td>WAGINEM</td>
 <td>`021079</td>
<td>06/5132</td>
<td>`0000665811729</td>
<td>`3503057112600054</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1960</td>
<td>61 Th</td>
<td>DUSUN KRAJAN, RT : 24,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000572</td>
<td>gigi sakit</td>
<td>obat</td>
<td>150/100</td>
<td>90</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>52</td>
<td>62</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2964</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>ENIK EKO LESTARI</td>
<td>`020977</td>
<td>01/1171</td>
<td>`0001847128735</td>
<td>`3503116105720004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-05-1972</td>
<td>50 Th</td>
 <td>RT 27 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000557</td>
<td>BLAWUR SAAN MEMBACA JAUH /DEKAT</td>
<td>RUJUKAN</td>
<td>137/63</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>57</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H52.5</td>
<td>
Disorders of accommodation </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2965</td>
<td>PUSTU PRAMBON</td>
<td>10-09-2022</td>
<td></td>
<td>IMAM SAFI`I</td>
<td>`011712</td>
<td>06/7455</td>
<td>`0002802765521</td>
<td>`3503052707070001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-07-2007</td>
<td>15 Th</td>
<td>KRAJAN, RT : 20,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
 <td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2966</td>
<td>PONKESDES TUMPUK</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>MUSIJO</td>
<td>`010574</td>
<td></td>
<td>`0001978454261</td>
<td>`3503050112430001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-12-1943</td>
<td>78 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>125/78</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2967</td>
<td>PONKESDES TUMPUK</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>MUJIARTO</td>
<td>`013129</td>
<td></td>
<td>`0001978454272</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-12-1985</td>
<td>36 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>125/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>68</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>2968</td>
<td>PUSTU PRAMBON</td>
<td>10-09-2022</td>
<td></td>
<td>RAFAEL ANGGA </td>
<td>`003152</td>
<td></td>
<td>`0001975775861</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-02-2011</td>
<td>11 Th</td>
<td>PRAMBON RT 09/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2969</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>ANDARA KIRANA MAHESTRI</td>
<td>`011559</td>
 <td>05/5330</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-12-2015</td>
<td>6 Th</td>
<td>RT 08 RW 04</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS BATUK PILEK PUSING</td>
<td>VIT C PRED AMOK GG SALBUTAMOL CTM KETOKONAZOLE PAMOL SALEP
MIKONAZOLE</td>
<td>1/0</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>110</td>
<td>25</td>
<td>30</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>L30</td>
<td>
Other dermatitis </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2970</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td></td>
<td>SUPARDI</td>
<td>`018383</td>
<td>08/2997</td>
<td>`0000106609814</td>
<td>`3503050104470001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-1947</td>
<td>75 Th</td>
 <td>DUSUN BENGGLE, RT : 11,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000571</td>
<td>PUSING,NGLIYUT,LEMES</td>
<td>OMEPRAZOL,ANTASIDA,bc,pct</td>
<td>119/57</td>
<td>60</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>65</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.9</td>
<td>
Gastroduodenitis, unspecified </td>
<td>F41.0</td>
<td>
Panic disorder [episodic paroxysmal anxiety] </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2971</td>
<td>POLI GIGI</td>
<td>10-09-2022</td>
<td></td>
<td>M. EGAN PRADANA</td>
<td>`012688</td>
<td>06/2127</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-01-2015</td>
<td>7 Th</td>
<td>RT 49/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>GIGI BAWAH KESUNDULAN</td>
<td>Extractie 72</td>
 <td>100/60</td>
<td>87</td>
<td>35</td>
<td>25</td>
<td>132</td>
<td>27</td>
<td>67</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2972</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>FARIHA PUTRI SALSABILA</td>
<td>`010717</td>
<td>01/2530</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-02-2015</td>
<td>7 Th</td>
<td>RT 07 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>BATUK PILEK PANAS</td>
<td>AMOK PRED CTM GG VIT C SALBU PAMOL</td>
<td>1/1</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>120</td>
<td>20</td>
<td>20</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
 <td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2973</td>
<td>POLI LANSIA</td>
<td>10-09-2022</td>
<td></td>
<td>MISTIATUN</td>
<td>`018239</td>
<td>04/3631</td>
<td>`0000665949756</td>
<td>`3503056010580001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-10-1958</td>
<td>63 Th</td>
<td>KRAJAN, RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000570</td>
<td>KENCING WARNA MERAH PANAS NYERI BOYOK NYERI</td>
<td>CIPRO PAMOL RANI</td>
<td>162/87</td>
<td>99</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>41</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N39</td>
<td>
Other disorders of urinary system </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2974</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>BRIANNA REISA ARIANDO</td>
<td>`017925</td>
<td>01/7634</td>
<td>`0003070028384</td>
<td>`3503055011160001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-11-2016</td>
<td>5 Th</td>
<td>RT 006 RW 001</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000580</td>
<td>KONTROL LUKA PADA DAGU</td>
<td>RAWAT LUKA</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>110</td>
<td>19</td>
<td>25</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z48.0</td>
<td>
Attention to surgical dressings and sutures </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2975</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>MINGWA SULFA ARIANSYAH</td>
<td>`021080</td>
 <td>01/3562</td>
<td>`</td>
<td>`3503050506110001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-2011</td>
<td>11 Th</td>
<td>DUSUN SETONO, RT : 14,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS BATUK PUSING PILEK</td>
<td>PAMOL GG CTM PREDNISON VITAMIN C AMOK</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>34</td>
<td>40</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2976</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>MASGISAR SOGISAMA FARICHA SULE</td>
<td>`021081</td>
<td>01/3562</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-08-2017</td>
<td>5 Th</td>
<td>DUSUN SETONO, RT : 14,RW :4 </td>
 <td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS BATUK PILEK</td>
<td>PAMOL AMOK GG CTM PRED SALBU VIT C</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>15</td>
<td>18</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2977</td>
<td>POLI K.B</td>
<td>10-09-2022</td>
<td></td>
<td>ROY RUSINO</td>
<td>`021082</td>
<td>05/9363</td>
<td>`</td>
<td>`3578100510720007</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-10-1972</td>
<td>49 Th</td>
<td>RT 10 RW 05</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Baru</td>
<td></td>
<td>CPP</td>
<td>-</td>
<td>121/84</td>
 <td>89</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2978</td>
<td>POLI K.B</td>
<td>10-09-2022</td>
<td></td>
<td>RAHMI SETYOWATI</td>
<td>`021083</td>
<td>05/9363</td>
<td>`</td>
<td>`3578105312840002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-12-1984</td>
<td>37 Th</td>
<td>RT 10 RW 05</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>CPW</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>75</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z02.9</td>
<td>
 Examination for administrative purposes, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2979</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>INSANI MUSTAKIM</td>
<td>`001732</td>
<td>08/6158</td>
<td>`0000666129126</td>
<td>`3503050904820001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-1982</td>
<td>40 Th</td>
<td>RT 1 RW 1</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000574</td>
<td>GEMBREGES</td>
<td>AMLODIPIN PARACETAMOL DEXA VIT C AMOK</td>
<td>156/95</td>
<td>99</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>101</td>
<td>110</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2980</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>SEPTI WAHYUNING PUTRI</td>
<td>`006561</td>
<td>01/528</td>
<td>`</td>
<td>`3503057009980001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-09-1998</td>
<td>24 Th</td>
<td>RT 5 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>SKS</td>
<td>-</td>
<td>115/73</td>
<td>85</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>46</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2981</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>DARWANTO</td>
<td>`001099</td>
<td>06/5798</td>
 <td>`0000666245158</td>
<td>`3503051108640001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-08-1964</td>
<td>58 Th</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000573</td>
<td>SESAK BATUK</td>
<td>SALBUTAMOL CIPRO PREDNISON OBH SYR</td>
<td>120/82</td>
<td>71</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>58</td>
<td>58</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45</td>
<td>
Asthma </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2982</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>YUNITA PERMATASARI</td>
<td>`021084</td>
<td>03/3328A</td>
<td>`0000106543045</td>
<td>`3503054306990005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-06-1999</td>
<td>23 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>GATAL DI BADAN DAN WAJAH</td>
<td>LORATADIN DEKSA CIPRO BEDAK SALISIL SALEP BETASON</td>
<td>138/77</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>53</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2983</td>
<td>POLI GIZI</td>
<td>10-09-2022</td>
<td></td>
<td>RAHMI SETYOWATI</td>
<td>`021083</td>
<td>05/9363</td>
<td>`</td>
<td>`3578105312840002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-12-1984</td>
<td>37 Th</td>
<td>RT 10 RW 05</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>CPW</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
 <td>36</td>
<td>20</td>
<td>156</td>
<td>75</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2984</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>DENI PRASETYO</td>
<td>`021085</td>
<td>06/5233</td>
<td>`0000666968635</td>
<td>`3503053010970002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-10-1997</td>
<td>24 Th</td>
<td>PAKEL, RT : 40,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>PUSING MUAL MULUT TERASA PAHIT</td>
<td>OMEPRAZOLE METOCLOPAMID AMOK PAMOL</td>
<td>102/58</td>
<td>67</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>70</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2985</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>KATIYAH</td>
<td>`021086</td>
<td>06/6389</td>
<td>`0000665987962</td>
<td>`3503055407680001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-07-1968</td>
<td>54 Th</td>
<td>DUSUN TENGGAR, RT : 4,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000578</td>
<td>PERUT PERIH MUAL PUSING</td>
<td>OBH SYR PAMOL OMEPRAZOLE RANITIDIN METOCLOPAMID AMLODIPIN</td>
<td>168/86</td>
<td>83</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>59</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2986</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>PURBO BAYU AJI PUTRO</td>
<td>`021087</td>
<td>01/2642</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-03-2017</td>
<td>5 Th</td>
<td>RT 033 RW 008</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS PUSING BATUK NYERI TENGGOROKAN</td>
<td>ANTASIDA PAMOL AMOK PREDNISON GG SALBUTAMOL VIT C CTM</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>106</td>
<td>17</td>
<td>20</td>
<td></td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2987</td>
<td>UGD</td>
<td>10-09-2022</td>
<td></td>
<td>SUPARNI</td>
<td>`014212</td>
<td>06/8318</td>
<td>`</td>
 <td>`3503051006640001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-06-1964</td>
<td>58 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>sesak nafas</td>
<td>paracetamol, gg</td>
<td>140/90</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>60</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pel. Penguapan saluran nafas<br> </td>
</tr>
<tr align='left' valign="top">
<td>2988</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>SITI MUAWANAH</td>
<td>`009554</td>
<td>01/1883</td>
<td>`0000666205806</td>
<td>`3503055907660001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-07-1966</td>
<td>56 Th</td>
<td>DUSUN KEBONSARI, RT : 31,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000577</td>
<td>BAB LEMBEK BERCAMPUR DARAH</td>
<td>COTRIM PAMOL OMEPRAZOLE RANITIDIN VIT C</td>
<td>123/67</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>44</td>
<td>46</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2989</td>
<td>POLI REMAJA</td>
<td>10-09-2022</td>
<td></td>
<td>AISHA RAHMI NASYWA</td>
<td>`004901</td>
<td>07/3664</td>
<td>`0001548253012</td>
<td>`3503054508090001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-08-2009</td>
<td>13 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000576</td>
<td>BATUK PILEK PANAS</td>
<td>AMBROKSOL OBH SYR AMOK PREDNISON VIT C</td>
<td>99/59</td>
<td>88</td>
<td>36</td>
 <td>20</td>
<td>155</td>
<td>41</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2990</td>
<td>POLI UMUM</td>
<td>10-09-2022</td>
<td></td>
<td>INDARWATI</td>
<td>`002089</td>
<td>06/4019</td>
<td>`</td>
<td>`3503056302840001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-02-1984</td>
<td>38 Th</td>
<td>DUSUN PAKEL, RT : 36,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>BATUK PILEK PUSING GEMBREGES</td>
<td>DEXA CIPRO ASMEF DIMEN OBH SYR AMBROKSOL</td>
<td>126/75</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>53</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2991</td>
<td>PONKESDES SUKOREJO</td>
<td>10-09-2022</td>
<td></td>
<td>AINAYA NASWA ALFAIZA</td>
<td>`013686</td>
<td></td>
<td>`0001978441964</td>
<td>`3503056903090003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-03-2009</td>
<td>13 Th</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000798</td>
<td>batuk pilek panas</td>
<td>amox,pamol,ctm,gg</td>
<td>93/56</td>
<td>113</td>
<td>36</td>
<td>24</td>
<td>148</td>
<td>42</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2992</td>
<td>PONKESDES SUKOREJO</td>
<td>10-09-2022</td>
<td></td>
<td>ALI SUWITO</td>
<td>`005589</td>
<td></td>
<td>`0001978436924</td>
<td>`3503051111760003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-11-1976</td>
<td>45 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000801</td>
<td>keju linu</td>
<td>nadif,alopurinol</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>54</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M19.0</td>
<td>
Primary arthrosis of other joints </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2993</td>
<td>RAWAT INAP</td>
<td>10-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td> MESIYEM</td>
<td>`000019</td>
<td>02/496</td>
<td>`0000665658033</td>
<td>`3503055807520001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-1952</td>
<td>70 Th</td>
<td>RT 05 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>panas 4 hari,batuk 1 minggu, pusing, dredek</td>
<td>infus rl 20 tpm,
inj.ranit 2x1 amp
inj. metoclop 3x1 amp,
inj. ampi 3x1 gr
amlodipine 1x1
ctm 3x1
gg 3x1
pamol 3x1
</td>
<td>170/100</td>
<td>95</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pemasangan infuse<br>Layanan Unit Gawat Darurat (UGD)<br>Biaya rawat inap
pasien umum per hari<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Rawat Inap
pasien BPJS<br>Rawat Inap pasien BPJS<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis
ringan lainnya<br>Konsultasi<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>2994</td>
<td>POLINDES PRAMBON 2</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>JAYANTI SUPRIHATIN</td>
<td>`013251</td>
<td></td>
 <td>`0000666042535</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-07-1986</td>
<td>36 Th</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>157</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2995</td>
<td>POLINDES PRAMBON 2</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>JARIYAH</td>
<td>`004688</td>
<td>06/5827a</td>
<td>`0000664426989</td>
<td>`3503055906820004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-12-1980</td>
<td>41 Th</td>
<td>RT 52 RW 11</td>
 <td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>51</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2996</td>
<td>POLINDES PRAMBON 2</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>HARMINI</td>
<td>`007226</td>
<td></td>
<td>`0001707022888</td>
<td>`3502135509870001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1987</td>
<td>35 Th</td>
<td>MLOKO, RT : 163,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>157</td>
<td>54</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2997</td>
<td>POLINDES PRAMBON 2</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>MUYATI</td>
<td>`013252</td>
<td></td>
<td>`0000666224155</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-08-1985</td>
<td>37 Th</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>52</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2998</td>
<td>POLINDES PRAMBON 2</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>SULASMINI</td>
<td>`004610</td>
<td></td>
<td>`0000665804777</td>
<td>`3503056703890002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-03-1989</td>
<td>33 Th</td>
<td>MLOKO, RT : 164,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>2999</td>
<td>POLINDES PRAMBON 2</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>ROLASIH</td>
<td>`013253</td>
<td></td>
<td>`0000664465937</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-03-1988</td>
<td>34 Th</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3000</td>
<td>POLINDES PRAMBON 2</td>
 <td>10-09-2022</td>
<td>KONSULTASI</td>
<td>MUJI GERNINGSIH</td>
<td>`013254</td>
<td></td>
<td>`0000666253078</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-12-1987</td>
<td>34 Th</td>
<td>RT 43</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>52</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3001</td>
<td>POLINDES PRAMBON 2</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>KRISMA AYU FEBRIANI</td>
<td>`000990</td>
<td>01/2555</td>
<td>`0000665611705</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>08-02-2002</td>
<td>20 Th</td>
<td>RT 24 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3002</td>
<td>POLINDES PRAMBON 2</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>MUTINI</td>
<td>`013255</td>
<td></td>
<td>`0002159512481</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1976</td>
<td>45 Th</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>85</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3003</td>
<td>POLINDES PRAMBON 2</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>DIAN NINGTIANI</td>
<td>`007033</td>
<td>06/3836</td>
<td>`0000665802639</td>
<td>`3503056811980002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-11-1998</td>
<td>23 Th</td>
<td>MLOKO, RT : 163,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
 <td>158</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3004</td>
<td>POLINDES PRAMBON 2</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>SUWADITA ERNALASARI</td>
<td>`008924</td>
<td>06/7776</td>
<td>`0000666088479</td>
<td>`3503054706940005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-06-1994</td>
<td>28 Th</td>
<td>MLOKO, RT : 54,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>58</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3005</td>
<td>POLINDES PRAMBON 2</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>SUWANTI</td>
<td>`013256</td>
<td></td>
<td>`0000667041581</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-1999</td>
<td>23 Th</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>3006</td>
<td>POLINDES PRAMBON 2</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>ANA NUR SETIANTI</td>
<td>`013257</td>
<td></td>
<td>`0001976022775</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-01-1987</td>
<td>35 Th</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3007</td>
<td>POLINDES PRAMBON 2</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>IKA RATNAWATI</td>
<td>`010575</td>
 <td>06/7761</td>
<td>`0000667130095</td>
<td>`3503054702910001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-02-1991</td>
<td>31 Th</td>
<td>MLOKO, RT : 53,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>51</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3008</td>
<td>POLINDES PRAMBON 2</td>
<td>10-09-2022</td>
<td>KONSULTASI</td>
<td>KURNIASARI</td>
<td>`005191</td>
<td>06/6985</td>
<td>`0000666070299</td>
<td>`3503055107990002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-07-1999</td>
<td>23 Th</td>
 <td>DUSUN MLOKO, RT : 52,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>51</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3009</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KRISMA AYU FEBRIANI</td>
<td>`000990</td>
<td>01/2555</td>
<td>`0000665611705</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-02-2002</td>
<td>20 Th</td>
<td>RT 24 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3010</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>DUWI YULI ARIZKA</td>
<td>`013759</td>
<td></td>
<td>`0000665656749</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-07-1994</td>
<td>28 Th</td>
<td>RT 024 RW 006</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>53</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3011</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LATIFATUL FUADAH</td>
<td>`001975</td>
<td>07/8788</td>
<td>`0000665425618</td>
<td>`3503055010970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-10-1997</td>
<td>24 Th</td>
<td> RT : 024,RW : 006</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>56</td>
<td>9</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3012</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LILA BINTI KHOTIMAH</td>
<td>`013715</td>
<td></td>
<td>`0001037003859</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-11-1989</td>
<td>32 Th</td>
<td>RT 024 RW 006</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>56</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3013</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AGUSTINA SAPUTRI</td>
 <td>`016418</td>
<td></td>
<td>`0001975796043</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-08-1995</td>
<td>27 Th</td>
<td>RT 025 RW 006</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>35</td>
<td>22</td>
<td>154</td>
<td>52</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3014</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SULASTRI</td>
<td>`016419</td>
<td></td>
<td>`0000665604685</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-08-1979</td>
<td>43 Th</td>
 <td>RT 025 RW 006</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>78</td>
<td>35</td>
<td>20</td>
<td>154</td>
<td>60</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3015</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>INTAN NUR FATIMAH</td>
<td>`013761</td>
<td></td>
<td>`0000665605203</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-2005</td>
<td>17 Th</td>
<td>RT 024 RW 006</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>45</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3016</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NUR AZIZAH</td>
<td>`013724</td>
<td></td>
<td>`0000665806386</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-07-1990</td>
<td>32 Th</td>
<td>RT 025 RW 006</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>51</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3017</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LILIK RIANTI</td>
<td>`016422</td>
<td></td>
<td>`0000665868071</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-1981</td>
<td>41 Th</td>
<td>RT 025 RW 006</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>78</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>3018</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MISNATUN</td>
<td>`002203</td>
<td>02/1020</td>
<td>`0000665880568</td>
<td>`3503055604680001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-04-1968</td>
<td>54 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>61</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3019</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>TRIANA</td>
<td>`015015</td>
 <td></td>
<td>`0000665881683</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-12-1994</td>
<td>27 Th</td>
<td>RT 25</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>IRT</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3020</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>JUMROTUL ULIYAH</td>
<td>`009721</td>
<td></td>
<td>`0000665928448</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-04-1973</td>
<td>49 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
 <td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3021</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SITI BAROKAH</td>
<td>`010721</td>
<td></td>
<td>`0000665941421</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-06-1996</td>
<td>26 Th</td>
<td>RT 12 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
 <td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>52</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3022</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AYU NORPITA SARI</td>
<td>`015016</td>
<td></td>
<td>`0000666124288</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-09-1995</td>
<td>27 Th</td>
<td>RT 25</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>IRT</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3023</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>LULUK EFTIKA SARI</td>
<td>`011278</td>
<td>02/9185</td>
<td>`0000666333303</td>
<td>`3503054608050001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-08-2005</td>
<td>17 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>51</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>3024</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SRI HANDAYANI</td>
<td>`014185</td>
<td>02/1896</td>
<td>`0000666366974</td>
<td>`3503055006810001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-06-1981</td>
<td>41 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3025</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SHINTYA EKA ROSALIA PUTRI</td>
<td>`015017</td>
<td></td>
 <td>`0000666367299</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-04-2000</td>
<td>22 Th</td>
<td>RT 25</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>78</td>
<td>35</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3026</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>KOLISAH</td>
<td>`016426</td>
<td></td>
<td>`0000667317767</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1956</td>
<td>66 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>62</td>
<td>95</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3027</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>IRA FATMA SARI</td>
<td>`015018</td>
<td></td>
<td>`0002636754502</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-03-2009</td>
<td>13 Th</td>
<td>RT25</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
 <td>36</td>
<td>20</td>
<td>154</td>
<td>46</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3028</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NUNUK MESINAH</td>
<td>`016429</td>
<td></td>
<td>`0001037003826</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1965</td>
<td>56 Th</td>
<td>RT 018 RW 002</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>61</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3029</td>
<td>POLINDES NGLONGSOR</td>
<td>10-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ELSA APRILIANDA</td>
<td>`015019</td>
<td></td>
<td>`0001978460381</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-04-2005</td>
<td>17 Th</td>
<td>RT08</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>46</td>
<td>91</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3030</td>
<td>PONKESDES TUMPUK</td>
<td>10-09-2022</td>
<td>KIA PUSTU - POLINDES</td>
<td>EKA SUSI RAHMAWATI</td>
<td>`003681</td>
<td></td>
<td>`0001978448321</td>
<td>`3503055602820005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-02-1982</td>
<td>40 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922P000909</td>
<td>KONTROL SUNTIK KB</td>
<td>DEPO,SPUIT 3 ML,ALKOHOL SWABS,HANDSCOON</td>
<td>148/88</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>66.7</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3031</td>
<td>PUSTU NGEPEH</td>
<td>10-09-2022</td>
<td></td>
<td>TUMIRAN</td>
<td>`001044</td>
<td></td>
<td>`0000665922295</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-11-1962</td>
<td>59 Th</td>
<td>9/3 NGEPEH TUGU</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001315</td>
<td>kontrol sesak</td>
<td>salbu dexa gg</td>
<td>132/74</td>
<td>72</td>
<td>35</td>
<td>20</td>
<td>165</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>R06.0</td>
<td>
Dyspnoea </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3032</td>
<td>PUSTU NGEPEH</td>
<td>10-09-2022</td>
<td></td>
<td>SITI FATONAH</td>
<td>`002939</td>
<td></td>
<td>`0000665920541</td>
<td>`3503055206670002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-06-1967</td>
<td>55 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001326</td>
<td>kontrol gatal</td>
<td>miconazol salep amox ctm dexa</td>
<td>111/81</td>
<td>99</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>45</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3033</td>
<td>PUSTU NGEPEH</td>
<td>10-09-2022</td>
<td></td>
<td>YAUMI</td>
<td>`002886</td>
<td></td>
<td>`0002802747925</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-06-1969</td>
<td>53 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001327</td>
<td>kontrol asma</td>
<td>ambroksol dexa salbutamol</td>
<td>110/72</td>
<td>84</td>
<td>35</td>
 <td>22</td>
<td>158</td>
<td>80</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>R06.0</td>
<td>
Dyspnoea </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3034</td>
<td>PUSTU NGEPEH</td>
<td>10-09-2022</td>
<td></td>
<td>ROSITA</td>
<td>`004570</td>
<td></td>
<td>`0000666373735</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-01-1983</td>
<td>39 Th</td>
<td>RT.21 RW.9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001329</td>
<td>keju, batuk, pusing</td>
<td>pamol nadik gg</td>
<td>112/67</td>
<td>81</td>
<td>35</td>
<td>20</td>
<td>158</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td>R51</td>
 <td>
Headache </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3035</td>
<td>RAWAT INAP</td>
<td>11-09-2022</td>
<td></td>
<td>ROY VERNANDO</td>
<td>`021094</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>tarno</td>
<td></td>
<td>L</td>
<td>22-12-2000</td>
<td>21 Th</td>
<td>RT 9 RW 5</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Biaya rawat inap pasien umum per hari<br> </td>
</tr>
<tr align='left' valign="top">
<td>3036</td>
<td>RAWAT INAP</td>
<td>11-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>NABILLA QUEENA DE IRAWAN</td>
<td>`021092</td>
<td></td>
<td>`0002773536939</td>
<td>`</td>
<td>`</td>
<td>hengki irawan</td>
<td></td>
<td>P</td>
<td>30-06-2019</td>
<td>3 Th</td>
<td>RT 22 RW 8</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>panas, pilek, susah makan, kaki kanan gatal bernanah</td>
<td>infus rl 33 tpm micro,inj.ampi 3x250 mg,inj.deksa 2x0,3cc</td>
<td>90/60</td>
<td>112</td>
<td>37</td>
<td>20</td>
<td>100</td>
<td>12</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Rawat Inap pasien BPJS<br>Pemasangan infuse<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis
ringan lainnya<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis ringan
lainnya<br>Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum
per hari<br>Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum
per hari<br>Konsultasi<br>Tindakan medis ringan lainnya<br></td>
</tr>
<tr align='left' valign="top">
<td>3037</td>
<td>UGD</td>
<td>11-09-2022</td>
<td></td>
 <td>SUSWATI</td>
<td>`007449</td>
<td>08/3291</td>
<td>`0000170070456</td>
<td>`3503056008820002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-08-1982</td>
<td>40 Th</td>
<td>DUSUN BENGGLE, RT : 12,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3038</td>
<td>UGD</td>
<td>11-09-2022</td>
<td></td>
<td>SIGIH</td>
<td>`021582</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>sigih</td>
<td></td>
<td>L</td>
<td>26-09-1979</td>
 <td>43 Th</td>
<td>RT 2 RW 2 SUKOREJO</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3039</td>
<td>UGD</td>
<td>11-09-2022</td>
<td></td>
<td>BAGUS RAHMAT</td>
<td>`021583</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>IMAM GOZHALI</td>
<td></td>
<td>L</td>
<td>26-09-2010</td>
<td>12 Th</td>
<td>RT RW</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
 <td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3040</td>
<td>UGD</td>
<td>11-09-2022</td>
<td></td>
<td>RIKHO FATKUL JINAN</td>
<td>`004529</td>
<td>01/4274</td>
<td>`0001978458805</td>
<td>`3503050705060002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-05-2006</td>
<td>16 Th</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3041</td>
<td>UGD</td>
<td>11-09-2022</td>
<td></td>
<td>YATINI</td>
<td>`021584</td>
<td></td>
<td>`0000666116054</td>
<td>`</td>
<td>`</td>
<td>YATINI</td>
<td></td>
<td>P</td>
<td>02-04-1964</td>
<td>58 Th</td>
<td>RT 5 RW 2</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3042</td>
<td>UGD</td>
<td>11-09-2022</td>
<td></td>
<td>TITIN</td>
<td>`012927</td>
<td></td>
<td>`0001978434663</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-07-1970</td>
<td>52 Th</td>
<td>RT 11 RW 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3043</td>
<td>UGD</td>
<td>11-09-2022</td>
<td></td>
<td>SAMIDI</td>
 <td>`008814</td>
<td></td>
<td>`0001978434652</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-09-1969</td>
<td>53 Th</td>
<td>RT 10 RW 04</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3044</td>
<td>UGD</td>
<td>11-09-2022</td>
<td></td>
<td>ALBI</td>
<td>`021585</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>SUWARNO</td>
<td></td>
<td>L</td>
<td>26-09-2015</td>
<td>7 Th</td>
 <td>RT 12 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3045</td>
<td>UGD</td>
<td>11-09-2022</td>
<td></td>
<td>MUJIANTO</td>
<td>`007102</td>
<td>01/7612</td>
<td>`0002802770651</td>
<td>`3503051207590001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-07-1959</td>
<td>63 Th</td>
<td>DUSUN GONDANG, RT : 7,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Tukang Kayu</td>
<td>Lama</td>
<td>131506010922Y000647</td>
<td>NYERI PERUT KIRI</td>
<td>OMZ 2X1
IBUPROFEN 3X1
KALTROFEN SUPP 1A</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>3046</td>
<td>UGD</td>
<td>11-09-2022</td>
<td></td>
<td>MUHAMMAD FARRAS ZHAFIR</td>
<td>`003567</td>
<td>02/181</td>
<td>`0002435516965</td>
<td>`3503050202150001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-02-2015</td>
<td>7 Th</td>
<td>RT 5 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000649</td>
<td>PANAS 2 HARI, BATUK, MUNTAH</td>
<td>PCT 3X1/2
AMBROXOL SYR 3X1</td>
<td>100/60</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>25</td>
<td>70</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3047</td>
<td>UGD</td>
<td>11-09-2022</td>
<td></td>
<td>MAULANA RIDHO HULAMUTTAQI</td>
<td>`009961</td>
<td></td>
<td>`0000666232661</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-09-2009</td>
<td>13 Th</td>
<td>RT 20 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000652</td>
<td>PANAS 4 HARI, SESAK</td>
<td>NEBUL 1 A VENTOLIN
SALBUTAMOL 3X1</td>
<td>100/60</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>34</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pel. Penguapan saluran nafas<br> </td>
</tr>
<tr align='left' valign="top">
<td>3048</td>
<td>UGD</td>
<td>11-09-2022</td>
<td></td>
<td>SATRIA FAJAR</td>
<td>`021176</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-2006</td>
<td>16 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PUSING, BATUK, MUAL,PILEK</td>
<td>IBUPROFEN 3X1
GG 3X1
ANTASIDA 3X1
CTM 3X1</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>47</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3049</td>
<td>UGD</td>
<td>11-09-2022</td>
<td></td>
<td>NIZAM</td>
<td>`021177</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-2012</td>
<td>10 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PUSING, BATUK, PILEK, MUAL</td>
<td>IBUPROFEN 3X1
GG 3X1
CTM 3X1
ANTASIDA 3X1</td>
<td>100/60</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>30</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3050</td>
<td>UGD</td>
<td>11-09-2022</td>
<td></td>
<td>BENI MARDIANGAH</td>
<td>`021178</td>
 <td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-2005</td>
<td>17 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS, BATUK, PILEK</td>
<td>IBUPROFEN 3X1
CTM 3X1
GG 3X1</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>47</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3051</td>
<td>UGD</td>
<td>11-09-2022</td>
<td></td>
<td>AVRIKO VENZA</td>
<td>`021180</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-2009</td>
 <td>13 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>MUAL, USING, PANAS 1 MGGU, MUNTAH 2X, BAB CAIR 2X, BATUK, PILEK</td>
<td>ANTASIDA 3X1
IBUPROFEN 3X1
ATTALPUGIT 1X/DIARE
CTM 3X1
GG 3X1</td>
<td>130/80</td>
<td>99</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>43</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3052</td>
<td>UGD</td>
<td>11-09-2022</td>
<td></td>
<td>EKA DESWITA MAHARANY</td>
<td>`006533</td>
<td>08/3992</td>
<td>`0001861725576</td>
<td>`3503057012050001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-2005</td>
<td>16 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3053</td>
<td>POLINDES PRAMBON 1</td>
<td>12-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>NARLIS SA`ADAH</td>
<td>`018827</td>
<td>06/9311</td>
<td>`</td>
<td>`3503056409890002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-09-1989</td>
<td>33 Th</td>
<td>PRAMBON, RT : 29,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>hamil</td>
<td>fe</td>
<td>110/70</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>0</td>
 <td>42</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3054</td>
<td>POLINDES PRAMBON 1</td>
<td>12-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>DAMAYANTI</td>
<td>`014489</td>
<td></td>
<td>`0002867872746</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-09-1983</td>
<td>39 Th</td>
<td>RT 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing,mual</td>
<td>pamol,antasid</td>
<td>100/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>0</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.0</td>
<td>
Acute laryngopharyngitis </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Anis Sri Rahayu, A.Md.Keb. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3055</td>
<td>RAWAT INAP</td>
<td>12-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>KUN SETYA BUDI</td>
<td>`021093</td>
<td></td>
<td>`0000106517193</td>
<td>`</td>
<td>`</td>
<td>kun setya budi</td>
<td></td>
<td>L</td>
<td>31-08-1964</td>
<td>58 Th</td>
<td>RT 22 RW 6</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>sesak nafas, batuk berdahak</td>
<td>infus rl 20 tpm, inj.ampi 3x1 gr, inj. deksa 2x1,nebulizer, gg 3x1,
salbutamol 3x1

2x1 </td>
<td>120/80</td>
<td>79</td>
<td>36</td>
<td>24</td>
<td>165</td>
<td>89</td>
<td>0</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
 Rawat Inap pasien BPJS<br>Konsultasi<br>Layanan Unit Gawat Darurat
(UGD)<br>Pemasangan infuse<br>EKG<br>Biaya rawat inap pasien umum per hari<br>Rawat
Inap pasien BPJS<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Biaya rawat inap
pasien umum per hari<br>Biaya rawat inap pasien umum per hari<br>Biaya rawat inap
pasien umum per hari<br>Konsultasi<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>3056</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>ISMINI</td>
<td>`003623</td>
<td>05/2757</td>
<td>`0000106707172</td>
<td>`3503054508440002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-08-1944</td>
<td>78 Th</td>
<td>RT 3 RW 2</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000586</td>
<td>kontrol</td>
<td>-</td>
<td>118/46</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>55</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N40</td>
<td>
Hyperplasia of prostate </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3057</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
 <td></td>
<td>MIAGUS KRISTANTI</td>
<td>`001945</td>
<td>90/230</td>
<td>`0000106525991</td>
<td>`350306 </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-08-1973</td>
<td>49 Th</td>
<td>RT 07 RW 03</td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y000680</td>
<td>NYERI LENGAN KANAN</td>
<td>-</td>
<td>105/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>57</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3058</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>MUTI</td>
<td>`007010</td>
<td></td>
<td>`0003067902718</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>31-12-1965</td>
<td>56 Th</td>
<td>RT 47</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>157</td>
<td>53</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3059</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>ALI MUSTOFA</td>
<td>`014716</td>
<td>04/6243</td>
<td>`0000665711098</td>
<td>`3503052107780001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>21-07-1978</td>
<td>44 Th</td>
<td>RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
 <td>Lama</td>
<td>131506010922Y000605</td>
<td>KONTROL DIABET, KELU TIDAK ADA</td>
<td>GLIBEN, VIT BC</td>
<td>127/77</td>
<td>71</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>68.3</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3060</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>YAHNI</td>
<td>`001460</td>
<td></td>
<td>`0001978488707</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1965</td>
<td>56 Th</td>
<td>PRAMBON RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>59</td>
 <td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3061</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>PAIDI</td>
<td>`000060</td>
<td>01/187</td>
<td>`0000666981167</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-06-1960</td>
<td>62 Th</td>
<td>RT 32 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000659</td>
<td>pusing cekot cekot, leher terasa nyeri</td>
<td>amoksillin, pamol, gg, antasida, b.complek</td>
<td>101/45</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>L02.9</td>
<td>
Cutaneous abscess, furuncle and carbuncle, unspecified </td>
 <td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3062</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>RIKA SEPTIANI</td>
<td>`004604</td>
<td>06/2850</td>
<td>`0001978488718</td>
<td>`3503055009970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-09-1997</td>
<td>25 Th</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>64</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>3063</td>
<td>POLI REMAJA</td>
<td>12-09-2022</td>
<td></td>
<td>KAMILIYATUL HUSNA</td>
<td>`003976</td>
<td>90/2826</td>
<td>`0003071461151</td>
<td>`3503055308080001</td>
<td>`</td>
<td></td>
<td>081336789005</td>
<td>P</td>
<td>13-08-2008</td>
<td>14 Th</td>
<td>MOJO KIDUL, RT : 021,RW :008 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000696</td>
<td>batuk pilek panas pusing</td>
<td>panas pusing batuk pilek</td>
<td>101/57</td>
<td>140</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>44</td>
<td>58</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J03</td>
<td>
Acute tonsillitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3064</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>KASINI</td>
<td>`004181</td>
<td></td>
<td>`0000666039172</td>
<td>`3503054204690001</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>02-04-1969</td>
<td>53 Th</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>60</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3065</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>HENDRI KURNIAWAN</td>
<td>`007013</td>
<td></td>
<td>`0002970310948</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-06-2008</td>
<td>14 Th</td>
<td>RT 47</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3066</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SUTI</td>
<td>`006013</td>
<td></td>
<td>`0001978491227</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1956</td>
<td>66 Th</td>
<td>RT50</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>84</td>
<td>36</td>
 <td>22</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3067</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>NYAMITUN</td>
<td>`021095</td>
<td>06/5863</td>
<td>`</td>
<td>`3503054308840001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-08-1984</td>
<td>38 Th</td>
<td>RT 51 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td></td>
<td>nyeri ulu hati, mual, perut tambah sakit dan sebah bila makan</td>
<td>omz, antasid, domp</td>
<td>143/84</td>
<td>102</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>44.1</td>
<td>78</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
 <td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3068</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SUMADI</td>
<td>`001651</td>
<td></td>
<td>`0000666100394</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1960</td>
<td>62 Th</td>
<td>PRAMBON RT 47/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>3069</td>
<td>POLI MTBS</td>
<td>12-09-2022</td>
<td></td>
<td>BULAN ASYIFA PUTRI M</td>
<td>`021096</td>
<td>06/5863</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-10-2017</td>
<td>4 Th</td>
<td>RT 51 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>batuk,panas</td>
<td>amoksilin,ibuprofen,ambroksol </td>
<td>1/1</td>
<td>100</td>
<td>36</td>
<td>24</td>
<td>112</td>
<td>13</td>
<td>37</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3070</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>M. NIZAR PUTRA FEBRIANSYAH</td>
<td>`006111</td>
<td></td>
 <td>`0001037015122</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-02-2004</td>
<td>18 Th</td>
<td>PRAMBON RT 41</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3071</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>MUHAMMAD ILHAM AL AZIZ</td>
<td>`016607</td>
<td></td>
<td>`0003067050767</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-10-2020</td>
<td>1 Th</td>
<td>RT 53</td>
 <td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>68</td>
<td>10</td>
<td>43</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3072</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>KARSIDI</td>
<td>`020504</td>
<td>90/228</td>
<td>`</td>
<td>`3503050806670001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-06-1967</td>
<td>55 Th</td>
<td>MOJO KIDUL, RT : 021,RW :008 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PETANI/PEKEBUN</td>
<td>Lama</td>
<td></td>
<td>DADA TERASA SESAK</td>
<td>RANITIDIN, AMLODIPIN 10 MG, ANTASID</td>
 <td>171/82</td>
<td>104</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>61.5</td>
<td>90</td>
<td></td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3073</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>SITI ISTIQOMAH</td>
<td>`021097</td>
<td>90/228</td>
<td>`</td>
<td>`3503055611690001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-11-1969</td>
<td>52 Th</td>
<td>MOJO KIDUL, RT : 021,RW :008 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PETANI/PEKEBUN</td>
<td>Baru</td>
<td></td>
<td>GATAL PADA KEMALUAN</td>
<td>CTM, PREDNISON, AMLODIPIN 10 MG</td>
<td>188/102</td>
<td>127</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>67.3</td>
<td>85</td>
<td></td>
<td>KASUS BARU</td>
<td>B35.1</td>
 <td>
Tinea unguium </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3074</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>DUWI NURCAHYANTI</td>
<td>`006840</td>
<td>06/6121</td>
<td>`0001978489438</td>
<td>`3503055702950001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-02-1995</td>
<td>27 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>58</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3075</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>WARAS</td>
<td>`011318</td>
<td>03/218</td>
<td>`0001978443729</td>
<td>`3503053112590001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1959</td>
<td>62 Th</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000671</td>
<td>TELINGA TERASA PENUH</td>
<td>-</td>
<td>143/80</td>
<td>67</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>72</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H61.2</td>
<td>
Impacted cerumen </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3076</td>
<td>POLI MTBS</td>
<td>12-09-2022</td>
<td></td>
<td>ARSYILA EKA SEPTIANI</td>
 <td>`021098</td>
<td>06/9272</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-09-2018</td>
<td>4 Th</td>
<td>RT 07 RW 02</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>panas batuk</td>
<td>ambroksol ctm,amok, pamol sy</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>100</td>
<td>11.8</td>
<td>54</td>
<td></td>
<td>KASUS BARU</td>
<td>J06</td>
<td>
Acute upper respiratory infections of multiple and unspecified sites
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3077</td>
<td>RAWAT INAP</td>
<td>12-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>SUJI</td>
<td>`021186</td>
<td></td>
<td>`0000665089064</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-04-1955</td>
 <td>67 Th</td>
<td>RT 11 RW 2</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td>sesak, dada kiri terasa panas, mual, meriang, panas hari ke-
4,pusing,batuk</td>
<td>inj ampicilin 3x1
inj ranitidin 2x1
inj omz 2x1
inj antrain 3x1
os ambroxol 3x1
nebul ventolin 1 a
ekg</td>
<td>130/80</td>
<td>102</td>
<td>38</td>
<td>24</td>
<td>155</td>
<td>48</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Rawat Inap pasien BPJS<br>Konsultasi<br>Layanan Unit Gawat Darurat
(UGD)<br>Rawat Inap pasien BPJS<br>EKG<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Rujukan Ke RS di
Trenggalek PKM Tugu<br> </td>
</tr>
<tr align='left' valign="top">
<td>3078</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>SITI JUWARIYAH</td>
<td>`013120</td>
<td>04/7539</td>
<td>`0000666374231</td>
<td>`3503056611990001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-11-1999</td>
 <td>22 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000611</td>
<td>NYERI TENGGOROKAN DAN TERASA GATAL, PILEK</td>
<td>LORATADIN, IBUPROF, OBH SY</td>
<td>99/57</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>44.1</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3079</td>
<td>POLI KIA</td>
<td>12-09-2022</td>
<td></td>
<td>RITA RAHAYU</td>
<td>`016697</td>
<td>08/8216</td>
<td>`0000661615402</td>
<td>`3502055010000001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-10-2000</td>
<td>21 Th</td>
<td>RT 01 RW 01</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922P000630</td>
<td>-</td>
 <td>-</td>
<td>114/63</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>149</td>
<td>67</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3080</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>MUKHAMMAD RISQI PUTRA MA`ARIF</td>
<td>`013192</td>
<td>04/1445</td>
<td>`0002463854499</td>
<td>`3503052105140003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-05-2014</td>
<td>8 Th</td>
<td>RT 025 RW 011</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000610</td>
<td>BATUK 1 MG, KEMBUNG</td>
<td>ANTASID SY, OBH SY</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>25</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3081</td>
<td>RAWAT INAP</td>
<td>12-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>RIKHO FATKUL JINAN</td>
<td>`004529</td>
<td>01/4274</td>
<td>`0001978458805</td>
<td>`3503050705060002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-05-2006</td>
<td>16 Th</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>px mengatakan panas 2 hari, batuk, pilek, nyeri telan, makam minum
sedikit</td>
<td>INF NS 21 TTS/MNT
INJ AMPICILIN 3X1
INJ RANITIDIN 2X1
OS AMBROXOL 3X1
OS CTM 3X1
OS IBUPROFEN 3X1</td>
<td>120/80</td>
<td>102</td>
<td>38</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Rawat Inap pasien BPJS<br>Konsultasi<br>Layanan Unit Gawat Darurat
(UGD)<br>Rawat Inap pasien BPJS<br>Tindakan medis ringan lainnya<br>Tindakan medis
ringan lainnya<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan
medis ringan lainnya<br>Biaya rawat inap pasien umum per hari<br>Biaya rawat inap
pasien umum per hari<br>Tindakan medis ringan lainnya<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>3082</td>
<td>POLI KIA</td>
<td>12-09-2022</td>
<td></td>
<td>DEWI YULIA ANGGRAINI</td>
<td>`000516</td>
<td>90/3390</td>
<td>`0000152932959</td>
<td>`3503055607980002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-07-1998</td>
<td>24 Th</td>
<td>RT 06 RW 02</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>120/800</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3083</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>BONARI</td>
<td>`000402</td>
<td>01/210</td>
<td>`0001037001069</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1956</td>
<td>65 Th</td>
<td>RT 14 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000584</td>
<td>kontrol</td>
<td>-</td>
<td>150/76</td>
<td>61</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>70</td>
<td>98</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3084</td>
<td>PUSTU NGEPEH</td>
<td>12-09-2022</td>
<td></td>
<td>SAWAL</td>
 <td>`002982</td>
<td></td>
<td>`0000666372025</td>
<td>`3503051509610001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-09-1961</td>
<td>61 Th</td>
<td>DUSUN BEJI, RT : 17,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001335</td>
<td>nyeri perut, pusing</td>
<td>antasid omz pamol</td>
<td>120/57</td>
<td>63</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>42</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3085</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>JUARIYAH</td>
<td>`002732</td>
<td>01/3107</td>
<td>`0000666192756</td>
<td>`3503054602700001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-02-1970</td>
<td>52 Th</td>
 <td>DUSUN KALIPINGGIR, RT : 18,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>131506010922Y000617</td>
<td>KONTROL DIABET, KEL. TIDAK ADA</td>
<td>GLIBEN, AMLODIPIN 5 MG, PAMOL</td>
<td>156/95</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>64.8</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3086</td>
<td>RAWAT INAP</td>
<td>12-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>SUKIYAH</td>
<td>`021187</td>
<td></td>
<td>`</td>
<td>`3503125008680002-721353</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>10-08-1968</td>
<td>54 Th</td>
<td>RT 024 RW 011 CEME NGADIRENGGO POGALAN, RT : 24,RW :11 </td>
<td>NGADIRENGGO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>PX MENGATAKAN PANAS 1 HARI, LEMES, NDREDEG, PUSING, LIDAH TERASA
PAHIT</td>
<td>INF NS 21 TPM
INJ AMPICILIN 3X1
INJ RANITIDIN 2X1
INJ ANTRAIN 3X1
OS CEFAD 2X1
OS METFORMIN 3X1
OS DIMEN 3X1
BC 1X1</td>
<td>120/80</td>
<td>94</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>57</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>G44</td>
<td>
Other headache syndromes </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum per
hari<br>Layanan Unit Gawat Darurat (UGD)<br>Konsultasi<br>Biaya rawat inap pasien
umum per hari<br>Pemasangan infuse<br>Tindakan medis ringan lainnya<br>Tindakan
medis ringan lainnya<br>Konsultasi<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Biaya rawat inap pasien umum per hari<br>Tindakan medis
ringan lainnya<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>3087</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>SUMI</td>
<td>`021100</td>
<td>06/8138</td>
<td>`0000667119363</td>
<td>`3503056506500002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-06-1950</td>
<td>72 Th</td>
<td>MLOKO, RT : 54,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
 <td>Lama</td>
<td>131506010922Y000674</td>
<td>PUSING, SERING KRAM</td>
<td>AMLODIPINE,FUROSEMIDE,ASPILET,PAMOL,B.COMPLEK</td>
<td>184/89</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>33</td>
<td>80</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3088</td>
<td>POLI K.B</td>
<td>12-09-2022</td>
<td></td>
<td>MAYA KRISTIANI</td>
<td>`004032</td>
<td>06/8138</td>
<td>`0000666206346</td>
<td>`3503056507000002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-07-2000</td>
<td>22 Th</td>
<td>MLOKO, RT : 163,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000681</td>
<td>SUNTIK KB</td>
<td>-</td>
<td>115/74</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>61</td>
 <td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Istirohmawati,S.S.T. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3089</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>KATENI</td>
<td>`020694</td>
<td>01/752</td>
<td>`</td>
<td>`3503052004640003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-04-1964</td>
<td>58 Th</td>
<td>DUSUN KEBONSARI, RT : 27,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>GATAL DI DELAKANGAN DAN BOKONG, PERUT PERIH</td>
<td>LORATADIN, CIPRO, MIKONAZOLE CREAM, AMLO 5 MG, GLIME 1 MG</td>
<td>126/75</td>
<td>94</td>
<td>36</td>
<td>2</td>
<td>160</td>
<td>66.9</td>
<td>87</td>
<td></td>
<td>KASUS BARU</td>
<td>R73</td>
<td>
Elevated blood glucose level </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>B35.4</td>
 <td>
Tinea corporis </td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3090</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>MUJAYANAH</td>
<td>`012669</td>
<td>01/752</td>
<td>`</td>
<td>`3503057009660001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-09-1966</td>
<td>56 Th</td>
<td>DUSUN KEBONSARI, RT : 27,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>PANAS, NYERI TENGGOROKAN, GREGES, BADAN NYERI SEMUA</td>
<td>IBUPROF, GG, CTM</td>
<td>159/92</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56.3</td>
<td>83</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3091</td>
<td>RAWAT INAP</td>
 <td>12-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>FADILATUN NISA</td>
<td>`015187</td>
<td>01/8092</td>
<td>`0002802749499</td>
<td>`3503056202000002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-02-2000</td>
<td>22 Th</td>
<td>DSN KALIPINGGIR, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>panas 3 hari,pusing, nyeri telan,lemas,tidak nafsu makan</td>
<td>infus nacl 21 tpm,inj.ampicillin 3x1 gr, inj.ranit 2x1 ampl,ibu
profen,b.complek, omz.</td>
<td>100/60</td>
<td>86</td>
<td>38</td>
<td>20</td>
<td>153</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Rawat Inap pasien BPJS<br>Layanan Unit Gawat Darurat
(UGD)<br>Konsultasi<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Biaya rawat inap
pasien umum per hari<br>Biaya rawat inap pasien umum per hari<br>Biaya rawat inap
pasien umum per hari<br> </td>
</tr>
<tr align='left' valign="top">
<td>3092</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>SUMIATUN</td>
<td>`007519</td>
<td>02/476A</td>
<td>`0000665918109</td>
 <td>`3503054607630001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-07-1963</td>
<td>59 Th</td>
<td>ETAN KALI, RT : 21,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000621</td>
<td>BATUK, PILEK, KONTROL TENSI, TENGGOROKAN SERIK</td>
<td>PAMOL, OBH SY, AMLODIPIN 5 MG</td>
<td>129/70</td>
<td>108</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55.2</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3093</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>WARSIMUN</td>
<td>`003341</td>
<td>02/2363</td>
<td>`0002203263483</td>
<td>`3503053112510030</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1951</td>
<td>70 Th</td>
<td>RT 14 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000595</td>
<td>RUJUK BALIK</td>
<td>BISOPROLOL 2,5MG 1X1 (30)
ISDN 5MG 3X1 (90)
CANDESARTAN 8MG 1X1 (30)
KLOPIDOGRIL 75MG 1X1 (30)
SIMVASTATIN 20MG 1X1 (30)
SPIRONOLACTON 25MG 1X1 (30)</td>
<td>135/77</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>70</td>
<td>90</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>I50</td>
<td>
Heart failure </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3094</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>RAFA BAYU PRATAMA</td>
<td>`021102</td>
<td>01/4848A</td>
<td>`0002076756963</td>
<td>`1221050311140002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-11-2014</td>
<td>7 Th</td>
<td>RT 026 RW 06</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000620</td>
 <td>PANAS, BATUK, PILEK</td>
<td>OBH SY, PAMOL, CTM</td>
<td>1/1</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>115</td>
<td>13.3</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3095</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>MISKAN</td>
<td>`021103</td>
<td>04/7063</td>
<td>`0001036998685</td>
<td>`3503050210620002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-10-1962</td>
<td>59 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000694</td>
<td>sesak, batuk</td>
<td>ambroxol, salbutamol</td>
<td>109/68</td>
<td>102</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>33.7</td>
<td>82</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z03.0</td>
<td>
Observation for suspected tuberculosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3096</td>
<td>POLI MTBS</td>
<td>12-09-2022</td>
<td></td>
<td>RENSY MAULIDYA NINGRUM</td>
<td>`021104</td>
<td>03/6978</td>
<td>`0002314624814</td>
<td>`3503056611170001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-11-2017</td>
<td>4 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000678</td>
<td>panas batuk pilek</td>
<td>demacolin gg</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>20</td>
<td>48</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3097</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>PHINTA LAILATUN NIKMAH</td>
<td>`021105</td>
<td>01/96</td>
<td>`0001707124689</td>
<td>`3503055807110001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-2011</td>
<td>11 Th</td>
<td>DUSUN KEBONSARI, RT : 27,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000639</td>
<td>BATUK,PILEK, PANAS, MUNTAH</td>
<td>DOMP, PAMOL, AMBROXOL</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>29.8</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3098</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
 <td>FAUZI KURNIAWAN</td>
<td>`016250</td>
<td></td>
<td>`0000665608544</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-06-2004</td>
<td>18 Th</td>
<td>DSN. KRAJAN RT 06 RW 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>110/80</td>
<td>980</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3099</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>JIONO</td>
<td>`019255</td>
<td></td>
<td>`0000665612638</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-09-1982</td>
 <td>40 Th</td>
<td>RT 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3100</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>SUTIPAH</td>
<td>`021107</td>
<td>01/5568</td>
<td>`0001265361344</td>
<td>`9171028511790002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-11-1979</td>
<td>42 Th</td>
<td>RT 30 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td>131506010922Y000643</td>
<td>SEPERTI ADA JERAWAT DI ANUS</td>
 <td>CIPRO, ASMEF, GENTA SALEP</td>
<td>139/81</td>
<td>115</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45.6</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K60.2</td>
<td>
Anal fissure, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3101</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SARTO</td>
<td>`006718</td>
<td></td>
<td>`0000665610243</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-05-1951</td>
<td>71 Th</td>
<td>RT-</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungansehat</td>
<td>-</td>
<td>130/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3102</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SUIN</td>
<td>`006710</td>
<td></td>
<td>`0000665612324</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1960</td>
<td>61 Th</td>
<td>RT-</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>140/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>143</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3103</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>YENI WINARSIH</td>
<td>`019917</td>
<td>02/3151</td>
<td>`0000495200452</td>
<td>`9101016711860006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-11-1986</td>
<td>35 Th</td>
<td>RT .08 RW.03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000603</td>
<td>kontrol, riwayat post sc</td>
<td>-</td>
<td>146/89</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>78.9</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>O10.9</td>
<td>
Unspecified pre-existing hypertension complicating pregnancy,
childbirth and the puerperium </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3104</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
 <td>LINURIYAH</td>
<td>`012211</td>
<td>04/314</td>
<td>`0002802764147</td>
<td>`3503056101720002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-01-1972</td>
<td>50 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000637</td>
<td>KONTROL DIABET</td>
<td>GLIBEN, AMLO 5 MG</td>
<td>127/76</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>52.8</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3105</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>KATIRIN</td>
<td>`003914</td>
<td>03/3896</td>
<td>`0002802753426</td>
<td>`3503051204680008</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1968</td>
 <td>54 Th</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000641</td>
<td>KONTROL RAWAT LUKA</td>
<td>OBAT MASIH ADA</td>
<td>126/70</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>51.5</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z48</td>
<td>
Other surgical follow-up care </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3106</td>
<td>POLI REMAJA</td>
<td>12-09-2022</td>
<td></td>
<td>LULUK WIJAYANTI</td>
<td>`021043</td>
<td>90/2295</td>
<td>`</td>
<td>`3503054606070001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-06-2007</td>
<td>15 Th</td>
<td>JAMBU, RT : 023,RW :008 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000604</td>
<td>post terjatuh, untuk berjalan terasa nyeri</td>
 <td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>78</td>
<td>Pucanganak</td>
<td>KASUS LAMA</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3107</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>SAKRI</td>
<td>`001872</td>
<td>04/1922</td>
<td>`0000666146586</td>
<td>`3503053011700002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-11-1970</td>
<td>51 Th</td>
<td>RT 08 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000640</td>
<td>KONTROL</td>
<td>HALDOL, CPZ, THD</td>
<td>120/80</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>68</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
 <td>F20.9</td>
<td>
Schizophrenia, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3108</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>JIONO</td>
<td>`019255</td>
<td></td>
<td>`0000665612638</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-09-1982</td>
<td>40 Th</td>
<td>RT 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>360</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3109</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>TUMISAH</td>
<td>`002681</td>
<td></td>
<td>`0000665615575</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1942</td>
<td>79 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>130/80</td>
<td>87</td>
<td>35</td>
<td>24</td>
<td>150</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3110</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>KATIYAH</td>
 <td>`019256</td>
<td></td>
<td>`0000665718243</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-11-1969</td>
<td>52 Th</td>
<td>RT 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>870</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3111</td>
<td>POLI REMAJA</td>
<td>12-09-2022</td>
<td></td>
<td>BAGUS RAHMAD</td>
<td>`021109</td>
<td>04/4568</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-04-2010</td>
<td>12 Th</td>
 <td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>panas pusing pilek,mual</td>
<td>ambroksol,pamol,antasida</td>
<td>94/55</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>58</td>
<td></td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3112</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>AQILLA DWI ARDANIA</td>
<td>`021110</td>
<td>03/795</td>
<td>`</td>
<td>`3503054504140002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-04-2014</td>
<td>8 Th</td>
<td>DUSUN JUMOK, RT : 11,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS, BATUK, PUSING</td>
<td>PAMOL, OBH SY, VIT C</td>
 <td>1/1</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>130</td>
<td>27.1</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td>K12.1</td>
<td>
Other forms of stomatitis </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3113</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>SUMINI</td>
<td>`004552</td>
<td>01/1874</td>
<td>`0000665405267</td>
<td>`3503055707680004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1968</td>
<td>54 Th</td>
<td>RT 33 RW 8</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000634</td>
<td>KONTROL DIABET, MUAL, KEMBUNG, SEBAH</td>
<td>MIKONAZOLE CREAM, CTM, ANTASID</td>
<td>145/95</td>
<td>95</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>66.5</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
 <td>
Gastritis, unspecified </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>B35.4</td>
<td>
Tinea corporis </td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3114</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>DWI AGUSTININGSIH</td>
<td>`004170</td>
<td></td>
<td>`0001978488347</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-08-1976</td>
<td>46 Th</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000588</td>
<td>CTGATAL</td>
<td>CTM GLIBEN</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R73.9</td>
<td>
Hyperglycaemia, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3115</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>SUBAKIR</td>
<td>`000331</td>
<td>01/191</td>
<td>`0000666994004</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1959</td>
<td>63 Th</td>
<td>RT 30 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000599</td>
<td>KONTROL </td>
<td>-</td>
<td>109/59</td>
<td>77</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>53</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I50</td>
<td>
Heart failure </td>
<td>I25.2</td>
<td>
Old myocardial infarction </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3116</td>
<td>POLI KIA</td>
<td>12-09-2022</td>
<td></td>
<td>NURUL HIDAYAH</td>
<td>`017929</td>
 <td>04/5425</td>
<td>`0002729557113</td>
<td>`9103015209870005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-1987</td>
<td>35 Th</td>
<td>NGLEGOK, RT : 10,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922P000627</td>
<td>TAA</td>
<td>-</td>
<td>118/71</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>52</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3117</td>
<td>UGD</td>
<td>12-09-2022</td>
<td></td>
<td>FEBRIRURI SANDIAN</td>
<td>`021112</td>
<td></td>
<td>`0000106860442</td>
<td>`350305 </td>
<td>`</td>
<td>febri</td>
<td></td>
<td>L</td>
<td>14-01-1995</td>
<td>27 Th</td>
<td>RT 3 RW 1</td>
 <td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>pusing, mual</td>
<td>pct 3x11
domp 3x1
antasida 3x</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>52</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3118</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>LINDA ARISANTI</td>
<td>`001876</td>
<td>06/2010</td>
<td>`0002802766443</td>
<td>`3503056208950005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-08-1995</td>
<td>27 Th</td>
<td>TENGGAR, RT : 3,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000589</td>
<td>BATUK KEMBUNG</td>
 <td>PAMOL AMBOROXOL ANTASID</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3119</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>LAMINI</td>
<td>`021113</td>
<td>06/3270</td>
<td>`</td>
<td>`3503055606820004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-06-1982</td>
<td>40 Th</td>
<td>PAKEL, RT : 40,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>PUSING, DADA TERASA BERAT, KEJU2 DI BADAN, NYERI ULU HATI</td>
<td>RANITIDIN, ANTASID</td>
<td>120/73</td>
<td>81</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>58</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
 <td>F45</td>
<td>
Somatoform disorders </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3120</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>HENDI PRAMANA P</td>
<td>`016631</td>
<td></td>
<td>`0001978452775</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-05-1993</td>
<td>29 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/68</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>68</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3121</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>RINI</td>
<td>`000009</td>
<td>01/6881</td>
<td>`0001978455532</td>
<td>`3503055908580002</td>
<td>`108544</td>
<td></td>
<td></td>
<td>P</td>
<td>19-08-1958</td>
<td>64 Th</td>
<td>DUSUN KEBONSARI, RT : 031,RW :007 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000673</td>
<td>KONTROL TENSI</td>
<td>AMLO, FUROSEMIDE, LORATADINE,GGM, PAMOL, VIT.C</td>
<td>170/99</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>71</td>
<td>89</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3122</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>SASI</td>
 <td>`013933</td>
<td></td>
<td>`0001978489653</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-08-1970</td>
<td>52 Th</td>
<td>PRAMBON RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000594</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>64</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3123</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>TUMINI</td>
<td>`021114</td>
<td></td>
<td>`0001978452764</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-08-1943</td>
<td>79 Th</td>
 <td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/78</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3124</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>YATINI</td>
<td>`016630</td>
<td></td>
<td>`0001978452753</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-12-1973</td>
<td>48 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>115/68</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3125</td>
<td>PUSTU WINONG</td>
<td>12-09-2022</td>
<td></td>
<td>UKIR</td>
<td>`017634</td>
<td></td>
<td>`0002768774837</td>
<td>`3503051710500001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-10-1950</td>
<td>71 Th</td>
<td>DUSUN TENGGAR, RT : 10,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000682</td>
<td>keju linu</td>
<td>nadic, prednison, b komplek</td>
<td>140/90</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>167</td>
<td>65</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M06.0</td>
 <td>
Seronegative rheumatoid arthritis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3126</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>MOCH AMIRUL NIZAM</td>
<td>`016629</td>
<td></td>
<td>`0001978452742</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-03-2004</td>
<td>18 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>58</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>3127</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>ENDANG TRI WULANDARI</td>
<td>`010053</td>
<td>07/2397</td>
<td>`0000665718838</td>
<td>`3503055203980002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-03-1998</td>
<td>24 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3128</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>SAINI</td>
<td>`003243</td>
 <td></td>
<td>`0000666482501</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1964</td>
<td>57 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000592</td>
<td>PUSING KEMBUNG</td>
<td>PAMOL ANTASID</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3129</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>AHMAD FUAD AMIRUDIN</td>
<td>`016628</td>
<td></td>
<td>`0001978452731</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-04-1972</td>
<td>50 Th</td>
<td>RT 04</td>
 <td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3130</td>
<td>POLI REMAJA</td>
<td>12-09-2022</td>
<td></td>
<td>JIHAN KAMELIA KHUSNA</td>
<td>`021116</td>
<td>01/194</td>
<td>`</td>
<td>`3503056608090001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-08-2009</td>
<td>13 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>nyeri perut</td>
<td>ranitidin,antasida</td>
<td>112/65</td>
 <td>104</td>
<td>36</td>
<td>56</td>
<td>155</td>
<td>56</td>
<td>62</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.9</td>
<td>
Gastroduodenitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3131</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td> FATHUROHMAN</td>
<td>`000412</td>
<td>07/2711</td>
<td>`0000665719108</td>
<td>`3503050212590002</td>
<td>`61009</td>
<td></td>
<td></td>
<td>L</td>
<td>02-10-1959</td>
<td>62 Th</td>
<td>DUSUN KRAJAN, RT : 007,RW :004 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>130/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3132</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>NITA NURJIANTI</td>
<td>`016627</td>
<td></td>
<td>`0001978452718</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1995</td>
<td>27 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>108/65</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>3133</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SITI NGATIKAH</td>
<td>`019258</td>
<td></td>
<td>`0000665719795</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-03-1969</td>
<td>53 Th</td>
<td>RT 07</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3134</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>YATI</td>
<td>`004536</td>
<td>01/1386</td>
 <td>`0001037002746</td>
<td>`3503057112650086</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1965</td>
<td>56 Th</td>
<td>DUSUN KEBONSARI, RT : 29,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000631</td>
<td>KONTROL DIABET, TENSI KELUHAN TIDAK ADA</td>
<td>GLIME, SALBUTAMOL, AMLODIPIN 10 MG</td>
<td>165/91</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>65.4</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3135</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>MUHAMMAD QOSIM</td>
<td>`004848</td>
<td>07/2711</td>
<td>`0000665720177</td>
<td>`3503051809950002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-09-1995</td>
<td>27 Th</td>
<td>RT 7 RW 4</td>
<td>SUKOREJO</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>800</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3136</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>INSANI MAGHFURI</td>
<td>`018725</td>
<td>08/1701</td>
<td>`0001978465678</td>
<td>`3503052310940002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-10-1994</td>
<td>27 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000615</td>
<td>BENJOLAN DI BELAKANG LUTUT KANAN</td>
<td>-</td>
<td>149/73</td>
<td>94</td>
 <td>36</td>
<td>20</td>
<td>170</td>
<td>81.2</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>D23.9</td>
<td>
Other benign neoplasm of skin, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3137</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>PURWANTO</td>
<td>`016251</td>
<td></td>
<td>`0000665724183</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-01-1982</td>
<td>40 Th</td>
<td>DSN. GENDONG RT 12 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>129/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3138</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>SUWADI</td>
<td>`001305</td>
<td></td>
<td>`0002802762077</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-03-1970</td>
<td>52 Th</td>
<td>PRAMBON RT 23</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000645</td>
<td>PANAS MUAL</td>
<td>PAMOL AMOX ANTASID</td>
<td>130/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>175</td>
<td>83</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3139</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>MIFTAHATUN NASIHAH</td>
<td>`008037</td>
<td>01/9348</td>
<td>`0000665726049</td>
<td>`3503054509990002</td>
<td>`</td>
<td></td>
<td>082297291043</td>
<td>P</td>
<td>05-09-1999</td>
<td>23 Th</td>
<td>RT 10 RW 5</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>540</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3140</td>
<td>PUSTU WINONG</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>TUMISAH</td>
<td>`007169</td>
<td></td>
<td>`0001978464295</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-03-1963</td>
<td>59 Th</td>
<td>RT10 WINONG</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>162</td>
<td>54</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3141</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>DIDIK SUCIPTO</td>
<td>`016255</td>
<td></td>
<td>`0000665726387</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-07-1972</td>
<td>50 Th</td>
<td>DSN. SANGGRAHAN RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>130/80</td>
<td>870</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3142</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>MESINI</td>
<td>`000806</td>
<td></td>
<td>`0000666315202</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-02-1959</td>
<td>63 Th</td>
<td>BANARAN RT12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000648</td>
<td>KEMBUNG</td>
<td>PAMOL ANTASID</td>
<td>140/70</td>
<td>76</td>
<td>37</td>
 <td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3143</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>AMIRIYANI</td>
<td>`008945</td>
<td></td>
<td>`0000665727232</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-02-1979</td>
<td>43 Th</td>
<td>RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>76</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>430</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3144</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>SUNYOTO</td>
<td>`000805</td>
<td></td>
<td>`0000666313334</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-07-1955</td>
<td>67 Th</td>
<td>BANARANRT 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Tani / Perkebunan</td>
<td>Lama</td>
<td>131506010922Y000685</td>
<td>KONTROL TENSI</td>
<td>NATDIK AMLO 10 MG</td>
<td>200/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3145</td>
<td>PUSTU WINONG</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SALAMUN</td>
<td>`006131</td>
<td></td>
<td>`0001978464284</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-05-1955</td>
<td>67 Th</td>
<td>WINONG</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Tukang Kayu</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>169</td>
<td>59</td>
<td>68</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3146</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>ZAENAL ABIDIN</td>
<td>`008904</td>
<td></td>
<td>`0000665727489</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-01-1995</td>
<td>27 Th</td>
<td>RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>98</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3147</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>DIDIK SUSANTO</td>
<td>`016626</td>
<td></td>
<td>`0001978452663</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-04-1995</td>
<td>27 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/72</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3148</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>FITA NURCAHYANI</td>
<td>`016256</td>
<td></td>
<td>`0000665727636</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-03-2005</td>
<td>17 Th</td>
<td>DSN. SANGGRAHAN RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>129/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
 <td>154</td>
<td>43</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3149</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>NAYLA VALENTINA YANAS SASMITA</td>
<td>`013114</td>
<td></td>
<td>`0001978452641</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-02-2009</td>
<td>13 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>40</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3150</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>FADILA AHMAD</td>
<td>`016257</td>
<td></td>
<td>`0000665729739</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-11-2001</td>
<td>20 Th</td>
<td>DSN. KRAJAN RT 04 RW 08</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>110/70</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>3151</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SUMARSIH</td>
<td>`001709</td>
<td>03/4880</td>
<td>`0001978452639</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-09-1976</td>
<td>46 Th</td>
<td>RT 04 RW 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>116/64</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3152</td>
<td>PUSTU WINONG</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>JEMIRAN</td>
<td>`007211</td>
<td></td>
<td>`0000666255947</td>
<td>` </td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>30-07-1957</td>
<td>65 Th</td>
<td>DUSUN SELOMUNDING, RT : 4,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>140/90</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>167</td>
<td>61</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3153</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>NURUL SHOLIKATIN</td>
<td>`001831</td>
<td>07/5291</td>
<td>`0000665731157</td>
<td>`3503054610860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-10-1986</td>
<td>35 Th</td>
<td>RT 08 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>54</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3154</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>ILHAM ABDILLAH RAHMAD DANI</td>
<td>`009428</td>
<td>03/4880</td>
<td>`0001978452628</td>
<td>`3503051512020001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-12-2002</td>
<td>19 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>168</td>
 <td>65</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3155</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SULIYAH</td>
<td>`010548</td>
<td></td>
<td>`0001978452617</td>
<td>`3503057112450021</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1945</td>
<td>76 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/64</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3156</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>BAHRUL AFANDI</td>
<td>`006407</td>
<td></td>
<td>`0000665732294</td>
<td>`3503052811850004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-11-1986</td>
<td>35 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3157</td>
 <td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>ERGA FAREZA FAULDA NARISKO</td>
<td>`021120</td>
<td></td>
<td>`0001978452516</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-09-2003</td>
<td>19 Th</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>55</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3158</td>
<td>PUSTU WINONG</td>
<td>12-09-2022</td>
<td></td>
<td>DAVID VIRDAUS AKBAR</td>
<td>`017279</td>
<td></td>
<td>`0001978466793</td>
<td>`3503051903020003</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>19-03-2002</td>
<td>20 Th</td>
<td>RT 004 RW 002</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000683</td>
<td>batuk, pilek</td>
<td>ctm, amboksol, b komplek</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>161</td>
<td>51</td>
<td>59</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3159</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>LEMU</td>
<td>`020640</td>
<td>07/9364</td>
<td>`0001963863742</td>
<td>`5207080911590001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-11-1959</td>
<td>62 Th</td>
<td>RT 12 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
 <td>Lama</td>
<td>131506010922Y000666</td>
<td>pasang cateter</td>
<td>amoksillin, asam mefenamat</td>
<td>156/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>LAMONGAN</td>
<td>KASUS BARU</td>
<td>R33</td>
<td>
Retention of urine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3160</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>TUMIJAH</td>
<td>`012718</td>
<td></td>
<td>`0001978452483</td>
<td>`3503055210480001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-10-1948</td>
<td>73 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/74</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
 <td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3161</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>SUPINI</td>
<td>`001445</td>
<td></td>
<td>`0000665766393</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-1955</td>
<td>67 Th</td>
<td>PRAMBON RT 19</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000686</td>
<td>KEMBUNG</td>
<td>PAMOL ANTASIS SIRUP</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3162</td>
<td>POLINDES WINONG</td>
<td>12-09-2022</td>
<td></td>
<td>LILIK NUR AZIZAH</td>
<td>`003732</td>
<td>08/3116</td>
<td>`0001978467478</td>
<td>`3503056009940002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-09-1994</td>
<td>28 Th</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001815</td>
<td>taa</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.4</td>
<td>
General psychiatric examination, not elsewhere classified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3163</td>
<td>PONKESDES TUMPUK</td>
 <td>12-09-2022</td>
<td>KONSULTASI</td>
<td>MUYANI</td>
<td>`013107</td>
<td></td>
<td>`0001973116653</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-04-1969</td>
<td>53 Th</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/65</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3164</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>HARDJO</td>
<td>`000070</td>
<td>01/5937</td>
<td>`0002802757656</td>
<td>`3503050403500001</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>04-03-1950</td>
<td>72 Th</td>
<td>RT 4 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Peternak</td>
<td>Lama</td>
<td>131506010922Y000669</td>
<td>KONTROL TENSI, CANTENGAN</td>
<td>SIPRO, PAMOL, AMLODIPINE</td>
<td>133/69</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3165</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>SUKIRMAN</td>
<td>`002721</td>
<td></td>
<td>`0001978487739</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-05-1952</td>
<td>70 Th</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
 <td>131506010922Y000687</td>
<td>BATUK DAN GATAL</td>
<td>AMBOROXOL CTM BETA SK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3166</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td></td>
<td>KOMSIYAH</td>
<td>`006059</td>
<td></td>
<td>`</td>
<td>`3503056806790001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-06-1979</td>
<td>43 Th</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td>Bapil</td>
<td>Amox, obh, pct, antas, fe</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>157</td>
<td>65</td>
<td>90</td>
 <td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3167</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>MUTINI</td>
<td>`021123</td>
<td></td>
<td>`0001978452461</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1953</td>
<td>68 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>105/60</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3168</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>MARTINAH</td>
<td>`001152</td>
<td></td>
<td>`0000667058736</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-04-1976</td>
<td>46 Th</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000689</td>
<td>PUSING</td>
<td>PAMOL BC</td>
<td>130/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3169</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
 <td></td>
<td>DJEMANI</td>
<td>`021124</td>
<td>06/3836</td>
<td>`0000665802268</td>
<td>`3503051706570001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-06-1957</td>
<td>65 Th</td>
<td>MLOKO, RT : 54,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000667</td>
<td>sulit tidur, marah2, bicara sendiri</td>
<td>cpz, halloperidol</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F20.0</td>
<td>
Paranoid schizophrenia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3170</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>RINAWATI</td>
<td>`002015</td>
<td>03/3092</td>
<td>`0001978452459</td>
<td>`3503054809820001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>08-09-1982</td>
<td>40 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/76</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3171</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>BAHRUL AFANDI</td>
<td>`006407</td>
<td></td>
<td>`0000665732294</td>
<td>`3503052811850004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-11-1986</td>
<td>35 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
 <td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3172</td>
<td>UGD</td>
<td>12-09-2022</td>
<td></td>
<td>MUHAMMAD BRIAN RAMADHAN</td>
<td>`006969</td>
<td></td>
<td>`0003085468716</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-05-2020</td>
<td>2 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3173</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>SA`DA ASYIYYA SHOFINATUL JIYAD</td>
<td>`004591</td>
<td>05/6322</td>
<td>`0003059159139</td>
<td>`3503055401160001</td>
<td>`</td>
<td></td>
<td>085234778688</td>
<td>P</td>
<td>14-01-2016</td>
<td>6 Th</td>
<td>RT 07 RW 04</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000629</td>
<td>TANGAN DAN KEPALA DI SENGAT LEBAH</td>
<td>PAMOL, CTM, HIDRO SALEP</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>24</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T60.2</td>
<td>
Toxic effect of other insecticides </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3174</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SITI HABIBAH</td>
<td>`017216</td>
<td></td>
<td>`0000665733082</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-1988</td>
<td>34 Th</td>
<td>RT 10</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3175</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
 <td>ELGA VERRI RAHMANDA PUTRA</td>
<td>`021125</td>
<td></td>
<td>`0001978452437</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-07-2001</td>
<td>21 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3176</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>YENI LIASARI</td>
<td>`017218</td>
<td></td>
<td>`0000665734882</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-01-1995</td>
 <td>27 Th</td>
<td>RT 10</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3177</td>
<td>UGD</td>
<td>12-09-2022</td>
<td></td>
<td>MUKHAMMAD RISQI PUTRA MA`ARIF</td>
<td>`013192</td>
<td>04/1445</td>
<td>`0002463854499</td>
<td>`3503052105140003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-05-2014</td>
<td>8 Th</td>
<td>RT 025 RW 011</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
 <td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3178</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>M. ALI MASHURI</td>
<td>`021126</td>
<td>01/3289</td>
<td>`0002729556652</td>
<td>`3503052604130004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-04-2013</td>
<td>9 Th</td>
<td>DUSUN KEBON, RT : 34,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000625</td>
<td>BERCAK MERAH PADA BADAN, BATUK, GATAL</td>
<td>CTM, PAMOL, OBH SY, SALISIL TALK</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>25.7</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>L50.9</td>
<td>
Urticaria, unspecified </td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3179</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>BUDIANTO</td>
<td>`003442</td>
<td></td>
<td>`0001978452404</td>
<td>`3503051304860001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-04-1986</td>
<td>36 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/76</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3180</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>TOBI`IN</td>
<td>`006699</td>
<td></td>
<td>`0000665736041</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1957</td>
<td>65 Th</td>
<td>RT-</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>870</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3181</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>PANANI</td>
 <td>`019261</td>
<td></td>
<td>`0000665740247</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-10-1969</td>
<td>52 Th</td>
<td>RT 06</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3182</td>
<td>POLI MTBS</td>
<td>12-09-2022</td>
<td></td>
<td>NAYARA KAYLA SAMIRA</td>
<td>`008336</td>
<td>02/3930</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td>082230860032</td>
<td>P</td>
<td>11-04-2018</td>
<td>4 Th</td>
 <td>RT 13 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>batuk, pilek</td>
<td>gg,ctm,bcom,</td>
<td>1/0</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>110</td>
<td>13</td>
<td>47</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3183</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>ISMINI</td>
<td>`009668</td>
<td>07/6426</td>
<td>`0000665740451</td>
<td>`3503054307720001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-07-1972</td>
<td>50 Th</td>
<td>RT 06 RW 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
 <td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3184</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>KOIMIN</td>
<td>`021128</td>
<td></td>
<td>`0001978452382</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1952</td>
<td>69 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/76</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>58</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3185</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>ANIP SETIONO</td>
<td>`019262</td>
<td></td>
<td>`0000665740732</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-09-1997</td>
<td>25 Th</td>
<td>RT 06</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>3186</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td></td>
<td>PAIDJAH</td>
<td>`003764</td>
<td></td>
<td>`0002158256441</td>
<td>`3503057112530012</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1953</td>
<td>68 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000794</td>
<td>Pusing</td>
<td>Pct, bc</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>53</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3187</td>
<td>UGD</td>
<td>12-09-2022</td>
<td></td>
<td>TRIASIH</td>
<td>`005136</td>
 <td></td>
<td>`0000665869803</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-05-1976</td>
<td>46 Th</td>
<td>RT 08 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3188</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>BAMBANG PURWANTO</td>
<td>`005712</td>
<td></td>
<td>`0000665742666</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-11-1980</td>
<td>41 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
 <td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3189</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>SUSWATI</td>
<td>`007449</td>
<td>08/3291</td>
<td>`0000170070456</td>
<td>`3503056008820002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-08-1982</td>
<td>40 Th</td>
<td>DUSUN BENGGLE, RT : 12,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000653</td>
<td>NYERI ULU HATI, SETELAH MAKAN PERUT TERASA NAIK, INGIN BAB</td>
<td>RANITIDIN, ANTASID</td>
<td>107/74</td>
 <td>84</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>64</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3190</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>PUJI RIANTO NS</td>
<td>`021130</td>
<td></td>
<td>`0001978452325</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-02-1980</td>
<td>42 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3191</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>KADENI</td>
<td>`001620</td>
<td>01/2710</td>
<td>`0000666201205</td>
<td>`3503052303400001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-03-1940</td>
<td>82 Th</td>
<td>DESA GONDANG, RT : 25,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000607</td>
<td>KONTROL SETELAH PRB</td>
<td>-</td>
<td>147/80</td>
<td>82</td>
<td>36</td>
<td>22</td>
<td>40</td>
<td>150</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I50.0</td>
<td>
Congestive heart failure </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3192</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>NAVIS VERONIKA LISDIANA</td>
<td>`021132</td>
<td></td>
<td>`0001978452281</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-09-2005</td>
<td>17 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>53</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3193</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>ZINDI AGUSTIN MEGA SAPUTRI</td>
<td>`014188</td>
<td></td>
 <td>`0000665743173</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-1999</td>
<td>23 Th</td>
<td>RT 2 RW 2</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>98</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>870</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3194</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td> FATHUROHMAN</td>
<td>`000412</td>
<td>07/2711</td>
<td>`0000665719108</td>
<td>`3503050212590002</td>
<td>`61009</td>
<td></td>
<td></td>
<td>L</td>
<td>02-10-1959</td>
<td>62 Th</td>
<td>DUSUN KRAJAN, RT : 007,RW :004 </td>
<td>SUKOREJO</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>131506010922Y000676</td>
<td>KONTROL DM</td>
<td>GMP, ASPILET,B.COMPLEK</td>
<td>112/62</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>46</td>
<td>80</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3195</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SADI SUYONO</td>
<td>`016258</td>
<td></td>
<td>`0000665743353</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-12-1972</td>
<td>49 Th</td>
<td>DSN. GENDONG RT 09 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
 <td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3196</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>NAZIROTUN NISA`</td>
<td>`016260</td>
<td></td>
<td>`0000665744692</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-1997</td>
<td>25 Th</td>
<td>DUSUN. GENDONG RT 09 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>110/70</td>
<td>87</td>
<td>360</td>
<td>24</td>
<td>156</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3197</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SULISTIANI</td>
<td>`021134</td>
<td></td>
<td>`0001978452279</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1982</td>
<td>40 Th</td>
<td>RT 3 RW 1</td>
<td>tumpuk</td>
<td>tugu</td>
<td>trenggalek</td>
<td></td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/69</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3198</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>MUKAMAD FATONI</td>
<td>`012154</td>
<td>07/1470</td>
<td>`0000665745456</td>
<td>`3503050401040003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-01-2004</td>
<td>18 Th</td>
<td>RT 09 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>Kunjungan sehat</td>
<td>-</td>
<td>110/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3199</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>SITI NGATIKAH</td>
<td>`020406</td>
<td>07/2711</td>
<td>`0000665719795</td>
 <td>`3503055603690004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-03-1969</td>
<td>53 Th</td>
<td>RT 07 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000684</td>
<td>GUSI BENGKAK BATUK PUSING KRJU LINU</td>
<td>AMOX GG PAMOL </td>
<td>129/77</td>
<td>83</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3200</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>MUGI UTOMO</td>
<td>`016262</td>
<td></td>
<td>`0000665746503</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-07-1984</td>
<td>38 Th</td>
<td>DUSUN GENDONG RT 10 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3201</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td></td>
<td>CELYN AQUILA ZAHRA</td>
<td>`020913</td>
<td>06/6691</td>
<td>`0003279697301</td>
<td>`3503056505220001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-2022</td>
<td>0 Th</td>
<td>RT 48 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000795</td>
<td>Bapil</td>
<td>Gg, ctm</td>
<td>70/60</td>
<td>88</td>
<td>36</td>
 <td>24</td>
<td>70</td>
<td>8</td>
<td>43</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3202</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SURADI</td>
<td>`021135</td>
<td></td>
<td>`0001978452268</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-09-1979</td>
<td>43 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/72</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3203</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>MUGI UTOMO</td>
<td>`016262</td>
<td></td>
<td>`0000665746503</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-07-1984</td>
<td>38 Th</td>
<td>DUSUN GENDONG RT 10 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>130/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3204</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>ISERI</td>
<td>`000232</td>
<td>04/5854</td>
<td>`0001381075424</td>
<td>`3503053006620002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-06-1962</td>
<td>60 Th</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000665</td>
<td>kontrol DM</td>
<td>metformine, gmp, amlodipine, aspilet</td>
<td>134/71</td>
<td>59</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3205</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>BINTI MUJAHADAH</td>
<td>`019264</td>
<td></td>
<td>`0000665747403</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-05-1985</td>
<td>37 Th</td>
<td>RT 08</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>76</td>
<td>360</td>
<td>24</td>
<td>154</td>
<td>53</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3206</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>DANANG RAHMADANI</td>
<td>`021136</td>
<td></td>
<td>`0001978452257</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-10-2007</td>
<td>14 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>55</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3207</td>
<td>UGD</td>
<td>12-09-2022</td>
<td></td>
<td>BACHTIAR</td>
<td>`021587</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>bachtiar</td>
<td></td>
<td>L</td>
<td>26-09-1977</td>
<td>45 Th</td>
<td>RT 19 RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
 <td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3208</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>DEDY FRASETYA</td>
<td>`019265</td>
<td></td>
<td>`0000665747662</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-03-1987</td>
<td>35 Th</td>
<td>RT 08</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3209</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SUPINAH</td>
<td>`004287</td>
<td></td>
<td>`0001978452246</td>
<td>`3503055605530004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-05-1953</td>
<td>69 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>128/79</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>3210</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SIGIT DWI PANARA</td>
<td>`019266</td>
<td></td>
<td>`0000665750384</td>
<td>`3503053108020003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-08-2007</td>
<td>15 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>110/70</td>
<td>870</td>
<td>360</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3211</td>
<td>UGD</td>
<td>12-09-2022</td>
<td></td>
<td>NUR KOZIN</td>
<td>`021588</td>
<td></td>
<td>`0002681576111</td>
<td>`</td>
<td>`</td>
 <td>nur kozim</td>
<td></td>
<td>L</td>
<td>16-06-1976</td>
<td>46 Th</td>
<td>RT 18 RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3212</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>BASUKI ROHMAT</td>
<td>`002650</td>
<td></td>
<td>`0000665746345</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-03-1978</td>
<td>44 Th</td>
<td>DUSUN KRAJAN, RT : 10,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>78</td>
<td>35</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3213</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>MISIDI</td>
<td>`021138</td>
<td></td>
<td>`0001978452235</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-02-1933</td>
<td>89 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/68</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>165</td>
 <td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3214</td>
<td>UGD</td>
<td>12-09-2022</td>
<td></td>
<td>SALIMA BIMUHYIL INAYATI</td>
<td>`012340</td>
<td>04/4415</td>
<td>`0002161669577</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-05-2009</td>
<td>13 Th</td>
<td>RT 16 RW 4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3215</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>MUKIRAH</td>
<td>`006577</td>
<td></td>
<td>`0000666936922</td>
<td>`3503054107660012</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1966</td>
<td>56 Th</td>
<td>DUSUN GENDONG, RT : 9,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>130/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3216</td>
 <td>UGD</td>
<td>12-09-2022</td>
<td></td>
<td>SITI MASITOH</td>
<td>`021589</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>mansur</td>
<td></td>
<td>P</td>
<td>26-09-1981</td>
<td>41 Th</td>
<td>RT 8 RW 3</td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3217</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>ANDIKI BAGUS ARIANTO</td>
<td>`021139</td>
<td></td>
<td>`0001978452099</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>04-01-2001</td>
<td>21 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/68</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3218</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>BASUKI ROHMAT</td>
<td>`002650</td>
<td></td>
<td>`0000665746345</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-03-1978</td>
<td>44 Th</td>
<td>DUSUN KRAJAN, RT : 10,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
 <td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/87</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3219</td>
<td>UGD</td>
<td>12-09-2022</td>
<td></td>
<td>ASSYIFA SALSABILA BAKHTIAR</td>
<td>`004294</td>
<td>02/5404</td>
<td>`0001964713421</td>
<td>`3515146304130003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-04-2013</td>
<td>9 Th</td>
<td>DSN ETAN KALI, RT : 19,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
 <td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3220</td>
<td>UGD</td>
<td>12-09-2022</td>
<td></td>
<td>KOMARIAH</td>
<td>`019527</td>
<td>02/496</td>
<td>`0000664588833</td>
<td>`3503014908860003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-08-1986</td>
<td>36 Th</td>
<td>RT 005 RW 002</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3221</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SAMINEM</td>
<td>`009829</td>
<td></td>
<td>`0001978435844</td>
<td>`3503055007560001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-07-1956</td>
<td>66 Th</td>
<td>SUKOREJO, RT : 10,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>130/80</td>
<td>76</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3222</td>
<td>UGD</td>
 <td>12-09-2022</td>
<td></td>
<td>AWWABIN SHOLEH</td>
<td>`002525</td>
<td>04/5905</td>
<td>`0000666062583</td>
<td>`3503052711090001</td>
<td>`</td>
<td></td>
<td>085243516125</td>
<td>L</td>
<td>27-11-2009</td>
<td>12 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3223</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>NIZA SISKIANDA PUTRI</td>
<td>`020339</td>
<td>03/9351</td>
<td>`0001978452077</td>
<td>`3503056203010001</td>
<td>`</td>
<td></td>
<td>085904335601</td>
 <td>P</td>
<td>22-03-2001</td>
<td>21 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/64</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>53</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3224</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SITI SOLIKAH</td>
<td>`017217</td>
<td></td>
<td>`0000665734544</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-08-1973</td>
<td>49 Th</td>
<td>RT 10</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
 <td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>165</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3225</td>
<td>UGD</td>
<td>12-09-2022</td>
<td></td>
<td>IMAM Z</td>
<td>`021590</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>tameni</td>
<td></td>
<td>L</td>
<td>26-09-2002</td>
<td>20 Th</td>
<td>RT 9 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
 <td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3226</td>
<td>UGD</td>
<td>12-09-2022</td>
<td></td>
<td>IRFAN NAWAWI</td>
<td>`005788</td>
<td>07/2449</td>
<td>`0001978438869</td>
<td>`3503051005080001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-05-2008</td>
<td>14 Th</td>
<td>SUKOREJO, RT : 10,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3227</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>JUDI NAWAWI</td>
<td>`017219</td>
<td></td>
<td>`0000665798488</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-08-1968</td>
<td>54 Th</td>
<td>RT 10</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjumgan sehat</td>
<td>-</td>
<td>130/80</td>
<td>870</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3228</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
 <td>KONSULTASI</td>
<td>INDAYANI</td>
<td>`001035</td>
<td>03/1936</td>
<td>`0001978452066</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-08-1981</td>
<td>41 Th</td>
<td>RT 03 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>130/79</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>55</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3229</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>SUPARMI</td>
<td>`004887</td>
<td></td>
<td>`0000666953886</td>
<td>`3503055204560002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>12-04-1956</td>
<td>66 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>153</td>
<td>32</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3230</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>SUPARNO</td>
<td>`000045</td>
<td>02/4319</td>
<td>`0001978459997</td>
<td>`3503052304480001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-04-1948</td>
<td>74 Th</td>
<td>RT 05 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000664</td>
 <td>batuk tidak berdahak</td>
<td>antasida, gg, pamol,metformin, gmp, amlo 5 mg</td>
<td>162/83</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>47</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3231</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>PRIHATIN</td>
<td>`001484</td>
<td>06/1651</td>
<td>`0000665964753</td>
<td>`3503055312860001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-12-1986</td>
<td>35 Th</td>
<td>TENGGAR, RT : 7,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000691</td>
<td>PUSING PILEK</td>
<td>PAMOL CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3232</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>BEJO SISWANTO</td>
<td>`021141</td>
<td></td>
<td>`0001978452055</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-08-1975</td>
<td>47 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/69</td>
<td>74</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3233</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>ERVIN EKO SAPUTRO</td>
<td>`017221</td>
<td></td>
<td>`0000665798815</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-07-2001</td>
<td>21 Th</td>
<td>RT 10</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>870</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3234</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
 <td>HENDRA PRASETY</td>
<td>`002911</td>
<td>04/63</td>
<td>`0000666161482</td>
<td>`3503052507980001</td>
<td>`15396</td>
<td></td>
<td></td>
<td>L</td>
<td>25-07-1998</td>
<td>24 Th</td>
<td>DUSUN BEJI, RT : 016,RW :007</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000618</td>
<td>KONTROL</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>55</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>F28</td>
<td>
Other nonorganic psychotic disorders </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3235</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>MUSNI</td>
<td>`000658</td>
<td>07/4203</td>
<td>`0000665758091</td>
<td>`3503050710420003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-10-1942</td>
 <td>79 Th</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>130/89</td>
<td>78</td>
<td>350</td>
<td>24</td>
<td>176</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3236</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>PAERAH</td>
<td>`015466</td>
<td>04/63</td>
<td>`0000666159726</td>
<td>`3503054407700003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-07-1970</td>
<td>52 Th</td>
<td>DUSUN GERBO, RT : 16,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000672</td>
<td>CANTENGEN</td>
 <td>SALEP IKTIOL, ASMEF</td>
<td>132/61</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>53.7</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L60.9</td>
<td>
Nail disorder, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3237</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>MUNATUN</td>
<td>`008981</td>
<td></td>
<td>`0000665758563</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-03-1953</td>
<td>69 Th</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>130/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3238</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>INTAN JULIA BRILIANTI</td>
<td>`016263</td>
<td></td>
<td>`0000665758607</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-07-2004</td>
<td>18 Th</td>
<td>DUSUN SANGGRAHAN RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3239</td>
<td>POLI GIGI</td>
<td>12-09-2022</td>
<td></td>
<td>ELVARETTA DOVIZIO ELORA SASONGKO</td>
<td>`015820</td>
<td>90/1674</td>
<td>`0002442214337</td>
<td>`3503055703130001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-03-2013</td>
<td>9 Th</td>
<td>RT 02 RW 01</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000616</td>
<td>gigi bawah kanan kesundulan</td>
<td>extractie 84</td>
<td>100/60</td>
<td>92</td>
<td>36</td>
<td>24</td>
<td>132</td>
<td>26</td>
<td>62</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3240</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td></td>
<td>ROZYTA AISYE KASMAYUAN</td>
 <td>`021143</td>
<td></td>
<td>`0002467809887</td>
<td>`3503056209160001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-09-2016</td>
<td>6 Th</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000797</td>
<td>Bapil</td>
<td>Dema, gg</td>
<td>70/60</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>98</td>
<td>19</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3241</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>JUMINI</td>
<td>`008947</td>
<td></td>
<td>`0000665779421</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-08-1964</td>
<td>58 Th</td>
 <td>RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>130/87</td>
<td>870</td>
<td>360</td>
<td>24</td>
<td>164</td>
<td>54</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3242</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>KHAIRUL ANWAR</td>
<td>`017222</td>
<td></td>
<td>`0000665779702</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-12-1980</td>
<td>41 Th</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
 <td>120/89</td>
<td>76</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3243</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td>KONSULTASI</td>
<td>EVA YULIANA SARI</td>
<td>`007891</td>
<td></td>
<td>`0000665799761</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-08-1992</td>
<td>30 Th</td>
<td>SUKOREJO</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3244</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td></td>
<td>FITRI NUR KHOLIFAH</td>
<td>`017465</td>
<td></td>
<td>`0000666451923</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-03-1999</td>
<td>23 Th</td>
<td>RT 46</td>
<td>PRAMBON</td>
<td>PRAMBON</td>
<td>SIDOARJO</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000799</td>
<td>Diare</td>
<td>Dia form, oralit, zinc</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>60</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3245</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>WIDARNI</td>
<td>`021147</td>
<td>02/4055</td>
<td>`0000106706193</td>
<td>`3503055407450002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-07-1945</td>
<td>77 Th</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y000662</td>
<td>kontrol jahitan</td>
<td>amoksillin, pamol</td>
<td>130/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>37</td>
<td>80</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td>S40.9</td>
<td>
Superficial injury of shoulder and upper arm, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3246</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>MISTINI</td>
<td>`011905</td>
 <td>01/223</td>
<td>`0002802754091</td>
<td>`3503057112670039</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1967</td>
<td>54 Th</td>
<td>RT 08 RW 03</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000655</td>
<td>PUSING, PERUT TERASA NYERI</td>
<td>OMEPRAZOL, PAMOL</td>
<td>137/83</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>58.7</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td>R53</td>
<td>
Malaise and fatigue </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3247</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>SUMARNIK</td>
<td>`002297</td>
<td>05/2428</td>
<td>`0002802772179</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1970</td>
<td>51 Th</td>
<td>BANARAN RT11 RW6</td>
 <td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000764</td>
<td>PUSING</td>
<td>PAMOL BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3248</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>MUHAMMAD IQBAL FATHURROHMAN</td>
<td>`021150</td>
<td>06/4872</td>
<td>`0002603546425</td>
<td>`3503052803160001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-03-2016</td>
<td>6 Th</td>
<td>SOOKO, RT : 43,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000670</td>
<td>SERING MIMISEN</td>
<td>-</td>
<td>1/1</td>
 <td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>36.6</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R04.0</td>
<td>
Epistaxis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3249</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td></td>
<td>FERA DANIATI</td>
<td>`002834</td>
<td>06/3015</td>
<td>`0001108540517</td>
<td>`3503054104890002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-1989</td>
<td>33 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000800</td>
<td>Pusing</td>
<td>Pct, Vit c, fe</td>
<td>100/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>45</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
 Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3250</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td></td>
<td>ATUN</td>
<td>`020531</td>
<td></td>
<td>`0000754899333</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-1999</td>
<td>23 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000802</td>
<td>Bapil</td>
<td>Obh, Vit, ctm</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3251</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>SITI MASLIKAH</td>
<td>`017956</td>
<td>01/1546</td>
<td>`0002802757252</td>
<td>`3503057110690002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-10-1969</td>
<td>52 Th</td>
<td>DESA KEBON, RT : 28,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000658</td>
<td>MERIANG, BATUK, PUSING</td>
<td>PAMOL, GG, PREDNISON, CTM</td>
<td>129/70</td>
<td>105</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>58.8</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3252</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>SAMINI</td>
<td>`000113</td>
<td>06/4762</td>
 <td>`0002472574094</td>
<td>`3503054703600001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-03-1960</td>
<td>62 Th</td>
<td>RT35 RW 6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000677</td>
<td>PUSING CEKOT, LEHER TERASA NYERI</td>
<td>AMLO, PAMOL, GG, DEKSA,B.COMPLEK</td>
<td>101/45</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>L02.9</td>
<td>
Cutaneous abscess, furuncle and carbuncle, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3253</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>RAMEN</td>
<td>`021153</td>
<td>07/6017</td>
<td>`0001978436316</td>
<td>`3503052010490001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-10-1949</td>
<td>72 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000675</td>
<td>LEPAS CATETER</td>
<td>-</td>
<td>125/71</td>
<td>83</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>39</td>
<td>80</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>R33</td>
<td>
Retention of urine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3254</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>SITI NUR WIDAYATI</td>
<td>`011889</td>
<td>06/5803</td>
<td>`0002472553157</td>
<td>`3503055304710001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-04-1971</td>
<td>51 Th</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000636</td>
<td>KONTROL</td>
<td>-</td>
<td>150/65</td>
<td>102</td>
 <td>36</td>
<td>20</td>
<td>150</td>
<td>66</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H52.5</td>
<td>
Disorders of accommodation </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3255</td>
<td>POLI REMAJA</td>
<td>12-09-2022</td>
<td></td>
<td>DWI YOGA P</td>
<td>`015704</td>
<td>01/453</td>
<td>`</td>
<td>`3503050509050001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-09-2005</td>
<td>17 Th</td>
<td>DUSUN SETONO, RT : 14,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>batuk pilek panas tenggorokan gatal</td>
<td>amok pct gg</td>
<td>104/67</td>
<td>108</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>49</td>
<td>56</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J31.2</td>
<td>
Chronic pharyngitis </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3256</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>MUJADI</td>
<td>`007691</td>
<td>90/1958</td>
<td>`0003084505413</td>
<td>`3503052201610001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-01-1961</td>
<td>61 Th</td>
<td>RT 3 RW 1</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000622</td>
<td>RUJUK BALIK</td>
<td>AMLODIPINE TAB 10 MG 1X1 30 TAB
BISOPROLOL TAB 5 MG 1X1 30 TAB
KLOPIDOGREL TAB 75 MG 1X1 30 TAB</td>
<td>135/85</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>80</td>
<td>89</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3257</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>SAFARAZ AKMA FADILA</td>
<td>`021154</td>
<td>90/3339</td>
<td>`0003263892827</td>
<td>`3503060807140001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-07-2014</td>
<td>8 Th</td>
<td>DUSUN JAMPI, RT : 6,RW :1 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000660</td>
<td>PANAS, BATUK, PILEK</td>
<td>PAMOL, OBH SY</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>23.9</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3258</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>BINTI SOLIKAH</td>
<td>`001198</td>
 <td>90/1745</td>
<td>`0001874222605</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-04-1973</td>
<td>49 Th</td>
<td>RT 05 RW 02</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000623</td>
<td>KONTROL</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>G20</td>
<td>
Parkinson`s disease </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3259</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>HARI SUDARWAJI</td>
<td>`008171</td>
<td>90/2708</td>
<td>`0002615831921</td>
<td>`3503051712700002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-12-1970</td>
<td>51 Th</td>
<td>RT 13 RW 5</td>
 <td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>SAKIT KEPALA, PLENTINGAN DI JARI DAN TANGAN TERASA PANAS</td>
<td>ASMEF, CTM, ACYCLOVIR TAB, ACYCLOVIT CREAM</td>
<td>111/74</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>58.4</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>B02.9</td>
<td>
Zoster without complication </td>
<td>R53</td>
<td>
Malaise and fatigue </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3260</td>
<td>UGD</td>
<td>12-09-2022</td>
<td></td>
<td>TOTOK PARHADIMULYO</td>
<td>`009421</td>
<td>02/8130</td>
<td>`0003084501655</td>
<td>`5204080801690001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-01-1969</td>
<td>53 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000624</td>
<td>batuk, sesak</td>
<td>ambroxol 3x1
salbutamol 3x1</td>
 <td>130/80</td>
<td>98</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>53</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3261</td>
<td>UGD</td>
<td>12-09-2022</td>
<td></td>
<td>KAELAN</td>
<td>`001080</td>
<td>01/16</td>
<td>`0000666671073</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1945</td>
<td>77 Th</td>
<td>RT 33 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000628</td>
<td>tidak bisa BAK</td>
<td>PASANG DC</td>
<td>140/90</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>48</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N40</td>
 <td>
Hyperplasia of prostate </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pemasangan kateter<br> </td>
</tr>
<tr align='left' valign="top">
<td>3262</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>MUSRINI</td>
<td>`010371</td>
<td>01/264</td>
<td>`0002315211715</td>
<td>`3503055505660002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-05-1966</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000668</td>
<td>KONSULTASI</td>
<td>CAPTOPRIL 25 MG </td>
<td>140/100</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3263</td>
<td>POLI GIGI</td>
<td>12-09-2022</td>
<td></td>
<td>MUSRINI</td>
<td>`010371</td>
<td>01/264</td>
<td>`0002315211715</td>
<td>`3503055505660002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-05-1966</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000632</td>
<td>gigi sakit pecah</td>
<td>konsutasi</td>
<td>140/100</td>
<td>84</td>
<td>36</td>
<td>25</td>
<td>152</td>
<td>70</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3264</td>
<td>POLI LANSIA</td>
<td>12-09-2022</td>
<td></td>
<td>DARONI</td>
<td>`018289</td>
 <td>02/1120</td>
<td>`0002427295757</td>
<td>`3503050202500001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-02-1950</td>
<td>72 Th</td>
<td>DUSUN ETAN KALI, RT : 23,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000661</td>
<td>keju linu, nyeri pinggang</td>
<td>amlodipine, nadic, aspilet</td>
<td>121/59</td>
<td>102</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>63</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3265</td>
<td>UGD</td>
<td>12-09-2022</td>
<td></td>
<td>FAYI RIJAL SHABUHA</td>
<td>`021155</td>
<td></td>
<td>`0002802763798</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-09-2014</td>
<td>8 Th</td>
<td>RT 31 RW 8</td>
 <td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000633</td>
<td>PANAS, BATUK, PILEK</td>
<td>PCT 3X1/2
GG 3X1/2
CTM 3X1/2</td>
<td>90/60</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>23</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3266</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>JURIYAH</td>
<td>`002074</td>
<td>06/5433</td>
<td>`0001037014413</td>
<td>`35030554610650003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-1965</td>
<td>56 Th</td>
<td>PRAMBON RT 16/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000626</td>
<td>PUSIMG</td>
 <td>NATDIK AMLO 5 MG</td>
<td>140/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3267</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>CHANDRA RAMADHANA RIRIMASSE</td>
<td>`000131</td>
<td>01/1196</td>
<td>`0002266190267</td>
<td>`3216062107140003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-07-2014</td>
<td>8 Th</td>
<td>RT 10 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000663</td>
<td>PANAS, BATUK, PILEK, PUSING, </td>
<td>DEMAC, GG</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>31.2</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3268</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>FAREN</td>
<td>`021158</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-2027</td>
<td>-5 Th</td>
<td>PRAMBON RT 16/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS PILEK</td>
<td>DEMACOLIN SIRUP</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>80</td>
<td>10</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3269</td>
<td>POLI K.B</td>
<td>12-09-2022</td>
<td></td>
<td>JIHAN MAFTUHAH CHLORE</td>
<td>`016551</td>
<td>06/1816</td>
<td>`</td>
<td>`3503085612000003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-12-2000</td>
<td>21 Th</td>
<td>RT 12RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>KONTROL IMPLAN</td>
<td>-</td>
<td>110/74</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>52</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z30.9</td>
<td>
Contraceptive management, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
DIANTI DWI PANGESTUTI, A.MD.KEB </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3270</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>MOCHAMMAD HANIF NURCAHYO</td>
 <td>`008321</td>
<td>02/108</td>
<td>`</td>
<td>`3573020911990003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-11-1999</td>
<td>22 Th</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK,PILEK , PANAS, INGUS SULIT KELUAR</td>
<td>CIPRO, PAMOL, AMBROXOL</td>
<td>135/79</td>
<td>99</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>62.6</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J01.9</td>
<td>
Acute sinusitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3271</td>
<td>POLINDES PRAMBON 2</td>
<td>12-09-2022</td>
<td></td>
<td>MESIKEM</td>
<td>`015480</td>
<td></td>
<td>`0001037013941</td>
<td>`3503057112500024</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1950</td>
<td>71 Th</td>
 <td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000804</td>
<td>Bapil</td>
<td>Pct, ambrox, ctm</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3272</td>
<td>UGD</td>
<td>12-09-2022</td>
<td></td>
<td>MUHAMMAD ARJUNA ASYRAFY KURNIAWAN</td>
<td>`002276</td>
<td>06/5912</td>
<td>`0001266976517</td>
<td>`3503052110110001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-10-2011</td>
<td>10 Th</td>
<td>DUSUN PAKEL, RT : 35,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BENGKAK LUTUT KANAN</td>
<td>INJ HEMOFILIA </td>
 <td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>35</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>D68.0</td>
<td>
Von Willebrand`s disease </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>3273</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td> DARWANTO</td>
<td>`000836</td>
<td></td>
<td>`0000666245158</td>
<td>`</td>
<td>`</td>
<td>DARWANTO</td>
<td></td>
<td>L</td>
<td>11-07-1964</td>
<td>58 Th</td>
<td>PRAMBON RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000642</td>
<td>BATUK SESAK</td>
<td>SALBUTSMOL AMBOROXOL</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>18</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45</td>
 <td>
Asthma </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3274</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>RINA VERAWATI</td>
<td>`004405</td>
<td>07/651</td>
<td>`0001037008078</td>
<td>`3503055212860003</td>
<td>`</td>
<td></td>
<td>082331549862</td>
<td>P</td>
<td>12-12-1986</td>
<td>35 Th</td>
<td>RT 7 RW 4</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000644</td>
<td>TDK BISA TDR</td>
<td>CLOZAPINE</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F20.0</td>
<td>
Paranoid schizophrenia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3275</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>JARUDDIN SUBKHAN</td>
<td>`000458</td>
<td>90/232</td>
<td>`0000106504672</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-09-1967</td>
<td>55 Th</td>
<td>RT 04 RW 01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y000654</td>
<td>KONTROL</td>
<td>-</td>
<td>130/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>M50.0</td>
<td>
Cervical disc disorder with myelopathy </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3276</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>TUTIK BUDI ASTUTI</td>
<td>`010346</td>
 <td>90/232</td>
<td>`0000106892019</td>
<td>`3503065909710001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-09-1971</td>
<td>51 Th</td>
<td>RT 04 RW 01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y000656</td>
<td>KELOID DI LENGAN</td>
<td>-</td>
<td>134/84</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>60.6</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L91.0</td>
<td>
Keloid scar </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3277</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>IMAM KHOIRUDIN</td>
<td>`021172</td>
<td></td>
<td>`</td>
<td>`3503022105070003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-05-2007</td>
<td>15 Th</td>
<td>RT/RW: 037/010, DSN. GEBYOG/MUNJUNGAN, RT : 37,RW :10 </td>
 <td>MUNJUNGAN</td>
<td>MUNJUNGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS, BATUK, UNTUK MENELAN TERASA PAHIT, PILEK, PUSING</td>
<td>PAMOL, VIT BC, AMBROXOL</td>
<td>128/73</td>
<td>99</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>42.9</td>
<td>78</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3278</td>
<td>POLI GIGI</td>
<td>12-09-2022</td>
<td></td>
<td>REGA PRATAMA</td>
<td>`002233</td>
<td>06/3482</td>
<td>`0003068144144</td>
<td>`3503053010150001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-10-2015</td>
<td>6 Th</td>
<td>MLOKO, RT : 54,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000657</td>
<td>gigi atas kiri goyang </td>
<td>cabut gigi 61</td>
<td>100/60</td>
 <td>90</td>
<td>35</td>
<td>25</td>
<td>132</td>
<td>20</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3279</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td></td>
<td>MESILAH</td>
<td>`002620</td>
<td>07/5808</td>
<td>`0001978437058</td>
<td>`3503054502720003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-02-1972</td>
<td>50 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000790</td>
<td>pusing,gliyeng</td>
<td>amlo 5mg,nadif,gg,ctm</td>
<td>143/86</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>155</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
 Essential (primary) hypertension </td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3280</td>
<td>PONKESDES SUKOREJO</td>
<td>12-09-2022</td>
<td></td>
<td>TUMIRAH</td>
<td>`008938</td>
<td>07/721</td>
<td>`0002729557888</td>
<td>`3503057112630059</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1963</td>
<td>58 Th</td>
<td>RT 05 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000796</td>
<td>keju linu</td>
<td>nadif,allopurinol</td>
<td>108/61</td>
<td>76</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>47</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M19.0</td>
<td>
Primary arthrosis of other joints </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3281</td>
<td>PONKESDES BANARAN</td>
<td>12-09-2022</td>
<td></td>
<td>SUPRIHATIN</td>
<td>`005555</td>
<td>05/3790</td>
<td>`0001037005121</td>
<td>`3503054901560001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-01-1956</td>
<td>66 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000981</td>
<td>gregesen,flu</td>
<td>pct,amox,ctm</td>
<td>130/70</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>59</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3282</td>
<td>PONKESDES BANARAN</td>
<td>12-09-2022</td>
<td></td>
<td>LAMIYEM</td>
<td>`005767</td>
<td></td>
 <td>`0001978463722</td>
<td>`3503054807590001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-1959</td>
<td>63 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000982</td>
<td>keju linu dan hipertensi</td>
<td>nadic,amlo 5mg</td>
<td>137/81</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3283</td>
<td>PONKESDES BANARAN</td>
<td>12-09-2022</td>
<td></td>
<td>ENTIK RINAWATI</td>
<td>`014271</td>
<td></td>
<td>`0001978463136</td>
<td>`3503067003870002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-03-1987</td>
<td>35 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000984</td>
<td>sakit gigi</td>
<td>nadic,cotrim</td>
<td>116/75</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02.0</td>
<td>
Caries limited to enamel </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3284</td>
<td>PONKESDES BANARAN</td>
<td>12-09-2022</td>
<td></td>
<td>SUMIRAH</td>
<td>`001988</td>
<td></td>
<td>`0000666297235</td>
<td>`3503055112460001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-12-1946</td>
<td>75 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000986</td>
<td>meriang,gregesen,pusing</td>
<td>pct,dexa,ctm,amlo 5mg</td>
<td>140/79</td>
<td>90</td>
 <td>36</td>
<td>20</td>
<td>160</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3285</td>
<td>PONKESDES BANARAN</td>
<td>12-09-2022</td>
<td></td>
<td>YOHAN ANDIKA SAPUTRA</td>
<td>`012328</td>
<td></td>
<td>`0002802758117</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-06-2008</td>
<td>14 Th</td>
<td>BANARAN RT3 RW2</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000987</td>
<td>meriang,greges</td>
<td>pct,amox,ctm</td>
<td>120/70</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3286</td>
<td>RAWAT INAP</td>
<td>12-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>SARKUN</td>
<td>`021285</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>sarkun</td>
<td></td>
<td>L</td>
<td>15-09-1950</td>
<td>72 Th</td>
<td>RT 19 W 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>nyeri perut sebelah kiri,nyeri tekan abdomen,kembung, mual</td>
<td>infus rl 20 tpm, inj metamizole 1 ampl</td>
<td>140/70</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>R10.4</td>
<td>
Other and unspecified abdominal pain </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pemasangan infuse<br>Tindakan medis
ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>3287</td>
<td>POLI UMUM</td>
<td>12-09-2022</td>
<td></td>
<td>RIVAI</td>
<td>`019420</td>
<td>05/3084</td>
<td>`0002802747374</td>
<td>`3503050308830001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-08-1983</td>
<td>39 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000679</td>
<td>KONTROL FOLLOW UP FU 2 BLN</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>50</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A15</td>
<td>
Respiratory tuberculosis, bacteriologically and histologically
confirmed </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3288</td>
<td>RAWAT INAP</td>
<td>12-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>FIRZA ARYA</td>
<td>`021213</td>
 <td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>AHMAD NUR ROHMAN</td>
<td></td>
<td>L</td>
<td>22-07-2009</td>
<td>13 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>panas 1 hari,pusing, lemes,mual, batuk</td>
<td>infus rl 20 tpm,inj.ampicillin 3x1 gr,ranitidine 2x1 amp,antasida,
ambroxol,ibu profen</td>
<td>110/70</td>
<td>88</td>
<td>38</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Biaya rawat inap pasien umum per hari<br>Layanan Unit Gawat Darurat
(UGD)<br>Pemasangan infuse<br>Biaya rawat inap pasien umum per
hari<br>Konsultasi<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Biaya rawat
inap pasien umum per hari<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Biaya
rawat inap pasien umum per hari<br>Konsultasi<br>Tindakan medis ringan lainnya<br>
</td>
</tr>
<tr align='left' valign="top">
<td>3289</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>TUMIRAH</td>
<td>`002794</td>
<td></td>
<td>`0001978487741</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>01-01-1958</td>
<td>64 Th</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000688</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>130/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3290</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>SATRIA AGENG PRIHAMBODO</td>
<td>`021182</td>
<td></td>
<td>`0003049268152</td>
<td>`3503053011100001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-11-2010</td>
<td>11 Th</td>
<td>DUSUN PAKEL, RT : 33,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000690</td>
<td>BATUK</td>
<td>PAMOL AMBOROXOL CTM</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>140</td>
<td>70</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3291</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>SUMINI</td>
<td>`001211</td>
<td></td>
<td>`0000664941183</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1975</td>
<td>47 Th</td>
<td>PRAMBON RT 21</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000757</td>
<td>PUSING</td>
<td>IBU 400 PIL</td>
<td>130/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
 <td>67</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3292</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>MUYATI</td>
<td>`006163</td>
<td></td>
<td>`</td>
<td>`3503056402690001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-02-1969</td>
<td>53 Th</td>
<td>TENGGAR, RT : 7,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>KEMBUNG</td>
<td>PAMOL OMEPRAZOLE BC</td>
<td>140/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>63</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3293</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>YAHMI</td>
<td>`001475</td>
<td></td>
<td>`0000664501498</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1976</td>
<td>45 Th</td>
<td>PRAMBON RT 4/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000758</td>
<td>BATUK MENELAN SAKIT</td>
<td>PAMOL AMBOROXOL AMOX</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3294</td>
 <td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>UTARI</td>
<td>`001848</td>
<td></td>
<td>`0000666262629</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-05-1960</td>
<td>62 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000760</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3295</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>MESERAN</td>
<td>`001849</td>
<td></td>
<td>`0000666261775</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>01-06-1956</td>
<td>66 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000761</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3296</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>NADIA</td>
<td>`021183</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-2011</td>
<td>11 Th</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
 <td>Lama</td>
<td></td>
<td>MATA MERAH</td>
<td>PAMOL DEDXA KLORAMPENIKOL SM</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>100</td>
<td>30</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>H10.9</td>
<td>
Conjunctivitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3297</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>ARYA</td>
<td>`021184</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-2014</td>
<td>8 Th</td>
<td>PRAMBON RT 1/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>TELINGA SAKIT</td>
<td>PAMOL AMOX</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>100</td>
<td>28</td>
 <td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>H60.8</td>
<td>
Other otitis externa </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3298</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>MUNDARI</td>
<td>`000417</td>
<td>05/5302</td>
<td>`0002456884541</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-01-1954</td>
<td>68 Th</td>
<td>RT 12 RW 06</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000833</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3299</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>TUMIRAH</td>
<td>`000985</td>
<td></td>
<td>`0001978487392</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-04-1940</td>
<td>82 Th</td>
<td>PRAMBON RT 44/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000834</td>
<td>BATUK SESAK</td>
<td>AMBOROXOL SALBUTAMOL</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>28</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45</td>
<td>
Asthma </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3300</td>
<td>PUSTU PRAMBON</td>
 <td>12-09-2022</td>
<td></td>
<td>JUPRIYANTO</td>
<td>`002811</td>
<td></td>
<td>`0000666300363</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-02-1969</td>
<td>53 Th</td>
<td>BANARAN RT 11/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000835</td>
<td>SAKIT GIGI</td>
<td>IBU 400 CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02.0</td>
<td>
Caries limited to enamel </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3301</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>REHAN FAUZ NUR ROHMAN</td>
<td>`009017</td>
<td>06/9091</td>
<td>`0002970311163</td>
<td>`3503050611120001</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>06-11-2012</td>
<td>9 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000837</td>
<td>BATUK</td>
<td>OBH PAMOL AMOX</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>24</td>
<td>90</td>
<td>28</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3302</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>PAITUN</td>
<td>`001989</td>
<td></td>
<td>`0002970311141</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-12-1968</td>
<td>53 Th</td>
<td>PRAMBON RT 15/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>131506010922Y000836</td>
<td>BATUK</td>
<td>PAMOL AMBOROXOL</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>63</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3303</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>ROHMATUN</td>
<td>`001314</td>
<td>06/4911</td>
<td>`0001037013715</td>
<td>`3503055510830003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-10-1983</td>
<td>38 Th</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000692</td>
<td>PUSING</td>
<td>PAMOL BC</td>
<td>90/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3304</td>
<td>PUSTU PRAMBON</td>
<td>12-09-2022</td>
<td></td>
<td>JURIYAH</td>
<td>`021185</td>
<td></td>
<td>`0001037014413</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-1965</td>
<td>57 Th</td>
<td>PRAMBON RT 16/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000626</td>
<td>KONTROL TENSI</td>
<td>NATDIK AMLO 5MG</td>
<td>140/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3305</td>
<td>PONKESDES TUMPUK</td>
<td>12-09-2022</td>
<td></td>
<td>BUDIARTO</td>
<td>`003379</td>
<td></td>
<td>`0001978443224</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-12-1971</td>
<td>50 Th</td>
<td>RT 6</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>KEMBUNG,DIARE</td>
<td>ANTASIDA,ZINC,ORALIT</td>
<td>132/81</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>75</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K29.0</td>
<td>
Acute haemorrhagic gastritis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3306</td>
<td>PUSTU NGEPEH</td>
<td>12-09-2022</td>
 <td></td>
<td>DIANI</td>
<td>`002375</td>
<td>04/4838</td>
<td>`0000666124435</td>
<td>`3503056505850004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1985</td>
<td>37 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001339</td>
<td>batuk, pilek, pusing</td>
<td>ambroxol loratadin ibuprofen</td>
<td>131/74</td>
<td>73</td>
<td>35</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3307</td>
<td>PUSTU NGEPEH</td>
<td>12-09-2022</td>
<td></td>
<td>MARSINI</td>
<td>`002993</td>
<td>04/5204</td>
<td>`0000666171415</td>
<td>` 3503056111660001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>21-11-1966</td>
<td>55 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001340</td>
<td>nyeri perut asam urat pusing</td>
<td>allopurinol, pamol, ranitidin</td>
<td>107/61</td>
<td>73</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>41</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3308</td>
<td>PUSTU NGEPEH</td>
<td>12-09-2022</td>
<td></td>
<td>SUHARTI</td>
<td>`003702</td>
<td></td>
<td>`0000666172596</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-1973</td>
<td>48 Th</td>
<td>RT 16 RW 07</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001341</td>
 <td>batuk pilek</td>
<td>amlodipin, gg, loratadin</td>
<td>163/85</td>
<td>97</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3309</td>
<td>PUSTU NGEPEH</td>
<td>12-09-2022</td>
<td></td>
<td>WINATUN</td>
<td>`011569</td>
<td></td>
<td>`0000666868241</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-05-1955</td>
<td>67 Th</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001343</td>
<td>cholesterol tinggi</td>
<td>simvastatin</td>
<td>144/68</td>
<td>74</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>42</td>
<td>80</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>E78.0</td>
<td>
Pure hypercholesterolaemia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3310</td>
<td>PUSTU NGEPEH</td>
<td>12-09-2022</td>
<td></td>
<td>SRI UTAMI</td>
<td>`006412</td>
<td>04/9108</td>
<td>`0002802770177</td>
<td>`3503054304820003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-04-1982</td>
<td>40 Th</td>
<td>DUSUN PONGGOK, RT : 23,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001344</td>
<td>kontrol tensi</td>
<td>amlodipin</td>
<td>167/96</td>
<td>91</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>52</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3311</td>
<td>PUSTU NGEPEH</td>
<td>12-09-2022</td>
<td></td>
<td>SITI MARFU`AH</td>
<td>`002900</td>
<td></td>
<td>`0000665622977</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-01-1986</td>
<td>36 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001345</td>
<td>batuk pilek pusing</td>
<td>ctm ambroxol pamol</td>
<td>134/86</td>
<td>96</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>42</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3312</td>
<td>PUSTU NGEPEH</td>
<td>12-09-2022</td>
<td></td>
 <td>KUSDI</td>
<td>`008208</td>
<td></td>
<td>`0002802749984</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-05-1960</td>
<td>62 Th</td>
<td>RT 18 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001346</td>
<td>batuk pilek demam</td>
<td>ambroxol pamol ctm dexa</td>
<td>150/82</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3313</td>
<td>PUSTU NGEPEH</td>
<td>12-09-2022</td>
<td></td>
<td>MUHAMMAD DIRORUN NI`AM</td>
<td>`019161</td>
<td></td>
<td>`0000666104938</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-10-2003</td>
 <td>18 Th</td>
<td>KRAJAN, RT : 3,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001330</td>
<td>pusing, batuk, pilek, panas</td>
<td>pamol gg loratadin</td>
<td>128/55</td>
<td>93</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3314</td>
<td>PUSTU NGEPEH</td>
<td>12-09-2022</td>
<td></td>
<td>ROMZIYAH</td>
<td>`007071</td>
<td></td>
<td>`0003067665401</td>
<td>`3503056708650001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-08-1965</td>
<td>57 Th</td>
<td>KRAJAN, RT : 3,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001331</td>
<td>cek tensi</td>
 <td>amlodipin</td>
<td>160/75</td>
<td>82</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I11</td>
<td>
Hypertensive heart disease </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3315</td>
<td>PUSTU NGEPEH</td>
<td>12-09-2022</td>
<td></td>
<td>RAFA MAULANA KHAIRUL ANWAR</td>
<td>`018195</td>
<td>04/1502</td>
<td>`0001707020807</td>
<td>`3503051301140003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-01-2014</td>
<td>8 Th</td>
<td>KRAJAN, RT : 2,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001332</td>
<td>batuk pilek, mual</td>
<td>antasid syr, pamol gg vit c</td>
<td>90/60</td>
<td>100</td>
<td>37</td>
<td>22</td>
<td>138</td>
<td>29</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3316</td>
<td>PUSTU NGEPEH</td>
<td>12-09-2022</td>
<td></td>
<td>ARSA PUTRI RAHAYU</td>
<td>`013288</td>
<td></td>
<td>`0002451713411</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-04-2018</td>
<td>4 Th</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001333</td>
<td>batuk pilek</td>
<td>gg vit </td>
<td>90/60</td>
<td>100</td>
<td>36</td>
<td>22</td>
<td>90</td>
<td>15</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3317</td>
<td>PUSTU NGEPEH</td>
<td>12-09-2022</td>
<td></td>
<td>SRIWATI</td>
<td>`003790</td>
<td>04/6448</td>
<td>`0000665868993</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-10-1976</td>
<td>45 Th</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001334</td>
<td>batuk pilek nyeri tenggorokan</td>
<td>ambroxol pamol amox</td>
<td>123/74</td>
<td>81</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3318</td>
<td>PUSTU NGEPEH</td>
<td>12-09-2022</td>
<td></td>
<td>SAWAL</td>
 <td>`002982</td>
<td></td>
<td>`0000666372025</td>
<td>`3503051509610001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-09-1961</td>
<td>61 Th</td>
<td>DUSUN BEJI, RT : 17,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001335</td>
<td>nyeri perut pusing</td>
<td>ranitidin pamol antasid</td>
<td>117/58</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>162</td>
<td>54</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3319</td>
<td>PUSTU NGEPEH</td>
<td>12-09-2022</td>
<td></td>
<td>MUKAJI</td>
<td>`004402</td>
<td></td>
<td>`0000665722541</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1960</td>
<td>61 Th</td>
 <td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001336</td>
<td>gatal</td>
<td>dexa amox</td>
<td>122/77</td>
<td>71</td>
<td>35</td>
<td>20</td>
<td>160</td>
<td>52</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3320</td>
<td>PUSTU NGEPEH</td>
<td>12-09-2022</td>
<td></td>
<td>LAMINI</td>
<td>`004403</td>
<td></td>
<td>`0000665722743</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-12-1971</td>
<td>50 Th</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001337</td>
<td>keju, demam, sebah</td>
<td>ibu profen nadik antasid</td>
 <td>138/77</td>
<td>93</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>42</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3321</td>
<td>POLINDES PRAMBON 2</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>UYE</td>
<td>`011095</td>
<td></td>
<td>`0003067902663</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-09-1957</td>
<td>65 Th</td>
<td>PRAMBON RT 47/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>167</td>
<td>56</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
 <td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3322</td>
<td>POLINDES PRAMBON 2</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>MARTINAH</td>
<td>`001152</td>
<td></td>
<td>`0000667058736</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-04-1976</td>
<td>46 Th</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>57</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3323</td>
<td>POLINDES PRAMBON 2</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>DIKA NANDA SAPITRI</td>
<td>`001510</td>
<td></td>
<td>`0001978489528</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-2000</td>
<td>21 Th</td>
<td>PRAMBON 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>157</td>
<td>54</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3324</td>
<td>POLINDES PRAMBON 2</td>
<td>13-09-2022</td>
 <td>KONSULTASI</td>
<td>SUPRIHATIN</td>
<td>`001661</td>
<td></td>
<td>`0001978487796</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-04-1971</td>
<td>51 Th</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>157</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3325</td>
<td>POLINDES PRAMBON 2</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>RUMIATI</td>
<td>`000775</td>
<td></td>
<td>`0000665357962</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>01-09-1974</td>
<td>48 Th</td>
<td>PRAMBON RT 44/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>57</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3326</td>
<td>POLINDES PRAMBON 2</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>ANING FARIDA EVI</td>
<td>`010448</td>
<td>06/5589</td>
<td>`0000664907646</td>
<td>`3503045712900002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-12-1990</td>
<td>31 Th</td>
<td>DUSUN MLOKO, RT : 57,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
 <td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>50</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3327</td>
<td>POLINDES PRAMBON 2</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>MARSA PRAMADANI</td>
<td>`003552</td>
<td>06/2860</td>
<td>`0000666285862</td>
<td>`3503055704020001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-04-2002</td>
<td>20 Th</td>
<td>RT 45 RW 8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>158</td>
 <td>56</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3328</td>
<td>POLINDES PRAMBON 2</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>DESI RATNA SARI</td>
<td>`003384</td>
<td>06/7253</td>
<td>`0002802763473</td>
<td>`3503054110990002</td>
<td>`</td>
<td></td>
<td>082262605361</td>
<td>P</td>
<td>10-12-1999</td>
<td>22 Th</td>
<td>MLOKO, RT : 59,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3329</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>SRI UTAMI</td>
<td>`001496</td>
<td>04/3595</td>
<td>`0000106534912</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-04-1969</td>
<td>53 Th</td>
<td>RT 14 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y000706</td>
<td>mata kabur</td>
<td>rujukan</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>74</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H52.5</td>
<td>
Disorders of accommodation </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3330</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td></td>
<td>KOMSIATI</td>
<td>`001726</td>
<td>01/380</td>
<td>`0000077099128</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-05-1962</td>
<td>60 Th</td>
<td>RT 01 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000702</td>
<td>KONTROL</td>
<td>-</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3331</td>
<td>POLINDES PRAMBON 2</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>LAINEM</td>
<td>`010971</td>
<td></td>
<td>`0002802749422</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-07-1956</td>
<td>66 Th</td>
<td>RT 046 RW -</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>130/80</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>52</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3332</td>
<td>POLINDES PRAMBON 2</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>WINARTI</td>
<td>`002940</td>
<td></td>
<td>`0000665817592</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1965</td>
<td>56 Th</td>
<td>RT 47</td>
<td>PRAMBON</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3333</td>
<td>POLINDES PRAMBON 2</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>MESENI</td>
<td>`011796</td>
<td></td>
<td>`0002036470724</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-12-1957</td>
<td>64 Th</td>
<td>RT 47</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
 <td>86</td>
<td>36</td>
<td>22</td>
<td>164</td>
<td>58</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3334</td>
<td>POLINDES PRAMBON 2</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>SUPARNO</td>
<td>`005202</td>
<td></td>
<td>`0001978487875</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-12-1968</td>
<td>53 Th</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
 <td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3335</td>
<td>POLINDES PRAMBON 2</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>SUNARTI</td>
<td>`011973</td>
<td></td>
<td>`0001978487897</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1969</td>
<td>53 Th</td>
<td>RT 45</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3336</td>
<td>POLINDES PRAMBON 2</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>YADIRAN</td>
<td>`010966</td>
<td></td>
<td>`0001037013849</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-03-1959</td>
<td>63 Th</td>
<td>RT 046 RW -</td>
<td>PRAMBON</td>
<td>PRAMBON</td>
<td>SIDOARJO</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>163</td>
<td>60</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3337</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
 <td></td>
<td>MISTIATUN</td>
<td>`018239</td>
<td>04/3631</td>
<td>`0000665949756</td>
<td>`3503056010580001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-10-1958</td>
<td>63 Th</td>
<td>KRAJAN, RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000701</td>
<td>bak masih merah nyeri perut bawah</td>
<td>rujukan</td>
<td>168/98</td>
<td>99</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>41</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N39.0</td>
<td>
Urinary tract infection, site not specified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3338</td>
<td>POLI KIA</td>
<td>13-09-2022</td>
<td></td>
<td>TITIK NUR C.</td>
<td>`013673</td>
<td>06/4834</td>
<td>`0000665741531</td>
<td>`3503054507960003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>05-07-1996</td>
<td>26 Th</td>
<td>RT 19 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>WIRASWASTA</td>
<td>Lama</td>
<td>131506010922Y000693</td>
<td>KONSUL POLI KNDUNGAN</td>
<td>-</td>
<td>120/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>151</td>
<td>70</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3339</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td></td>
<td>SUMARTI</td>
<td>`000547</td>
<td>01/454</td>
<td>`0000196786462</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1961</td>
<td>60 Th</td>
<td>RT 03 RW01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000695</td>
 <td>rujukan</td>
<td>-</td>
<td>178/87</td>
<td>91</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>78</td>
<td>98</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3340</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td></td>
<td>ISMIRAH</td>
<td>`000126</td>
<td>01/2838</td>
<td>`0001266022877</td>
<td>`3503055207600008</td>
<td>`118041</td>
<td></td>
<td></td>
<td>P</td>
<td>12-07-1960</td>
<td>62 Th</td>
<td>DUSUN KEBONSARI, RT : 032,RW :008 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000700</td>
<td>KONTROL TENSI PUSING</td>
<td>PAMOL AMLODIPIN 10MG CTM</td>
<td>130/76</td>
<td>74</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>55</td>
<td>850</td>
 <td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3341</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>MUKHAMMAD RISQI PUTRA MA`ARIF</td>
<td>`013192</td>
<td>04/1445</td>
<td>`0002463854499</td>
<td>`3503052105140003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-05-2014</td>
<td>8 Th</td>
<td>RT 025 RW 011</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000747</td>
<td>kontrol nyeri perut batuk muntah</td>
<td>amok metoklop ambroksol</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>25</td>
<td>125</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
 </td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3342</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td></td>
<td>ABU SUJAK</td>
<td>`001970</td>
<td>01/5322</td>
<td>`0001151452574</td>
<td>`3577016610550001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-10-1955</td>
<td>66 Th</td>
<td>RT 30 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000699</td>
<td>kontrol obat gula ,keju linu</td>
<td>GLIMEPIRID IBUPROFEN</td>
<td>132/72</td>
<td>74</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>67</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3343</td>
<td>POLI REMAJA</td>
<td>13-09-2022</td>
 <td></td>
<td>ARWANI SHAID SAYKONI</td>
<td>`018370</td>
<td>01/4618</td>
<td>`0000665478404</td>
<td>`3503051208070001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-08-2007</td>
<td>15 Th</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000707</td>
<td>BATUK PILEK</td>
<td>PCT,AMOX,GG,CTM,DEXA,VIT C</td>
<td>105/64</td>
<td>93</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>53</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3344</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>WINARTI</td>
<td>`004783</td>
<td>01/16</td>
<td>`0000665562161</td>
<td>`3503055501760001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>01-01-1976</td>
<td>46 Th</td>
<td>RT 33 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000746</td>
<td>batuk meriang bersin2</td>
<td>pct ambroksol loratadin salbutamol</td>
<td>140/89</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>67</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3345</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>ANDRI SETIAWAN</td>
<td>`000228</td>
<td>03/2413</td>
<td>`0000165061517</td>
<td>`3503050403830001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-03-1983</td>
<td>39 Th</td>
<td>RT 11 RW 4</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y000728</td>
 <td>konsultasi rujukan</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3346</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td></td>
<td>MULYONO</td>
<td>`002782</td>
<td>06/8954</td>
<td>`0002681645152</td>
<td>`3503050709620002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-09-1962</td>
<td>60 Th</td>
<td>DUSUN TENGGAR, RT : 9,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000697</td>
<td>kontrol lepas dc nyeri berkurang</td>
<td>cirpo asmef</td>
<td>150/69</td>
<td>76</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>40</td>
<td>66</td>
<td>Tugu</td>
 <td>KASUS LAMA</td>
<td>N40</td>
<td>
Hyperplasia of prostate </td>
<td>R33</td>
<td>
Retention of urine </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3347</td>
<td>POLI KIA</td>
<td>13-09-2022</td>
<td></td>
<td>EMI PRIHATIN NINGSIH</td>
<td>`012710</td>
<td>08/7256</td>
<td>`</td>
<td>`3503056605960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-05-1996</td>
<td>26 Th</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>115/740</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3348</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>TUMIRAH</td>
<td>`021188</td>
<td>05/3428</td>
<td>`0000666259334</td>
<td>`3503055203710002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-12-1971</td>
<td>50 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td>131506010922Y000745</td>
<td>ngantuk</td>
<td>amlodipin aspilet</td>
<td>189/94</td>
<td>103</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>73</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3349</td>
<td>POLI GIGI</td>
<td>13-09-2022</td>
<td></td>
 <td>JUWARIYAH</td>
<td>`021189</td>
<td>08/7256</td>
<td>`0001978467017</td>
<td>`3503055404570001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-04-1957</td>
<td>65 Th</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td>131506010922Y000720</td>
<td>gigi protesa longgar</td>
<td>konsultasi</td>
<td>110/70</td>
<td>90</td>
<td>36</td>
<td>45</td>
<td>161</td>
<td>56</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>3350</td>
<td>POLI GIGI</td>
<td>13-09-2022</td>
<td></td>
<td>RENI YULI ASTUTI</td>
<td>`011561</td>
<td>90/2914</td>
<td>`0003125256467</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-1995</td>
 <td>27 Th</td>
<td>RT 04/01 DONGKO</td>
<td>DONGKO</td>
<td>DONGKO</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y000704</td>
<td>kontrol gigi bawah kanan</td>
<td>tumpatan tetap 46</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>40</td>
<td>155</td>
<td>42</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K02.1</td>
<td>
Caries of dentine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3351</td>
<td>POLI REMAJA</td>
<td>13-09-2022</td>
<td></td>
<td>APRELLIA WINDIYATIKA</td>
<td>`003262</td>
<td>01/74</td>
<td>`0002867872173</td>
<td>`3503054104100001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-2010</td>
<td>12 Th</td>
<td>DUSUN GONDANG KIDUL, RT : 10,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000717</td>
<td>panas batuk nyri tenggorokan</td>
 <td>amok pamol gg</td>
<td>98/69</td>
<td>133</td>
<td>36</td>
<td>24</td>
<td>140</td>
<td>33</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J03</td>
<td>
Acute tonsillitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3352</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td></td>
<td>HARDOJO</td>
<td>`004746</td>
<td>04/2546</td>
<td>`0000106514774</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-09-1953</td>
<td>69 Th</td>
<td>RT 04 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y000709</td>
<td>KONTROL LUKA JAHIT DI TANGAN</td>
<td>GDP 104
GLIMEPIRID,</td>
<td>129/65</td>
<td>54</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>48</td>
<td>85</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z48.8</td>
<td>
Other specified surgical follow-up care </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3353</td>
<td>PONKESDES TUMPUK</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>MUCHYIDIN</td>
<td>`014443</td>
<td></td>
<td>`0001978454632</td>
<td>`3503051312600001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-12-1960</td>
<td>61 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/74</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>69</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3354</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>WULAN CAHYANINGSIH (1)</td>
<td>`021192</td>
<td>08/9210</td>
<td>`0000665522605</td>
<td>`3503065007000003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-07-2000</td>
<td>22 Th</td>
<td>RT 01 RW 01</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000698</td>
<td>PUSING BATUK PILKEK</td>
<td>PCT LORATADIN AMBROKSOL BC</td>
<td>134/93</td>
<td>114</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>50</td>
<td>Karangan</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3355</td>
<td>POLI MTBS</td>
<td>13-09-2022</td>
<td></td>
 <td>RAYYAN AZKA RAFISQY</td>
<td>`021193</td>
<td>02/424</td>
<td>`0003270003502</td>
<td>`3503051705220001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-05-2022</td>
<td>0 Th</td>
<td>RT 15 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3356</td>
<td>POLI GIGI</td>
<td>13-09-2022</td>
<td></td>
<td>INTI TRI WULIDHA</td>
<td>`003826</td>
<td>02/424</td>
<td>`0000665627139</td>
<td>`3503057012940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1994</td>
 <td>27 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000703</td>
<td>karang gigi</td>
<td>membersihkan karang gigi rahang bawah</td>
<td>110/70</td>
<td>97</td>
<td>36</td>
<td>97</td>
<td>147</td>
<td>44</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K03.6</td>
<td>
Deposits [accretions] on teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3357</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>PURWANTI</td>
<td>`003743</td>
<td>06/6252</td>
<td>`</td>
<td>`3503056012740003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-12-1974</td>
<td>47 Th</td>
<td>DUSUN MLOKO, RT : 57,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>nyeri di lutut</td>
 <td>ibuprofen glimepirid amlo</td>
<td>160/95</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>53</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>M19.0</td>
<td>
Primary arthrosis of other joints </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3358</td>
<td>POLI KIA</td>
<td>13-09-2022</td>
<td></td>
<td>DENI SUSANTI</td>
<td>`015694</td>
<td>03/2044</td>
<td>`</td>
<td>`3503116311830001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-11-1983</td>
<td>38 Th</td>
<td>DUSUN KRAJAN, RT : 2,RW :1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>133/84</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>57</td>
<td>1</td>
<td>Trenggalek </td>
<td>KASUS BARU</td>
 <td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3359</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>NENENG PUJI LESTARI</td>
<td>`007558</td>
<td>01/2514</td>
<td>`0001038070585</td>
<td>`3506135111920001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-11-1992</td>
<td>29 Th</td>
<td>GONDANG RT 33 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000744</td>
<td>pusing pilek</td>
<td>demacolin syr gg fe</td>
<td>84/61</td>
<td>105</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>39</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3360</td>
<td>POLI REMAJA</td>
<td>13-09-2022</td>
<td></td>
<td>ANNISA NADHIFA ZAHRO (2)</td>
<td>`021198</td>
<td>90/2615</td>
<td>`0003118876468</td>
<td>`3503066712090001</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>27-12-2009</td>
<td>12 Th</td>
<td>DUSUN TALUN, RT : 1,RW :1 </td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000716</td>
<td>panas pusing batuk pilek nyeri yenggorokan</td>
<td>amok ibuprofen,ombroksol</td>
<td>112/55</td>
<td>149</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>64</td>
<td>58</td>
<td>Karangan</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3361</td>
<td>PONKESDES TUMPUK</td>
<td>13-09-2022</td>
<td>KIA PUSTU - POLINDES</td>
 <td>KHUSNUL</td>
<td>`021323</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-01-1984</td>
<td>38 Th</td>
<td>RT 11 RW 4</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>KONTROL SUNTIK KB</td>
<td>DEPO,SPUIT 3 ML,ALKOHOL SWABS,HANDSCOON</td>
<td>119/75</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>52</td>
<td>79</td>
<td></td>
<td>KASUS LAMA</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3362</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>JURI</td>
<td>`002354</td>
<td>03/2755</td>
<td>`0000106795686</td>
<td>`3503050207640001</td>
<td>`</td>
<td></td>
<td>087809889008</td>
<td>L</td>
<td>02-07-1964</td>
 <td>58 Th</td>
<td>DUSUN JUMOK, RT : 11,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000727</td>
<td>kontrol dm batuk pilek</td>
<td>cipro metformin gliben amlodipin aspilet pamol ctm gg</td>
<td>151/85</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>72</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3363</td>
<td>UGD</td>
<td>13-09-2022</td>
<td></td>
<td>ERNAWATI (2)</td>
<td>`020308</td>
<td>02/3930</td>
<td>`0000106589013</td>
<td>`3503055805620001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-05-1962</td>
<td>60 Th</td>
<td>DUSUN KRAJAN, RT : 13,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
 <td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3364</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>HARYATUN</td>
<td>`000247</td>
<td>90/55</td>
<td>`0001318097283</td>
<td>`9171036006670001</td>
<td>`</td>
<td></td>
<td>081344975763</td>
<td>P</td>
<td>20-06-1967</td>
<td>55 Th</td>
<td>RT 3 RW 1</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000721</td>
<td>batuk pilek meriang pusing</td>
<td>cipro pamol ctm gg dexa</td>
<td>114/63</td>
<td>99</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>70</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3365</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>SUKARTI</td>
<td>`021199</td>
<td>01/210</td>
<td>`</td>
<td>`3503056402650001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-02-1965</td>
<td>57 Th</td>
<td>DESA GONDANG, RT : 11,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>gringgingen keju linu</td>
<td>amlodipin aspilet vit c pamol</td>
<td>163/93</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>63</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
 dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3366</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td></td>
<td>SULAS</td>
<td>`000052</td>
<td>02/487</td>
<td>`0000666398621</td>
<td>`3503057112550040</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1955</td>
<td>66 Th</td>
<td>RT 7 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000708</td>
<td>KONTROL TENSI</td>
<td>AMLO5,ASPILET,OMZ,</td>
<td>150/55</td>
<td>66</td>
<td>36</td>
<td>22</td>
<td>145</td>
<td>45</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3367</td>
<td>POLI GIGI</td>
<td>13-09-2022</td>
<td></td>
<td>IMAM SAIFUDIN</td>
 <td>`018316</td>
<td>06/8106A</td>
<td>`0001707022427</td>
<td>`3503052806910001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-06-1991</td>
<td>31 Th</td>
<td>DUSUN PAKEL, RT : 041,RW :010 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>131506010922Y000719</td>
<td>kontrol gigi bawah kana</td>
<td>tumpatan sementara eugenol</td>
<td>110/70</td>
<td>87</td>
<td>35</td>
<td>25</td>
<td>162</td>
<td>61</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3368</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>SITI AMINAH</td>
<td>`000497</td>
<td>06/2852</td>
<td>`0002802748487</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-12-1980</td>
<td>41 Th</td>
 <td>RT 38 RW 07</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000705</td>
<td>kontrol</td>
<td>rujukan</td>
<td>133/74</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>77</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I11</td>
<td>
Hypertensive heart disease </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3369</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>WIJI SADIYAH</td>
<td>`019844</td>
<td>07/127</td>
<td>`0000665813878</td>
<td>`3503054908780002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-08-1978</td>
<td>44 Th</td>
<td>RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000726</td>
<td>nyeri lutut</td>
<td>nadif prednison</td>
 <td>128/79</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>75</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3370</td>
<td>POLI GIGI</td>
<td>13-09-2022</td>
<td></td>
<td>ADIES RISKI PUTRA</td>
<td>`008360</td>
<td>06/4219</td>
<td>`0000665996308</td>
<td>`3503051301080001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-01-2008</td>
<td>14 Th</td>
<td>TENGGAR, RT : 3,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000710</td>
<td>kontrol gigi bawah kiri</td>
<td>tumpatan sementara</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>52</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K04.5</td>
 <td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3371</td>
<td>PUSTU WINONG</td>
<td>13-09-2022</td>
<td></td>
<td>SUTRISNO</td>
<td>`014158</td>
<td></td>
<td>`0000666396279</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-06-1973</td>
<td>49 Th</td>
<td>WINONG RT 7 RW 3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000732</td>
<td>keju</td>
<td>nadic, pred, b komplek</td>
<td>135/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>172</td>
<td>67</td>
<td>69</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3372</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>NAYRA EARLENE KANAYA</td>
<td>`021201</td>
<td>02/1190</td>
<td>`0002321730786</td>
<td>`3503055511130001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-11-2013</td>
<td>8 Th</td>
<td>RT 08 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000724</td>
<td>gatal </td>
<td>amok pamol dexa vit c scabisid</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>23</td>
<td>25</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>B86</td>
<td>
Scabies </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3373</td>
<td>PUSTU WINONG</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>SULASRIN</td>
<td>`021202</td>
 <td></td>
<td>`0000666397012</td>
<td>`3503055705790001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-05-1979</td>
<td>43 Th</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>125/80</td>
<td>88</td>
<td>36</td>
<td>15</td>
<td>157</td>
<td>62</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3374</td>
<td>PONKESDES TUMPUK</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>MISIYAM</td>
<td>`010547</td>
<td>03/730</td>
<td>`0001978454283</td>
<td>`3503057112500001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1950</td>
<td>71 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
 <td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>116/74</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>52</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3375</td>
<td>POLI REMAJA</td>
<td>13-09-2022</td>
<td></td>
<td>NIKEN RAHAYU PALUPI</td>
<td>`011499</td>
<td>01/10</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-02-2008</td>
<td>14 Th</td>
<td>RT-</td>
<td>PUGUNG RAHARJO</td>
<td>SEKAMPUNG UDIK</td>
<td>LAMPUNG TIMUR</td>
<td>LAMPUNG</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>sesak batuk mual pusing</td>
<td>ctm ambroksol salbutamol antasida pamol amok mp</td>
<td>105/59</td>
 <td>85</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>49</td>
<td>50</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.0</td>
<td>
Streptococcal pharyngitis </td>
<td>J45</td>
<td>
Asthma </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3376</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>BRIANNA REISA ARIANDO</td>
<td>`017925</td>
<td>01/7634</td>
<td>`0003070028384</td>
<td>`3503055011160001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-11-2016</td>
<td>5 Th</td>
<td>RT 006 RW 001</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000730</td>
<td>kontrol rawat luka</td>
<td>amok dexa vit bc pamol rawat luka</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>110</td>
<td>10.6</td>
<td>15</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z48.0</td>
<td>
 Attention to surgical dressings and sutures </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3377</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td></td>
<td>NUR`AINI</td>
<td>`000904</td>
<td></td>
<td>`0002158256553</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-02-1989</td>
<td>33 Th</td>
<td>PRAMBON RT 15</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000711</td>
<td>TANGAN SAKIT</td>
<td>IBU 400 KALK</td>
<td>90/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3378</td>
<td>POLI GIGI</td>
<td>13-09-2022</td>
<td></td>
<td>FEPTRISYA MA`RIFATUN</td>
<td>`020901</td>
<td>01/10</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-02-2007</td>
<td>15 Th</td>
<td>RT 17 RW 04</td>
<td>PASIR UTAMA</td>
<td>RAMBAH HILIR</td>
<td>ROKAN HULU</td>
<td>RIAU</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>kontrol gigi bawah kanan</td>
<td> devitasol </td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>25</td>
<td>151</td>
<td>45</td>
<td>65</td>
<td></td>
<td>KASUS LAMA</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3379</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>SUNARTI</td>
<td>`004919</td>
<td>90/42</td>
 <td>`0000106529646</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-02-1974</td>
<td>48 Th</td>
<td>RT 02 RW 01</td>
<td>SUMBERGEDONG</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y000729</td>
<td>panas batuk pilek</td>
<td>amok ome ambroksol obh syr pamol</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3380</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>KHANSA NADIYA ZAFIROH</td>
<td>`017491</td>
<td>90/3276</td>
<td>`0001804746936</td>
<td>`3503115309140001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-09-2014</td>
<td>8 Th</td>
<td>RT07 RW 02</td>
<td>SURODAKAN</td>
 <td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000725</td>
<td>panas pilek</td>
<td>kloram pamol ctm gg dexa vit c zink</td>
<td>1/1</td>
<td>90</td>
<td>40</td>
<td>20</td>
<td>125</td>
<td>22</td>
<td>23</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3381</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>MOCHAMMAD ARJUNA ASYRAFY KURNIAWAN</td>
<td>`000795</td>
<td>06/5912</td>
<td>`0001266976517</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-10-2011</td>
<td>10 Th</td>
<td>RT 35 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000714</td>
<td>kontrol</td>
<td>rujukan</td>
<td>1/1</td>
<td>88</td>
 <td>36</td>
<td>20</td>
<td>130</td>
<td>34</td>
<td>30</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>D66</td>
<td>
Hereditary factor viii deficiency </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3382</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td></td>
<td>WIJIATI</td>
<td>`000840</td>
<td>06/3537</td>
<td>`0000666075609</td>
<td>`3503054502780001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-02-1978</td>
<td>44 Th</td>
<td>PRAMBON RT 5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000712</td>
<td>PUSING</td>
<td>NATDIK AMLO 5MG</td>
<td>160/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>40</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3383</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>MUJIATI</td>
<td>`009175</td>
<td>07/1631</td>
<td>`0003101238077</td>
<td>`3503054612710002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-12-1971</td>
<td>50 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000737</td>
<td>konsultasi rujukan</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3384</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td></td>
<td>FARISA OKTA VIANTI</td>
<td>`001294</td>
<td></td>
<td>`0000666075947</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-2004</td>
<td>17 Th</td>
<td>PRAMBON RT5/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000713</td>
<td>BATUK</td>
<td>GG CTM</td>
<td>90/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>35</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3385</td>
<td>POLI REMAJA</td>
<td>13-09-2022</td>
<td></td>
<td>VISKA PRAMITA S.</td>
<td>`021203</td>
<td>90/1353</td>
<td>`0001109932266</td>
 <td>`3503125307060001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-07-2006</td>
<td>16 Th</td>
<td>RT/RW: 23/10 DESA NGULANWETAN, RT : 23,RW :10 </td>
<td>NGULANWETAN</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Baru</td>
<td>131506010922Y000742</td>
<td>pusing batuk</td>
<td>amok pamol dexa ambroksol vit c</td>
<td>109/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>148</td>
<td>38</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3386</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>TONO DARWITO</td>
<td>`000063</td>
<td>06/3537</td>
<td>`0000666075778</td>
<td>`3503052704770002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-1977</td>
<td>45 Th</td>
<td>RT 5RW 1</td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3387</td>
<td>POLI REMAJA</td>
<td>13-09-2022</td>
<td></td>
<td>DIAN PRATIWI</td>
<td>`021204</td>
<td>01/10</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-03-2004</td>
<td>18 Th</td>
<td>RT 03 RW 02</td>
<td>KARANG ANYAR</td>
<td>SEMENDAWAI TIMUR</td>
<td>OGAN KOMERING ULU TIMUR</td>
<td>SUMATERA SELATAN</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>nyeri tenggorokan batuk pilek meriang</td>
<td>amok dexa ambroksol ctm vit c pamol</td>
<td>124/78</td>
<td>93</td>
<td>36</td>
 <td>20</td>
<td>160</td>
<td>48</td>
<td>50</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3388</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>RONI SAIFUL IMAM</td>
<td>`014011</td>
<td></td>
<td>`0002190270069</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-01-2010</td>
<td>12 Th</td>
<td>PRAMBON RT 15</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>120</td>
<td>36</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3389</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>SAMURI</td>
<td>`000903</td>
<td></td>
<td>`0002190270036</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1959</td>
<td>63 Th</td>
<td>PRAMBON RT 15</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3390</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>PONTY ULIMALINDA</td>
<td>`004780</td>
<td>06/5925</td>
<td>`0002802753235</td>
<td>`3503054107000003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-2000</td>
<td>22 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000740</td>
<td>mata kanan terasa gatal</td>
<td>cipro kloram loratadin dexa</td>
<td>108/65</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H16.9</td>
<td>
Keratitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3391</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>YULI CAHYANTI</td>
<td>`000905</td>
<td>06/5844a</td>
<td>`0002190270058</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-07-2000</td>
<td>22 Th</td>
<td>PRAMBON RT 15</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3392</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>KATEMIN SHOLIKIN</td>
<td>`012499</td>
<td>04/2166</td>
<td>`0000666089842</td>
<td>`3503050904720002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-04-1972</td>
<td>50 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3393</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>ISKANAH</td>
<td>`010508</td>
<td>08/6735</td>
<td>`0001978464071</td>
<td>`3503056312710001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-12-1971</td>
<td>50 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000739</td>
<td>pusing mata blawur riwayat dm</td>
<td>glimepirid bc paracetamol</td>
<td>121/72</td>
<td>89</td>
<td>36</td>
<td>20</td>
 <td>155</td>
<td>60</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3394</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>MUJIATI</td>
<td>`012057</td>
<td></td>
<td>`0000666125684</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1977</td>
<td>45 Th</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>110/65</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3395</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>BISMA HAFIZ A</td>
<td>`014516</td>
<td>01/4712</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-07-2016</td>
<td>6 Th</td>
<td>RT 34 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>batuk pilek panas</td>
<td>amok deksa ambroksol salbutamol vitamin c ctm pamol syr</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>19</td>
<td>20</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3396</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>SLAMET</td>
<td>`000682</td>
<td>06/5536</td>
<td>`0000666675483</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-02-1965</td>
<td>57 Th</td>
<td>RT 45 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000735</td>
<td>keju linu pada pinggul</td>
<td>dexa allopurinol nadif bc</td>
<td>141/94</td>
<td>57</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>63</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3397</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td></td>
<td>ARIFIN</td>
<td>`014381</td>
<td></td>
<td>`0002802763304</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-12-1986</td>
<td>35 Th</td>
<td>RT 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y000715</td>
<td>PANAS</td>
<td>PAMOL BC</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3398</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>SULISTYOWATI</td>
<td>`006118</td>
<td></td>
<td>`0002681897815</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-10-1986</td>
<td>35 Th</td>
<td>PRAMBON RT 8 2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3399</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td></td>
<td>MUJIATI</td>
<td>`000290</td>
<td>90/2377</td>
<td>`0002190257392</td>
<td>`3503065105590001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-05-1959</td>
<td>63 Th</td>
<td>RT 06 RW 01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000743</td>
<td>mriang mual pusing </td>
<td>cipro pamol omz domp</td>
<td>90/44</td>
<td>81</td>
<td>36</td>
<td>22</td>
 <td>150</td>
<td>48</td>
<td>72</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3400</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>MAKIYEM</td>
<td>`012885</td>
<td></td>
<td>`0000665648515</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-07-1940</td>
<td>82 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>112/62</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>45</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3401</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>MRAKIH</td>
<td>`020648</td>
<td>04/63</td>
<td>`0000666101013</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-06-1951</td>
<td>71 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>112/65</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>65</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>3402</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>DASUKI</td>
<td>`019185</td>
<td></td>
<td>`0000665648368</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-11-1934</td>
<td>87 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>112/75</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>159</td>
<td>65</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3403</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>WINATUN</td>
<td>`019096</td>
<td>04/5457</td>
<td>`0000666868241</td>
<td>`3503055905550001</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>19-05-1955</td>
<td>67 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>165</td>
<td>52</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3404</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td></td>
<td>ALI MUSTOFA</td>
<td>`012177</td>
<td></td>
<td>`0002083121763</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-09-2016</td>
<td>6 Th</td>
<td>PRAMBON RT 24/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000718</td>
<td>PANAS BATUK</td>
<td>PAMOL GG</td>
<td>80/60</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>80</td>
<td>24</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3405</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>WIJI ASTUTIK</td>
<td>`012061</td>
<td></td>
<td>`0000666820091</td>
<td>`3503055704870001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-04-1987</td>
<td>35 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>165</td>
 <td>52</td>
<td>850</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3406</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>UMI HIDAYAH</td>
<td>`001411</td>
<td></td>
<td>`0000667055092</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-09-2005</td>
<td>17 Th</td>
<td>PRAMBON RT 24</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3407</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>SUNARTI</td>
<td>`000981</td>
<td></td>
<td>`0000667055057</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1980</td>
<td>42 Th</td>
<td>PRAMBONRT24/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3408</td>
 <td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>MUHAMMAD NUH FITRA UTAMA</td>
<td>`021205</td>
<td>02/1366A</td>
<td>`0002260222749</td>
<td>`3503052006170001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-06-2017</td>
<td>5 Th</td>
<td>DSN ETAN KALI, RT : 19,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000738</td>
<td>batuk </td>
<td>amok dexa antasida ambroksol salbutamol vit c ctm bc</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>118</td>
<td>18</td>
<td>36</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3409</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>WIJIARSO</td>
<td>`000162</td>
<td>02/1366A</td>
<td>`0001978460943</td>
<td>`3503052212790005</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>22-12-1979</td>
<td>42 Th</td>
<td>RT 19 RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000723</td>
<td>mata mblawur</td>
<td>rujukan</td>
<td>157/88</td>
<td>88</td>
<td>97</td>
<td>20</td>
<td>170</td>
<td>66</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H52.5</td>
<td>
Disorders of accommodation </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3410</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>HERLINA SARIFAH</td>
<td>`021269</td>
<td></td>
<td>`0000197718952</td>
<td>`3503056104780006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-04-1978</td>
<td>44 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
 <td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>60</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3411</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td></td>
<td>AIRA AYU MARYAM</td>
<td>`021206</td>
<td></td>
<td>`0003011260149</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-04-2016</td>
<td>6 Th</td>
<td>PRAMBON RT 4/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000755</td>
<td>SAKIT GIGI</td>
<td>IBU 400 CTM</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>24</td>
<td>90</td>
<td>20</td>
 <td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02.0</td>
<td>
Caries limited to enamel </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3412</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>MUJIAM</td>
<td>`000683</td>
<td>06/5536</td>
<td>`0000666675641</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-09-1971</td>
<td>51 Th</td>
<td>RT 45 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000722</td>
<td>kontrol</td>
<td>rujukan</td>
<td>175/87</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>52</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I11</td>
<td>
Hypertensive heart disease </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3413</td>
<td>POLI GIGI</td>
<td>13-09-2022</td>
<td></td>
<td>JESICA ASYIFATUZ ZULFA</td>
<td>`013028</td>
<td>01/4208</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-12-2015</td>
<td>6 Th</td>
<td>RT 023 RW 006</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi atas kiri goyang</td>
<td>extractie 61</td>
<td>90/60</td>
<td>87</td>
<td>35</td>
<td>22</td>
<td>119</td>
<td>21</td>
<td>56</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.1</td>
<td>
Supernumerary teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3414</td>
<td>POLI LANSIA</td>
 <td>13-09-2022</td>
<td>KONSULTASI</td>
<td>TOINAH</td>
<td>`012902</td>
<td></td>
<td>`0001978433291</td>
<td>`3503054710500001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-10-1950</td>
<td>71 Th</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>87</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>55</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3415</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>LAMIRAN</td>
<td>`005292</td>
<td></td>
<td>`0000666008752</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>01-11-1966</td>
<td>55 Th</td>
<td>PRAMBON RT 4/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3416</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>SUNARTI</td>
<td>`021272</td>
<td></td>
<td>`0000665909673</td>
<td>`3503055604670001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-04-1967</td>
<td>55 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>111/52</td>
<td>75</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>45</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3417</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>SUWARNO</td>
<td>`012983</td>
<td></td>
<td>`0000666234382</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-12-1971</td>
<td>50 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>52</td>
<td>75</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3418</td>
<td>POLI GIGI</td>
<td>13-09-2022</td>
<td></td>
<td>RAFKHA ADHYAKSA ALFARIZY</td>
<td>`005852</td>
<td>08/1678</td>
<td>`0001863495753</td>
<td>`3503051102150001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-02-2015</td>
<td>7 Th</td>
<td>RT 01 RW 01 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi atas kanan goyang</td>
<td>extractie gigi 61</td>
<td>100/60</td>
<td>86</td>
<td>35</td>
<td>44</td>
<td>132</td>
<td>29</td>
<td>67</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td>K00.1</td>
<td>
Supernumerary teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3419</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>SUBANI</td>
<td>`000493</td>
<td>04/7296</td>
<td>`0001978432492</td>
<td>`3503052105530001</td>
<td>`41832</td>
<td></td>
<td></td>
<td>L</td>
<td>21-05-1953</td>
<td>69 Th</td>
<td>DUSUN KASIHAN, RT : 025,RW :011 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>122/75</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3420</td>
<td>PONKESDES SUKOREJO</td>
<td>13-09-2022</td>
 <td></td>
<td>KASMIATUN</td>
<td>`008003</td>
<td>07/32</td>
<td>`0000106636127</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1932</td>
<td>89 Th</td>
<td>RT 6 RW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001547</td>
<td>muntah,mual</td>
<td>antasida</td>
<td>110/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3421</td>
<td>PONKESDES SUKOREJO</td>
<td>13-09-2022</td>
<td></td>
<td>SUCIATI</td>
<td>`001028</td>
<td>07/115</td>
<td>`0000106816026</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>27-06-1961</td>
<td>61 Th</td>
<td>RT 06 RW 03 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001548</td>
<td>pusing,batuk</td>
<td>gg,asmef</td>
<td>108/87</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>56</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R52.9</td>
<td>
Pain, unspecified </td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3422</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>KALIYAH</td>
<td>`021276</td>
<td></td>
<td>`0000666165374</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-08-1968</td>
<td>54 Th</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
 <td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>165</td>
<td>52</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3423</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>RISKA ARUM MANITASARI</td>
<td>`002773</td>
<td>04/1445</td>
<td>`0000665114646</td>
<td>`3503054506950003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-1995</td>
<td>27 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>50</td>
<td>75</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3424</td>
<td>POLI UMUM</td>
<td>13-09-2022</td>
<td></td>
<td>PIPIT NURMAYASARI</td>
<td>`018990</td>
<td>04/6031</td>
<td>`</td>
<td>`3503054712960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-12-1996</td>
<td>25 Th</td>
<td>RT 19 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>bintilan pada kelopak mata</td>
<td>dexa amok loratadin salep mata kloram</td>
<td>137/78</td>
<td>112</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>53</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H00.1</td>
<td>
Chalazion </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3425</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>LASEMI</td>
<td>`021277</td>
<td></td>
<td>`0000666821722</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-02-1955</td>
<td>67 Th</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3426</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
 <td>SUHARTI</td>
<td>`021278</td>
<td></td>
<td>`0002970309835</td>
<td>`3503055508740004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-08-1974</td>
<td>48 Th</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>85</td>
<td>Suruh</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3427</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>SUTINAH</td>
<td>`012887</td>
<td></td>
<td>`0001036997976</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-12-1954</td>
 <td>67 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3428</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>SUTRISNO</td>
<td>`012899</td>
<td></td>
<td>`0001036999754</td>
<td>`3503052306310001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-06-1931</td>
<td>91 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
 <td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3429</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>MAKINEM</td>
<td>`012897</td>
<td></td>
<td>`0000665885441</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-07-1943</td>
<td>79 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>112/56</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3430</td>
<td>PONKESDES TUMPUK</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>SUTIYAH</td>
<td>`010551</td>
<td></td>
<td>`0001978454643</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-11-1960</td>
<td>61 Th</td>
<td>RT 005 RW 000</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/65</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3431</td>
<td>POLI LANSIA</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>LASMINAH</td>
<td>`021281</td>
<td></td>
<td>`0000666143346</td>
<td>`3503054406680001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1968</td>
<td>54 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3432</td>
<td>RAWAT INAP</td>
<td>13-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>RUMIYO</td>
 <td>`021284</td>
<td></td>
<td>`0000665593255</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-12-1941</td>
<td>80 Th</td>
<td>RT 15 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td>px panas, mual, batuk</td>
<td>INF RL 21 TPM
INJ AMPICILIN 3X1
INJ RANITIDIN 2X1
OS OMZ 2X1
OS DOMP 3X1
OS AMLODIPIN 1X10 MG
OS AMBROXOL 3X1</td>
<td>170/90</td>
<td>79</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>I50</td>
<td>
Heart failure </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Rawat Inap pasien BPJS<br>Pemasangan infuse<br>Konsultasi<br>Tindakan medis
ringan lainnya<br>Rawat Inap pasien BPJS<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Biaya rawat inap pasien umum per hari<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Tindakan medis ringan lainnya<br>EKG<br>Biaya rawat inap
pasien umum per hari<br>Rujukan Ke RS di Trenggalek PKM Tugu<br> </td>
</tr>
<tr align='left' valign="top">
<td>3433</td>
<td>RAWAT INAP</td>
<td>13-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>SUKATMI</td>
 <td>`021286</td>
<td></td>
<td>`0000665593345</td>
<td>`</td>
<td>`</td>
<td>rumio</td>
<td></td>
<td>P</td>
<td>15-01-1951</td>
<td>71 Th</td>
<td>RT 15 RW 4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>panas 4 hari, batuk,muntah</td>
<td>inf rl 21tpm
inj ampicilin 3x1
inj ranitidin 2x1
inj meto 3x1
inj antrain 3x1
os ambroxol 3x1
os amlodipin 1x10 mg
os amox 3x1
os mp 2x1</td>
<td>160/90</td>
<td>120</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>49</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pemasangan infuse<br>Layanan Unit Gawat Darurat (UGD)<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Rawat Inap pasien
BPJS<br>Tindakan medis ringan lainnya<br>Konsultasi<br>Rawat Inap pasien
BPJS<br>Tindakan medis ringan lainnya<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>3434</td>
<td>RAWAT INAP</td>
<td>13-09-2022</td>
<td>Rawat Inap (UGD)</td>
 <td>KENZHA ANANDA PUTRA</td>
<td>`013181</td>
<td>04/3894</td>
<td>`0002912501564</td>
<td>`3503051912190002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-12-2019</td>
<td>2 Th</td>
<td>RT 028 RW 012</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>panas 4 hari, sesak, batuk, muntah</td>
<td>o2 3 lt/mnt
inf rl mikro
rujuk RSUD</td>
<td>70/50</td>
<td>168</td>
<td>38</td>
<td>33</td>
<td>90</td>
<td>9</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J18.9</td>
<td>
Pneumonia, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Rujukan Ke RS di Trenggalek PKM Tugu<br>Pemasangan
infuse<br>Pemasangan oksigen/jam<br> </td>
</tr>
<tr align='left' valign="top">
<td>3435</td>
<td>POLINDES NGEPEH</td>
<td>13-09-2022</td>
<td></td>
<td>MUHAJIRIN</td>
<td>`017121</td>
<td></td>
<td>`0000666107144</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>12-02-1988</td>
<td>34 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001868</td>
<td>BATUK PILEK</td>
<td>PAMOL, GG</td>
<td>132/78</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>64</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3436</td>
<td>POLINDES NGEPEH</td>
<td>13-09-2022</td>
<td></td>
<td>K.ASRI</td>
<td>`002874</td>
<td></td>
<td>`0000665940306</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-03-1935</td>
<td>87 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001870</td>
<td>PUSING</td>
<td>PAMOL, AMLODIPIN 10 MG</td>
<td>197/99</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3437</td>
<td>POLINDES NGEPEH</td>
<td>13-09-2022</td>
<td></td>
<td>SUTRI</td>
<td>`015581</td>
<td></td>
<td>`0000665922464</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-02-1972</td>
<td>50 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001871</td>
<td>KB PIL</td>
<td>PIL KB</td>
<td>116/86</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>165</td>
 <td>58</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3438</td>
<td>POLINDES NGEPEH</td>
<td>13-09-2022</td>
<td></td>
<td>TUSIYAH</td>
<td>`011613</td>
<td>04/3387</td>
<td>`0001978434213</td>
<td>`3503055212790001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-12-1979</td>
<td>42 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001872</td>
<td>KONSULTASI</td>
<td>-</td>
<td>116/56</td>
<td>80</td>
<td>36</td>
<td>24</td>
<td>157</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3439</td>
<td>POLINDES NGEPEH</td>
<td>13-09-2022</td>
<td></td>
<td>EKA YULI RATNASARI</td>
<td>`015617</td>
<td>04/1502</td>
<td>`0001707020796</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1996</td>
<td>26 Th</td>
<td>RT. 2 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001873</td>
<td>GATAL</td>
<td>AMOK</td>
<td>118/65</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L24.0</td>
<td>
Irritant contact dermatitis due to detergents </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3440</td>
 <td>POLINDES NGEPEH</td>
<td>13-09-2022</td>
<td></td>
<td>MIA AGUSMITA</td>
<td>`007829</td>
<td></td>
<td>`0000666313391</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-08-1996</td>
<td>26 Th</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001874</td>
<td>PERUT SEBAH</td>
<td>ANTASIDA</td>
<td>121/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.0</td>
<td>
Acute haemorrhagic gastritis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3441</td>
<td>POLI KIA</td>
<td>13-09-2022</td>
<td></td>
<td>LELA DWI NURLITA</td>
<td>`012407</td>
<td>06/5498</td>
<td>`0002052114096</td>
<td>`3503054608950001</td>
<td>`</td>
<td>Tn.Surya Andika</td>
 <td></td>
<td>P</td>
<td>06-08-1995</td>
<td>27 Th</td>
<td>DUSUN TENGGAR, RT : 5,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000756</td>
<td>-</td>
<td>-</td>
<td>117/89</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>74</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3442</td>
<td>RAWAT INAP</td>
<td>13-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>SUPIYAH</td>
<td>`021212</td>
<td></td>
<td>`0003099145094</td>
<td>`</td>
<td>`</td>
<td>supiyah</td>
<td></td>
<td>P</td>
<td>28-02-1951</td>
<td>71 Th</td>
<td>RT 17 RW 4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
 <td>Lama</td>
<td></td>
<td>PX MENGATAKANNYERI EPIGASTRIK, MUAL, POST MINUM JAMU TADI MALAM, BAB
KECOKLATAN 3X</td>
<td>INF RL 21 TPM
INJ OMZ 1X1
INJ RANITIDIN 2X1
OS SUCRALFATA 3X2CTH</td>
<td>160/90</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>49</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pemasangan infuse<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis ringan
lainnya<br>Rawat Inap pasien BPJS<br>Tindakan medis ringan
lainnya<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>3443</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td></td>
<td>MUKIT</td>
<td>`012494</td>
<td>06/5990</td>
<td>`0003111312262</td>
<td>`3503051611800001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-11-1980</td>
<td>41 Th</td>
<td>PRAMBON RTT 16/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000748</td>
<td>TDK BISA TDR</td>
 <td>CPZ HALO 1.5 THD</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F20.0</td>
<td>
Paranoid schizophrenia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3444</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>MAHMUDI</td>
<td>`007819</td>
<td></td>
<td>`0002419397379</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-09-1979</td>
<td>43 Th</td>
<td>PRAMBON 32/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3445</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>MUHAMAD ABID FADIL ABIAN</td>
<td>`021214</td>
<td></td>
<td>`0002419398472</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-12-2016</td>
<td>5 Th</td>
<td>PRAMB0N RT 32</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000749</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3446</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td></td>
<td>MIYEM</td>
<td>`014171</td>
<td></td>
<td>`0001978462001</td>
<td>`3503054204500001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-04-1950</td>
<td>72 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000750</td>
<td>BATUK</td>
<td>AMBOROXOL CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3447</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>YOGA ABDI PAMBUDI</td>
 <td>`016975</td>
<td></td>
<td>`0001978461977</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-04-1997</td>
<td>25 Th</td>
<td>BANARAN RT 7</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3448</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td></td>
<td>TUNIK</td>
<td>`021215</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-09-1962</td>
<td>60 Th</td>
 <td>PRAMBON</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>PUSING KEMBUNG</td>
<td>PAMOL ANTASID CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>56</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3449</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td></td>
<td>MARIYAM</td>
<td>`007808</td>
<td></td>
<td>`0001978461494</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-12-1969</td>
<td>52 Th</td>
<td>BANARAN RT 6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000751</td>
<td>BOYOKEN</td>
<td>IBU 400 BC</td>
 <td>130/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>73</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3450</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>ERICK FATONI</td>
<td>`003824</td>
<td>05/5327</td>
<td>`0001978461472</td>
<td>`3503050306740003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-06-1994</td>
<td>28 Th</td>
<td>RT 6 RW 3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3451</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td></td>
<td>SLAMET</td>
<td>`007871</td>
<td></td>
<td>`0000666056733</td>
<td>`3503050607450004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-07-1945</td>
<td>77 Th</td>
<td>PRAMBON, RT : 30,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000752</td>
<td>PUSING</td>
<td>IBU 400 BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>52</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3452</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td></td>
<td>IKA BUDI SULISTYOWATI</td>
<td>`001247</td>
<td></td>
<td>`0000664417214</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-05-1988</td>
<td>34 Th</td>
<td>PRAMBON RT 38/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000753</td>
<td>PUSING DAN MINTA PIL KB</td>
<td>PAMOL PIL</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.5</td>
<td>
Surveillance of (intrauterine) contraceptive device </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3453</td>
<td>PUSTU PRAMBON</td>
<td>13-09-2022</td>
<td></td>
<td>SAMINI</td>
<td>`001055</td>
 <td>06/5305</td>
<td>`0001975744091</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-12-1970</td>
<td>51 Th</td>
<td>RT 14 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000754</td>
<td>KEJU LINU</td>
<td>NATDIK CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3454</td>
<td>PONKESDES TUMPUK</td>
<td>13-09-2022</td>
<td></td>
<td>SUPINAH</td>
<td>`000507</td>
<td>03/4803</td>
<td>`0000195533144</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-10-1954</td>
<td>67 Th</td>
<td>RT 002 RW 001</td>
 <td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y001020</td>
<td>KONTROL TENSI,KEJU LINU</td>
<td>AMLO,NADIC,VIT.B.C</td>
<td>152/84</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>65</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3455</td>
<td>PONKESDES TUMPUK</td>
<td>13-09-2022</td>
<td>KIA PUSTU - POLINDES</td>
<td>RINAWATI</td>
<td>`002015</td>
<td>03/3092</td>
<td>`0001978452459</td>
<td>`3503054809820001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-09-1982</td>
<td>40 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001021</td>
<td>KONTROL SUNTIK KB</td>
<td>DEPO,SPUIT 3 ML,ALKOHOL SWABS,HANDSCOON</td>
<td>121/74</td>
 <td>100</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>54.5</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3456</td>
<td>POLINDES NGEPEH</td>
<td>13-09-2022</td>
<td></td>
<td>DYAH AYU SAYEKTI</td>
<td>`010888</td>
<td>03/7203</td>
<td>`</td>
<td>`9171035703990002-501508</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-03-1999</td>
<td>23 Th</td>
<td>DUSUN GERBO, RT : 16,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PERIKSA HAMIL</td>
<td>KALK, FE</td>
<td>120/76</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>151</td>
<td>54</td>
<td>79</td>
<td></td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
 Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3457</td>
<td>PONKESDES TUMPUK</td>
<td>13-09-2022</td>
<td></td>
<td>RINI ASTUTI</td>
<td>`006734</td>
<td></td>
<td>`0000169907398</td>
<td>`3503055711700001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-11-1970</td>
<td>51 Th</td>
<td>DUSUN JUMOK, RT : 11,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>PERUT KEMBUNG DAN PERIH</td>
<td>ANTASIDA,CTM</td>
<td>124/87</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>65</td>
<td>83</td>
<td>dr. Ida Roslena</td>
<td>KASUS LAMA</td>
<td>K29.1</td>
<td>
Other acute gastritis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3458</td>
<td>PONKESDES TUMPUK</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>SUKARI</td>
<td>`010545</td>
<td>03/5750</td>
<td>`0001978454305</td>
<td>`3503050612560001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-12-1956</td>
<td>65 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/76</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3459</td>
<td>PONKESDES TUMPUK</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>SUMISRI</td>
<td>`013194</td>
<td></td>
 <td>`0001978454327</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-12-1972</td>
<td>49 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3460</td>
<td>PONKESDES TUMPUK</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>DAVA YULIO PRASTIAWAN</td>
<td>`013195</td>
<td></td>
<td>`0001978454373</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-07-2001</td>
<td>21 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>108/64</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>64</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3461</td>
<td>PONKESDES TUMPUK</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>SUJIONO</td>
<td>`016632</td>
<td></td>
<td>`0001978454384</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-08-1965</td>
<td>57 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/68</td>
<td>76</td>
 <td>36</td>
<td>20</td>
<td>165</td>
<td>62</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3462</td>
<td>PONKESDES TUMPUK</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>DEVI HARI PRASTIWI</td>
<td>`016633</td>
<td></td>
<td>`0001978454406</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-10-1993</td>
<td>28 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>55</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3463</td>
<td>PONKESDES TUMPUK</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>SOLEMAN</td>
<td>`016634</td>
<td></td>
<td>`0001978454417</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1936</td>
<td>85 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>125/78</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>58</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3464</td>
<td>PONKESDES TUMPUK</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>MUJADI</td>
<td>`016635</td>
<td></td>
<td>`0001978454463</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-05-1948</td>
<td>74 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/74</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3465</td>
<td>PONKESDES TUMPUK</td>
<td>13-09-2022</td>
<td>KONSULTASI</td>
<td>NURHADI</td>
<td>`016636</td>
<td></td>
<td>`0001978454474</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-06-1976</td>
<td>46 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>112/65</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>169</td>
<td>67</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3466</td>
<td>POLINDES PRAMBON 1</td>
<td>14-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>AGHNIA WIDIA</td>
<td>`021679</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-05-1995</td>
<td>27 Th</td>
<td>KRAJAN</td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3467</td>
<td>POLINDES PRAMBON 1</td>
<td>14-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>NYONO</td>
<td>`013969</td>
<td></td>
<td>`0000664411882</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-05-1983</td>
<td>39 Th</td>
<td>PRAMBON RT 24</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
 <td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3468</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>SUKATMI</td>
<td>`004656</td>
<td></td>
<td>`0001037014784</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1956</td>
<td>66 Th</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3469</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>TUKIYEM</td>
<td>`004657</td>
<td></td>
<td>`0000666710021</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-02-1956</td>
<td>66 Th</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>3470</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>YAHMI</td>
<td>`013040</td>
<td></td>
<td>`0000666584774</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-11-1975</td>
<td>46 Th</td>
<td>RT 54</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3471</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>SITI AISAH</td>
<td>`013042</td>
 <td></td>
<td>`0000666585156</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1998</td>
<td>23 Th</td>
<td>RT 54</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3472</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>NYAMINI</td>
<td>`013097</td>
<td></td>
<td>`0001978489372</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-1969</td>
<td>53 Th</td>
 <td>RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3473</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>RETNO WULANDARI</td>
<td>`013552</td>
<td></td>
<td>`0001978489113</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-2003</td>
<td>19 Th</td>
<td>RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3474</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>SUPRAPTO</td>
<td>`002948</td>
<td></td>
<td>`0001037013862</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-06-1989</td>
<td>33 Th</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3475</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>WIDJIATI</td>
<td>`002314</td>
<td>06/8213</td>
<td>`0003011258687</td>
<td>`3503055009850005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-09-1985</td>
<td>37 Th</td>
<td>SOOKO, RT : 46,RW :9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>156</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3476</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>FITO ASKA RAMADHAN</td>
<td>`014219</td>
<td></td>
<td>`0002459455986</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-05-2018</td>
<td>4 Th</td>
<td>RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>90</td>
<td>57</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3477</td>
 <td>POLI MTBS</td>
<td>14-09-2022</td>
<td></td>
<td>SHAKILA ANANDA AGUSTIN</td>
<td>`021044</td>
<td>90/2728</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-08-2019</td>
<td>3 Th</td>
<td>RT 22 RW 08</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>batuk</td>
<td>gg,ctm,bcom</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>103</td>
<td>12</td>
<td>54</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3478</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>SRIANI</td>
<td>`006480</td>
<td>06/7009</td>
<td>`0002867872465</td>
<td>`3503055509910003</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>15-09-1991</td>
<td>31 Th</td>
<td>MLOKO, RT : 164,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3479</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>SUTARMI</td>
<td>`014778</td>
<td></td>
<td>`0000665785585</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1945</td>
<td>76 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3480</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>KEVIN FERDI ALFIANO</td>
<td>`001533</td>
<td></td>
<td>`0002860462809</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-02-2012</td>
<td>10 Th</td>
<td>PRAMBON RT 47/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
 <td>140</td>
<td>42</td>
<td>59</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3481</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>SUKIRMAN</td>
<td>`002721</td>
<td></td>
<td>`0001978487739</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-05-1952</td>
<td>70 Th</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3482</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>BUDIONO</td>
<td>`014736</td>
<td></td>
<td>`0000666210328</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-11-1998</td>
<td>23 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/79</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>169</td>
<td>60</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>3483</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>TITIN</td>
<td>`005978</td>
<td></td>
<td>`0001975776917</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-10-1993</td>
<td>28 Th</td>
<td>PRAMBON RT 58 RW 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3484</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>SUWARNI</td>
<td>`014788</td>
 <td></td>
<td>`0000665926896</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-01-1957</td>
<td>65 Th</td>
<td>RT 41</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/79</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>56</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3485</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>WIWIK</td>
<td>`005281</td>
<td></td>
<td>`0001978490992</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-04-1978</td>
<td>44 Th</td>
 <td>RT 51</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/79</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3486</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>PEBRI WAHONO</td>
<td>`021216</td>
<td>06/4834</td>
<td>`0003055008273</td>
<td>`3503050602940001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-02-1994</td>
<td>28 Th</td>
<td>RT 19 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td>131506010922Y000762</td>
<td>gatal di badan</td>
 <td>salisil talk, loratadin</td>
<td>122/65</td>
<td>93</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>41.1</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L50.9</td>
<td>
Urticaria, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3487</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>ALENTA ALFIOLA NAURAAZKAZIA</td>
<td>`015039</td>
<td></td>
<td>`0002636434732</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-01-2011</td>
<td>11 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>149</td>
<td>43</td>
<td>69</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3488</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUKINAH</td>
<td>`003025</td>
<td></td>
<td>`0001707126401</td>
<td>`3503057112570006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1957</td>
<td>64 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine,antasida,pamol</td>
<td>150/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3489</td>
<td>POLI KIA</td>
<td>14-09-2022</td>
<td></td>
<td>RISA DANIATI</td>
<td>`019349</td>
<td>06/6486</td>
<td>`0001978488336</td>
<td>`3503056208000001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-08-2000</td>
<td>22 Th</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3490</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
 <td>DISAH</td>
<td>`010678</td>
<td></td>
<td>`0000665712933</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-04-1961</td>
<td>61 Th</td>
<td>RT 011 RW -</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>AMLODIPINE,OMZ,PAMOL</td>
<td>156/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3491</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>SINTOWATI</td>
<td>`002658</td>
<td></td>
<td>`0001978489506</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-08-1971</td>
 <td>51 Th</td>
<td>PRAMBON 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>58</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3492</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>LASEMI</td>
<td>`021277</td>
<td></td>
<td>`0000666821722</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-02-1955</td>
<td>67 Th</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
 <td>KEJU LINU</td>
<td>AMLODIPINE,NADIC</td>
<td>150/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3493</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>SUGIANTO</td>
<td>`015446</td>
<td></td>
<td>`0001978489495</td>
<td>`3503052310650001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-10-1965</td>
<td>56 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>58</td>
<td>86</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3494</td>
<td>POLI REMAJA</td>
<td>14-09-2022</td>
<td></td>
<td>KHARIROTUL MAULAWIYATIL KINDA</td>
<td>`010009</td>
<td>02/1172</td>
<td>`0001079979491</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-09-2007</td>
<td>15 Th</td>
<td>RT 014 RW 004</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000759</td>
<td>batuk,pilek,panas</td>
<td>amox,pct,gg,ctm,vit c</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>56</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3495</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TIARA RAHMAWATI</td>
<td>`002090</td>
<td>04/8395</td>
<td>`0002735131948</td>
<td>`6309036912110001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-12-2011</td>
<td>10 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>BATUK</td>
<td>CTM,AMBROXOL</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3496</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
 <td>POSYANDU LANSIA</td>
<td>PAITUN</td>
<td>`005313</td>
<td></td>
<td>`0000665879343</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-12-1954</td>
<td>67 Th</td>
<td>RT 13 RW 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>AMLODIPINE,AMBROXOL,B.COMPLEK</td>
<td>140/88</td>
<td>88</td>
<td>360</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3497</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUJIARTO</td>
<td>`009672</td>
<td></td>
<td>`0000666091427</td>
<td>`3503051202700004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>12-02-1970</td>
<td>52 Th</td>
<td>DUSUN PONGGOK, RT : 21,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC, AMBROXOL,AMLODIPINE</td>
<td>138/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3498</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MISBAHAK</td>
<td>`013615</td>
<td></td>
<td>`0000665681578</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-12-1969</td>
<td>52 Th</td>
<td>DUSUN GERBO, RT : 13,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
 <td>PUSING</td>
<td>AMLODIPINE, CTM,B.COMPLEK</td>
<td>148/87</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3499</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MAKINEM</td>
<td>`012897</td>
<td></td>
<td>`0000665885441</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-07-1943</td>
<td>79 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>AMLODIPINE</td>
<td>150/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3500</td>
<td>POLI GIGI</td>
<td>14-09-2022</td>
<td></td>
<td>IQBAL ZAHRIL SETIONO</td>
<td>`018904</td>
<td>04/4346</td>
<td>`0002802767049</td>
<td>`3503052806070001</td>
<td>`</td>
<td></td>
<td>081335703238</td>
<td>L</td>
<td>28-06-2007</td>
<td>15 Th</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000820</td>
<td>gigi geraham bawah kiri berlubang</td>
<td>pembersihan kavitas + eugeno TS gigi 36</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>58</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.0</td>
<td>
Pulpitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Tambal gigi sementara per gigi<br>Konsultasi<br>
</td>
</tr>
<tr align='left' valign="top">
<td>3501</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>NGAINUR ROHMAH</td>
<td>`004568</td>
<td></td>
<td>`0000666142896</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1975</td>
<td>46 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>LEMES</td>
<td>AMLODIPINE,GLIBENCLAMIDE,NADIC</td>
<td>140/78</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3502</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
 <td>POSYANDU LANSIA</td>
<td>WINATUN</td>
<td>`019096</td>
<td>04/5457</td>
<td>`0000666868241</td>
<td>`3503055905550001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-05-1955</td>
<td>67 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PILEK</td>
<td>CTM</td>
<td>120/80</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3503</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>INDAH RAHMAWATI</td>
<td>`021217</td>
<td>08/9067</td>
<td>`0001978468795</td>
<td>`3503055310020007</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>13-10-2002</td>
<td>19 Th</td>
<td>DESA WINONG, RT : 8,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>KONSULTASI HASIL MCU</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>55</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3504</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>WIJIATI</td>
<td>`015479</td>
<td></td>
<td>`0000665732259</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-03-1963</td>
<td>59 Th</td>
<td>GERBO, RT : 12,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
 <td>KEJU LINU</td>
<td>AMLODIPINE, NADIC</td>
<td>140/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3505</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td></td>
<td>MULYOTO</td>
<td>`000560</td>
<td>08/5667</td>
<td>`0002919891982</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-11-1956</td>
<td>65 Th</td>
<td>RT 08 RW 04</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000763</td>
<td>rujukan</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>53</td>
<td>87</td>
<td>Tugu</td>
 <td>KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3506</td>
<td>PUSTU NGEPEH</td>
<td>14-09-2022</td>
<td></td>
<td>TUMIRAN</td>
<td>`013627</td>
<td></td>
<td>`0000665922295</td>
<td>`3503051711620001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-11-1962</td>
<td>59 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001348</td>
<td>kontrol asma</td>
<td>dexa salbutanol gg</td>
<td>121/75</td>
<td>80</td>
<td>35</td>
<td>22</td>
<td>163</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R06.0</td>
<td>
Dyspnoea </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3507</td>
<td>POLI REMAJA</td>
<td>14-09-2022</td>
<td></td>
<td>IRFAN NAWAWI</td>
<td>`005788</td>
<td>07/2449</td>
<td>`0001978438869</td>
<td>`3503051005080001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-05-2008</td>
<td>14 Th</td>
<td>SUKOREJO, RT : 10,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000817</td>
<td>PUSING PANAS</td>
<td>AMOK PCT</td>
<td>103/62</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>138</td>
<td>45</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J03</td>
<td>
Acute tonsillitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3508</td>
<td>PUSTU NGEPEH</td>
<td>14-09-2022</td>
<td></td>
 <td>MEIRA KIRANA ZAHRANI RAMADHANIA</td>
<td>`000563</td>
<td>04/4683</td>
<td>`0002802769852</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-07-2013</td>
<td>9 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001349</td>
<td>panas, batuk, pilek</td>
<td>pamol ctm ambroxol</td>
<td>90/60</td>
<td>100</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>38</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3509</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MISELAN</td>
<td>`018576</td>
<td></td>
<td>`0002802756025</td>
<td>`3503051204500003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1950</td>
 <td>72 Th</td>
<td>DUSUN PONGGOK, RT : 21,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>AMLODIPINE</td>
<td>130/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3510</td>
<td>POLI REMAJA</td>
<td>14-09-2022</td>
<td></td>
<td>VERLYTA EVELYN TEGAR PUTRI IRAWAN</td>
<td>`021218</td>
<td>04/3766</td>
<td>`0002158658482</td>
<td>`3503055802100002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-02-2010</td>
<td>12 Th</td>
<td>RT 06 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000828</td>
<td>BATUK PILEK PUSING</td>
 <td>CIPRO PCT GG DIMENHIDRINAT</td>
<td>99/52</td>
<td>106</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>36</td>
<td>140</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J03</td>
<td>
Acute tonsillitis </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3511</td>
<td>PUSTU NGEPEH</td>
<td>14-09-2022</td>
<td></td>
<td>ITA PURNAMASARI</td>
<td>`003458</td>
<td>04/4683</td>
<td>`0000666144562</td>
<td>`3503054106940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1994</td>
<td>28 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001350</td>
<td>pusing, tenggorokan gatal</td>
<td>ibuprofen ctm vit c</td>
<td>107/57</td>
<td>89</td>
<td>35</td>
<td>20</td>
<td>158</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3512</td>
<td>PUSTU NGEPEH</td>
<td>14-09-2022</td>
<td></td>
<td>SOFI EL AZIS BADRIA TUZAMAN</td>
<td>`000524</td>
<td>04/5901</td>
<td>`0000666206144</td>
<td>`3503055101110001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-01-2011</td>
<td>11 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001362</td>
<td>batuk, tenggorokan gatal</td>
<td>ambroxol amox ctm</td>
<td>90/60</td>
<td>100</td>
<td>36</td>
<td>22</td>
<td>110</td>
<td>38</td>
<td>48</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3513</td>
<td>PUSTU NGEPEH</td>
<td>14-09-2022</td>
<td></td>
<td>SITI MARPUAH</td>
<td>`005389</td>
<td>04/5901</td>
<td>`0000666205558</td>
<td>`3503055308870001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-08-1987</td>
<td>35 Th</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001364</td>
<td>batuk pilek meriang</td>
<td>ambroxol pamol ctm pamol</td>
<td>121/80</td>
<td>90</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3514</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td></td>
<td>SUPARMAN</td>
 <td>`021219</td>
<td>01/1646</td>
<td>`0001978457984</td>
<td>`3503052302590001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-02-1959</td>
<td>63 Th</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Baru</td>
<td>131506010922Y000766</td>
<td>benjolan dibawah telinga kiri kurang lebih 3 thun semaki membesar</td>
<td>-</td>
<td>136/72</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>47</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>D21.0</td>
<td>
Other benign neoplasm of connective and other soft tissue of head, face
and neck </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3515</td>
<td>PUSTU NGEPEH</td>
<td>14-09-2022</td>
<td></td>
<td>PARMAN</td>
<td>`012458</td>
<td></td>
<td>`0000665650978</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-05-1961</td>
 <td>61 Th</td>
<td>RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001365</td>
<td>cek tensi, keju</td>
<td>amlodipin, nadik</td>
<td>168/75</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>165</td>
<td>64</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3516</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MRAKIH</td>
<td>`020648</td>
<td>04/63</td>
<td>`0000666101013</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-06-1951</td>
<td>71 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
 <td>AMLODIPINE</td>
<td>136/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3517</td>
<td>PUSTU NGEPEH</td>
<td>14-09-2022</td>
<td></td>
<td>MOETINAH</td>
<td>`010672</td>
<td></td>
<td>`0000111352847</td>
<td>`3503054809420001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-09-1942</td>
<td>80 Th</td>
<td>DUSUN GERBO, RT : 13,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001366</td>
<td>gatal</td>
<td>miconazol ctm dexa</td>
<td>112/72</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>154</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3518</td>
<td>POLI GIGI</td>
<td>14-09-2022</td>
<td></td>
<td>NOVITA PUTRI UTOMO</td>
<td>`020227</td>
<td>06/5727</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-11-2015</td>
<td>6 Th</td>
<td>RT 41 RW 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>gigi depan bawah kanan kiri kesundulan</td>
<td>anasthesi topikal cabut gigi 81.71</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>122</td>
<td>24</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>3519</td>
<td>POLI GIGI</td>
<td>14-09-2022</td>
<td></td>
<td>MUHAMMAD ARDAN ALFIANSYAH</td>
<td>`005837</td>
<td>06/5584</td>
<td>`</td>
<td>`3503050511150003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-11-2015</td>
<td>6 Th</td>
<td>SOOKO, RT : 42,RW :8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi depan atas kiri ulcus</td>
<td>anasthesi topikal cabut gigi 61</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>122</td>
<td>25</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>3520</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>ARISKY RAHMAD SAPUTRA</td>
 <td>`011567</td>
<td>01/467</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-02-2015</td>
<td>7 Th</td>
<td>RT 18 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS PUSING </td>
<td>PCT ERITRO SYR </td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>118</td>
<td>21</td>
<td>120</td>
<td></td>
<td>KASUS BARU</td>
<td>J35.0</td>
<td>
Chronic tonsillitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3521</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MRAKIH</td>
<td>`020188</td>
<td></td>
<td>`0000666101013</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-06-1951</td>
<td>71 Th</td>
 <td>RT 27 RW 012</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td>PUSING</td>
<td>AMLODIPINE</td>
<td>138/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3522</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td></td>
<td>WARAS</td>
<td>`011318</td>
<td>03/218</td>
<td>`0001978443729</td>
<td>`3503053112590001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1959</td>
<td>62 Th</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000856</td>
<td>kontrol cerumen</td>
<td>extraksi serumen</td>
 <td>128/72</td>
<td>62</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>72</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H61.2</td>
<td>
Impacted cerumen </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3523</td>
<td>POLI K.B</td>
<td>14-09-2022</td>
<td></td>
<td>ZULFA QUROTA A`YUN</td>
<td>`005726</td>
<td>01/197</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-12-2005</td>
<td>16 Th</td>
<td>RT 09 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>KONSULTASI</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z30.0</td>
 <td>
General counselling and advice on contraception </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3524</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TUMILAH</td>
<td>`001033</td>
<td>04/5858</td>
<td>`0000665912406</td>
<td>`3503055008540001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-1956</td>
<td>66 Th</td>
<td>RT 03 RW 01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>AMLODIPINE</td>
<td>140/89</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>148</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>3525</td>
<td>POLI GIGI</td>
<td>14-09-2022</td>
<td></td>
<td>AKHDAN ASADHIL NURCAHYONO (1)</td>
<td>`021220</td>
<td>06/6733</td>
<td>`0002776531577</td>
<td>`3503050309150001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-09-2015</td>
<td>7 Th</td>
<td>SOOKO, RT : 45,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000821</td>
<td>gigi depan bawah kiri goyang derajat 3</td>
<td>konsultasi</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>123</td>
<td>24</td>
<td>1</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td>K00.1</td>
<td>
Supernumerary teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3526</td>
<td>POLI KIA</td>
<td>14-09-2022</td>
<td></td>
<td>NANIK NURYANI</td>
<td>`010427</td>
 <td>01/3418</td>
<td>`0000664996623</td>
<td>`3503055509840003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1984</td>
<td>38 Th</td>
<td>DUSUN KEBONSARI, RT : 30,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000822</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>51</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3527</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>WAGINEM</td>
<td>`003699</td>
<td></td>
<td>`0001978432402</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-08-1971</td>
<td>51 Th</td>
<td>RT 15 RW 06</td>
 <td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>SESAK NAFAS</td>
<td>SALBUTAMOL</td>
<td>136/78</td>
<td>78</td>
<td>36</td>
<td>24</td>
<td>148</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3528</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td></td>
<td>KATINEM</td>
<td>`012625</td>
<td>02/4647</td>
<td>`</td>
<td>`3503055003490001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-03-1949</td>
<td>73 Th</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td></td>
<td>kontrol tensi,pilek</td>
<td>cipro,ctm,amlodipin</td>
<td>130/64</td>
 <td>87</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>48</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3529</td>
<td>POLI GIGI</td>
<td>14-09-2022</td>
<td></td>
<td>KWIN YULIATI</td>
<td>`003255</td>
<td>90/58</td>
<td>`0000106525416</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-07-1973</td>
<td>49 Th</td>
<td>RT 1 RW 1</td>
<td>SUMBER</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y001911</td>
<td>gigh geraham atas kanan sering ngilu</td>
<td>konsultasi</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02.1</td>
<td>
 Caries of dentine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>3530</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>KATIRIN</td>
<td>`003914</td>
<td>03/3896</td>
<td>`0002802753426</td>
<td>`3503051204680008</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1968</td>
<td>54 Th</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000819</td>
<td>KONTROL RAWAT LUKA</td>
<td>-</td>
<td>105/68</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>51</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z48.0</td>
<td>
Attention to surgical dressings and sutures </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3531</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>LILIK WIDAYATI</td>
<td>`002128</td>
<td></td>
<td>`0000665903878</td>
<td>` 3503054811710001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-11-1971</td>
<td>50 Th</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>BATUK</td>
<td>AMLODIPINE, AMBROXOL</td>
<td>136/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3532</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>MURTINI</td>
<td>`021221</td>
<td></td>
 <td>`0002802759118</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-07-1978</td>
<td>44 Th</td>
<td>PRAMBON RT 35/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000838</td>
<td>PUSING</td>
<td>IBU 400 BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3533</td>
<td>POLI MTBS</td>
<td>14-09-2022</td>
<td></td>
<td>ALESHA YESTIANA NOVIA AZAHRA</td>
<td>`019382</td>
<td>06/2600</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-11-2020</td>
<td>1 Th</td>
<td>RT 51 RW 10</td>
<td>PRAMBON</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>batuk pilek</td>
<td>pamol sy cotri ambroksol</td>
<td>1/1</td>
<td>92</td>
<td>37</td>
<td>24</td>
<td>75</td>
<td>9</td>
<td>46</td>
<td></td>
<td>KASUS BARU</td>
<td>J02</td>
<td>
Acute pharyngitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3534</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>FIRMAN HIDAYATULLAH</td>
<td>`021222</td>
<td></td>
<td>`0002681899154</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-08-2013</td>
<td>9 Th</td>
<td>PRAMBON RT 35/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000839</td>
<td>KEMBUNG</td>
<td>PAMOL ANTASID</td>
<td>80/60</td>
<td>70</td>
 <td>37</td>
<td>24</td>
<td>90</td>
<td>21</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3535</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SANAH</td>
<td>`011109</td>
<td></td>
<td>`</td>
<td>`3503055304480001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-04-1948</td>
<td>74 Th</td>
<td>DUSUN PONGGOK, RT : 20,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>KEMBUNG</td>
<td>PAMOL, ANTASIDA</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3536</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MARMI</td>
<td>`012993</td>
<td></td>
<td>`0000106791647</td>
<td>`3503054506580003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-1958</td>
<td>64 Th</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3537</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>HAMIDAH</td>
<td>`004988</td>
<td>04/1144</td>
<td>`0000106792121</td>
<td>`3503116506670003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-06-1967</td>
<td>55 Th</td>
<td>GERBO, RT : 12,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC, B.COMPLEK</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>66</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3538</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td></td>
<td>MARDIAH</td>
<td>`015675</td>
<td></td>
<td>`0000665555556</td>
 <td>`3503056201710001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-01-1971</td>
<td>51 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000771</td>
<td>Pusing</td>
<td>Pcr, fe</td>
<td>130/80</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>54</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3539</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MISIRAH</td>
<td>`009365</td>
<td></td>
<td>`0000665720548</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-10-1948</td>
<td>73 Th</td>
<td>RT 012 RW 00</td>
<td>NGEPEH</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC, AMLODIPINE</td>
<td>150/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3540</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td></td>
<td>PAITUN</td>
<td>`004200</td>
<td></td>
<td>`0001978488729</td>
<td>`3503057112670012</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1967</td>
<td>54 Th</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000772</td>
<td>Keju linu</td>
<td>Nadia, b.c</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
 <td>20</td>
<td>156</td>
<td>56</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3541</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td></td>
<td>UMARDANI</td>
<td>`021223</td>
<td>02/1439</td>
<td>`0000665598914</td>
<td>`3503050101570002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-01-1957</td>
<td>65 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000857</td>
<td>kontrol post di pasang cateter,terasa panas</td>
<td>cipro,asmef,prednison</td>
<td>150/80</td>
<td>102</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>54</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R33</td>
<td>
Retention of urine </td>
<td>N39.3</td>
 <td>
Stress incontinence </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3542</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td></td>
<td>RUMINI</td>
<td>`003397</td>
<td></td>
<td>`0001978488281</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-07-1960</td>
<td>62 Th</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000774</td>
<td>Keju linu</td>
<td>Nadia, bc, calk</td>
<td>119/79</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3543</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td></td>
<td>DIANA</td>
<td>`003399</td>
<td></td>
<td>`0001978488292</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-03-1992</td>
<td>30 Th</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000775</td>
<td>Pusing</td>
<td>Fe</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3544</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MURINI</td>
<td>`003007</td>
<td></td>
<td>`0000666092788</td>
<td>` </td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-02-1956</td>
<td>66 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEMBUNG</td>
<td>ANTASIDA, B.COMPLEK</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3545</td>
<td>POLI GIGI</td>
<td>14-09-2022</td>
<td></td>
<td>KARINA VIA PUTRI IMRONIS</td>
<td>`021224</td>
<td>05/655</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-02-2017</td>
<td>5 Th</td>
<td>RT 08 RW 04</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi depan atas kanan kesundulan</td>
<td>anasthesi topikal cabut gigi 61</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>116</td>
<td>22</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>3546</td>
<td>POLI K.B</td>
<td>14-09-2022</td>
<td></td>
<td>ANIS ISTIANINGSIH</td>
<td>`021225</td>
<td>05/655</td>
<td>`0001978462247</td>
<td>`3503054211930002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-11-1993</td>
<td>28 Th</td>
<td>RT 08 RW 04</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td>131506010922Y001342</td>
<td>BONGKAR GAMPANG</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
 <td>155</td>
<td>55</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.9</td>
<td>
Contraceptive management, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Suharti </td>
<td>
Pelayanan Rawat Jalan<br>Pelayanan KB : Pemasangan IUD / Implant
<br> </td>
</tr>
<tr align='left' valign="top">
<td>3547</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>MOCH MAHFUD</td>
<td>`013447</td>
<td></td>
<td>`0003068134784</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-04-1983</td>
<td>39 Th</td>
<td>GONDANG RT 27/7</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000840</td>
<td>TDK BISA TIDUR</td>
<td>CPZ</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>75</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F20.0</td>
<td>
Paranoid schizophrenia </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3548</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>MUSTINI</td>
<td>`011383</td>
<td>08/8153</td>
<td>`0000666182529</td>
<td>`3503054705680002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-05-1968</td>
<td>54 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000765</td>
<td>KONTROL, DADA KIRI NYERI</td>
<td>-</td>
<td>116/65</td>
<td>67</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>51.3</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I11</td>
<td>
Hypertensive heart disease </td>
<td>I20</td>
<td>
Angina pectoris </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3549</td>
<td>PUSTU WINONG</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>SUPENO</td>
<td>`017365</td>
<td></td>
<td>`0000666159243</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-08-1951</td>
<td>71 Th</td>
<td>DUSUN TLOGOREJO, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>140/90</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>169</td>
<td>61</td>
<td>165</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3550</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>SURATUN</td>
<td>`020978</td>
<td>02/5703</td>
<td>`</td>
<td>`3503056810650001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-10-1965</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 9,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>KONTROL TENSI</td>
<td>AMLODIPIN</td>
<td>133/87</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>70</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3551</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>MUTIANI</td>
<td>`021226</td>
<td>05/1468</td>
<td>`0000666241942</td>
<td>`3503056901730002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-01-1973</td>
<td>49 Th</td>
<td>RT 07 RW 04</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000768</td>
<td>KONTROL POST OPNAME</td>
<td>-</td>
<td>160/90</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>80</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I69</td>
<td>
Sequelae of cerebrovascular disease </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3552</td>
<td>PUSTU WINONG</td>
<td>14-09-2022</td>
<td></td>
<td>SUTRISNO</td>
<td>`005015</td>
<td>08/3202</td>
<td>`0000666113894</td>
<td>`3503050609700003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-09-1970</td>
<td>52 Th</td>
<td>RT 12 RW 4</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000823</td>
<td>pusing</td>
<td>Ibuprofen, nadic, pred</td>
<td>140/90</td>
<td>88</td>
<td>36</td>
<td>16</td>
 <td>168</td>
<td>58</td>
<td>61</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3553</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>SUTINI</td>
<td>`012170</td>
<td>05/3884</td>
<td>`0001975827879</td>
<td>`3503057112720023</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1972</td>
<td>49 Th</td>
<td>DUSUN KRAJAN I, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000841</td>
<td>BATUK DAN SAKIT MENELAN</td>
<td>PAMOL AMBOROXOL AMOX</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3554</td>
<td>POLI K.B</td>
<td>14-09-2022</td>
<td></td>
<td>PUJI RAHAYU</td>
<td>`021227</td>
<td>01/814</td>
<td>`</td>
<td>`3503056509970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-09-1997</td>
<td>25 Th</td>
<td>DUSUN KEBONSARI, RT : 28,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>CPW</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>51</td>
<td>10</td>
<td></td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>3555</td>
<td>POLI K.B</td>
<td>14-09-2022</td>
<td></td>
<td>DIDIK ISWANTO</td>
<td>`021228</td>
<td></td>
<td>`</td>
<td>`3503051204950001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1995</td>
<td>27 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>CPP</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>62</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3556</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUTARMI</td>
<td>`003876</td>
<td>04/4413</td>
<td>`0000106791805</td>
<td>`3503055205570003</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>12-05-1957</td>
<td>65 Th</td>
<td>RT 4 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU KEJU</td>
<td>b.complek</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3557</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td></td>
<td>SUSANTO</td>
<td>`001367</td>
<td>02/181</td>
<td>`0000106703638</td>
<td>`3503051401480001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-01-1948</td>
<td>74 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y000858</td>
<td>nyeri perut mules</td>
<td>antasida,omz,pct</td>
<td>120/67</td>
<td>72</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>43</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3558</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUTRISNO</td>
<td>`012899</td>
<td></td>
<td>`0001036999754</td>
<td>`3503052306310001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-06-1931</td>
<td>91 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine</td>
<td>140/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>158</td>
 <td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3559</td>
<td>PUSTU WINONG</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>YULIA CAHYASARI</td>
<td>`017072</td>
<td></td>
<td>`0000666115378</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-07-1996</td>
<td>26 Th</td>
<td>DUSUN BENGGLE, RT : 12,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>164</td>
<td>70</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3560</td>
<td>PUSTU WINONG</td>
<td>14-09-2022</td>
<td></td>
<td>SUGI HARTATIK</td>
<td>`002303</td>
<td>08/3202</td>
<td>`0000666114895</td>
<td>`3503055506780006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1978</td>
<td>44 Th</td>
<td>RT 12 RW 4</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000824</td>
<td>batuk, ilek</td>
<td>ctm, ambroksol, vit c</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>157</td>
<td>49</td>
<td>61</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Agus Setyo Budi Amd.kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3561</td>
 <td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUYATI</td>
<td>`001047</td>
<td></td>
<td>`0002200275279</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-02-1963</td>
<td>59 Th</td>
<td>9/3 NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>pamol,amlodipine</td>
<td>155/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3562</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUBANI</td>
<td>`000493</td>
<td>04/7296</td>
<td>`0001978432492</td>
<td>`3503052105530001</td>
<td>`41832</td>
<td></td>
 <td></td>
<td>L</td>
<td>21-05-1953</td>
<td>69 Th</td>
<td>DUSUN KASIHAN, RT : 025,RW :011 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine</td>
<td>140/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3563</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MINTARSIH</td>
<td>`007080</td>
<td>04/5746</td>
<td>`0000666180786</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-09-1960</td>
<td>62 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
 <td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic, b.complek</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3564</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>SUTIPAH</td>
<td>`021107</td>
<td>01/5568</td>
<td>`0001265361344</td>
<td>`9171028511790002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-11-1979</td>
<td>42 Th</td>
<td>RT 30 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000767</td>
<td>ABSES DI DEKAT ANUS</td>
<td>-</td>
<td>140/77</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>45.7</td>
 <td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K60.2</td>
<td>
Anal fissure, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3565</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MARSIH</td>
<td>`009682</td>
<td></td>
<td>`0000666396257</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-06-1948</td>
<td>74 Th</td>
<td>DUSUN PONGGOK, RT : 24,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic,b.complek</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>68</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3566</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>SUPRIATI</td>
<td>`001091</td>
<td></td>
<td>`0001707122823</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-03-1981</td>
<td>41 Th</td>
<td>BANARAN RT5/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000842</td>
<td>BATUK</td>
<td>AMBOROXOL AMOX BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3567</td>
<td>POLI LANSIA</td>
 <td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KATINI</td>
<td>`002107</td>
<td></td>
<td>`0000666195287</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-03-1934</td>
<td>88 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>panas</td>
<td>pamol</td>
<td>110/70</td>
<td>78</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
Fever with chills </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3568</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>HANIF AKMAL YUGO RAMADANA</td>
<td>`000641</td>
<td>05/4920</td>
<td>`</td>
<td>`3503052606150001</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>26-06-2015</td>
<td>7 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS BATUK PILEK</td>
<td>IBUPROFEN AMBROKSOL SYR</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>29</td>
<td>30</td>
<td></td>
<td>KASUS BARU</td>
<td>J03.9</td>
<td>
Acute tonsillitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3569</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>YARMINATIN</td>
<td>`008481</td>
<td>04/152</td>
<td>`0002250055001</td>
<td>`3503055510820004</td>
<td>`</td>
<td></td>
<td>085939806836</td>
<td>P</td>
<td>15-10-1982</td>
<td>39 Th</td>
<td>KRAJAN, RT : 3,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>Konseling</td>
<td>batuk pilek, panas, pusing</td>
<td>amlodipine, pamol, amoksillin,ambroxol</td>
<td>150/80</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3570</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SAMSURIYAH</td>
<td>`007072</td>
<td></td>
<td>`0002802756475</td>
<td>`3503054407590005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-07-1959</td>
<td>63 Th</td>
<td>KRAJAN, RT : 4,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic,b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3571</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>ISMIRAH</td>
<td>`007079</td>
<td></td>
<td>`0000666899695</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-02-1951</td>
<td>71 Th</td>
<td>KRAJAN, RT : 4,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kembung</td>
<td>antasida, nadic</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3572</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>JUMADI</td>
<td>`007084</td>
<td>04/2207</td>
<td>`0000666180178</td>
<td>`3503051311500001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-11-1950</td>
<td>71 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic, amlodipine</td>
<td>150/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3573</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
 <td></td>
<td>SULTAN FADILLAH HAMID</td>
<td>`004109</td>
<td>06/3330</td>
<td>`</td>
<td>`3503052907140001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-07-2014</td>
<td>8 Th</td>
<td>DUSUN PAKEL, RT : 26,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK PILEK PANAS DIARE</td>
<td>DOMPERIDON TAB COTRIM SYR ORALIT AMBROKSOL PCT SYR</td>
<td>1/1</td>
<td>88</td>
<td>38</td>
<td>20</td>
<td>120</td>
<td>28</td>
<td>30</td>
<td></td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td>J03.9</td>
<td>
Acute tonsillitis, unspecified </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3574</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KATIYAM</td>
<td>`011596</td>
<td></td>
<td>`0000666069985</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>20-04-1957</td>
<td>65 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kembung</td>
<td>pamol,antasida</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3575</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUYATI</td>
<td>`012237</td>
<td></td>
<td>`0002802764158</td>
<td>`3503055204540001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-04-1954</td>
<td>68 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
 <td>pusing</td>
<td>pamol</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3576</td>
<td>POLI GIZI</td>
<td>14-09-2022</td>
<td></td>
<td>PUJI RAHAYU</td>
<td>`021227</td>
<td>01/814</td>
<td>`</td>
<td>`3503056509970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-09-1997</td>
<td>25 Th</td>
<td>DUSUN KEBONSARI, RT : 28,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>CPW</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>51</td>
<td>10</td>
<td></td>
 <td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3577</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SULASTRI</td>
<td>`009675</td>
<td></td>
<td>`0002802762009</td>
<td>`3503054110680001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-1968</td>
<td>53 Th</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>pamol</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3578</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SITI ZUBAIDAH</td>
<td>`002960</td>
<td></td>
<td>`0001831820872</td>
<td>`3504034712690003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-12-1969</td>
<td>52 Th</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amoksillin, amlodipine</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3579</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
 <td>SUMARTINI</td>
<td>`014849</td>
<td></td>
<td>`</td>
<td>`3503054112480001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1948</td>
<td>73 Th</td>
<td>DUSUN GERBO, RT : 13,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>keju linu</td>
<td>nadic</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3580</td>
<td>POLI GIGI</td>
<td>14-09-2022</td>
<td></td>
<td>MUHAMMAD AZKA AL-GHAZALI</td>
<td>`021230</td>
<td>05/3585</td>
<td>`</td>
<td>`3503052102160001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-02-2016</td>
 <td>6 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi depan atas kanan kiri kesundulan</td>
<td>anasthesi topikal cabut gigi 51.61</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>116</td>
<td>22</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>3581</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td></td>
<td> SRINGAH</td>
<td>`000093</td>
<td>02/1337</td>
<td>`0001281625661</td>
<td>`3503055207560001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-07-1956</td>
<td>66 Th</td>
<td>RT 19 RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000860</td>
<td>kontrol dm</td>
 <td>cipro,gg,amlodipin,metformin,glimepirid,aspilet</td>
<td>145/101</td>
<td>79</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>44</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3582</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUPARMI</td>
<td>`009370</td>
<td></td>
<td>`0000211460736</td>
<td>`3503056210490001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-10-1949</td>
<td>72 Th</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kembung</td>
<td>amlodipine, antasida</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3583</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUMINI</td>
<td>`009680</td>
<td></td>
<td>`0001036999923</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-09-1956</td>
<td>66 Th</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine,pamol</td>
<td>150/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3584</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SARIYEM</td>
<td>`014444</td>
<td>04/6480</td>
<td>`0000665924073</td>
<td>`3503054501590001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-01-1959</td>
<td>63 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>amlodipine, allopurinol</td>
<td>150/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3585</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>RISKA OCTAVIANA</td>
 <td>`021231</td>
<td></td>
<td>`0002802748961</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-10-2001</td>
<td>20 Th</td>
<td>PRAMBON RT 34/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000844</td>
<td>MENELAN SAKIT</td>
<td>IBU 400 AMOX BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3586</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KATIJEM</td>
<td>`014854</td>
<td></td>
<td>`0000665716522</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-12-1957</td>
<td>64 Th</td>
 <td>DUSUN PONGGOK, RT : 20,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine</td>
<td>140/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3587</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TARMINI</td>
<td>`013002</td>
<td></td>
<td>`0000665622145</td>
<td>`3503055405670001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-05-1967</td>
<td>55 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>ctm,pamol</td>
 <td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3588</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUMIATI</td>
<td>`015493</td>
<td></td>
<td>`0000666230049</td>
<td>`3503054510600001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-10-1960</td>
<td>61 Th</td>
<td>NGLEGOK, RT : 10,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>antasida, nadic, amlo</td>
<td>140/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
 <td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3589</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KARTINI</td>
<td>`010676</td>
<td></td>
<td>`0000666062864</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-03-1946</td>
<td>76 Th</td>
<td>RT 004 RW -</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>amlo, nadic, ctm,b.complek</td>
<td>140/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>78</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>3590</td>
<td>POLI KIA</td>
<td>14-09-2022</td>
<td></td>
<td>RIBUT WINARTI</td>
<td>`014563</td>
<td>06/4801</td>
<td>`0000665773896</td>
<td>`3503055711810002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-11-1981</td>
<td>40 Th</td>
<td>RT 21</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y000770</td>
<td>TAA</td>
<td>RUJUKAN</td>
<td>130/66</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>146</td>
<td>58</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z35.9</td>
<td>
Supervision of high-risk pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3591</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KAWURTI</td>
<td>`011573</td>
 <td></td>
<td>`0001036997447</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-05-1936</td>
<td>86 Th</td>
<td>RTR 006 RW 003</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine,pamol</td>
<td>140/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3592</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUKINI</td>
<td>`012918</td>
<td></td>
<td>`0000666299079</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-08-1958</td>
<td>64 Th</td>
<td>RT10 RW4</td>
 <td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kembung</td>
<td>antasida</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3593</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>EMI SUGIARTI</td>
<td>`020385</td>
<td></td>
<td>`0000666298449</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-04-1982</td>
<td>40 Th</td>
<td>NGLEGOK, RT : 10,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>allopurinol</td>
<td>120/80</td>
 <td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3594</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td> ISMINI</td>
<td>`001184</td>
<td>04/8923</td>
<td>`0002802748612</td>
<td>`3503056012530001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-12-1953</td>
<td>68 Th</td>
<td>RT 05 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>gatal -gatal</td>
<td>ctm</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>60</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L20.8</td>
<td>
 Other atopic dermatitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3595</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td></td>
<td>TUKIYEM</td>
<td>`020019</td>
<td>01/1524</td>
<td>`0000666107379</td>
<td>`3503055305570001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-05-1957</td>
<td>65 Th</td>
<td>DUSUN KEBONSARI, RT : 27,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000861</td>
<td>boyok sakit</td>
<td>amlo,aspilet,nadic,asmef,</td>
<td>130/63</td>
<td>76</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3596</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SAMITUN</td>
<td>`004377</td>
<td></td>
<td>`0000666832408</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-09-1950</td>
<td>72 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kembung</td>
<td>antasida,pamol, b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3597</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MARSILAH</td>
<td>`002885</td>
<td></td>
 <td>`0000666203758</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-04-1939</td>
<td>83 Th</td>
<td>RT 8 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>amlodipine,nadic, allopurinol</td>
<td>130/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3598</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SITIN</td>
<td>`012925</td>
<td></td>
<td>`0000665602931</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-04-1961</td>
<td>61 Th</td>
<td>RT 8 RW 3</td>
<td>NGEPEH</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk</td>
<td>pamol,.gg</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3599</td>
<td>POLI REMAJA</td>
<td>14-09-2022</td>
<td></td>
<td>RIKHO FATKUL JINAN</td>
<td>`004529</td>
<td>01/4274</td>
<td>`0001978458805</td>
<td>`3503050705060002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-05-2006</td>
<td>16 Th</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000773</td>
<td>kontrol</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
 <td>36</td>
<td>20</td>
<td>170</td>
<td>55</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E10.6</td>
<td>
Insulin-dependent diabetes mellitus with other specified complications
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3600</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>NURYATIN</td>
<td>`008266</td>
<td>01/4274</td>
<td>`0001978458827</td>
<td>`3503056403830001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-03-1983</td>
<td>39 Th</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000789</td>
<td>KEJU LINU KAKI RANGEN</td>
<td>SALEP 2-4 LORATADIN NADIF</td>
<td>111/79</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>47</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
 Myalgia </td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3601</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>MUHAMMAD AFNAN ASNAWI</td>
<td>`004738</td>
<td></td>
<td>`0002681898647</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-05-2015</td>
<td>7 Th</td>
<td>PRAMBON RT 20/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000843</td>
<td>PANAS BATUK</td>
<td>PAMOL CTM AMBOROXOL</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>90</td>
<td>30</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3602</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>SUWIYONO</td>
<td>`021232</td>
<td>02/5048</td>
<td>`0002920432601</td>
<td>`3316033103840002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-03-1984</td>
<td>38 Th</td>
<td>RT 25 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000788</td>
<td>PANAS BATUK PILEK PUSING KEJU LINU</td>
<td>IBUPROFEN GG LORATADIN</td>
<td>113/66</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>58</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3603</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MISTI</td>
<td>`011590</td>
<td></td>
 <td>`0000665940587</td>
<td>`3503055907620001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-07-1962</td>
<td>60 Th</td>
<td>DUSUN GERBO, RT : 16,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>amlodipine,nadic,antasida</td>
<td>130/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3604</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>PURWANINGSIH</td>
<td>`011580</td>
<td></td>
<td>`</td>
<td>`3503054807620001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-1962</td>
<td>60 Th</td>
<td>KRAJAN, RT : 4,RW :2 </td>
<td>NGEPEH</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>keju linu</td>
<td>nadic.b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>58</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3605</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TUMIJAH</td>
<td>`021311</td>
<td></td>
<td>`</td>
<td>`3503055912650001-492983</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-12-1965</td>
<td>56 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>panas</td>
<td>pamol</td>
<td>120/79</td>
<td>78</td>
 <td>37</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
Fever with chills </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3606</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>MAWANDA ARYA PANGGALIH</td>
<td>`003168</td>
<td>04/3971</td>
<td>`0000665626612</td>
<td>`3503052101020002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-01-2002</td>
<td>20 Th</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000825</td>
<td>INGIN CEK HIV</td>
<td>-</td>
<td>145/74</td>
<td>112</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>67</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3607</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>YULIANA</td>
<td>`021312</td>
<td></td>
<td>`0000665703775</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-08-1982</td>
<td>40 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipine,.pamol</td>
<td>150/80</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3608</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>BAKHTIAR</td>
<td>`017243</td>
<td>02/5404</td>
<td>`0001963744121</td>
<td>`3515140708770007</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-08-1977</td>
<td>45 Th</td>
<td>RT 019 RW 005</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000826</td>
<td>BAB CAIR MULES MERIANG</td>
<td>ORALIT DIAFORM PCT</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>71</td>
<td>72</td>
<td>KLINIK NURANI</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3609</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>SRIASIH</td>
<td>`002086</td>
<td></td>
<td>`0001037013513</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1969</td>
<td>53 Th</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000845</td>
<td>PUSING</td>
<td>IBU 400 BC CTM</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3610</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>SAINI</td>
<td>`002968</td>
<td></td>
<td>`0002802763089</td>
<td>`3503050107730034</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-03-1978</td>
<td>44 Th</td>
<td>DUSUN PAKEL, RT : 155,RW :8 </td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000846</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3611</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>RIKHO FATKUL JINAN</td>
<td>`004529</td>
<td>01/4274</td>
<td>`0001978458805</td>
<td>`3503050705060002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-05-2006</td>
<td>16 Th</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000773</td>
<td>kontrol</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
 <td>20</td>
<td>170</td>
<td>55</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E10.6</td>
<td>
Insulin-dependent diabetes mellitus with other specified complications
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3612</td>
<td>POLI K.B</td>
<td>14-09-2022</td>
<td></td>
<td>SITI NGAISAH</td>
<td>`000797</td>
<td>01/1410</td>
<td>`0000666127732</td>
<td>`3503055602840002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-02-1984</td>
<td>38 Th</td>
<td>RT 23 RW 06</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922P001166</td>
<td>SUNTIK KB</td>
<td>-</td>
<td>120/80</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>59</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
DIANTI DWI PANGESTUTI, A.MD.KEB </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3613</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>SUJARMI</td>
<td>`001748</td>
<td></td>
<td>`0001481938119</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-10-1947</td>
<td>74 Th</td>
<td>BANARAN RT 11/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000847</td>
<td>PUSING</td>
<td>PAMOL BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3614</td>
<td>POLI GIGI</td>
<td>14-09-2022</td>
<td></td>
<td>ANOM FINANDITO PAMUNGKAS</td>
<td>`021233</td>
<td>06/9365</td>
<td>`</td>
<td>`3503052612150001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-12-2015</td>
<td>6 Th</td>
<td>DUSUN PAKEL, RT : 25,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi depan atas kiri kesundulan</td>
<td>anasthesi topikal cabut gigi 61</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>123</td>
<td>22</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>3615</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>DENI PRASETYO</td>
<td>`021085</td>
<td>06/5233</td>
<td>`0000666968635</td>
 <td>`3503053010970002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-10-1997</td>
<td>24 Th</td>
<td>PAKEL, RT : 40,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000776</td>
<td>pusing, perut mbesesek</td>
<td>cipro, pamol, antasid, ranitidin</td>
<td>117/71</td>
<td>61</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>67.5</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3616</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td> KAMID</td>
<td>`004023</td>
<td>02/5884</td>
<td>`0002314031231</td>
<td>`3503051104660001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-04-1966</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td>131506010922Y000777</td>
<td>KONTROL PRB, KELUHAN TIDAK ADA</td>
<td>BISOPROLOL 2,5 mg 1x1 (30), CLOPIDOGREL 75 mg 1X1 (30), RAMIPRIL 2,5 mg
1X1 (30), SPIRONOLACTONE 25 mg 1X1 (30)</td>
<td>148/54</td>
<td>55</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>79.4</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I50</td>
<td>
Heart failure </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3617</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>PUJIONO</td>
<td>`005559</td>
<td>90/1849</td>
<td>`0001978484624</td>
<td>`3503050202830003</td>
<td>`35735</td>
<td></td>
<td></td>
<td>L</td>
<td>02-02-1983</td>
<td>39 Th</td>
<td>DUSUN KRAJAN, RT : 005,RW :002 </td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>KONSTRUKSI</td>
<td>Lama</td>
<td>131506010922Y000778</td>
<td>KONTROL</td>
<td>RUJUKAN</td>
<td>120/70</td>
<td>88</td>
 <td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>F20.9</td>
<td>
Schizophrenia, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3618</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td></td>
<td>TSANIA LAILATUN NAFI`AH</td>
<td>`007344</td>
<td>06/7024</td>
<td>`0002885137637</td>
<td>`3503055708190001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-08-2019</td>
<td>3 Th</td>
<td>RT 48 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000781</td>
<td>Bapil</td>
<td>Dema</td>
<td>70/60</td>
<td>80</td>
<td>37</td>
<td>24</td>
<td>90</td>
<td>12</td>
<td>56</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3619</td>
<td>POLI KIA</td>
<td>14-09-2022</td>
<td></td>
<td>NURUL HIDAYAH</td>
<td>`001525</td>
<td>02/8119</td>
<td>`0000665810482</td>
<td>`3503056004030002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-04-2003</td>
<td>19 Th</td>
<td>DUSUN KRAJAN, RT : 9,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3620</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td></td>
<td>SURYANA</td>
<td>`013238</td>
<td></td>
<td>`0000666192251</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-01-1990</td>
<td>32 Th</td>
<td>RT RW </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000782</td>
<td>Bapil</td>
<td>Pcr, desa, Vit c</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>54</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3621</td>
<td>RAWAT INAP</td>
<td>14-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>ANIK MUYASAROH</td>
<td>`021259</td>
<td></td>
<td>`</td>
 <td>`3503054811840001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-11-1984</td>
<td>37 Th</td>
<td>DESA GONDANG, RT : 8,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>PX MENGATAKAN PANAS NAIK TURUN, PUSING, MUAL, LEMES, BADAN SAKIT
SEMUA</td>
<td>INF RL 20 TPM
INJ AMPICILIN 3X1
INJ ANTRAIN 3X1
INJ RANITIDIN 2X1
INJ METO 3X1 K/P
OS SUCRALFAT 3X2CTH
OS PCT 3X1
OS OMZ 2X1</td>
<td>130/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>89</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum per
hari<br>Pemasangan infuse<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Konsultasi<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>3622</td>
<td>POLI LANSIA</td>
<td>14-09-2022</td>
<td></td>
<td>SUDARMIATI</td>
<td>`008084</td>
<td>02/1686</td>
<td>`0000106751564</td>
 <td>`3503054508530002</td>
<td>`</td>
<td></td>
<td>082232302860</td>
<td>P</td>
<td>05-08-1953</td>
<td>69 Th</td>
<td>RT 10 RW 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000780</td>
<td>rujuk balik</td>
<td>BISOPROLOL 5MG 1X1 (23)
IRBESARTAN 300MG 1X1(23)</td>
<td>173/63</td>
<td>74</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>72</td>
<td>98</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I15</td>
<td>
Secondary hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3623</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td></td>
<td>SULAMI</td>
<td>`002936</td>
<td>06/2010</td>
<td>`0001978489664</td>
<td>`3503055312720002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-12-1972</td>
<td>49 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000877</td>
<td>Pusing</td>
<td>Pct, ambrox, desa, ampok, antas</td>
<td>160/90</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>60</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3624</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td></td>
<td>SRI LESTARI</td>
<td>`019774</td>
<td>06/6840</td>
<td>`0002681644577</td>
<td>`3503054106900003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1990</td>
<td>32 Th</td>
<td>DUSUN SOKO, RT : 51,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000879</td>
<td>Periksa hamil</td>
<td>Fe, calk</td>
<td>110/70</td>
<td>86</td>
 <td>36</td>
<td>20</td>
<td>156</td>
<td>60</td>
<td>95</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34</td>
<td>
Supervision of normal pregnancy </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3625</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td></td>
<td>RAISYA CANTYA FARIZZA</td>
<td>`011245</td>
<td></td>
<td>`0002913088195</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-12-2019</td>
<td>2 Th</td>
<td>RT 51</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000784</td>
<td>Sariawan</td>
<td>Gentian</td>
<td>70/60</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>87</td>
<td>12</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K12</td>
<td>
Stomatitis and related lesions </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3626</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td></td>
<td>MISTINI</td>
<td>`006325</td>
<td></td>
<td>`0003067660124</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-06-1970</td>
<td>52 Th</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000785</td>
<td>Suntik kb</td>
<td>Depo</td>
<td>130/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>60</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3627</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td></td>
<td>GHADIRA SANI ZHAFIRA</td>
<td>`013070</td>
<td></td>
<td>`0001453931987</td>
<td>`3503054108140001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-2014</td>
<td>8 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000791</td>
<td>Batuk</td>
<td>Obh</td>
<td>80/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>126</td>
<td>25</td>
<td>53</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3628</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td></td>
<td>BAYI NYONYA EKA PURWATI</td>
<td>`016044</td>
<td></td>
<td>`0003255049394</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-02-2022</td>
<td>0 Th</td>
<td>RT 42</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000792</td>
<td>Panas, bapil</td>
<td>Pcr srp, desa, ambrox</td>
<td>80/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>80</td>
<td>12</td>
<td>43</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3629</td>
<td>POLINDES PRAMBON 2</td>
<td>14-09-2022</td>
<td></td>
<td>MARSIYEM</td>
<td>`002270</td>
<td></td>
<td>`0001037015818</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1952</td>
<td>70 Th</td>
<td>PRAMBON RT 50/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000793</td>
<td>Pusing</td>
<td>Pcr, antas, dexa</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>53</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3630</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>TITIK BALI PURWATI</td>
<td>`004792</td>
<td>03/628</td>
<td>`0000106577076</td>
<td>`350305 </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-01-1977</td>
<td>45 Th</td>
<td>RT 09 RW 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y000827</td>
<td>BATUK PILEK</td>
<td>AMBROKSOL VIT C LORATADIN</td>
<td>138/75</td>
<td>88</td>
<td>36</td>
 <td>20</td>
<td>158</td>
<td>69</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3631</td>
<td>UGD</td>
<td>14-09-2022</td>
<td></td>
<td>SUTAMJI</td>
<td>`021315</td>
<td></td>
<td>`0000665672725</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-05-1968</td>
<td>54 Th</td>
<td>RT 07 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000969</td>
<td>BATUK 1 MINGGU, PUSING,PANAS 1 MGGU</td>
<td>AMBROXOL 3X1
IBUPROFEN 3X1
DEXA 2X1</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>165</td>
<td>57</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
 Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3632</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>LILIS SURYANI</td>
<td>`015412</td>
<td>04/1658</td>
<td>`0000106882705</td>
<td>`3503055610730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-10-1973</td>
<td>48 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000787</td>
<td>GATALDI BADAN</td>
<td>LORATADIN SALISIL TALK</td>
<td>132/72</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>151</td>
<td>68</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3633</td>
<td>PONKESDES SUKOREJO</td>
<td>14-09-2022</td>
<td></td>
<td>SUKARMI</td>
<td>`006597</td>
<td></td>
<td>`0000665723957</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-05-1962</td>
<td>60 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001546</td>
<td>sulit tidur</td>
<td>amlo,ctm,gg</td>
<td>149/82</td>
<td>85</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>45</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3634</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>MUJIATIK</td>
<td>`002992</td>
<td>04/4963</td>
 <td>`0000666315178</td>
<td>`3503054505790001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-05-1979</td>
<td>43 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000786</td>
<td>KONTROL</td>
<td>RUJUKAN</td>
<td>138/65</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>57</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>M54.5</td>
<td>
Low back pain </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3635</td>
<td>PONKESDES TUMPUK</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>ISTAMAN</td>
<td>`015482</td>
<td></td>
<td>`0001978454676</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-06-1949</td>
<td>73 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/74</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3636</td>
<td>PONKESDES TUMPUK</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>GIRAN</td>
<td>`018087</td>
<td></td>
<td>`0001978454744</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-06-1983</td>
<td>39 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>110/68</td>
<td>88</td>
 <td>36</td>
<td>20</td>
<td>165</td>
<td>68</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3637</td>
<td>RAWAT INAP</td>
<td>14-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>SUMINI</td>
<td>`020404</td>
<td>01/5518</td>
<td>`0000664934984</td>
<td>`3503057112600003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1960</td>
<td>61 Th</td>
<td>DUSUN KALIPINGGIR, RT : 18,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PX MENGATAKAN LEMES, PANAS, PUSING, NAFSU MAKAN MENURUN</td>
<td>INF RL 20 TPM
INJ AMPICILIN 3X1
INJ ANTRAIN 3X1
INJ RANITIDIN 2X1
OS AMLO 1X5MG
OS BC 1X1
OS DIMEN 2X1
OS AMOX 3X1
OS OMZ 2X1</td>
<td>135/80</td>
<td>95</td>
<td>37</td>
<td>20</td>
 <td>160</td>
<td>49</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Rawat Inap pasien BPJS<br>Pemasangan infuse<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis
ringan lainnya<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis ringan
lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>3638</td>
<td>POLI MTBS</td>
<td>14-09-2022</td>
<td></td>
<td>HAIDAR NUR HANANDAKA</td>
<td>`001794</td>
<td>90/1171</td>
<td>`0002465448895</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-06-2018</td>
<td>4 Th</td>
<td>RT 20 RW 05</td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000862</td>
<td>bengkak di bawah telinga</td>
<td>amok pamol gg ctm deksa</td>
<td>1/1</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>102</td>
<td>13</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>B26.9</td>
<td>
 Mumps without complication </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3639</td>
<td>POLI UMUM</td>
<td>14-09-2022</td>
<td></td>
<td>FARICA NURIL HAWA</td>
<td>`017226</td>
<td>90/1171</td>
<td>`0000171930284</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-05-2010</td>
<td>12 Th</td>
<td>RT 020 RW 005</td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000830</td>
<td>BATUK PILEK NYERI TENGGOROKAN</td>
<td>AMOK PAMOL CTM GG VIT C</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>50</td>
<td>56</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3640</td>
<td>PONKESDES TUMPUK</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>SUROSO</td>
<td>`000027</td>
<td>03/7174A</td>
<td>`0001978454698</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-06-1959</td>
<td>63 Th</td>
<td>RT 5 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/72</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>63</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3641</td>
<td>PONKESDES TUMPUK</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>ELANG ERDIANA G</td>
<td>`003844</td>
<td>03/89383</td>
 <td>`0001978454755</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-09-2008</td>
<td>14 Th</td>
<td>RT 5 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>51</td>
<td>74</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3642</td>
<td>PONKESDES TUMPUK</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>SITI MARFIATUN</td>
<td>`015895</td>
<td></td>
<td>`0001978454777</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-03-1975</td>
<td>47 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>125/72</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>57</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3643</td>
<td>PONKESDES TUMPUK</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>SAIFUL ANWAR</td>
<td>`015897</td>
<td></td>
<td>`0001978454812</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-08-1985</td>
<td>37 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/72</td>
<td>78</td>
 <td>36</td>
<td>20</td>
<td>170</td>
<td>68</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3644</td>
<td>RAWAT INAP</td>
<td>14-09-2022</td>
<td>Rawat Inap (UGD)</td>
<td>LASDI</td>
<td>`018249</td>
<td></td>
<td>`0001978447904</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1950</td>
<td>71 Th</td>
<td>RT 001 RW 001</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>PX MENGATAKAN SESAK NAFAS, NYERI ULU HATI, KEMBUNG</td>
<td>INF NS 20 TTS/MNT
INJ RANITIDIN 2X1
O2 3 LT/MNT
RUJUK RSUD</td>
<td>110/70</td>
<td>89</td>
<td>36</td>
<td>28</td>
<td>160</td>
<td>56</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>K30</td>
<td>
Dyspepsia </td>
<td>I50</td>
<td>
Heart failure </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Rawat Inap pasien BPJS<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Pemasangan infuse<br>Pemasangan oksigen/jam<br> </td>
</tr>
<tr align='left' valign="top">
<td>3645</td>
<td>PONKESDES TUMPUK</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>SUKIRNO</td>
<td>`015899</td>
<td></td>
<td>`0001978454834</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-03-1965</td>
<td>57 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/70</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>166</td>
<td>63</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3646</td>
<td>PONKESDES TUMPUK</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>ARIEL DWI FEBRIANANDA</td>
<td>`015901</td>
<td></td>
<td>`0001978454845</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-02-2009</td>
<td>13 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>72</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3647</td>
<td>PONKESDES TUMPUK</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
 <td>DENY ADY SAPUTRA</td>
<td>`015902</td>
<td>03/3984</td>
<td>`0001978454856</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-02-1995</td>
<td>27 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/65</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>67</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3648</td>
<td>PONKESDES TUMPUK</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>AZAM RIZAQI PRIMADYANSYAH</td>
<td>`015904</td>
<td></td>
<td>`0001978454878</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-10-2006</td>
 <td>15 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/68</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>54</td>
<td>74</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3649</td>
<td>UGD</td>
<td>14-09-2022</td>
<td></td>
<td>JUASRI</td>
<td>`010332</td>
<td>02/64</td>
<td>`0000665633171</td>
<td>`3503057112650090</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1965</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000968</td>
<td>RAWAT LUKA GANGREN</td>
 <td>RAWAT LUKA</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>47</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.5</td>
<td>
Non-insulin-dependent diabetes mellitus with peripheral circulatory
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>3650</td>
<td>PONKESDES BANARAN</td>
<td>14-09-2022</td>
<td></td>
<td>ENI SETIANA</td>
<td>`013944</td>
<td>05/1083</td>
<td>`0000666185365</td>
<td>`3503056109840001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-09-1984</td>
<td>38 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>suntik kb</td>
<td>depogeston,spuit 3cc</td>
<td>110/70</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>59</td>
<td>1</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3651</td>
<td>POLINDES NGEPEH</td>
<td>14-09-2022</td>
<td></td>
<td>MARTILAH</td>
<td>`002927</td>
<td>04/4555</td>
<td>`0000665864368</td>
<td>`3503055706660001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-06-1966</td>
<td>56 Th</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001876</td>
<td>PUSING</td>
<td>ANTASID, AMLODIP 5 MG</td>
<td>188/96</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3652</td>
<td>PONKESDES TUMPUK</td>
<td>14-09-2022</td>
<td>KONSULTASI</td>
<td>SUWARTI</td>
<td>`015945</td>
<td></td>
<td>`0001978447803</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-09-1982</td>
<td>40 Th</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3653</td>
<td>POLINDES NGEPEH</td>
<td>14-09-2022</td>
<td></td>
 <td>SUPARTIN</td>
<td>`016089</td>
<td></td>
<td>`0001978432503</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-1960</td>
<td>62 Th</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001877</td>
<td>PUSING</td>
<td>GG, CTM, AMLODIP 5MG</td>
<td>179/89</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>159</td>
<td>62</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3654</td>
<td>POLINDES NGEPEH</td>
<td>14-09-2022</td>
<td></td>
<td>TARMIATI</td>
<td>`010039</td>
<td></td>
<td>`0000666076364</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1979</td>
 <td>43 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001878</td>
<td>PUSING</td>
<td>CTM, AMLODIPIN 5 MG</td>
<td>168/89</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3655</td>
<td>POLINDES NGEPEH</td>
<td>14-09-2022</td>
<td></td>
<td>NYONO</td>
<td>`013290</td>
<td></td>
<td>`0000666076162</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-04-1973</td>
<td>49 Th</td>
<td>RT19 RW8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001879</td>
<td>BATUK , PILEK</td>
 <td>GG, CTM, BC</td>
<td>136/98</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>159</td>
<td>67</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3656</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>SUPRIANTO</td>
<td>`001714</td>
<td>05/3463</td>
<td>`0000666297944</td>
<td>`3503050709630002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-07-1963</td>
<td>59 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000852</td>
<td>TDK BISA TDR</td>
<td>CLOZAPINE</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>F20.0</td>
<td>
Paranoid schizophrenia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3657</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>WIYATUN</td>
<td>`000894</td>
<td></td>
<td>`0000664442122</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1969</td>
<td>53 Th</td>
<td>PRAMBON RT 14</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000853</td>
<td>MUAL DAN SKIT GIGI</td>
<td>NATDIK ANTASID</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02.0</td>
<td>
Caries limited to enamel </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3658</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>MARSIYAM</td>
<td>`001442</td>
<td></td>
<td>`0002155560276</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-08-1962</td>
<td>60 Th</td>
<td>PRAMBONRT 21</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000854</td>
<td>PUSING DAN LINU</td>
<td>IBU 400 KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3659</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>AFNA QUMAIRA PURNAMA</td>
 <td>`021238</td>
<td></td>
<td>`0002970311275</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-12-2014</td>
<td>7 Th</td>
<td>PRAMBON RT 44</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000851</td>
<td>BATUK</td>
<td>PAMOL GG CTM</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>90</td>
<td>25</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3660</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>SITI MUNAWAROH</td>
<td>`001455</td>
<td>06/434</td>
<td>`0000106802605</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-04-1968</td>
<td>54 Th</td>
 <td>PRAMBON RT 16</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000848</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3661</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>MUNAN</td>
<td>`001609</td>
<td>06/434</td>
<td>`0000106802594</td>
<td>`3503050705540002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-05-1954</td>
<td>68 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y000849</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
 <td>130/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3662</td>
<td>PUSTU PRAMBON</td>
<td>14-09-2022</td>
<td></td>
<td>YATENI</td>
<td>`013442</td>
<td></td>
<td>`0000666250672</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-06-1970</td>
<td>52 Th</td>
<td>PRAMBON RT 20/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000850</td>
<td>PUSING KEMBUNG</td>
<td>PAMOL ANTASID BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
 <td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3663</td>
<td>PONKESDES TUMPUK</td>
<td>14-09-2022</td>
<td></td>
<td>NATASYA ASTI WEDIANA</td>
<td>`021296</td>
<td></td>
<td>`0000665496437</td>
<td>`3503064612070001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-12-2007</td>
<td>14 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>pilek,pusing,nyeri tenggorokan</td>
<td>PAMOL,CT,VIT.BC,METIL</td>
<td>98/56</td>
<td>120</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>37</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>G44</td>
<td>
Other headache syndromes </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3664</td>
<td>PONKESDES TUMPUK</td>
<td>14-09-2022</td>
<td></td>
<td>DAFFA</td>
<td>`021297</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-12-2017</td>
<td>4 Th</td>
<td>RT 7 RW 3</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK,PILEK,PANAS</td>
<td>SYR.DEMACOLIN,GG,VIT.C</td>
<td>70/50</td>
<td>110</td>
<td>37</td>
<td>20</td>
<td>100</td>
<td>12.7</td>
<td>25</td>
<td></td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3665</td>
<td>PONKESDES TUMPUK</td>
<td>14-09-2022</td>
<td></td>
<td>PONIRAH</td>
<td>`005225</td>
 <td></td>
<td>`0001978449862</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1947</td>
<td>74 Th</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001040</td>
<td>KONTROL TENSI,KESEMUTAN</td>
<td>AMLO,SIMVASTATIN,VIT.BC</td>
<td>180/83</td>
<td>73</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54.7</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3666</td>
<td>POLINDES PRAMBON 1</td>
<td>15-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>RINI KURMAWATI</td>
<td>`007860</td>
<td></td>
<td>`0000664452505</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-03-1985</td>
<td>37 Th</td>
<td>RT 20</td>
 <td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3667</td>
<td>POLINDES PRAMBON 1</td>
<td>15-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>MESIYAH</td>
<td>`001357</td>
<td></td>
<td>`0000666518163</td>
<td>`3503055507740003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-07-1974</td>
<td>48 Th</td>
<td>DUSUN KRAJAN, RT : 19,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
 <td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3668</td>
<td>POLINDES PRAMBON 1</td>
<td>15-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>SUKITUN</td>
<td>`001490</td>
<td></td>
<td>`0000665855414</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1973</td>
<td>49 Th</td>
<td>KRAJAN, RT : 22,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3669</td>
<td>POLINDES PRAMBON 1</td>
<td>15-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>ARIADIN AL BAIHAQI</td>
<td>`007603</td>
<td></td>
<td>`0002681898579</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-08-2015</td>
<td>7 Th</td>
<td>PRAMBON RT 19/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>3670</td>
<td>POLI LANSIA</td>
<td>15-09-2022</td>
<td></td>
<td>SAPUAN</td>
<td>`007371</td>
<td>02/4111</td>
<td>`0003068051602</td>
<td>`3503051502610002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-02-1961</td>
<td>61 Th</td>
<td>DSN ETAN KALI, RT : 17,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000868</td>
<td>cek gula obat habis</td>
<td>glibenclamid,bc</td>
<td>120/57</td>
<td>70</td>
<td>360</td>
<td>22</td>
<td>168</td>
<td>64</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3671</td>
<td>POLI LANSIA</td>
<td>15-09-2022</td>
<td></td>
<td>DJEMANGIN</td>
<td>`011890</td>
 <td>06/3321</td>
<td>`0000667100114</td>
<td>`3503050209500001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-09-1950</td>
<td>72 Th</td>
<td>DUSUN SOOKO, RT : 50,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000859</td>
<td>kontrol</td>
<td>-</td>
<td>150/78</td>
<td>87</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>50</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3672</td>
<td>POLI GIGI</td>
<td>15-09-2022</td>
<td></td>
<td>MUHAMMAD KAFI ABDULLOH</td>
<td>`015856</td>
<td>02/3902A</td>
<td>`</td>
<td>`3503052605150004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-05-2015</td>
<td>7 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
 <td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi depan atas kanan goyang derajat 3</td>
<td>konsultasi</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>123</td>
<td>25</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.1</td>
<td>
Supernumerary teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>3673</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>WAFA AYESHA AZZAHRA</td>
<td>`021239</td>
<td>02/3616</td>
<td>`</td>
<td>`3503056611150002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-11-2015</td>
<td>6 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK PILEK PANAS</td>
<td>AMOK CTM DEMACOLIN</td>
<td>1/1</td>
 <td>88</td>
<td>37</td>
<td>20</td>
<td>108</td>
<td>16</td>
<td>57</td>
<td></td>
<td>KASUS BARU</td>
<td>J03</td>
<td>
Acute tonsillitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3674</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>MUYATI</td>
<td>`000820</td>
<td>06/3816</td>
<td>`0000666086679</td>
<td>`3503055401800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-03-1983</td>
<td>39 Th</td>
<td>PRAMBON RT 52/11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000864</td>
<td>rencana meminta rujukan</td>
<td>rujukan</td>
<td>116/66</td>
<td>72</td>
<td>36</td>
<td>20</td>
<td>72</td>
<td>68</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>G52.8</td>
<td>
 Disorders of other specified cranial nerves </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3675</td>
<td>UGD</td>
<td>15-09-2022</td>
<td></td>
<td>SABAR</td>
<td>`021299</td>
<td></td>
<td>`0000666228205</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1935</td>
<td>86 Th</td>
<td>RT 17 RW 4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000928</td>
<td>BATUK,PILEK,PANAS 3 HARI</td>
<td>PCT 3X1
AMBROXOL 3X1
CTM 3X1
MP 2X1</td>
<td>140/70</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>52</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3676</td>
<td>UGD</td>
<td>15-09-2022</td>
<td></td>
<td>DANAR YOHANDI</td>
<td>`019538</td>
<td>01/1518</td>
<td>`0000664970938</td>
<td>`3503052409040001</td>
<td>`</td>
<td></td>
<td>085748813893</td>
<td>L</td>
<td>24-02-2005</td>
<td>17 Th</td>
<td>RT 17 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000930</td>
<td>GATAL-GATAL DI AREA PERUT KETIGA CUACA DINGIN</td>
<td>LORATADIN 3X1</td>
<td>100/60</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>145</td>
<td>46</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L23</td>
<td>
Allergic contact dermatitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3677</td>
<td>POLI REMAJA</td>
<td>15-09-2022</td>
<td></td>
 <td>KHUZAIMA INAYA FARADHINA</td>
<td>`021240</td>
<td>01/5143</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-09-2006</td>
<td>16 Th</td>
<td>RT 18 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS PUSING </td>
<td>IBUPROFEN, CTM,BCOM</td>
<td>93/47</td>
<td>128</td>
<td>38</td>
<td>20</td>
<td>158</td>
<td>45</td>
<td>59</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3678</td>
<td>UGD</td>
<td>15-09-2022</td>
<td></td>
<td>MOCHAMMAD ARJUNA ASYRAFY KURNIAWAN</td>
<td>`000795</td>
<td>06/5912</td>
<td>`0001266976517</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-10-2011</td>
 <td>10 Th</td>
<td>RT 35 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000931</td>
<td>BENGKAK DI LUTUT KAKI KANAN</td>
<td>INJ HEMOFILIA</td>
<td>100/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>D68.0</td>
<td>
Von Willebrand`s disease </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>3679</td>
<td>UGD</td>
<td>15-09-2022</td>
<td></td>
<td>VENOS ELOVIAN PUTRA IRAWAN</td>
<td>`013174</td>
<td>04/3766</td>
<td>`0002158658471</td>
<td>`3503051904160001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-04-2016</td>
<td>6 Th</td>
<td>RT 006 RW 002</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000932</td>
<td>PANAS 1 HARI, BATUK, PILEK, BADAN BENTOL-BENTOL</td>
 <td>PCT 3X1/3
GG 3X1/3
CTM 3X1/3
DEXA 2X1/3
</td>
<td>90/50</td>
<td>98</td>
<td>37</td>
<td>20</td>
<td>124</td>
<td>21</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3680</td>
<td>UGD</td>
<td>15-09-2022</td>
<td></td>
<td>JATMIKO PRASETYO</td>
<td>`009437</td>
<td>02/181</td>
<td>`0002435516638</td>
<td>`3515180309840009</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-09-1984</td>
<td>38 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y000933</td>
<td>NYERI PERUT</td>
<td>ANTASIDA 3X1
RANITIDIN 2X1</td>
<td>120/80</td>
<td>90</td>
<td>36</td>
<td>20</td>
 <td>165</td>
<td>65</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3681</td>
<td>POLI LANSIA</td>
<td>15-09-2022</td>
<td></td>
<td>MRAKIH</td>
<td>`020648</td>
<td>04/63</td>
<td>`0000666101013</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-06-1951</td>
<td>71 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000870</td>
<td>konsul hasil sekrining,telinga berdeging,</td>
<td>glimepirid,amlo10,simvastatin</td>
<td>169/85</td>
<td>78</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>51</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H91.9</td>
<td>
Hearing loss, unspecified </td>
<td>R73.0</td>
<td>
 Abnormal glucose tolerance test </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3682</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>HASNA PUTRI APRILIA I</td>
<td>`012522</td>
<td>02/2309A</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-04-2014</td>
<td>8 Th</td>
<td>RT 12 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK PILEK SESAK</td>
<td>PAMOL SY SALBUTAMOL,AMBROSOL</td>
<td>1/1</td>
<td>92</td>
<td>36</td>
<td>24</td>
<td>120</td>
<td>24</td>
<td>57</td>
<td></td>
<td>KASUS BARU</td>
<td>J45</td>
<td>
Asthma </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>3683</td>
<td>POLI KIA</td>
<td>15-09-2022</td>
<td></td>
<td>ARISTA KRISTY RAHAYU</td>
<td>`005969</td>
<td>90/3230</td>
<td>`0002431308655</td>
<td>`3503116409940002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-09-1994</td>
<td>28 Th</td>
<td>RT 16 RW 5</td>
<td>NGANTRU</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y001011</td>
<td>TAA</td>
<td>-</td>
<td>100/60</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>65</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3684</td>
<td>POLI KIA</td>
<td>15-09-2022</td>
<td></td>
<td>ELMI RIZONA</td>
<td>`021241</td>
<td>02/4235</td>
<td>`</td>
<td>`3504196704930001</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>27-04-1993</td>
<td>29 Th</td>
<td>RT 13 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td></td>
<td>KONTROL POLI KANDUNGAN</td>
<td>-</td>
<td>120/85</td>
<td>87</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>0</td>
<td></td>
<td>KASUS LAMA</td>
<td>N81.4</td>
<td>
Uterovaginal prolapse, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3685</td>
<td>POLI LANSIA</td>
<td>15-09-2022</td>
<td></td>
<td>CHAMIM THOHARI</td>
<td>`000013</td>
<td>02/8140</td>
<td>`0000106807678</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-09-1953</td>
<td>69 Th</td>
<td>RT 15 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y000863</td>
<td>rujukan</td>
<td>-</td>
<td>120/63</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>65</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I25.2</td>
<td>
Old myocardial infarction </td>
<td>I50.0</td>
<td>
Congestive heart failure </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3686</td>
<td>POLI LANSIA</td>
<td>15-09-2022</td>
<td></td>
<td>DJUMATUN</td>
<td>`021243</td>
<td>06/3689</td>
<td>`</td>
<td>`3503057112480018</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-08-1948</td>
<td>74 Th</td>
<td>RT 17 RW 03</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>telinga gemrebek,benjolan di payudara</td>
<td>bc</td>
<td>154/68</td>
<td>82</td>
<td>36</td>
<td>22</td>
<td>158</td>
 <td>58</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3687</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>ZAENAL FANANI</td>
<td>`021244</td>
<td>01/8599</td>
<td>`</td>
<td>`3503051207760004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-07-1976</td>
<td>46 Th</td>
<td>RT 06 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>sks</td>
<td>-</td>
<td>119/66</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3688</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>SARMINI</td>
<td>`000265</td>
<td>04/5938A</td>
<td>`0000666104264</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1966</td>
<td>56 Th</td>
<td>RT 05 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000889</td>
<td>BATUK</td>
<td>AMLODIPIN,ANTASIDA,GLIBEN,BCOM</td>
<td>139/67</td>
<td>91</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>47</td>
<td>59</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3689</td>
 <td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>SHOLIKAH</td>
<td>`010199</td>
<td>02/1523</td>
<td>`0000665676865</td>
<td>`3503055805670002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-05-1967</td>
<td>55 Th</td>
<td>RT 16 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000906</td>
<td>BATUK, GREGES, PILEK, KEJU2</td>
<td>IBUPROF, VIT BC, AMBROXOL, ALLOPURINOL</td>
<td>130/75</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>71</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td>M13.9</td>
<td>
Arthritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3690</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>AGUS WIDODO</td>
<td>`021245</td>
<td>06/2384</td>
<td>`</td>
<td>`3503092507930001</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>25-07-1993</td>
<td>29 Th</td>
<td>DUSUN SOKO, RT : 49,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Baru</td>
<td></td>
<td>benjolan di pergelangan tangan</td>
<td>-</td>
<td>141/83</td>
<td>69</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>72.7</td>
<td>85</td>
<td></td>
<td>KASUS BARU</td>
<td>D17.9</td>
<td>
Benign lipomatous neoplasm, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3691</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>IMAM SYAFI`I</td>
<td>`021246</td>
<td>06/5068</td>
<td>`0002802753628</td>
<td>`3503051312710001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-12-1971</td>
<td>50 Th</td>
<td>DUSUN PAKEL, RT : 37,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
 <td>Lama</td>
<td>131506010922Y000891</td>
<td>NYERI TENGGOROKAN,GREGES,</td>
<td>CIPRO,GG PREDNISON</td>
<td>132/73</td>
<td>63</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>61</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3692</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>YAHDI</td>
<td>`006482</td>
<td></td>
<td>`0001978490259</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-12-1948</td>
<td>73 Th</td>
<td>PRAMBON RT 49/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000912</td>
<td>KESEMUTAN KAKI</td>
<td>NATDIK GLIBEN</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
 <td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R73.9</td>
<td>
Hyperglycaemia, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3693</td>
<td>POLI LANSIA</td>
<td>15-09-2022</td>
<td></td>
<td>SURAJI</td>
<td>`021089</td>
<td>90/323</td>
<td>`0003197664303</td>
<td>`3503053112400046</td>
<td>`</td>
<td>purwanto</td>
<td></td>
<td>L</td>
<td>31-12-1940</td>
<td>81 Th</td>
<td>RT 3 RW 1</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000874</td>
<td>kontrol post opnam,masih batuk </td>
<td>glimepirid,ambroxol,bc</td>
<td>116/52</td>
<td>78</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>78</td>
<td>Pucanganak</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3694</td>
<td>POLI GIGI</td>
<td>15-09-2022</td>
<td></td>
<td>SITI RATNASARI</td>
<td>`021247</td>
<td>04/9366</td>
<td>`</td>
<td>`3503056208950003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-08-1995</td>
<td>27 Th</td>
<td>RT 28 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td></td>
<td>gigi geraham bawah kiri tinggal sisa akar</td>
<td>konsultasi dan medikasi</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3695</td>
<td>POLI LANSIA</td>
 <td>15-09-2022</td>
<td></td>
<td>WIDARNI</td>
<td>`021147</td>
<td>02/4055</td>
<td>`0000106706193</td>
<td>`3503055407450002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-07-1945</td>
<td>77 Th</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y000866</td>
<td>KONTROL LUKA JAHITAN DIKEPALA ,NYERI BERKURANG</td>
<td>amox
pamol</td>
<td>125/79</td>
<td>89</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>36</td>
<td>85</td>
<td>dr. Ida Roslena</td>
<td>KASUS LAMA</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3696</td>
<td>POLI LANSIA</td>
<td>15-09-2022</td>
<td></td>
<td>KATEMI</td>
<td>`006458</td>
<td>08/3332</td>
<td>`</td>
<td>`3503057112560025</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>31-12-1956</td>
<td>65 Th</td>
<td>RT 06 RW 02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td>batuk,pilek,mriang,boyok nyeri</td>
<td>pct,ctm,gg,nadic,vit c</td>
<td>142/81</td>
<td>87</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>45</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3697</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>DAMAR</td>
<td>`002824</td>
<td></td>
<td>`0002737770074</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-08-1947</td>
<td>75 Th</td>
<td>PRAMBON RT 44</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
 <td>Lama</td>
<td>131506010922Y000914</td>
<td>PUSING KEMBUNG</td>
<td>PAMOL ANTASID</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3698</td>
<td>POLI MTBS</td>
<td>15-09-2022</td>
<td></td>
<td>GEMPAR SADAWIRA</td>
<td>`021248</td>
<td>04/2049</td>
<td>`0003129948088</td>
<td>`3503050601220001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-01-2022</td>
<td>0 Th</td>
<td>RT 06 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000888</td>
<td>BAB LEMBEK,LENDIR,</td>
<td>ORALIT ZINC</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>65</td>
<td>9</td>
 <td>47</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09.9</td>
<td>
Gastroenteritis and colitis of unspecified origin </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3699</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>MUHAMMAD NAUFAL ALFAN SYARIF</td>
<td>`021249</td>
<td>01/547</td>
<td>`0002083325859</td>
<td>`3503140509160002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-09-2016</td>
<td>6 Th</td>
<td>RT 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000908</td>
<td>KEMBUNG TADI MALAM, PANAS, BAB CAIR 1X, NYERI PERUT, BATUK</td>
<td>AMBROXOL, PAMOL SY, ORALIT, DIAFORM</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>17.4</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
 <td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3700</td>
<td>POLINDES PRAMBON 2</td>
<td>15-09-2022</td>
<td></td>
<td>WAGIRAH</td>
<td>`002935</td>
<td></td>
<td>`0001978489473</td>
<td>`3503054109660001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-1966</td>
<td>56 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001043</td>
<td>Pusing, batuk, pilek</td>
<td>Pct, ambrox, desa, antas</td>
<td>131/71</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>58</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3701</td>
<td>PUSTU PRAMBON</td>
 <td>15-09-2022</td>
<td></td>
<td>YENI</td>
<td>`005008</td>
<td></td>
<td>`0000664938189</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-01-1996</td>
<td>26 Th</td>
<td>PRAMBON RT 54/11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000915</td>
<td>MUAL DAN PUSING BERPUTAR</td>
<td>PAMOL ANTASID CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H81.4</td>
<td>
Vertigo of central origin </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3702</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>BINTI ROIKAH</td>
<td>`013069</td>
<td>04/9056</td>
<td>`0002860464205</td>
<td>`3503125204870005</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>12-04-1987</td>
<td>35 Th</td>
<td>RT 01 RW 01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000886</td>
<td>PILEK BADAN TERASA KEJU</td>
<td>IBUPROFEN,LORATADIN</td>
<td>143/81</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>80</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3703</td>
<td>POLINDES PRAMBON 2</td>
<td>15-09-2022</td>
<td></td>
<td>ALTHAVIA PUTRI G</td>
<td>`012318</td>
<td></td>
<td>`0003063680234</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-12-2020</td>
<td>1 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
 <td>131506010922Y001045</td>
<td>Panas</td>
<td>Pct srp</td>
<td>80/60</td>
<td>92</td>
<td>37</td>
<td>24</td>
<td>87</td>
<td>10</td>
<td>43</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50</td>
<td>
Fever of other and unknown origin </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3704</td>
<td>POLI MTBS</td>
<td>15-09-2022</td>
<td></td>
<td>ARSYA FEBRIAN</td>
<td>`005083</td>
<td>05/8245</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-02-2021</td>
<td>1 Th</td>
<td>RT 6 RW 3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK PILEK PANAS</td>
<td>CTM BCOM PAMOL SY</td>
<td>1/1</td>
<td>93</td>
<td>36</td>
<td>24</td>
<td>70</td>
<td>92</td>
<td>48</td>
 <td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3705</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>MUSRI</td>
<td>`011021</td>
<td></td>
<td>`0000666011698</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-08-1975</td>
<td>47 Th</td>
<td>PRAMBON RT 51/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000916</td>
<td>BATUK</td>
<td>PAMOL GG</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3706</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>YESIKA WIJIASTUTI</td>
<td>`018268</td>
<td>05/395</td>
<td>`0000665468954</td>
<td>`3503057003040001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-03-2004</td>
<td>18 Th</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000902</td>
<td>BATUK,PILEK, NYERI TENGGOROKAN</td>
<td>CTM, GG, PAMOL</td>
<td>112/61</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>64.7</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3707</td>
<td>POLI K.B</td>
<td>15-09-2022</td>
 <td></td>
<td>SURATI</td>
<td>`017183</td>
<td>06/5918A</td>
<td>`0002014035399</td>
<td>`3503056002890002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-02-1989</td>
<td>33 Th</td>
<td>RT 60RW 012</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>BONGKAR PASANG IMPLAN</td>
<td>-</td>
<td>116/76</td>
<td>85</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.9</td>
<td>
Contraceptive management, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Suharti </td>
<td>
Pelayanan Rawat Jalan<br>Pemasangan Implat<br> </td>
</tr>
<tr align='left' valign="top">
<td>3708</td>
<td>POLI LANSIA</td>
<td>15-09-2022</td>
<td></td>
<td>DASRIATI</td>
<td>`020079</td>
<td>06/8681</td>
<td>`0002767907698</td>
<td>`3503055808600003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>18-08-1960</td>
<td>62 Th</td>
<td>RT 10 / RW 02</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000871</td>
<td>kaki bengkak,menggeh2</td>
<td>-</td>
<td>148/84</td>
<td>90</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>57</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I50.0</td>
<td>
Congestive heart failure </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3709</td>
<td>POLI KIA</td>
<td>15-09-2022</td>
<td></td>
<td>TITIK ANDAYANI</td>
<td>`020864</td>
<td>08/9250</td>
<td>`</td>
<td>`3503066909800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1980</td>
<td>42 Th</td>
<td>RT 05 RW02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
 <td>TAA</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3710</td>
<td>POLI LANSIA</td>
<td>15-09-2022</td>
<td></td>
<td>SUYATI</td>
<td>`006295</td>
<td>01/2695</td>
<td>`</td>
<td>`3503055208580002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-08-1958</td>
<td>64 Th</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>telinga tidak mendengar,kaki keju linu</td>
<td>amlodipin,furocemid,aspilet,pct,</td>
<td>151/83</td>
<td>92</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>63</td>
<td>85</td>
<td></td>
 <td>KASUS BARU</td>
<td>H61.2</td>
<td>
Impacted cerumen </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3711</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>NANING</td>
<td>`000703</td>
<td>08/4479</td>
<td>`0001037006897</td>
<td>`3503054502700001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-02-1970</td>
<td>52 Th</td>
<td>DUSUN BENGGLE, RT : 11,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000867</td>
<td>kontrol PRB</td>
<td>spironolactone 25 mg 1x1 (30) candesartan 8 mg 1x1 (30) concor 2,5 mg 1x1
(30)</td>
<td>100/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>44</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I11</td>
<td>
Hypertensive heart disease </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3712</td>
<td>POLI REMAJA</td>
<td>15-09-2022</td>
<td></td>
<td>JIHAN KAMELIA KHUSNA</td>
<td>`021116</td>
<td>01/194</td>
<td>`</td>
<td>`3503056608090001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-08-2009</td>
<td>13 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>KONTROL NYERI PERUT</td>
<td>OMZ, ANTASID</td>
<td>99/55</td>
<td>116</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>57.8</td>
<td>78</td>
<td></td>
<td>KASUS LAMA</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3713</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
 <td></td>
<td>LILIS TRIYANI</td>
<td>`006591</td>
<td>07/4312</td>
<td>`0001978437475</td>
<td>`3503055710980004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-10-1998</td>
<td>23 Th</td>
<td>RT 06 RW 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000901</td>
<td>GATAL</td>
<td>LORATADI, SCABIMIT CREAM</td>
<td>99/58</td>
<td>85</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56.6</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>B86</td>
<td>
Scabies </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3714</td>
<td>POLI GIGI</td>
<td>15-09-2022</td>
<td></td>
<td>HALIM RAFFA ALFIANO</td>
<td>`021049</td>
<td>01/6313</td>
<td>`0002215886657</td>
<td>`9202121408150001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>14-08-2015</td>
<td>7 Th</td>
<td>RT 04 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001012</td>
<td>gigi depan bawah kiri kesundulan</td>
<td>anasthesi topikal cabut gigi 71</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>123</td>
<td>24</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>3715</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>MUHAMMAD ZAHDAN ILHAM ILYAS</td>
<td>`002641</td>
<td>05/1632b</td>
<td>`0002424644932</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-06-2014</td>
<td>8 Th</td>
<td>RT 8 RW 4</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000875</td>
 <td>kontrol PRB</td>
<td>asam valproat sy 2x4,2 ml </td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>110</td>
<td>13.3</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>G40.9</td>
<td>
Epilepsy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3716</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>AHMAD YUNUS</td>
<td>`009843</td>
<td>01/3700</td>
<td>`0003105760555</td>
<td>`3503051504660001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-04-1966</td>
<td>56 Th</td>
<td>RT 22 RW 06</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000900</td>
<td>BATUK, PUSING CEKOT2, KONTROL DIABET</td>
<td>VIT C, PAMOL, GG, GLIMEPIRID</td>
<td>122/62</td>
<td>74</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>67.2</td>
<td>89</td>
<td>Tugu</td>
 <td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3717</td>
<td>POLI LANSIA</td>
<td>15-09-2022</td>
<td></td>
<td>UMARDANI</td>
<td>`021223</td>
<td>02/1439</td>
<td>`0000665598914</td>
<td>`3503050101570002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-01-1957</td>
<td>65 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000869</td>
<td>rujukan ke poli urologi</td>
<td>-</td>
<td>140/72</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>54</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R33</td>
<td>
Retention of urine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3718</td>
<td>POLI LANSIA</td>
<td>15-09-2022</td>
<td></td>
<td>MA`SUM</td>
<td>`021252</td>
<td>08/6092B</td>
<td>`0001978461246</td>
<td>`3503050406620003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-06-1962</td>
<td>60 Th</td>
<td>DUSUN SANGGRAHAN, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td>131506010922Y000876</td>
<td>kontrol luka di jari tangan</td>
<td>-</td>
<td>154/75</td>
<td>72</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3719</td>
<td>POLI GIZI</td>
<td>15-09-2022</td>
<td></td>
 <td>TITIK ANDAYANI</td>
<td>`020864</td>
<td>08/9250</td>
<td>`</td>
<td>`3503066909800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1980</td>
<td>42 Th</td>
<td>RT 05 RW02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>TAA</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3720</td>
<td>POLI REMAJA</td>
<td>15-09-2022</td>
<td></td>
<td>RISMA CITRA LESTARI</td>
<td>`007381</td>
<td>03/4949</td>
<td>`0000195400809</td>
<td>`3503055904090002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-04-2009</td>
 <td>13 Th</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000899</td>
<td>MBESESEK</td>
<td>OMZ, ANTASID</td>
<td>121/66</td>
<td>114</td>
<td>36</td>
<td>20</td>
<td>149</td>
<td>44.5</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F45</td>
<td>
Somatoform disorders </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3721</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>MESIKEM</td>
<td>`015480</td>
<td></td>
<td>`0001037013941</td>
<td>`3503057112500024</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1950</td>
<td>71 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000917</td>
<td>KEJU BATUK</td>
 <td>NATDIK CTM GG</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3722</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>SUNARTI</td>
<td>`001253</td>
<td>06/1081</td>
<td>`0002014098254</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-11-1986</td>
<td>35 Th</td>
<td>RT 48 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000918</td>
<td>PUSING</td>
<td>IBU 400 BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>64</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3723</td>
<td>POLI GIGI</td>
<td>15-09-2022</td>
<td></td>
<td>MISMO</td>
<td>`014979</td>
<td>07/9367</td>
<td>`0001978434876</td>
<td>`3503050712560001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-12-1956</td>
<td>65 Th</td>
<td>DUSUN GENDONG, RT : 9,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001013</td>
<td>gigi depan bawah kiri goyang derajat 4</td>
<td>anasthesi topikal cabut gigi 33</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi dewasa ringan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3724</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>DJAMIR</td>
<td>`015742</td>
<td></td>
<td>`0000666029338</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-07-1973</td>
<td>49 Th</td>
<td>PRAMBON RT 51/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000919</td>
<td>PUSING DAN GATL</td>
<td>NATDIK DEXA CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3725</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>INDAH MASNAH</td>
 <td>`021099</td>
<td>01/6974</td>
<td>`0000201632861</td>
<td>`3503055210830001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-10-1983</td>
<td>38 Th</td>
<td>RT 19 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y000873</td>
<td>ganti kacamata</td>
<td>-</td>
<td>118/69</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>53.6</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H52.5</td>
<td>
Disorders of accommodation </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3726</td>
<td>POLI KIA</td>
<td>15-09-2022</td>
<td></td>
<td>SITI ROISATUL KHASANAH</td>
<td>`021255</td>
<td>04/5925</td>
<td>`</td>
<td>`3503134406990001</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1999</td>
 <td>23 Th</td>
<td>RT 18 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>MUAL</td>
<td>-</td>
<td>110/69</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3727</td>
<td>POLI REMAJA</td>
<td>15-09-2022</td>
<td></td>
<td>NABILA ZAFIRA</td>
<td>`021256</td>
<td>01/10</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-03-2009</td>
<td>13 Th</td>
<td>RT 03 RW 01</td>
<td>GEDUNG WANI</td>
<td>MARGA TIGA</td>
<td>LAMPUNG TIMUR</td>
<td>LAMPUNG</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>BATUK PILEK</td>
 <td>VIT C OBH</td>
<td>104/67</td>
<td>67</td>
<td>36</td>
<td>24</td>
<td>148</td>
<td>55</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3728</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>TATIK</td>
<td>`021257</td>
<td></td>
<td>`0001978487313</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-03-1968</td>
<td>54 Th</td>
<td>PRAMBON RT 44/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000920</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3729</td>
<td>POLI MTBS</td>
<td>15-09-2022</td>
<td></td>
<td>MUHAMMAD SYVA DYLON SUKRIYANTO</td>
<td>`006539</td>
<td>01/584</td>
<td>`0003082554527</td>
<td>`3503052009070226</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-05-2021</td>
<td>1 Th</td>
<td>RT 15 RW 4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000878</td>
<td>-</td>
<td>-</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>24</td>
<td>58</td>
<td>8</td>
<td>49</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E03.1</td>
<td>
Congenital hypothyroidism without goitre </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3730</td>
<td>POLI REMAJA</td>
<td>15-09-2022</td>
<td></td>
<td>ANNISA NADHIFA ZAHRO (2)</td>
<td>`021198</td>
<td>90/2615</td>
<td>`0003118876468</td>
<td>`3503066712090001</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>27-12-2009</td>
<td>12 Th</td>
<td>DUSUN TALUN, RT : 1,RW :1 </td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000880</td>
<td>panas,batuk pilek</td>
<td>obh sy, cipro,ctm,pct</td>
<td>120/66</td>
<td>143</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>64</td>
<td>57</td>
<td>Karangan</td>
<td>KASUS BARU</td>
<td>J03</td>
<td>
Acute tonsillitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3731</td>
<td>POLI MTBS</td>
<td>15-09-2022</td>
<td></td>
 <td>MUHAMMAD ATHALLA ABISATYA ADANU</td>
<td>`021258</td>
<td>01/4440</td>
<td>`</td>
<td>`3503052502220001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-02-2022</td>
<td>0 Th</td>
<td>RT 32 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>PANAS PILEK</td>
<td>PAMOL CTM GG</td>
<td>1/1</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>61</td>
<td>10</td>
<td>47</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3732</td>
<td>POLINDES PRAMBON 2</td>
<td>15-09-2022</td>
<td></td>
<td>NUNUK WIDIATI</td>
<td>`011321</td>
<td>06/9209</td>
<td>`0003012425379</td>
<td>`3503057005880001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-05-1988</td>
 <td>34 Th</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000872</td>
<td>Pusing</td>
<td>Pct, fe</td>
<td>142/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>60</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3733</td>
<td>POLI GIGI</td>
<td>15-09-2022</td>
<td></td>
<td>NAHDHIYATUR ROSYIIDAH</td>
<td>`018863</td>
<td>06/3828</td>
<td>`0003064259957</td>
<td>`3503056112150001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-12-2015</td>
<td>6 Th</td>
<td>TENGGAR, RT : 2,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001014</td>
<td>gigi depan bawah kiri kesundulan</td>
 <td>anasthesi topikal cabut gigi 81</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>123</td>
<td>24</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>3734</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>ARIN ZUHRIYA</td>
<td>`020508</td>
<td>05/7228</td>
<td>`</td>
<td>`3503050210150002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-10-2015</td>
<td>6 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>SERUMEN</td>
<td>FHENOL</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>110</td>
<td>19</td>
<td>47</td>
<td></td>
<td>KASUS BARU</td>
 <td>H61.2</td>
<td>
Impacted cerumen </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3735</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>MUJIONO</td>
<td>`021260</td>
<td></td>
<td>`</td>
<td>`3503050707600001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-07-1960</td>
<td>62 Th</td>
<td>DUSUN PAKEL, RT : 33,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>BATUK</td>
<td>PAMOL AMBOROXOL CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>63</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3736</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>DASRI</td>
<td>`021261</td>
<td></td>
<td>`0000665901573</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-10-1967</td>
<td>54 Th</td>
<td>PRAMBON RTV 49/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000921</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3737</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>RAFIF AHMAD NAFIS</td>
 <td>`009542</td>
<td>90/2639</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-03-2015</td>
<td>7 Th</td>
<td>RT 14 RW 05</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>SERUMEN</td>
<td>PHENOL</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>19</td>
<td>49</td>
<td></td>
<td>KASUS BARU</td>
<td>H61.2</td>
<td>
Impacted cerumen </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3738</td>
<td>POLI LANSIA</td>
<td>15-09-2022</td>
<td></td>
<td>MURYONO</td>
<td>`000650</td>
<td>02/424</td>
<td>`0000665626083</td>
<td>`3503051208540001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-08-1954</td>
<td>68 Th</td>
 <td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000883</td>
<td>pusing cekot2 lemes</td>
<td>antasida,omz,pct</td>
<td>104/58</td>
<td>51</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>46</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3739</td>
<td>POLI GIGI</td>
<td>15-09-2022</td>
<td></td>
<td>GINA ALESHA SALSABILA</td>
<td>`021262</td>
<td>01/9368</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>TN. GISTO</td>
<td></td>
<td>P</td>
<td>16-02-2016</td>
<td>6 Th</td>
<td>RT 30 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>gigi depan atas kiri kesundulan</td>
<td>anasthesi topikal cabut gigi 61</td>
 <td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>116</td>
<td>22</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>3740</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>JEMANI</td>
<td>`021263</td>
<td></td>
<td>`0003177400825</td>
<td>`3503052908510001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-08-1951</td>
<td>71 Th</td>
<td>DUSUN SOOKO, RT : 50,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000922</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>63</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
 <td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3741</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>RENO MUHAMMAD SAFIUL HUSNA</td>
<td>`005433</td>
<td>06/1430</td>
<td>`0002802770493</td>
<td>`3503052904110002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-04-2011</td>
<td>11 Th</td>
<td>TENGGAR, RT : 7,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001015</td>
<td>BATUK PANAS</td>
<td>PAMOL GG DEXA</td>
<td>100/60</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>110</td>
<td>46</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3742</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>SULI</td>
<td>`001844</td>
<td></td>
<td>`0002159512323</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-05-1972</td>
<td>50 Th</td>
<td>PRAMBON RT 7/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000885</td>
<td>KEJU LINU</td>
<td>NATDIKK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3743</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>SUMINI</td>
<td>`006835</td>
 <td>06/6083</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-10-1965</td>
<td>56 Th</td>
<td>RT 027 RW 005</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>MUAL MUNTAH NYERI PERUT,BATUK</td>
<td>RANITIDIN,AMBROKSOL,DOMPERIDOM,</td>
<td>150/87</td>
<td>111</td>
<td>36</td>
<td>24</td>
<td>148</td>
<td>52</td>
<td>54</td>
<td></td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td>K29.9</td>
<td>
Gastroduodenitis, unspecified </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3744</td>
<td>POLI GIGI</td>
<td>15-09-2022</td>
<td></td>
<td>AZKA DANISH ARDIANSYAH</td>
<td>`011549</td>
<td>01/2061</td>
<td>`0001960091897</td>
<td>`3503050210150001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-10-2015</td>
<td>6 Th</td>
<td>RT 34 RW 08</td>
 <td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi depan atas kanan goyang derajat 3</td>
<td>konsultasi pro exo</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>26</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.1</td>
<td>
Supernumerary teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>3745</td>
<td>POLI KIA</td>
<td>15-09-2022</td>
<td></td>
<td>JAIKEM</td>
<td>`009465</td>
<td>05/5013</td>
<td>`0002750031213</td>
<td>`3503054107480038</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1948</td>
<td>74 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922P000865</td>
<td>RUJUKAN</td>
<td>-</td>
<td>132/89</td>
 <td>96</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>52</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N81.4</td>
<td>
Uterovaginal prolapse, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3746</td>
<td>POLI GIGI</td>
<td>15-09-2022</td>
<td></td>
<td>M. BAHID MUHSIN</td>
<td>`011288</td>
<td>90/1802</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-08-2015</td>
<td>7 Th</td>
<td>RT 06 RW 02</td>
<td>SUMBER</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi depan atas kiri goyang derajat 3</td>
<td>anasthesi topikal cabut gigi 61</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>123</td>
<td>25</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.1</td>
<td>
 Supernumerary teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>3747</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>HASIM ASNGARI</td>
<td>`011881</td>
<td></td>
<td>`0002802765712</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-05-1958</td>
<td>64 Th</td>
<td>PRAMBON RT 12/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000882</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3748</td>
<td>POLI GIGI</td>
<td>15-09-2022</td>
<td></td>
<td>SAMBA ALZA TIRTA NUGROHO</td>
<td>`021266</td>
<td>01/1362</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-09-2015</td>
<td>7 Th</td>
<td>RT 22 RW 06</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>gigi depan atas kanan kesundulan</td>
<td>anasthesi topikal cabut gigi 51</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>123</td>
<td>24</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>3749</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td>KONSULTASI</td>
<td>ASIH RIMAYUNI</td>
<td>`003244</td>
<td></td>
 <td>`0001261820182</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-06-1985</td>
<td>37 Th</td>
<td>PRAMBO RT 12/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3750</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>MARINTEN</td>
<td>`021267</td>
<td>07/689</td>
<td>`0001978441007</td>
<td>`3503054603700001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-03-1970</td>
<td>52 Th</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td>131506010922Y000895</td>
<td>PUSING BATUK PILEK</td>
<td>PAMOL GG CTM</td>
<td>139/75</td>
<td>83</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3751</td>
<td>POLI LANSIA</td>
<td>15-09-2022</td>
<td></td>
<td>KATINI</td>
<td>`021268</td>
<td>01/2135</td>
<td>`0002464948631</td>
<td>`3503056012550001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-12-1955</td>
<td>66 Th</td>
<td>RT 08 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000898</td>
<td>batuk kurang lebih 2mggu dahak pilek mriang gliyeng nyeri telan keju
linu</td>
<td>cipro pamol ctm vit c vit d </td>
<td>133/93</td>
 <td>76</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>63</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3752</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>MESINEM</td>
<td>`017265</td>
<td></td>
<td>`0001978461562</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-04-1949</td>
<td>73 Th</td>
<td>BANAEAN RT6/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000884</td>
<td>TELINGA SAKIT</td>
<td>IBU 400 BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H60.9</td>
<td>
 Otitis externa, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3753</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>SYAHIRA ANGELINA KUSJAYANTI</td>
<td>`021265</td>
<td>02/1523</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-07-2015</td>
<td>7 Th</td>
<td>RT 16 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>ADA SERUMEN DITELINGA</td>
<td>PHENOL GLISERIL</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>18</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>H61.2</td>
<td>
Impacted cerumen </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3754</td>
<td>POLI K.B</td>
<td>15-09-2022</td>
<td></td>
<td>SAMSUL WAHYUDI</td>
<td>`008234</td>
<td>02/1868</td>
<td>`</td>
<td>`3503053008810002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-08-1981</td>
<td>41 Th</td>
<td>RT 05 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>CPP</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>59</td>
<td>1</td>
<td>Pucanganak</td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3755</td>
<td>POLI K.B</td>
<td>15-09-2022</td>
<td></td>
<td>RINAWATI YULISTIYAN</td>
<td>`014962</td>
<td>01/1620</td>
 <td>`0003129653867</td>
<td>`3503056607820006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-07-1982</td>
<td>40 Th</td>
<td>DUSUN GONDANG, RT : 32,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>CPW</td>
<td>-</td>
<td>110/74</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>54</td>
<td>1</td>
<td>Klinik Aba Husada</td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3756</td>
<td>UGD</td>
<td>15-09-2022</td>
<td></td>
<td>MIFTAHUDIN</td>
<td>`012646</td>
<td>06/9216</td>
<td>`0002802765543</td>
<td>`3503080706860001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-06-1986</td>
<td>36 Th</td>
<td>RT 60 RW 12</td>
<td>PRAMBON</td>
 <td>PRAMBON</td>
<td>SIDOARJO</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000934</td>
<td>PANAS 1 HARI, MUAL, MUNTAH</td>
<td>PCT 3X1
ANTASIDA 3X1
RANITIDIN 2X1</td>
<td>120/70</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>167</td>
<td>57</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3757</td>
<td>POLI K.B</td>
<td>15-09-2022</td>
<td></td>
<td>WULAN NUR NGAENI</td>
<td>`021270</td>
<td>04/7712</td>
<td>`</td>
<td>`3503054112960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1996</td>
<td>25 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>CPW</td>
<td>-</td>
 <td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>48</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3758</td>
<td>POLI K.B</td>
<td>15-09-2022</td>
<td></td>
<td>ALDI MAWARI GUMELAR</td>
<td>`021271</td>
<td></td>
<td>`</td>
<td>`3503032401980001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>24-01-1998</td>
<td>24 Th</td>
<td>RT 66 RW 25. DS PULE. KEC PULE. KAB TRENGGALEK, RT : 66,RW :25 </td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>CPP</td>
<td>-</td>
<td>128/74</td>
<td>85</td>
<td>36</td>
<td>20</td>
<td>169</td>
<td>63</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
 <td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3759</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>ISTIKOMAH</td>
<td>`004964</td>
<td></td>
<td>`0002802748959</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-12-1975</td>
<td>46 Th</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000890</td>
<td>KEMBUNG KONTROL TENSI</td>
<td>ANTASID AMLO 5MG</td>
<td>160/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3760</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>AGUS SUHARIYANTO</td>
<td>`021273</td>
<td>90/2449</td>
<td>`0002473497134</td>
<td>`3503050207860001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-07-1986</td>
<td>36 Th</td>
<td>JAMBU, RT : 010,RW :004 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>LAINNYA</td>
<td>Lama</td>
<td>131506010922Y000905</td>
<td>NYERI PUNGGUNG</td>
<td>NADIF, PREDNISON</td>
<td>122/75</td>
<td>59</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>61</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3761</td>
<td>POLI K.B</td>
<td>15-09-2022</td>
<td></td>
<td>NABILA ZAHIDAH</td>
 <td>`021274</td>
<td>02/5357</td>
<td>`0002479977461</td>
<td>`3503044206990001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-06-1999</td>
<td>23 Th</td>
<td>RT 12 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>CPW</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>52</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3762</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>MISRI</td>
<td>`013431</td>
<td></td>
<td>`0003011258902</td>
<td>`3503057110640001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-10-1964</td>
<td>57 Th</td>
 <td>PAKEL, RT : 40,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000892</td>
<td>DENGKUL SAKIT</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3763</td>
<td>POLI LANSIA</td>
<td>15-09-2022</td>
<td></td>
<td>MUHASIM</td>
<td>`002458</td>
<td>01/982</td>
<td>`0000665053918</td>
<td>`3503052006420001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-06-1942</td>
<td>80 Th</td>
<td>DESA GONDANG, RT : 13,RW :3 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>131506010922Y000893</td>
<td>prb</td>
<td>bisoprolol 1x1 30 biji
furocemid 1x1 30 biji
isdn 2x1 60 biji
clopidogrel 1x1 30 biji
spinorolacton 1x1 30 biji
simvastatin 1x1 30 biji</td>
<td>140/90</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>46</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I50.0</td>
<td>
Congestive heart failure </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3764</td>
<td>RAWAT INAP</td>
<td>15-09-2022</td>
<td>Rawat Inap (UGD)</td>
<td>SATIJO</td>
<td>`021275</td>
<td></td>
<td>`0002802766634</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-06-1963</td>
<td>59 Th</td>
<td>RT 54 RW 11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Baru</td>
<td></td>
<td>PX MENGATAKAN GEMETAR, LEMES, PUSING, BAB SULIT, SESAK</td>
<td>INF RL 20 TPM
INJ RANITIDIN 1 A
OS ANTASIDA 1 A
RUJUK RSBA</td>
<td>70/50</td>
<td>60</td>
 <td>36</td>
<td>20</td>
<td>170</td>
<td>60</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>E11</td>
<td>
Non-insulin-dependent diabetes mellitus </td>
<td>D64.9</td>
<td>
Anaemia, unspecified </td>
<td>I95</td>
<td>
Hypotension </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Rawat Inap pasien BPJS<br>Pemasangan infuse<br>Konsultasi<br>Tindakan medis
ringan lainnya<br>Pemasangan oksigen/jam<br> </td>
</tr>
<tr align='left' valign="top">
<td>3765</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>HERU FAJAR RIYANTO</td>
<td>`001976</td>
<td>06/1430</td>
<td>`0002159512334</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-01-2003</td>
<td>19 Th</td>
<td>RT 7 RW 2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000927</td>
<td>BATUK</td>
<td>PAMOL GG DEXA</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
 Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3766</td>
<td>PONKESDES SUKOREJO</td>
<td>15-09-2022</td>
<td></td>
<td>PUJIATI</td>
<td>`002684</td>
<td></td>
<td>`0001978435978</td>
<td>`3503056103800002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-03-1980</td>
<td>42 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001544</td>
<td>pusing,sebah</td>
<td>asmed,antasida,ctm</td>
<td>113/89</td>
<td>83</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R52.9</td>
<td>
Pain, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3767</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>SHAFANA KAYYISA ATSIRA</td>
<td>`021279</td>
<td>03/2922</td>
<td>`0001862556445</td>
<td>`3503055802150001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-02-2015</td>
<td>7 Th</td>
<td>RT 004 RW 002</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000903</td>
<td>BATUK</td>
<td>GG, CTM, VIT C</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>18.7</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3768</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>MARINEM</td>
<td>`001259</td>
<td></td>
 <td>`0001037014143</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-1958</td>
<td>64 Th</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000924</td>
<td>PUSING KEMBUNG</td>
<td>PAMOL ANTASID</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3769</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>RENY PUJIATI</td>
<td>`021280</td>
<td></td>
<td>`0000665540943</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-05-1985</td>
<td>37 Th</td>
<td>PRAMBON RT 36/6</td>
<td>PRAMBON</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000925</td>
<td>PUSING KEMBUNG</td>
<td>PAMOL ANTASID BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3770</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>MARHATI</td>
<td>`020606</td>
<td>06/8058</td>
<td>`0001887548253</td>
<td>`3515165003790004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-03-1979</td>
<td>43 Th</td>
<td>RT 36 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000926</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>110/70</td>
<td>76</td>
 <td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3771</td>
<td>POLI UMUM</td>
<td>15-09-2022</td>
<td></td>
<td>LIDAWATI</td>
<td>`021282</td>
<td>03/4865</td>
<td>`0001978453315</td>
<td>`3503055404850001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-04-1985</td>
<td>37 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000897</td>
<td>BATUKPILEK PANAS PUSING</td>
<td>AMOK PAMOL CTM FGG VIT C</td>
<td>109/62</td>
<td>63</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>82.3</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
 <td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3772</td>
<td>POLI LANSIA</td>
<td>15-09-2022</td>
<td></td>
<td>DJUMATUN</td>
<td>`021242</td>
<td>06/3689</td>
<td>`0000106616294</td>
<td>`3503057112480018</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-08-1948</td>
<td>74 Th</td>
<td>RT 17 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000896</td>
<td>ada benjolan di payudara</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>42</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>C50.9</td>
<td>
Malignant neoplasm of breast, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3773</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td>KONSULTASI</td>
<td>MUNIR</td>
<td>`015906</td>
<td></td>
<td>`0001978454913</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-06-1977</td>
<td>45 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3774</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td>KONSULTASI</td>
<td>SITI MARFUAN</td>
<td>`017438</td>
<td></td>
<td>`0001978454924</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-08-1974</td>
<td>48 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>114/69</td>
<td>74</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>57</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3775</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td>KONSULTASI</td>
<td>MARTINI</td>
<td>`012717</td>
<td></td>
<td>`0001978454935</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1946</td>
<td>75 Th</td>
<td>RT 005 RW </td>
<td>TUMPUK</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/64</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3776</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td>KONSULTASI</td>
<td>KATMIRAH</td>
<td>`020301</td>
<td></td>
<td>`0001978446677</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-09-1962</td>
<td>60 Th</td>
<td>RT 10 RW 4</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>126/78</td>
<td>68</td>
<td>36</td>
 <td>20</td>
<td>153</td>
<td>58</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3777</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td>KONSULTASI</td>
<td>MURYONO</td>
<td>`016645</td>
<td></td>
<td>`0001978447184</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-02-1953</td>
<td>69 Th</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>125/76</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>64</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3778</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td>KONSULTASI</td>
<td>MARTONO</td>
<td>`013281</td>
<td></td>
<td>`0001978447239</td>
<td>`</td>
<td>`</td>
<td>MARTONO</td>
<td></td>
<td>L</td>
<td>16-07-1956</td>
<td>66 Th</td>
<td>RT;RW</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>126/76</td>
<td>74</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>64</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3779</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td>KONSULTASI</td>
<td>TATA RIZKI NAFIAH</td>
<td>`015871</td>
<td></td>
<td>`0001978447566</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-05-2009</td>
<td>13 Th</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>149</td>
<td>43</td>
<td>72</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3780</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td>KONSULTASI</td>
<td>DHIYA PUTRI SANDANI</td>
<td>`015938</td>
<td></td>
<td>`0001978447724</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-11-2007</td>
<td>14 Th</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/68</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>74</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3781</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td>KONSULTASI</td>
<td>MUALIM</td>
<td>`015949</td>
<td></td>
<td>`0001978447836</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-05-1953</td>
<td>69 Th</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/72</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>63</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3782</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td>KONSULTASI</td>
<td>SITI MAESAROH</td>
<td>`015492</td>
<td></td>
<td>`0001978443797</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-11-1963</td>
<td>58 Th</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/76</td>
<td>68</td>
<td>36</td>
<td>20</td>
 <td>155</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3783</td>
<td>POLINDES NGEPEH</td>
<td>15-09-2022</td>
<td></td>
<td>MUNIKA DEWI FATIMAH</td>
<td>`005757</td>
<td></td>
<td>`0000665582229</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-07-1996</td>
<td>26 Th</td>
<td>RT. 5 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001880</td>
<td>KONSULTASI</td>
<td>-</td>
<td>115/76</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>158</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3784</td>
<td>POLINDES NGEPEH</td>
<td>15-09-2022</td>
<td></td>
<td>DASRI</td>
<td>`003705</td>
<td></td>
<td>`0001707126412</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-07-1985</td>
<td>37 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001882</td>
<td>MATA MERAH</td>
<td>SALEP RECO</td>
<td>165/78</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>65</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H10.1</td>
<td>
Acute atopic conjunctivitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>3785</td>
<td>POLINDES NGEPEH</td>
<td>15-09-2022</td>
<td></td>
<td>NURYATI</td>
<td>`010355</td>
<td>04/5823A</td>
<td>`0000666055427</td>
<td>`3503056609850001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-09-1985</td>
<td>37 Th</td>
<td>KRAJAN, RT : 3,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001883</td>
<td>KB PIL</td>
<td>PIL KB</td>
<td>108/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>62</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3786</td>
<td>POLINDES NGEPEH</td>
<td>15-09-2022</td>
<td></td>
<td>SITI KOMSIYAH</td>
<td>`001057</td>
<td>04/1582</td>
<td>`0000666091056</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>10-06-1972</td>
<td>50 Th</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001884</td>
<td>KB PIL</td>
<td>PIL KB</td>
<td>119/67</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>159</td>
<td>58</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3787</td>
<td>POLINDES NGEPEH</td>
<td>15-09-2022</td>
<td></td>
<td>RIRIN ERNAWATI</td>
<td>`002899</td>
<td></td>
<td>`0000666111205</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1981</td>
<td>41 Th</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001885</td>
<td>KB PIL</td>
<td>PIL KB</td>
<td>115/58</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>159</td>
<td>62</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3788</td>
<td>RAWAT INAP</td>
<td>15-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>RAGILIA ROHANA</td>
<td>`011137</td>
<td></td>
<td>`0000665921643</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-10-2004</td>
<td>17 Th</td>
<td>RT 20 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PX DATANG POST SYNCOPE,PUSING, NYERI ULU HATI, LEMES</td>
<td>INF NS 21 TPM
INJ RANITIDIN 2X1
DRIP NS 1 A
OS OMZ 2X1
OS BC 2X1
OS SUCRALFAT 3X2 CTH</td>
 <td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>R55</td>
<td>
Syncope and collapse </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Rawat Inap pasien BPJS<br>Tindakan medis ringan lainnya<br>Pemasangan
infuse<br>Konsultasi<br>Pemasangan oksigen/jam<br>Rawat Inap pasien
BPJS<br>Tindakan medis ringan lainnya<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>3789</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>LAMENO</td>
<td>`004866</td>
<td></td>
<td>`0000666038801</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-05-1960</td>
<td>62 Th</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000913</td>
<td>KEMBUNG KESEMUTAN AKI</td>
<td>ANTASID GLIBEN</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>R73.9</td>
<td>
Hyperglycaemia, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3790</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>ADIB YUSRON HARIS PRAYOGI</td>
<td>`007506</td>
<td></td>
<td>`0002681898568</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-02-2008</td>
<td>14 Th</td>
<td>PRAMBON RT 19/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000923</td>
<td>PANAS PILEK</td>
<td>PAMOL DEXA CTM</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3791</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>ARYA</td>
<td>`021287</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-09-2014</td>
<td>8 Th</td>
<td>PRAMBON RT 1/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>TELINGA SAKIT</td>
<td>PAMOL DEXA</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>90</td>
<td>27</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3792</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
 <td>MISIEM</td>
<td>`021288</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1962</td>
<td>60 Th</td>
<td>PRAMBON RT 29/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>MUAL PUSING BERPUTAR</td>
<td>IBU 400 ANTASID CTM</td>
<td>130/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>62</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>H81.4</td>
<td>
Vertigo of central origin </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3793</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>MITUN</td>
<td>`000637</td>
<td>06/3158</td>
<td>`0002802748419</td>
<td>`3503056108600003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-08-1960</td>
 <td>62 Th</td>
<td>DUSUN PAKEL, RT : 39,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001016</td>
<td>BATUK</td>
<td>PAMOL GG BC</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3794</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>CIKO</td>
<td>`021289</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-09-2010</td>
<td>12 Th</td>
<td>PRAMBONRT 16/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK</td>
 <td>PAMOL GG</td>
<td>100/60</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3795</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>KATUNI</td>
<td>`001396</td>
<td></td>
<td>`0000665793448</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1970</td>
<td>51 Th</td>
<td>PRAMBON RT 38</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3796</td>
<td>PUSTU PRAMBON</td>
<td>15-09-2022</td>
<td></td>
<td>MESIYAH</td>
<td>`001357</td>
<td></td>
<td>`0000666518163</td>
<td>`3503055507740003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-07-1974</td>
<td>48 Th</td>
<td>DUSUN KRAJAN, RT : 19,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3797</td>
<td>POLINDES NGEPEH</td>
<td>15-09-2022</td>
<td></td>
<td>ARISKA SAPUTRI</td>
<td>`015329</td>
<td>04/2809</td>
<td>`0000666224548</td>
<td>`3503056511030001</td>
<td>`156806</td>
<td></td>
<td></td>
<td>P</td>
<td>25-11-2003</td>
<td>18 Th</td>
<td>DUSUN GEBANG, RT : 018,RW :007 </td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001886</td>
<td>PERIKSA HAMIL</td>
<td>FE</td>
<td>118/65</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3798</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td></td>
<td>TUMILAH</td>
 <td>`006080</td>
<td></td>
<td>`0000106708004</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-1960</td>
<td>61 Th</td>
<td>02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001041</td>
<td>KONTROL TENSI,CENGENG,KEMBUNG</td>
<td>AMLO,ANTASIDA,VIT.BC,PAMOL</td>
<td>145/78</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3799</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td></td>
<td>WAGIYEM</td>
<td>`002470</td>
<td>03/1936</td>
<td>`</td>
<td>`3503057112630058</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1963</td>
<td>58 Th</td>
 <td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Tani/Perkebunan</td>
<td>Lama</td>
<td></td>
<td>KONTROL TENSI,BATUK,PILEK,PUSING</td>
<td>AMLO,PAMOL,GG,AMOX</td>
<td>150/73</td>
<td>43</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>57</td>
<td>81</td>
<td></td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3800</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td></td>
<td>SRINATIN</td>
<td>`008077</td>
<td>03/6435</td>
<td>`</td>
<td>`3503056008710002</td>
<td>`</td>
<td></td>
<td>085235168445</td>
<td>P</td>
<td>20-08-1971</td>
<td>51 Th</td>
<td>DUSUN JUMOK, RT : 10,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>BATUK,PILEK,PUSING</td>
<td>PAMOL,GG,CTM,VIT.BC</td>
 <td>145/96</td>
<td>107</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>56</td>
<td>79</td>
<td></td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3801</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td></td>
<td>EMBUN KHINARA</td>
<td>`008463</td>
<td></td>
<td>`0003081409852</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-05-2021</td>
<td>1 Th</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001044</td>
<td>BATUK</td>
<td>SYR.AMBROXOL</td>
<td>65/45</td>
<td>110</td>
<td>36</td>
<td>20</td>
<td>85</td>
<td>11.6</td>
<td>22</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
 <td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3802</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td></td>
<td>ASMAWATI EKA S</td>
<td>`020398</td>
<td></td>
<td>`0001978445362</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-05-1993</td>
<td>29 Th</td>
<td>RT 9 RW 4</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y001047</td>
<td>MERIANG,PANAS,PUSING</td>
<td>SYR.PAMOL</td>
<td>108/68</td>
<td>81</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>65</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>G44</td>
<td>
Other headache syndromes </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3803</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td></td>
<td>SOEMIYATI</td>
<td>`000476</td>
<td>03/3949</td>
<td>`0000077103549</td>
<td>`3503054706470001</td>
<td>`9475</td>
<td></td>
<td></td>
<td>P</td>
<td>07-06-1947</td>
<td>75 Th</td>
<td>DSN KRAJAN, RT : 002,RW :001 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PENSIUNAN</td>
<td>Lama</td>
<td>131506010922Y001048</td>
<td>BATUK,GATAL,MERIANG</td>
<td>PAMOL,GG,DEXA</td>
<td>136/80</td>
<td>85</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3804</td>
<td>PONKESDES TUMPUK</td>
<td>15-09-2022</td>
<td></td>
<td>MUSLIKAH</td>
<td>`001462</td>
 <td>03/6318</td>
<td>`0001978447645</td>
<td>`3503054408680003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-08-1968</td>
<td>54 Th</td>
<td>DUSUN JUMOK, RT : 11,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>KONTROL TENSI,NYERI ULU HATI</td>
<td>SYR.ANTASIDA,AMLO</td>
<td>160/87</td>
<td>95</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3805</td>
<td>POLI UMUM</td>
<td>16-09-2022</td>
<td></td>
<td>ARISTA KRISTY RAHAYU</td>
<td>`005969</td>
<td>90/3230</td>
<td>`0002431308655</td>
<td>`3503116409940002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-09-1994</td>
<td>28 Th</td>
<td>RT 16 RW 5</td>
 <td>NGANTRU</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y001219</td>
<td>panas batuk pilek</td>
<td>GG
ctm
pamol</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3806</td>
<td>POLI LANSIA</td>
<td>16-09-2022</td>
<td></td>
<td> MESIYEM</td>
<td>`000019</td>
<td>02/496</td>
<td>`0000665658033</td>
<td>`3503055807520001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-1952</td>
<td>70 Th</td>
<td>RT 05 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000956</td>
<td>KONTROL POST OPNAME BATUK LEMES </td>
 <td>OBH BETAHISTIN AMLODIPIN 10MG BC</td>
<td>130/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>65</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3807</td>
<td>POLI REMAJA</td>
<td>16-09-2022</td>
<td></td>
<td>ANDIKA PANJI NUGROHO</td>
<td>`021298</td>
<td>01/4799</td>
<td>`0001978458939</td>
<td>`3503052507080001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-07-2008</td>
<td>14 Th</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000973</td>
<td>panas, pusing, batuk,pilek</td>
<td>domp, pamol, gg, amox</td>
<td>127/65</td>
<td>117</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>60.3</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>R11</td>
<td>
Nausea and vomiting </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3808</td>
<td>POLI KIA</td>
<td>16-09-2022</td>
<td></td>
<td>WIWIK YANTI</td>
<td>`006748</td>
<td>04/5601</td>
<td>`0000666107493</td>
<td>`3503034407890001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-07-1989</td>
<td>33 Th</td>
<td>RT 22 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000949</td>
<td>DEMAM, keluar flek, perut terasa kencang</td>
<td>rujukan</td>
<td>115/74</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>O20.8</td>
<td>
Other haemorrhage in early pregnancy </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3809</td>
<td>POLI KIA</td>
<td>16-09-2022</td>
<td></td>
<td>TITIN SULISTIYANI</td>
<td>`007936</td>
<td>01/454</td>
<td>`0002084359421</td>
<td>`3503057012860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1986</td>
<td>35 Th</td>
<td>RT 18 RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000964</td>
<td>TAA</td>
<td>-</td>
<td>106/63</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3810</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td></td>
<td>PAIJAH</td>
 <td>`009419</td>
<td>06/4635</td>
<td>`0001379315744</td>
<td>`3503057112640016</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1964</td>
<td>57 Th</td>
<td>PAKEL, RT : 38,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000929</td>
<td>KEJU LINU</td>
<td>PAMOL KALK</td>
<td>130/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3811</td>
<td>POLI UMUM</td>
<td>16-09-2022</td>
<td></td>
<td>SUPARMI</td>
<td>`021300</td>
<td>01/9369</td>
<td>`0002420468392</td>
<td>`3503054302760002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-02-1976</td>
<td>46 Th</td>
 <td>RT 28 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000972</td>
<td>nyeri di kaki, post jatuh dari spd motor</td>
<td>asmef, vit bc</td>
<td>119/66</td>
<td>99</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56.1</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3812</td>
<td>POLI LANSIA</td>
<td>16-09-2022</td>
<td></td>
<td>SARINAH</td>
<td>`021301</td>
<td>02/219</td>
<td>`0003011260555</td>
<td>`3503057112450090</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1945</td>
<td>76 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y000961</td>
<td>BADAN SAKIT SEMUA ,BATUK NYERI TELAN PUSING MUAL</td>
<td>domp rani pamol obh</td>
 <td>167/68</td>
<td>83</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>42</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3813</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>YOPI KURNIAWAN</td>
<td>`011782</td>
<td></td>
<td>`0002970311038</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-10-1997</td>
<td>24 Th</td>
<td>PRAMBON RT 38/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>155</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
 <td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3814</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>SUYONO</td>
<td>`020462</td>
<td></td>
<td>`0000665793134</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1973</td>
<td>48 Th</td>
<td>PRAMBON RT 38</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3815</td>
<td>POLI LANSIA</td>
<td>16-09-2022</td>
<td></td>
<td>MAKINEM</td>
<td>`000141</td>
<td>90/2720</td>
<td>`0002517749076</td>
<td>`3503055408490001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-08-1949</td>
<td>73 Th</td>
<td>RT 18 RW 7</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000957</td>
<td>KONTROL TENSI ,NAFSU MKN MENURUN</td>
<td>AMLODIPIN BC ANTASIDA</td>
<td>118/68</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>43</td>
<td>76</td>
<td>Dupak </td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3816</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>TSAMARA UFAIRAH AZKA</td>
 <td>`021302</td>
<td></td>
<td>`0002802745541</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-01-2012</td>
<td>10 Th</td>
<td>PRAMBON RT 40</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>80/60</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>90</td>
<td>21</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3817</td>
<td>POLI UMUM</td>
<td>16-09-2022</td>
<td></td>
<td>YUNUS</td>
<td>`021303</td>
<td>06/3828</td>
<td>`0003064259766</td>
<td>`3503051605720001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-05-1972</td>
<td>50 Th</td>
 <td>TENGGAR, RT : 2,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Industri</td>
<td>Baru</td>
<td>131506010922Y000971</td>
<td>kontrol post dijahit di pergelangan tangan, post terkena grinda</td>
<td>cipro, vit bc, ganti perban</td>
<td>130/79</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>67.5</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z48.9</td>
<td>
Surgical follow-up care, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3818</td>
<td>POLI REMAJA</td>
<td>16-09-2022</td>
<td></td>
<td>PUTRI IRTANTI P</td>
<td>`013440</td>
<td>03/3505</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-01-2006</td>
<td>16 Th</td>
<td>RT 04 RW 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS, BATUK,PILEK</td>
<td>PAMOL, VIT C, GG</td>
 <td>105/62</td>
<td>125</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>47</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3819</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>SULISTRIANI</td>
<td>`020585</td>
<td></td>
<td>`0002970311264</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-11-1986</td>
<td>35 Th</td>
<td>RT 44</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3820</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td></td>
<td>JEMATUN</td>
<td>`011934</td>
<td>06/5051</td>
<td>`0002449220049</td>
<td>`3503056512580001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-12-1958</td>
<td>63 Th</td>
<td>TENGGAR, RT : 1,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000935</td>
<td>PUSING</td>
<td>IBU 400 BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3821</td>
<td>POLI MTBS</td>
<td>16-09-2022</td>
<td></td>
<td>SYAFIQ REZA PUSTIAN</td>
<td>`021304</td>
<td>02/1523</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-05-2021</td>
<td>1 Th</td>
<td>RT 16</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>PANAS BATUK PILEK</td>
<td>AMOK GG CTM BCOM</td>
<td>1/1</td>
<td>100</td>
<td>36</td>
<td>100</td>
<td>80</td>
<td>10</td>
<td>39</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3822</td>
<td>POLI K.B</td>
<td>16-09-2022</td>
<td></td>
<td>IKA TRISNAWATI</td>
<td>`018761</td>
 <td>08/5802</td>
<td>`0002016453183</td>
<td>`3503057105870005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-05-1987</td>
<td>35 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001113</td>
<td>KONTROL IMPLAN</td>
<td>-</td>
<td>115/74</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>51</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.9</td>
<td>
Contraceptive management, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
DIANTI DWI PANGESTUTI, A.MD.KEB </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3823</td>
<td>POLI REMAJA</td>
<td>16-09-2022</td>
<td></td>
<td>NABILA FELICIA</td>
<td>`005785</td>
<td>06/6910</td>
<td>`</td>
<td>`2171094312069001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-12-2006</td>
<td>15 Th</td>
<td>DUSUN PAKEL, RT : 25,RW :5 </td>
 <td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>NYERI KAKI KANAN</td>
<td>ASMEF, VIT BC, METILPRED</td>
<td>103/68</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>35.7</td>
<td>65</td>
<td>Klinik Panbil Medika</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3824</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td></td>
<td>RONI EKO FEBIANTO</td>
<td>`007338</td>
<td></td>
<td>`0002802761818</td>
<td>`6206020102990004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-02-1999</td>
<td>23 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y000936</td>
<td>PUSING</td>
<td>NATDIK BC</td>
<td>90/70</td>
 <td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3825</td>
<td>POLI K.B</td>
<td>16-09-2022</td>
<td></td>
<td>SINTIANA DEWI</td>
<td>`000954</td>
<td>06/5776</td>
<td>`0000665520636</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1999</td>
<td>22 Th</td>
<td>RT 17 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001114</td>
<td>PASANG IMPLAN</td>
<td>-</td>
<td>120/80</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.9</td>
<td>
 Contraceptive management, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Suharti </td>
<td>
Pelayanan Rawat Jalan<br>Pelayanan KB : Pemasangan IUD / Implant
<br> </td>
</tr>
<tr align='left' valign="top">
<td>3826</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>REIVANO ADITIYA IBNU HABIBI</td>
<td>`010737</td>
<td>06/1081</td>
<td>`0002802765317</td>
<td>`3503051903140003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-03-2014</td>
<td>8 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>24</td>
<td>90</td>
<td>17</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3827</td>
<td>POLI LANSIA</td>
<td>16-09-2022</td>
<td></td>
<td>KATINI</td>
<td>`021305</td>
<td>06/7053</td>
<td>`0000667124379</td>
<td>`3503055307530002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-07-1953</td>
<td>69 Th</td>
<td>DUSUN TENGGAR, RT : 11,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000938</td>
<td>mata kabur sebelah kiri kurang lebih 1 buln </td>
<td>-</td>
<td>150/80</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>49</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H25.9</td>
<td>
Senile cataract, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3828</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>PURI RATNASARI</td>
<td>`002594</td>
 <td></td>
<td>`0000666012789</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-10-1997</td>
<td>24 Th</td>
<td>PRAMBON RT 51/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3829</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>PARNO</td>
<td>`021306</td>
<td></td>
<td>`0000666011441</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1970</td>
<td>51 Th</td>
<td>PRAMBON RT 51</td>
 <td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3830</td>
<td>POLI LANSIA</td>
<td>16-09-2022</td>
<td></td>
<td>AHMAD RIYADI</td>
<td>`000269</td>
<td>90/55</td>
<td>`0001318095268</td>
<td>`9171031009490001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-09-1949</td>
<td>73 Th</td>
<td>RT 03 RW 01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000944</td>
<td>kontrol tangan nyeri diangkat batuk dahak pilek</td>
<td>cipro ibu ctm gg </td>
<td>132/72</td>
 <td>103</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>62</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3831</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>YENI</td>
<td>`005008</td>
<td></td>
<td>`0000664938189</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-01-1996</td>
<td>26 Th</td>
<td>PRAMBON RT 54/11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3832</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td></td>
<td>SUTRISNO</td>
<td>`000832</td>
<td></td>
<td>`0002802751997</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-07-1971</td>
<td>51 Th</td>
<td>PRAMBON RT14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000960</td>
<td>GATAL</td>
<td>CTM DEXA</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>170</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3833</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td></td>
<td>MUAJI</td>
<td>`008233</td>
<td></td>
<td>`0002802747317</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-10-1967</td>
<td>54 Th</td>
<td>BANARAN RT 11/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000959</td>
<td>KEMBUNG</td>
<td>PAMOL OMEPRAZOLE</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3834</td>
<td>UGD</td>
<td>16-09-2022</td>
<td></td>
<td>ADJI LAKSONO</td>
<td>`021307</td>
<td>03/9370</td>
 <td>`</td>
<td>`3578162209910003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-09-1991</td>
<td>31 Th</td>
<td>DUSUN JUMOK, RT : 9,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>JARI TELUNJUK KIRI TERKENA SABIT, LUKA ROBEK 3 CM</td>
<td>HEATING 2 SIMPUL
AMOX 3X1
ASMEF 3X1</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3835</td>
<td>POLI LANSIA</td>
<td>16-09-2022</td>
<td></td>
<td>SUJUD</td>
<td>`015342</td>
<td>01/184</td>
<td>`0001978456173</td>
<td>`3503051808620001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-08-1962</td>
<td>60 Th</td>
 <td>DUSUN KEBON, RT : 34,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000952</td>
<td>batuk pilek 2 hri pusing mual nafsu makan menurun</td>
<td>cipro, pamol,ctm ,gg,antasida ,domp </td>
<td>104/52</td>
<td>72</td>
<td>36</td>
<td>22</td>
<td>168</td>
<td>52</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3836</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td></td>
<td>AMELYA DESY FERNANDA</td>
<td>`011932</td>
<td></td>
<td>`0000664419677</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-12-2007</td>
<td>14 Th</td>
<td>PRAMBON RT 40/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000958</td>
<td>SAKIT MENELAN</td>
<td>IBU 400 BC</td>
 <td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3837</td>
<td>POLI K.B</td>
<td>16-09-2022</td>
<td></td>
<td>INDAH ANGREINY</td>
<td>`021308</td>
<td>90/3471</td>
<td>`</td>
<td>`3503056903010001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-03-2001</td>
<td>21 Th</td>
<td>RT 20 RW07</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>CPW</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z23.5</td>
 <td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3838</td>
<td>PONKESDES TUMPUK</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>WINDRIANI</td>
<td>`015071</td>
<td></td>
<td>`0001978448681</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-09-2004</td>
<td>18 Th</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>105/65</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>3839</td>
<td>PONKESDES TUMPUK</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>MUTIATUN</td>
<td>`007178</td>
<td></td>
<td>`0001978448872</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-05-1963</td>
<td>59 Th</td>
<td>RT RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>112/74</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3840</td>
<td>PONKESDES TUMPUK</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>BOIDI</td>
<td>`007179</td>
 <td></td>
<td>`0001978448883</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-04-1954</td>
<td>68 Th</td>
<td>RT 1 RW1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/76</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3841</td>
<td>POLI UMUM</td>
<td>16-09-2022</td>
<td></td>
<td>NOVITASARI</td>
<td>`021309</td>
<td>08/4503</td>
<td>`0000106885901</td>
<td>`3503056806810001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-06-1981</td>
<td>41 Th</td>
<td>DUSUN BENGGLE, RT : 11,RW :4 </td>
 <td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>131506010922Y000943</td>
<td>nyeri pd lutut</td>
<td>-</td>
<td>112/70</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>40</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M19.96</td>
<td>
Arthrosis, unspecified, lower leg </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3842</td>
<td>PONKESDES TUMPUK</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>MULYATI</td>
<td>`007180</td>
<td></td>
<td>`0001978448837</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-07-1965</td>
<td>57 Th</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/68</td>
 <td>76</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3843</td>
<td>POLI UMUM</td>
<td>16-09-2022</td>
<td></td>
<td>HARI SUDARWAJI</td>
<td>`008171</td>
<td>90/2708</td>
<td>`0002615831921</td>
<td>`3503051712700002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-12-1970</td>
<td>51 Th</td>
<td>RT 13 RW 5</td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000970</td>
<td>NYERI TENGGOROKAN,</td>
<td>AMOK AMBROKSOL,ASMEF,DEKSA,CTM</td>
<td>120/72</td>
<td>100</td>
<td>36</td>
<td>24</td>
<td>170</td>
<td>58</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
 Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3844</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td></td>
<td>WIYONO</td>
<td>`004277</td>
<td></td>
<td>`0001978486503</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-08-1972</td>
<td>50 Th</td>
<td>PRAMBON RT 16/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y000940</td>
<td>SAKIT GIGI</td>
<td>NATDIK DEXA</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02.0</td>
<td>
Caries limited to enamel </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3845</td>
<td>POLI UMUM</td>
<td>16-09-2022</td>
<td></td>
<td>MURTINI</td>
<td>`021310</td>
<td>06/5843</td>
<td>`0000666947902</td>
<td>`3503054706760001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-06-1976</td>
<td>46 Th</td>
<td>RT 40 RW 07</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000966</td>
<td>DEPAN TELINGA ADA BENJOLAN</td>
<td>ASMEF,DEXA,CIPRO,BCOM</td>
<td>138/71</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>59</td>
<td>68</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L04</td>
<td>
Acute lymphadenitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3846</td>
<td>PONKESDES TUMPUK</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>SUMARMI</td>
<td>`005915</td>
<td></td>
 <td>`0001978445698</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-11-1968</td>
<td>53 Th</td>
<td>09</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>108/65</td>
<td>74</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3847</td>
<td>POLI LANSIA</td>
<td>16-09-2022</td>
<td></td>
<td>SUSIANTO</td>
<td>`012190</td>
<td>02/5835</td>
<td>`0000106623639</td>
<td>`3503051208550002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-08-1955</td>
<td>67 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>NGLONGSOR</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y000953</td>
<td>KONTROL TENSI OBAT HABIS NAFSU MAKAN MENURUN</td>
<td>AMLODIPIN 10MG 1X1
VIT BC 1X1 </td>
<td>141/70</td>
<td>83</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>48</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3848</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td></td>
<td>AMIN</td>
<td>`001611</td>
<td></td>
<td>`0001978486514</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-05-1978</td>
<td>44 Th</td>
<td>PRAMBON RT 16/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000941</td>
<td>BATUK</td>
<td>GG CTM</td>
<td>120/70</td>
 <td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3849</td>
<td>POLI LANSIA</td>
<td>16-09-2022</td>
<td></td>
<td>SUKARTI</td>
<td>`001300</td>
<td>01/113</td>
<td>`0000076617584</td>
<td>`3503055209480004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-1948</td>
<td>74 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>131506010922Y000945</td>
<td>rujuk balik</td>
<td>amlodipin 5mg 1x1(30)
vitamin b12 1x1(30)</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>57</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I15.9</td>
 <td>
Secondary hypertension, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3850</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>FELISIA DEFITRI WIYONIKA</td>
<td>`005464</td>
<td></td>
<td>`0002802759546</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-09-2010</td>
<td>12 Th</td>
<td>PRAMBON RT 16/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>110</td>
<td>35</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3851</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td></td>
<td>AHMAD FATHUROZAQI</td>
<td>`001692</td>
<td></td>
<td>`0000106547826</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-08-2004</td>
<td>18 Th</td>
<td>PRAMBON RT 16/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000942</td>
<td>PUSING DAN GATL</td>
<td>IBU 400 BC BETA SK</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3852</td>
<td>POLI UMUM</td>
<td>16-09-2022</td>
<td></td>
<td>VENOS ELOVIAN PUTRA IRAWAN</td>
<td>`013174</td>
 <td>04/3766</td>
<td>`0002158658471</td>
<td>`3503051904160001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-04-2016</td>
<td>6 Th</td>
<td>RT 006 RW 002</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000965</td>
<td>PANAS BATUK PILEK MUNTAH MUAL</td>
<td>AMOK DOM DEKSA AMBROK CTM SALBU VIT C</td>
<td>1/1</td>
<td>90</td>
<td>38</td>
<td>20</td>
<td>113</td>
<td>23</td>
<td>59</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
Fever with chills </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3853</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td></td>
<td>RIKA SEPTIANI</td>
<td>`004604</td>
<td>06/2850</td>
<td>`0001978488718</td>
<td>`3503055009970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-09-1997</td>
<td>25 Th</td>
<td>SOOKO, RT : 46,RW :9 </td>
 <td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000954</td>
<td>SAKIT MENELAN</td>
<td>IBU 400 BC</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3854</td>
<td>POLINDES PRAMBON 2</td>
<td>16-09-2022</td>
<td></td>
<td>MARSONO</td>
<td>`003398</td>
<td>06/9150</td>
<td>`0001978488279</td>
<td>`3503050901580001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-01-1958</td>
<td>64 Th</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001065</td>
<td>Meriang, batuk pilek, </td>
<td>Amox pct, ambrox, dexa</td>
<td>126/70</td>
 <td>86</td>
<td>36</td>
<td>22</td>
<td>165</td>
<td>63</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3855</td>
<td>POLINDES WINONG</td>
<td>16-09-2022</td>
<td></td>
<td>DEWI NURMAYASARI</td>
<td>`003729</td>
<td>08/6286</td>
<td>`0000665670407</td>
<td>`3503054807890004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-1989</td>
<td>33 Th</td>
<td>DUSUN BANGGLE, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001817</td>
<td>lemas</td>
<td>1</td>
<td>100/56</td>
<td>80</td>
<td>36</td>
<td>16</td>
<td>159</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>D50</td>
<td>
 Iron deficiency anaemia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3856</td>
<td>PONKESDES TUMPUK</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>SITI MAESAROH</td>
<td>`015492</td>
<td></td>
<td>`0001978443797</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-11-1963</td>
<td>58 Th</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/75</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>3857</td>
<td>UGD</td>
<td>16-09-2022</td>
<td></td>
<td>SEPTI RAHAYU NINGTYAS</td>
<td>`011550</td>
<td>08/1940</td>
<td>`0000665942927</td>
<td>`3503055409000004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-09-2000</td>
<td>22 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3858</td>
<td>UGD</td>
<td>16-09-2022</td>
<td></td>
<td>S T MUALIMAH</td>
<td>`014019</td>
<td></td>
 <td>`0000666983013</td>
<td>`</td>
<td>`</td>
<td>siti mualimah</td>
<td></td>
<td>P</td>
<td>01-04-2004</td>
<td>18 Th</td>
<td>RT 32 RW 8</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3859</td>
<td>UGD</td>
<td>16-09-2022</td>
<td></td>
<td>AHMAD FAIQ NABIL ALFARIZI</td>
<td>`006435</td>
<td></td>
<td>`0003067616439</td>
<td>`</td>
<td>`</td>
<td>khoirul m</td>
<td></td>
<td>L</td>
<td>02-05-2019</td>
<td>3 Th</td>
<td>RT 8 RW 4</td>
<td>SUKOREJO</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3860</td>
<td>PONKESDES TUMPUK</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>YULI HERMAWANTO</td>
<td>`015872</td>
<td></td>
<td>`0001978447601</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-07-1981</td>
<td>41 Th</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/72</td>
<td>78</td>
 <td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3861</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td></td>
<td>DESI APRILIANTI</td>
<td>`010984</td>
<td>06/4802</td>
<td>`0000664516811</td>
<td>`3503055904940002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-04-1994</td>
<td>28 Th</td>
<td>PRAMBON</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000951</td>
<td>SAKIT GIGI</td>
<td>IBU 400 DEXA</td>
<td>90/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02.0</td>
<td>
Caries limited to enamel </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3862</td>
<td>PONKESDES TUMPUK</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>SUHADI</td>
<td>`000659</td>
<td>03/2286</td>
<td>`0001978447511</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-12-1970</td>
<td>51 Th</td>
<td>RT 11 RW 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/76</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3863</td>
<td>UGD</td>
<td>16-09-2022</td>
<td></td>
<td>FARAS SAVIOLA HINGTRIAN</td>
<td>`002055</td>
<td>06/5856B</td>
<td>`0001261600198</td>
<td>`3503052106050002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-06-2005</td>
<td>17 Th</td>
<td>DUSUN PAKEL, RT : 33,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Gondang</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3864</td>
<td>PONKESDES TUMPUK</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>NOVITA RETNO HANDIKA PUTRI</td>
<td>`015867</td>
<td></td>
<td>`0001978447522</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-11-2001</td>
<td>20 Th</td>
<td>RT 11 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>53</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3865</td>
<td>POLI UMUM</td>
<td>16-09-2022</td>
<td></td>
<td>HARYATUN</td>
<td>`000247</td>
<td>90/55</td>
<td>`0001318097283</td>
<td>`9171036006670001</td>
<td>`</td>
<td></td>
<td>081344975763</td>
<td>P</td>
<td>20-06-1967</td>
<td>55 Th</td>
<td>RT 3 RW 1</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000962</td>
<td>LUKA DIKAKI KENA AIR PANAS, BATUK PILEK</td>
<td>AMOK BCOM,AMBROKSOLPAMOL</td>
<td>139/74</td>
<td>110</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>71</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3866</td>
<td>PONKESDES TUMPUK</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>NURMA RETNO RAHAYU</td>
<td>`015868</td>
<td></td>
<td>`0001978447533</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-03-1971</td>
<td>51 Th</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/76</td>
<td>86</td>
<td>36</td>
 <td>20</td>
<td>165</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3867</td>
<td>UGD</td>
<td>16-09-2022</td>
<td></td>
<td>FARZANA</td>
<td>`021337</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>sudarso</td>
<td></td>
<td>P</td>
<td>18-09-2020</td>
<td>2 Th</td>
<td>RT 41 RW 8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3868</td>
<td>PONKESDES TUMPUK</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>WINARTO</td>
<td>`015869</td>
<td></td>
<td>`0001978447544</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-09-1971</td>
<td>51 Th</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>116/72</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3869</td>
<td>UGD</td>
<td>16-09-2022</td>
<td></td>
<td>NABILA NUR AINI</td>
<td>`009069</td>
<td>04/2208</td>
<td>`0002802756611</td>
<td>`3503054707140001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-07-2014</td>
<td>8 Th</td>
<td>RT 05 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3870</td>
<td>UGD</td>
<td>16-09-2022</td>
<td></td>
<td>AWWABIN SHOLEH</td>
<td>`002525</td>
<td>04/5905</td>
<td>`0000666062583</td>
<td>`3503052711090001</td>
 <td>`</td>
<td></td>
<td>085243516125</td>
<td>L</td>
<td>27-11-2009</td>
<td>12 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3871</td>
<td>PONKESDES TUMPUK</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>MISIYAH</td>
<td>`015870</td>
<td></td>
<td>`0001978447555</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-08-1982</td>
<td>40 Th</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>108/68</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>50</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3872</td>
<td>UGD</td>
<td>16-09-2022</td>
<td></td>
<td>ARISKA</td>
<td>`021338</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>sutikno</td>
<td></td>
<td>P</td>
<td>18-09-2003</td>
<td>19 Th</td>
<td>RT 48 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
 <td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3873</td>
<td>POLI MTBS</td>
<td>16-09-2022</td>
<td></td>
<td>HAIRA ANGAYOMI WENING</td>
<td>`019216</td>
<td>01/1017</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-09-2020</td>
<td>2 Th</td>
<td>RT 04 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>TANGAN KANAN BARU KESIRAM AIR PANAS </td>
<td>-</td>
<td>1/1</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>80</td>
<td>10</td>
<td>47</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3874</td>
<td>PONKESDES TUMPUK</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>TATA RIZKI NAFIAH</td>
<td>`015871</td>
<td></td>
<td>`0001978447566</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-05-2009</td>
<td>13 Th</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/65</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>3875</td>
<td>UGD</td>
<td>16-09-2022</td>
<td></td>
<td>JUASRI</td>
<td>`010332</td>
<td>02/64</td>
<td>`0000665633171</td>
<td>`3503057112650090</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1965</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3876</td>
<td>PONKESDES TUMPUK</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>ANDI DWI ANTO</td>
<td>`013282</td>
<td></td>
<td>`0001978447228</td>
<td>`</td>
<td>`</td>
 <td>MARTONO</td>
<td></td>
<td>L</td>
<td>13-05-2002</td>
<td>20 Th</td>
<td>RT;RW</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>105/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>62</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3877</td>
<td>PONKESDES TUMPUK</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>EKO BUDIARTO</td>
<td>`015866</td>
<td></td>
<td>`0001978447476</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-11-1984</td>
<td>37 Th</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/65</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>68</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3878</td>
<td>PONKESDES TUMPUK</td>
<td>16-09-2022</td>
<td>KONSULTASI</td>
<td>AHMAD YASIN</td>
<td>`015067</td>
<td></td>
<td>`0001978447419</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-08-1984</td>
<td>38 Th</td>
<td>RT 10 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/68</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>168</td>
 <td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3879</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td></td>
<td>ZENYTO JUAN MAHARANI</td>
<td>`011233</td>
<td></td>
<td>`0002903886314</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-11-2019</td>
<td>2 Th</td>
<td>RT 21</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000948</td>
<td>PANAS PILK</td>
<td>DEMACOLIN SIRUP</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>80</td>
<td>12</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3880</td>
<td>UGD</td>
<td>16-09-2022</td>
<td></td>
<td>RIAN</td>
<td>`021313</td>
<td>90/01</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-05-1990</td>
<td>32 Th</td>
<td>RT 10 RW 04</td>
<td>SURUH</td>
<td>SURUH</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>POST TERKENA GRENDO KAKI KIRI, LUKA ROBEK 4 CM</td>
<td>HEATING 3 SIMPUL
AMOX 3X1
ASMEF 3X1</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>54</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3881</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td></td>
<td>YUYUN ERMAWATI</td>
<td>`011234</td>
<td></td>
<td>`0000664518194</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-02-1994</td>
<td>28 Th</td>
<td>RT 21</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000950</td>
<td>SAKIT GIGI</td>
<td>DEXA IBU 400</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02.0</td>
<td>
Caries limited to enamel </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3882</td>
<td>POLI UMUM</td>
<td>16-09-2022</td>
<td></td>
<td>SUMINI</td>
<td>`012683</td>
<td>01/2555</td>
<td>`0000665610906</td>
<td>`3503054803770003</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-03-1977</td>
<td>45 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>131506010922Y000955</td>
<td>PERUT PERIH,NYERI TELINGA</td>
<td>PAMOL RANITIDIN OMEPRAZOL BCOM,AMOK</td>
<td>103/59</td>
<td>67</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>62</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
Fever with chills </td>
<td>K29.9</td>
<td>
Gastroduodenitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3883</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td></td>
<td>JEMATUN</td>
<td>`000633</td>
<td>06/6144</td>
<td>`0000667077592</td>
<td>`3503055012560004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1956</td>
<td>65 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000947</td>
<td>BATUK KONTROL GULA</td>
<td>OBH GLIBEN</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>40</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3884</td>
<td>POLINDES PRAMBON 2</td>
<td>16-09-2022</td>
<td></td>
<td>TITIK IRIANI</td>
<td>`017834</td>
<td>06/495</td>
<td>`0001378318509</td>
<td>`3503055002890001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1989</td>
<td>32 Th</td>
<td>DUSUN PAKEL, RT : 41,RW :8 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>Meriang, batuk, pilek</td>
<td>Amox, pct, dexa, obh</td>
<td>120/80</td>
<td>86</td>
<td>36</td>
<td>20</td>
 <td>157</td>
<td>58</td>
<td>84</td>
<td>Klinik PMI Klaten</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3885</td>
<td>PUSTU PRAMBON</td>
<td>16-09-2022</td>
<td></td>
<td>MISNO</td>
<td>`021314</td>
<td></td>
<td>`</td>
<td>`3503051801550001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-01-1955</td>
<td>67 Th</td>
<td>KRAJAN, RT : 17,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>GATAL</td>
<td>CTM AMLO 10 MG</td>
<td>220/100</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>L23.0</td>
<td>
Allergic contact dermatitis due to metals </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3886</td>
<td>POLI LANSIA</td>
<td>16-09-2022</td>
<td></td>
<td>SUMIATI</td>
<td>`019703</td>
<td>90/110A</td>
<td>`0002681576032</td>
<td>`3503065209590002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-1959</td>
<td>63 Th</td>
<td>DUSUN SOKO, RT : 8,RW :2 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000963</td>
<td>pusing badan sakit semua batuk pilek mriang</td>
<td>cipro pamol ctm gg amlodipin antasida</td>
<td>158/101</td>
<td>94</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>80</td>
<td>Karangan</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>3887</td>
<td>POLI UMUM</td>
<td>16-09-2022</td>
<td></td>
<td>ISNA HAYUN NURUSSAFA</td>
<td>`010537</td>
<td>02/1337</td>
<td>`0002161669511</td>
<td>`3503055410160001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-10-2016</td>
<td>5 Th</td>
<td>DSN ETAN KALI, RT : 19,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000967</td>
<td>BATUK PILEK MUNTAH</td>
<td>AMOK CTM AMBROKSOL,VIT C SALBU</td>
<td>1/1</td>
<td>90</td>
<td>36</td>
<td>24</td>
<td>116</td>
<td>17</td>
<td>48</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3888</td>
<td>POLI KIA</td>
<td>16-09-2022</td>
<td></td>
<td>UMI LESTARI</td>
<td>`014617</td>
<td>06/6201</td>
<td>`0000666029913</td>
<td>`3503064304950004</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>03-04-1995</td>
<td>27 Th</td>
<td>RT 33 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922P001057</td>
<td>PERUT MULES</td>
<td>-</td>
<td>132/84</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>64</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3889</td>
<td>POLI UMUM</td>
<td>16-09-2022</td>
<td></td>
<td>HAMIDAH</td>
<td>`000007</td>
<td>02/1172</td>
<td>`0000106838357</td>
<td>`3503064305830010</td>
<td>`14292</td>
<td></td>
<td></td>
<td>P</td>
<td>03-05-1983</td>
<td>39 Th</td>
<td>DUSUN KRAJAN, RT : 014,RW :004 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001079</td>
<td>BATUK PILEK PANAS</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>67</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3890</td>
<td>POLI KIA</td>
<td>17-09-2022</td>
<td></td>
<td>ENDAH RUNI AFSARI</td>
<td>`017832</td>
<td>02/9286</td>
<td>`0001106075823</td>
<td>`1803134803970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-03-1997</td>
<td>25 Th</td>
<td>RT 04 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>keluar darah</td>
<td>-</td>
<td>110/80</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>154</td>
 <td>64</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3891</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>AZKIA NAYARA PUTRI</td>
<td>`021316</td>
<td>90/1554</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-05-2017</td>
<td>5 Th</td>
<td>RT 10 RW 05</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>PANAS BATUK PILEK</td>
<td>DIRAWAT</td>
<td>1/1</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>105</td>
<td>14</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>J18.0</td>
<td>
Bronchopneumonia, unspecified </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3892</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>DEWI FORTUNA RULIEF FITRIANA ABDUL</td>
<td>`021317</td>
<td>90/3472</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-07-2014</td>
<td>8 Th</td>
<td>RT 03 RW 01</td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>NYERI TELINGA KIRI, SEMALAM TIDAK BISA TIDUR</td>
<td>AMOX, VIT BC, AMBROXOL SY, PAMOL SY</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>19.1</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3893</td>
 <td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>KADIONO</td>
<td>`020343</td>
<td>04/6357</td>
<td>`0000106553158</td>
<td>`3503051901670001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-01-1967</td>
<td>55 Th</td>
<td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>131506010922Y001038</td>
<td>kontrl dm</td>
<td>gliben bc</td>
<td>132/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>56</td>
<td>56</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3894</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>HOLIDAH</td>
<td>`006930</td>
<td>01/4981</td>
<td>`0001959685569</td>
<td>`3526164107900564</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>01-07-1990</td>
<td>32 Th</td>
<td>KEBONSARI, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922P001094</td>
<td>panas batuk pilek pusing lemas</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J40</td>
<td>
Bronchitis, not specified as acute or chronic </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3895</td>
<td>POLI REMAJA</td>
<td>17-09-2022</td>
<td></td>
<td>ANNAS SHOBIH ALWAFA</td>
<td>`003483</td>
<td>01/1987</td>
<td>`0002420472789</td>
<td>`3503051307090001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-07-2009</td>
<td>13 Th</td>
<td>DUSUN GONDANG, RT : 22,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
 <td>Lama</td>
<td>131506010922Y001036</td>
<td>GATAL DI KAKI, PLENTINGAN BERNANAH</td>
<td>CIPRO, LORATADIN, GENTA SALEP</td>
<td>98/58</td>
<td>93</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>32</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L02</td>
<td>
Cutaneous abscess, furuncle and carbuncle </td>
<td>L08</td>
<td>
Other local infections of skin and subcutaneous tissue </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3896</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>KATIRIN</td>
<td>`003914</td>
<td>03/3896</td>
<td>`0002802753426</td>
<td>`3503051204680008</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1968</td>
<td>54 Th</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001022</td>
<td>kontrol rawat luka</td>
<td>rawat luka</td>
<td>108/61</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>50</td>
 <td>60</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z48.0</td>
<td>
Attention to surgical dressings and sutures </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3897</td>
<td>UGD</td>
<td>17-09-2022</td>
<td></td>
<td>AZKIA NAYARA PUTRI</td>
<td>`021316</td>
<td>90/1554</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-05-2017</td>
<td>5 Th</td>
<td>RT 10 RW 05</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS BATUK PILEK</td>
<td>DIRAWAT</td>
<td>1/1</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>105</td>
<td>14</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3898</td>
<td>POLI LANSIA</td>
<td>17-09-2022</td>
<td></td>
<td>PIYONO</td>
<td>`021318</td>
<td>04/9166</td>
<td>`0001036997706</td>
<td>`3503050811530001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-11-1953</td>
<td>68 Th</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000974</td>
<td>post op abdominal pain, minta rujukan</td>
<td>-</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>37</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R10.4</td>
<td>
Other and unspecified abdominal pain </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3899</td>
<td>POLI UMUM</td>
 <td>17-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>ANJI WINARNO</td>
<td>`021319</td>
<td>06/6201</td>
<td>`</td>
<td>`3503052106920001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-06-1992</td>
<td>30 Th</td>
<td>DUSUN PAKEL, RT : 33,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Baru</td>
<td></td>
<td>sks</td>
<td>-</td>
<td>126/64</td>
<td>87</td>
<td>36</td>
<td>20</td>
<td>171</td>
<td>79</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3900</td>
<td>POLI LANSIA</td>
<td>17-09-2022</td>
<td></td>
<td>SAMIRAH</td>
<td>`001835</td>
<td>02/7566</td>
<td>`0000665567921</td>
<td>`3503054112510001</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>01-12-1951</td>
<td>70 Th</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001017</td>
<td>KONTROL GULA,PUSING,KEJU LINU,PERUT PERIH</td>
<td>AMLODIPIN 1X10 MG
METFORMIN 2X1
GLIMEPIRID 1X1
ANTASIDA 3X1
DOMP 3X1
PCT 3X1</td>
<td>146/79</td>
<td>103</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3901</td>
<td>UGD</td>
<td>17-09-2022</td>
<td></td>
<td>HOLIDAH</td>
<td>`006930</td>
<td>01/4981</td>
<td>`0001959685569</td>
<td>`3526164107900564</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1990</td>
<td>32 Th</td>
<td>KEBONSARI, RT : 21,RW :5 </td>
<td>GONDANG</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>panas batuk pilek pusing lemas</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3902</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>NIZA SISKIANDA PUTRI</td>
<td>`020339</td>
<td>03/9351</td>
<td>`0001978452077</td>
<td>`3503056203010001</td>
<td>`</td>
<td></td>
<td>085904335601</td>
<td>P</td>
<td>22-03-2001</td>
<td>21 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000976</td>
<td>MINTA RUJUKAN POLI MATA</td>
<td>-</td>
<td>147/89</td>
<td>81</td>
 <td>36</td>
<td>20</td>
<td>155</td>
<td>75</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H52</td>
<td>
Disorders of refraction and accommodation </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3903</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>MASHUDI</td>
<td>`021320</td>
<td>01/5063</td>
<td>`0002213734588</td>
<td>`3503050511740001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-11-1974</td>
<td>47 Th</td>
<td>DUSUN KEBONSARI, RT : 28,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td>131506010922Y000978</td>
<td>MINTA RUJUKAN</td>
<td>-</td>
<td>134/88</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>50</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I49.9</td>
<td>
Cardiac arrhythmia, unspecified </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3904</td>
<td>UGD</td>
<td>17-09-2022</td>
<td></td>
<td>AJI SANTOSO</td>
<td>`021330</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>AJI SANTOSO</td>
<td></td>
<td>L</td>
<td>18-09-1998</td>
<td>24 Th</td>
<td>RT 11</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3905</td>
<td>UGD</td>
<td>17-09-2022</td>
<td></td>
<td>PAITO</td>
<td>`021331</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>PAITO</td>
<td></td>
<td>L</td>
<td>18-09-1952</td>
<td>70 Th</td>
<td>RT 54 RW 11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3906</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>ENY WAHYUNINGSIH</td>
<td>`000298</td>
<td>02/502</td>
<td>`0001037003938</td>
 <td>`3503054503660001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1966</td>
<td>56 Th</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000985</td>
<td>KONTROL</td>
<td>-</td>
<td>133/75</td>
<td>103</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>61</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F20</td>
<td>
Schizophrenia </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3907</td>
<td>POLI MTBS</td>
<td>17-09-2022</td>
<td></td>
<td>ALFATIH ZHIAN MAUZA</td>
<td>`021321</td>
<td>05/1632B</td>
<td>`0002767850537</td>
<td>`3503051603180004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-03-2018</td>
<td>4 Th</td>
<td>RT 08 RW 04</td>
<td>BANARAN</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y001033</td>
<td>PANAS, BATUK, PILEK</td>
<td>PAMOL SY, CTM, VIT BC, GG</td>
<td>1/1</td>
<td>100</td>
<td>37</td>
<td>20</td>
<td>105</td>
<td>15</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3908</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>SUMANTO</td>
<td>`012002</td>
<td>01/2642</td>
<td>`0000665751115</td>
<td>`3503050204730005</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-04-1973</td>
<td>49 Th</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001034</td>
<td>BAHU NYERI, NYERI PUNGGUNG</td>
<td>NADIF, ANTASID, OMZ</td>
<td>139/99</td>
<td>84</td>
<td>36</td>
 <td>20</td>
<td>160</td>
<td>49.8</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3909</td>
<td>POLI LANSIA</td>
<td>17-09-2022</td>
<td></td>
<td>SUPINI</td>
<td>`000606</td>
<td>02/647</td>
<td>`0003108032302</td>
<td>`3503054107580022</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1958</td>
<td>64 Th</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001004</td>
<td>KEJU LINUDI LUTUT,TANGAN KIRI KESEMUTAN, CEK GDP</td>
<td>AMLODIPIN 10 MG 1X1/2
FUROSEMID 1X1
METFORMIN 2X1
GLIMEPIRID 1X1
APILET 1X1
BC 1X1</td>
<td>197/120</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>87</td>
<td>80</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3910</td>
<td>POLI GIGI</td>
<td>17-09-2022</td>
<td></td>
<td>MUHAMMAD ASYAM ABDILLAH</td>
<td>`004026</td>
<td>01/4494</td>
<td>`0001978458669</td>
<td>`3503053010110001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-10-2011</td>
<td>10 Th</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi atas kanan goyang</td>
<td>extractie 64</td>
<td>110/60</td>
<td>76</td>
<td>36</td>
<td>30</td>
<td>138</td>
<td>34</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3911</td>
<td>UGD</td>
<td>17-09-2022</td>
<td></td>
<td>ERIK</td>
<td>`021332</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>WINANTO</td>
<td></td>
<td>L</td>
<td>18-09-2003</td>
<td>19 Th</td>
<td>RT 4 RW 3</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3912</td>
<td>POLI GIGI</td>
<td>17-09-2022</td>
<td></td>
 <td>SYAIFA AZZAHRA</td>
<td>`021322</td>
<td>01/4494</td>
<td>`</td>
<td>`3503054909130002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-09-2013</td>
<td>9 Th</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi bawah kanan goyang bengkak</td>
<td>obat</td>
<td>90/60</td>
<td>87</td>
<td>35</td>
<td>24</td>
<td>132</td>
<td>29</td>
<td>57</td>
<td></td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3913</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>MARYATI NURJANNAH</td>
<td>`008629</td>
<td>01/4848A</td>
<td>`0001311399898</td>
<td>`1221055305900001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-09-1992</td>
 <td>30 Th</td>
<td>RT 26 RW 06</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000975</td>
<td>MINTA RUJUKAN BARU</td>
<td>-</td>
<td>101/51</td>
<td>97</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>30</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A16.0</td>
<td>
Tuberculosis of lung, bacteriologically and histologically negative
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3914</td>
<td>UGD</td>
<td>17-09-2022</td>
<td></td>
<td>ZAKIA</td>
<td>`021333</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>ALI IMRON</td>
<td></td>
<td>L</td>
<td>18-09-2010</td>
<td>12 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
 <td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3915</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>MUHAMMAD ARVINO ASKA RAFFASYA</td>
<td>`000152</td>
<td>90/2316</td>
<td>`0002239204509</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-04-2016</td>
<td>6 Th</td>
<td>DUSUN JAMPI RT 03 RW 01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001006</td>
<td>-</td>
<td>-</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>110</td>
<td>17</td>
<td>46</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>R10.4</td>
<td>
Other and unspecified abdominal pain </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3916</td>
<td>UGD</td>
<td>17-09-2022</td>
<td></td>
<td>MIFTAHUDIN</td>
<td>`012646</td>
<td>06/9216</td>
<td>`0002802765543</td>
<td>`3503080706860001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-06-1986</td>
<td>36 Th</td>
<td>RT 60 RW 12</td>
<td>PRAMBON</td>
<td>PRAMBON</td>
<td>SIDOARJO</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3917</td>
<td>POLI KIA</td>
<td>17-09-2022</td>
<td></td>
<td>SITI `AROFAH</td>
<td>`005774</td>
<td>04/1571</td>
<td>`0000665933095</td>
<td>`3503056406900005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-06-1990</td>
<td>32 Th</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000983</td>
<td>kontrol poli kandungan</td>
<td>-</td>
<td>121/78</td>
<td>83</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>69</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z35.8</td>
<td>
Supervision of other high-risk pregnancies </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3918</td>
<td>UGD</td>
<td>17-09-2022</td>
<td></td>
 <td>ZHAKI AHMAD</td>
<td>`008300</td>
<td></td>
<td>`0003069372093</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-02-2021</td>
<td>1 Th</td>
<td>RT 03 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3919</td>
<td>UGD</td>
<td>17-09-2022</td>
<td></td>
<td>PAINO</td>
<td>`005024</td>
<td></td>
<td>`0000665509487</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-04-1973</td>
 <td>49 Th</td>
<td>BANARAN RT 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3920</td>
<td>UGD</td>
<td>17-09-2022</td>
<td></td>
<td>ARUM</td>
<td>`021334</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>PARJAN</td>
<td></td>
<td>P</td>
<td>18-09-2009</td>
<td>13 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
 <td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3921</td>
<td>POLI REMAJA</td>
<td>17-09-2022</td>
<td></td>
<td>KAYYSA LATIFA VEERUBY</td>
<td>`021050</td>
<td>06/4631</td>
<td>`0002190269103</td>
<td>`3503057006080002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-06-2008</td>
<td>14 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3922</td>
<td>UGD</td>
<td>17-09-2022</td>
<td></td>
<td>RONA</td>
<td>`021335</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>AFANDI</td>
<td></td>
<td>P</td>
<td>18-09-2007</td>
<td>15 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3923</td>
<td>UGD</td>
<td>17-09-2022</td>
<td></td>
<td>IZA</td>
<td>`021336</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>SUPARNO</td>
<td></td>
<td>P</td>
<td>18-09-2008</td>
<td>14 Th</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>3924</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>YUHANA ISTIKOMAH</td>
 <td>`009533</td>
<td>06/4631</td>
<td>`</td>
<td>`3503054507020003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-07-2002</td>
<td>20 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>sks</td>
<td>-</td>
<td>100/57</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>60</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3925</td>
<td>POLI GIGI</td>
<td>17-09-2022</td>
<td></td>
<td>SUTINI</td>
<td>`016396</td>
<td>90/1856</td>
<td>`</td>
<td>` 3503057112720009</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1972</td>
 <td>49 Th</td>
<td>MOJO KIDUL, RT : 019,RW :007 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>GIGI BAWAH KANAN BENGKAK</td>
<td>OBAT</td>
<td>110/70</td>
<td>90</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>45</td>
<td>65</td>
<td>Pucanganak</td>
<td>KASUS BARU</td>
<td>K02.4</td>
<td>
Odontoclasia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3926</td>
<td>POLI MTBS</td>
<td>17-09-2022</td>
<td></td>
<td>MISHA NABILA RIRIS ANGGARINI</td>
<td>`017911</td>
<td>06/5824</td>
<td>`0002899748406</td>
<td>`3503055610190001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-10-2019</td>
<td>2 Th</td>
<td>RT 023 RW 004</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001032</td>
<td>PANAS, BATUK,PILEK</td>
 <td>PAMOL SY, AMBROXOL SY</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>105</td>
<td>15</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3927</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>MISKAN</td>
<td>`021103</td>
<td>04/7063</td>
<td>`0001036998685</td>
<td>`3503050210620002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-10-1962</td>
<td>59 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001031</td>
<td>BATUK</td>
<td>AMBROXOL, SALBUTAMOL, FE</td>
<td>100/67</td>
<td>108</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>33.5</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>J45</td>
<td>
Asthma </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3928</td>
<td>POLI LANSIA</td>
<td>17-09-2022</td>
<td></td>
<td>MUDJIAM</td>
<td>`003339</td>
<td>01/249</td>
<td>`0000665449086</td>
<td>`3503057012570003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1957</td>
<td>64 Th</td>
<td>RT 22 RW 6</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000979</td>
<td>minta rujukan</td>
<td>-</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>G20</td>
<td>
Parkinson`s disease </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3929</td>
<td>POLI LANSIA</td>
<td>17-09-2022</td>
<td></td>
<td>SUSANTO</td>
<td>`001367</td>
<td>02/181</td>
<td>`0000106703638</td>
<td>`3503051401480001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-01-1948</td>
<td>74 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y001002</td>
<td>NYERI PERUT,MULAS,RIWAYAT GASTRITIS</td>
<td>ANTASIDA 3X1
OMZ 3X1
PCT 3X1</td>
<td>126/65</td>
<td>74</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>42</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3930</td>
<td>POLI KIA</td>
<td>17-09-2022</td>
 <td></td>
<td>KUSNUL KHOTIMAH</td>
<td>`009151</td>
<td>03/1282</td>
<td>`</td>
<td>`8171024703000006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-03-2000</td>
<td>22 Th</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3931</td>
<td>POLI LANSIA</td>
<td>17-09-2022</td>
<td></td>
<td>FATIMAH</td>
<td>`000061</td>
<td>08/3456</td>
<td>`0000076414206</td>
<td>`3503055309510001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>13-09-1951</td>
<td>71 Th</td>
<td>RT 7 RW 3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000980</td>
<td>minta rujukan</td>
<td>-</td>
<td>90/58</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F41.9</td>
<td>
Anxiety disorder, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3932</td>
<td>POLI GIGI</td>
<td>17-09-2022</td>
<td></td>
<td>MUNAN</td>
<td>`001609</td>
<td>06/434</td>
<td>`0000106802594</td>
<td>`3503050705540002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-05-1954</td>
<td>68 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y001000</td>
 <td>gigi atas kiri saKIT</td>
<td>OBAT</td>
<td>140/80</td>
<td>90</td>
<td>36</td>
<td>24</td>
<td>163</td>
<td>68</td>
<td>73</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3933</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>NUNUK WIDIATI</td>
<td>`011321</td>
<td>06/9209</td>
<td>`0003012425379</td>
<td>`3503057005880001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-05-1988</td>
<td>34 Th</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001029</td>
<td>pusing post partum 40 hari</td>
<td>pct amlodipin</td>
<td>142/95</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>R53</td>
<td>
Malaise and fatigue </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3934</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>SELFIANA MEILISA PUTRI</td>
<td>`012302</td>
<td>06/9209</td>
<td>`0003012425381</td>
<td>`3503055505100001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-05-2010</td>
<td>12 Th</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001030</td>
<td>batuk pilek</td>
<td>pct ambroksol</td>
<td>96/69</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>24</td>
<td>30</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3935</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>PUJIONO</td>
<td>`021324</td>
<td>08/4289</td>
<td>`0001037007663</td>
<td>`3503052505790003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-05-1979</td>
<td>43 Th</td>
<td>RT 12 RW 04</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>MRIANG, BATUK,PILEK, NYERI PERUT</td>
<td>RANITIDIN, ANTASID, PAMOL, GG</td>
<td>151/81</td>
<td>97</td>
<td>36</td>
<td>20</td>
<td>169</td>
<td>80</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3936</td>
<td>POLI GIGI</td>
<td>17-09-2022</td>
<td></td>
 <td>APRIANI TRI W</td>
<td>`013156</td>
<td>90/1143</td>
<td>`</td>
<td>`3503054904010002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-04-2001</td>
<td>21 Th</td>
<td>KARANG PLOSO, RT : 006,RW :002 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PELAJAR/MAHASISWA</td>
<td>Lama</td>
<td></td>
<td>gigi bawah kanan kiri sakit</td>
<td>konsutasi</td>
<td>110/70</td>
<td>90</td>
<td>35</td>
<td>23</td>
<td>152</td>
<td>42</td>
<td>64</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K01.1</td>
<td>
Impacted teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3937</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>MUTMAINAH</td>
<td>`021325</td>
<td>90/1143</td>
<td>`0000152932948</td>
<td>`3503056109720002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-09-1972</td>
 <td>50 Th</td>
<td>KARANG PLOSO, RT : 006,RW :002 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>BELUM/TIDAK BEKERJA</td>
<td>Baru</td>
<td>131506010922Y001026</td>
<td>NYERI PINGGANG</td>
<td>NADIF </td>
<td>116/63</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>57.2</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M54.5</td>
<td>
Low back pain </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3938</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>SITI MUAWANAH</td>
<td>`009554</td>
<td>01/1883</td>
<td>`0000666205806</td>
<td>`3503055907660001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-07-1966</td>
<td>56 Th</td>
<td>DUSUN KEBONSARI, RT : 31,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001037</td>
<td>KONSULTASI</td>
 <td>-</td>
<td>120/67</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>44.4</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3939</td>
<td>POLI KIA</td>
<td>17-09-2022</td>
<td></td>
<td>WIJI</td>
<td>`019467</td>
<td>02/869</td>
<td>`0000666396303</td>
<td>`3503057112510048</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1951</td>
<td>70 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td>131506010922Y000996</td>
<td>perut membesar </td>
<td>-</td>
<td>160/90</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>44</td>
<td>80</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>N83.2</td>
<td>
Other and unspecified ovarian cysts </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3940</td>
<td>POLI REMAJA</td>
<td>17-09-2022</td>
<td></td>
<td>ELVI HIDAYATUL KHASANAH</td>
<td>`004882</td>
<td>06/6395</td>
<td>`0000665825095</td>
<td>`3503057001080002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-01-2008</td>
<td>14 Th</td>
<td>MLOKO, RT : 59,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001028</td>
<td>PANAS, BATUK, PILEK</td>
<td>PAMOL, AMBROXOL, AMOK</td>
<td>110/80</td>
<td>113</td>
<td>36</td>
<td>20</td>
<td>142</td>
<td>33</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3941</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
<td>KONSULTASI</td>
<td>LINA PURYANTI</td>
<td>`015935</td>
<td></td>
<td>`0001978446993</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-05-1979</td>
<td>43 Th</td>
<td>RT 10</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3942</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
<td>KONSULTASI</td>
 <td>EKO HENGKY FS</td>
<td>`015934</td>
<td></td>
<td>`0001978446971</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-12-2001</td>
<td>20 Th</td>
<td>RT 10</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3943</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>APRILIYA NURUL YUDIARTI</td>
<td>`020551</td>
<td></td>
<td>`</td>
<td>`3503055304040002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-04-2004</td>
 <td>18 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>130/73</td>
<td>102</td>
<td>36</td>
<td>24</td>
<td>151</td>
<td>41.6</td>
<td>58</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3944</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
<td>KONSULTASI</td>
<td>SUMIATI</td>
<td>`001003</td>
<td>03/4321</td>
<td>`0001978446903</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1973</td>
<td>48 Th</td>
<td>RT 10 RW 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>115/68</td>
<td>72</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3945</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
<td>KONSULTASI</td>
<td>PARDIONO</td>
<td>`015860</td>
<td></td>
<td>`0001978446813</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-04-1983</td>
<td>39 Th</td>
<td>RT 10</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3946</td>
<td>POLI LANSIA</td>
<td>17-09-2022</td>
<td></td>
<td>PAINEM</td>
<td>`009005</td>
<td>06/9181</td>
<td>`0003119920828</td>
<td>`3503054805450001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-05-1945</td>
<td>77 Th</td>
<td>DUSUN KRAJAN, RT : 19,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000991</td>
<td>RUJUK BALIK</td>
<td>BISOPROROL 2,5 MG TAB 1X1 (30)
KANDESARTAN 8 MG TAB 1X1 (30)
KLOPIDOGREL 75 MG TAB 1X1(30)
SPIRONOLAKTON 25 MG TAB 1X1 (30)</td>
<td>148/45</td>
<td>72</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I25.2</td>
<td>
Old myocardial infarction </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3947</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
<td>KONSULTASI</td>
<td>SUDIRMAN</td>
<td>`011199</td>
<td></td>
<td>`0001978446688</td>
<td>`3503050112650002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-12-1965</td>
<td>56 Th</td>
<td>DUSUN JUMOK, RT : 10,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Transportasi</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>116/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3948</td>
<td>POLI UMUM</td>
 <td>17-09-2022</td>
<td></td>
<td>RIZAL SHODIQUL HAKIM</td>
<td>`013155</td>
<td>07/2771</td>
<td>`0003121383745</td>
<td>`3503052812020001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-12-2002</td>
<td>19 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td>panas nyeri telan batuk pilek</td>
<td>pct ambroksol vit c</td>
<td>105/58</td>
<td>104</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J03</td>
<td>
Acute tonsillitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3949</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
<td>KONSULTASI</td>
<td>NOPI DWI LESTARI</td>
<td>`014055</td>
<td>03/4069</td>
<td>`0001978447318</td>
<td>`3503054411940001</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>04-11-1994</td>
<td>27 Th</td>
<td>DUSUN JUMOK, RT : 11,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>54</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3950</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
<td>KONSULTASI</td>
<td>NOPI DWI LESTARI</td>
<td>`014055</td>
<td>03/4069</td>
<td>`0001978447318</td>
<td>`3503054411940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-11-1994</td>
<td>27 Th</td>
<td>DUSUN JUMOK, RT : 11,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/72</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3951</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
<td>KONSULTASI</td>
<td>KARYONO</td>
<td>`015873</td>
<td></td>
<td>`0001978447678</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-08-1958</td>
<td>64 Th</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>59</td>
<td>78</td>
 <td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3952</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
<td>KONSULTASI</td>
<td>SUDARNO</td>
<td>`015874</td>
<td></td>
<td>`0001978447702</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-02-1964</td>
<td>58 Th</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/72</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>169</td>
<td>67</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3953</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>NUR NIKMAWATI</td>
<td>`014679</td>
<td>05/5162</td>
<td>`0001037005154</td>
<td>`3525165209720123</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-1972</td>
<td>50 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001027</td>
<td>KONTROL, POST TINDIK DI TELINGA</td>
<td>ASMEF</td>
<td>125/59</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>63.2</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3954</td>
<td>POLI REMAJA</td>
<td>17-09-2022</td>
 <td></td>
<td>WEDYA RENDRA PRATAMA</td>
<td>`020544</td>
<td>90/588</td>
<td>`0000106824205</td>
<td>`3503050707070001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-07-2007</td>
<td>15 Th</td>
<td>RT 03 RW 01</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001024</td>
<td>PANAS, BINTIK MERAH BERAIR</td>
<td>ACYCLOVIR, CTM, PAMOL</td>
<td>119/83</td>
<td>110</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>67.4</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>B01.9</td>
<td>
Varicella without complication </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3955</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
<td>KONSULTASI</td>
<td>MURTINI</td>
<td>`015875</td>
<td></td>
<td>`0001978447713</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>13-02-1968</td>
<td>54 Th</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/74</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>54</td>
<td>800</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3956</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>JAINI</td>
<td>`019088</td>
<td>04/3578</td>
<td>`0000666232795</td>
<td>`3503050609660001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-09-1966</td>
<td>56 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001025</td>
 <td>kontrol ambil oat tbc</td>
<td>oat intensif tujuh dosis</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A16</td>
<td>
Respiratory tuberculosis, not confirmed bacteriologically or
histologically </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3957</td>
<td>PONKESDES BANARAN</td>
<td>17-09-2022</td>
<td></td>
<td>SUSANTI</td>
<td>`004941</td>
<td></td>
<td>`0001978463542</td>
<td>`3503054712810001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-12-1981</td>
<td>40 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000993</td>
<td>kembung,sebah</td>
<td>antasida doen</td>
<td>120/70</td>
<td>90</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>80</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.1</td>
<td>
Other acute gastritis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3958</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
<td>KONSULTASI</td>
<td>REZA ALFINANDIA A</td>
<td>`015484</td>
<td></td>
<td>`0001978443033</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-04-2006</td>
<td>16 Th</td>
<td>RT 06</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/68</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3959</td>
<td>PONKESDES BANARAN</td>
<td>17-09-2022</td>
<td></td>
<td>SUHARMI</td>
<td>`001944</td>
<td></td>
<td>`0001978463406</td>
<td>`3503055012560003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1956</td>
<td>65 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>131506010922Y000994</td>
<td>keju linu</td>
<td>natrium diclofenak</td>
<td>110/70</td>
<td>90</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3960</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
 <td>KONSULTASI</td>
<td>PAINAH</td>
<td>`009866</td>
<td>03/9126</td>
<td>`0001978443145</td>
<td>`3503054904640001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-04-1964</td>
<td>58 Th</td>
<td>DUSUN JUMOK, RT : 6,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>125/78</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>51</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3961</td>
<td>PONKESDES BANARAN</td>
<td>17-09-2022</td>
<td></td>
<td>FLORESIO APRIKA TARTILA WIBAWANI</td>
<td>`009965</td>
<td></td>
<td>`0001978463531</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>21-04-2004</td>
<td>18 Th</td>
<td>RT3 RW 02</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y000995</td>
<td>batuk</td>
<td>gg,bcom</td>
<td>120/70</td>
<td>90</td>
<td>37</td>
<td>20</td>
<td>170</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.0</td>
<td>
Streptococcal pharyngitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3962</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
<td>KONSULTASI</td>
<td>RUDI SETIAWAN</td>
<td>`015488</td>
<td>03/301</td>
<td>`0001978443134</td>
<td>`3503051702860002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-12-1986</td>
<td>35 Th</td>
<td>RT 06 RW 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
 <td>-</td>
<td>-</td>
<td>110/72</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3963</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
<td>KONSULTASI</td>
<td>WULANDARI</td>
<td>`005502</td>
<td>03/6298</td>
<td>`0001978443101</td>
<td>`3503055801840002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-01-1984</td>
<td>38 Th</td>
<td>DUSUN JUMOK, RT : 6,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/72</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
 <td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3964</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
<td>KONSULTASI</td>
<td>AMIR MAHMUD</td>
<td>`015485</td>
<td></td>
<td>`0001978443099</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-05-1975</td>
<td>47 Th</td>
<td>RT 06</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/72</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>68</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3965</td>
<td>PONKESDES BANARAN</td>
<td>17-09-2022</td>
<td></td>
<td>WATEMI</td>
<td>`005974</td>
<td></td>
<td>`0001978463553</td>
<td>`3503055607630002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-07-1963</td>
<td>59 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y000997</td>
<td>batuk</td>
<td>ambroxol,b comp</td>
<td>110/80</td>
<td>90</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.0</td>
<td>
Streptococcal pharyngitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3966</td>
<td>PONKESDES BANARAN</td>
<td>17-09-2022</td>
<td></td>
 <td>JUMINI</td>
<td>`011582</td>
<td>05/2424</td>
<td>`0000666290676</td>
<td>`3503055203820003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-12-1982</td>
<td>39 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y000998</td>
<td>batuk</td>
<td>ambrox,bcomp</td>
<td>110/70</td>
<td>90</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.0</td>
<td>
Streptococcal pharyngitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3967</td>
<td>POLI KIA</td>
<td>17-09-2022</td>
<td></td>
<td>WIJI LESTARI</td>
<td>`016463</td>
<td>06/8484</td>
<td>`</td>
<td>`3503056808920003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-08-1992</td>
 <td>30 Th</td>
<td>DUSUN KRAJAN, RT : 13,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3968</td>
<td>POLI REMAJA</td>
<td>17-09-2022</td>
<td></td>
<td>MUHAMMAD PUTRA PANGESTU</td>
<td>`021326</td>
<td>01/421</td>
<td>`0000664918064</td>
<td>`3503052709060001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-09-2006</td>
<td>16 Th</td>
<td>DUSUN KEBONSARI, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001023</td>
<td>PANAS, BATUK, PILEK</td>
 <td>PAMOL, AMBROXOL, AMOK</td>
<td>119/61</td>
<td>101</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>67.8</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J03.9</td>
<td>
Acute tonsillitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3969</td>
<td>PONKESDES BANARAN</td>
<td>17-09-2022</td>
<td></td>
<td>SRINATUN</td>
<td>`010832</td>
<td></td>
<td>`0001324006558</td>
<td>`3503055012650002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1965</td>
<td>56 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y000999</td>
<td>mual,sebah</td>
<td>antasida</td>
<td>120/70</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>K29.1</td>
<td>
Other acute gastritis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3970</td>
<td>POLI REMAJA</td>
<td>17-09-2022</td>
<td></td>
<td>M.BARIK ATMAJA AJI</td>
<td>`010891</td>
<td>90/851</td>
<td>`</td>
<td>`3503111906070001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>19-06-2007</td>
<td>15 Th</td>
<td>RT 11 RW 04 DS SUKOSARI, RT : 11,RW :4 </td>
<td>SUKOSARI</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>BATUK PILEK</td>
<td>SYR ANTASID DEMACOLIN GG DEXA VIT D VIT C ZINK </td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>48</td>
<td>50</td>
<td>Rejowinangun</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
 <td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3971</td>
<td>POLI LANSIA</td>
<td>17-09-2022</td>
<td></td>
<td>SAMINI</td>
<td>`000113</td>
<td>06/4762</td>
<td>`0002472574094</td>
<td>`3503054703600001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-03-1960</td>
<td>62 Th</td>
<td>RT35 RW 6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001003</td>
<td>PANAS 1 HARI,PUSING,MATA BERAIR,GATAL,BATUK</td>
<td>PCT 3X1
GG3X1
CTM 3X1
DEXA 2X1
SALEP MATA</td>
<td>95/48</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>H10.9</td>
<td>
Conjunctivitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>3972</td>
<td>PONKESDES BANARAN</td>
<td>17-09-2022</td>
<td></td>
<td>WIWIK WIJIATI</td>
<td>`014765</td>
<td></td>
<td>`0000666249219</td>
<td>`3503056112830002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-12-1983</td>
<td>38 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001001</td>
<td>mual,sebah,masuk angin</td>
<td>antasida doen,bcom</td>
<td>120/70</td>
<td>90</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.1</td>
<td>
Other acute gastritis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3973</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>HAFIZ VAFIAN MAHARDIKA</td>
<td>`021327</td>
<td>05/8436</td>
<td>`</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>01-12-2013</td>
<td>8 Th</td>
<td>RT 11 RW 06</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PILEK, BERSIN2</td>
<td>LORATADIN</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>31</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>J30.4</td>
<td>
Allergic rhinitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3974</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>AHMAD NURROKHIM</td>
<td>`021328</td>
<td>90/1697</td>
<td>`</td>
<td>`3503052607890004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-07-1989</td>
<td>33 Th</td>
<td>MOJO KIDUL, RT : 019,RW :007 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>BELUM/TIDAK BEKERJA</td>
<td>Lama</td>
<td></td>
<td>TELAPAK TANGAN ADA PLENTINGAN, TERASA GATAL</td>
<td>CIPRO, ASMEF, CTM, GENTAMISIN CREAM</td>
<td>119/70</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>63</td>
<td>86</td>
<td></td>
<td>KASUS BARU</td>
<td>L02.9</td>
<td>
Cutaneous abscess, furuncle and carbuncle, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3975</td>
<td>POLI LANSIA</td>
<td>17-09-2022</td>
<td></td>
<td>PAIDI</td>
<td>`000060</td>
<td>01/187</td>
<td>`0000666981167</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-06-1960</td>
<td>62 Th</td>
<td>RT 32 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001018</td>
<td>BATUK, KONSUL HASIL BTA</td>
<td>CIPRO 2X1
AMBROXOL 3X1
DEXA 2X1
SALBUTAMOL 3X1</td>
<td>150/70</td>
<td>100</td>
 <td>36</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3976</td>
<td>POLI LANSIA</td>
<td>17-09-2022</td>
<td></td>
<td>WIJI</td>
<td>`001642</td>
<td>90/2221</td>
<td>`0002423082936</td>
<td>`3503054107590003</td>
<td>`48367</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1959</td>
<td>63 Th</td>
<td>DSN TOMPE, RT : 008,RW :003 </td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>131506010922Y001019</td>
<td>KAKI KANAN TERKENA PECAHAN KACA,KAKI KANAN KIRI BENGKAK,GATAL</td>
<td>CIPRO 2X1
ASMEF 3X1
ATS 1X1</td>
<td>146/71</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>69</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
 <td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3977</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td></td>
<td>FITO ASKA RAMADHAN</td>
<td>`014219</td>
<td></td>
<td>`0002459455986</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-05-2018</td>
<td>4 Th</td>
<td>RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001072</td>
<td>Batuk pilek</td>
<td>Obh, dexa, bc</td>
<td>80/60</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>119</td>
<td>12</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3978</td>
<td>PONKESDES SUKOREJO</td>
<td>17-09-2022</td>
<td></td>
<td>KARTIKA</td>
<td>`002444</td>
<td></td>
<td>`0000665809738</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-02-1972</td>
<td>50 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001542</td>
<td>pegal,pusing,sebah perutnya</td>
<td>antasida,amlo,pamol,nadif</td>
<td>133/89</td>
<td>96</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3979</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SURATIN</td>
<td>`013276</td>
 <td></td>
<td>`0000666130274</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-12-1989</td>
<td>32 Th</td>
<td>RT 60</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>56</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3980</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>BAYU ADITYA PRATAMA</td>
<td>`013277</td>
<td></td>
<td>`0002462378758</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-05-2018</td>
<td>4 Th</td>
 <td>RT 60</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>100</td>
<td>16</td>
<td>43</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3981</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RATNA PUSPITA SARI</td>
<td>`013278</td>
<td></td>
<td>`0000666562263</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-10-2001</td>
<td>20 Th</td>
<td>RT 57</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>157</td>
<td>50</td>
<td>53</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3982</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MELI AGUSTIN</td>
<td>`003571</td>
<td>06/8977</td>
<td>`0000665867722</td>
<td>` 3503054808020003</td>
<td>`</td>
<td></td>
<td>081999225094</td>
<td>P</td>
<td>08-08-2002</td>
<td>20 Th</td>
<td>MLOKO, RT : 162,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>56</td>
<td>88</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3983</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUMIATUN</td>
<td>`013279</td>
<td></td>
<td>`0000665648537</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-05-1984</td>
<td>38 Th</td>
<td>RT 57</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>57</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3984</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>MUHAMAD HABIB AL ASROR</td>
<td>`013280</td>
<td></td>
<td>`0002773899099</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-05-2019</td>
<td>3 Th</td>
<td>RT 57</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>98</td>
<td>12</td>
<td>44</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3985</td>
 <td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AGISTA AL WAFI SUKRADA</td>
<td>`013292</td>
<td></td>
<td>`0003048262222</td>
<td>`3503050507190002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-08-2020</td>
<td>2 Th</td>
<td>RT 56</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/70</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>89</td>
<td>11</td>
<td>44</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3986</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YUYUN LUVIATI</td>
<td>`013293</td>
<td></td>
<td>`0000665920991</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>04-12-1996</td>
<td>25 Th</td>
<td>RT 56</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>54</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3987</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AYRA SHIRLY ALNAIRA</td>
<td>`005309</td>
<td></td>
<td>`0002930531027</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-04-2020</td>
<td>2 Th</td>
<td>RT 56</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>90</td>
<td>14</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3988</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>YULIATI NINGSIH</td>
<td>`002943</td>
<td>06/1117</td>
<td>`0000666274498</td>
<td>`3503054106870004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1987</td>
<td>35 Th</td>
<td>DUSUN MLOKO, RT : 56,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
 <td>22</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3989</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>NEKA UTAMI</td>
<td>`021456</td>
<td></td>
<td>`0000660238356</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-07-2000</td>
<td>22 Th</td>
<td>RT 56</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>157</td>
<td>53</td>
<td>84</td>
<td>SAWOO</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3990</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SURATI</td>
<td>`013294</td>
<td></td>
<td>`0000665998806</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-01-1988</td>
<td>34 Th</td>
<td>RT 59</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>54</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>3991</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>GABRIEL ZAINUL ALFREDA</td>
<td>`013295</td>
<td></td>
<td>`0002913856119</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-12-2019</td>
<td>2 Th</td>
<td>RT 59</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>78</td>
<td>11</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3992</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>SUNARTI</td>
 <td>`003499</td>
<td>06/8037</td>
<td>`0000665672319</td>
<td>`3503096201960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-01-1996</td>
<td>26 Th</td>
<td>RT 57 RW 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3993</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ARYA ALVARO VIRENDA</td>
<td>`000091</td>
<td>06/8037</td>
<td>`0002933882199</td>
<td>`3503050412190000</td>
<td>`</td>
<td></td>
<td>082245633584</td>
<td>L</td>
<td>13-05-2020</td>
 <td>2 Th</td>
<td>RT 57 RW 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>90</td>
<td>14</td>
<td>4</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3994</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>RISQI DEWI SAPUTRI</td>
<td>`000613</td>
<td>06/5830</td>
<td>`0003054489704</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-12-1997</td>
<td>24 Th</td>
<td>RT 57 RW 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
 <td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3995</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>AURISTELLA ZAYBA MAHESWARI</td>
<td>`013296</td>
<td></td>
<td>`0003078082405</td>
<td>`3503022310190003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-04-2021</td>
<td>1 Th</td>
<td>RT 57</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>80/60</td>
<td>90</td>
<td>36</td>
<td>22</td>
<td>74</td>
<td>12</td>
<td>49</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3996</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>REZA ALENDRA ALFARIZI</td>
<td>`011684</td>
<td>06/8829</td>
<td>`0002901767523</td>
<td>`3503052510190003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-10-2019</td>
<td>2 Th</td>
<td>RT 59 RW 012</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>80/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>80</td>
<td>12</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3997</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ADIASTA ADERIO KENTA</td>
<td>`013298</td>
<td></td>
<td>`0002930042248</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-04-2020</td>
<td>2 Th</td>
<td>RT 59</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>86</td>
<td>13</td>
<td>47</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>3998</td>
<td>POLINDES PRAMBON 2</td>
<td>17-09-2022</td>
<td>POSYANDU BALITA</td>
<td>ASZYKA GRACELINA SYAHFANA</td>
<td>`013299</td>
<td></td>
<td>`0002241059848</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-04-2017</td>
<td>5 Th</td>
<td>RT 59</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>80/60</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>86</td>
<td>13</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>3999</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
<td></td>
<td>DINNAR PRATAMA WULANDARI</td>
<td>`001284</td>
<td>03/6435</td>
<td>`0002217191376</td>
<td>`3503055810920001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-10-1992</td>
<td>29 Th</td>
<td>DUSUN JUMOK, RT : 10,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001081</td>
<td>BATUK</td>
<td>GG,VIT.C</td>
<td>124/85</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>52</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4000</td>
<td>PONKESDES TUMPUK</td>
<td>17-09-2022</td>
<td></td>
<td>PRAYOGA AGUNG PRISWANTO</td>
<td>`007916</td>
<td></td>
<td>`0001658192995</td>
<td>`3503120701920001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-01-1992</td>
<td>30 Th</td>
<td>DUSUN JUMOK, RT : 10,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y001082</td>
<td>BATUK,PILEK</td>
<td>GG,PAMOL,VIT.C,CTM</td>
<td>110/78</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>70</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4001</td>
<td>POLI UMUM</td>
<td>17-09-2022</td>
<td></td>
<td>MUHAMAD IKSAN</td>
<td>`021329</td>
<td></td>
<td>`0001705689819</td>
<td>`3503051009920002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-09-1992</td>
<td>30 Th</td>
<td>RT 1 RW 1</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y001035</td>
<td>nyeri di leher sampai bahu</td>
<td>asam mefenamat vit d</td>
<td>136/85</td>
<td>88</td>
<td>36</td>
<td>20</td>
 <td>160</td>
<td>94</td>
<td>100</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.09</td>
<td>
Polyarthritis, unspecified, unspecified site </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4002</td>
<td>POLINDES NGEPEH</td>
<td>17-09-2022</td>
<td></td>
<td>LILIK WIDAYATI</td>
<td>`002128</td>
<td></td>
<td>`0000665903878</td>
<td>` 3503054811710001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-11-1971</td>
<td>50 Th</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001887</td>
<td>KB PIL</td>
<td>PIL KB</td>
<td>118/78</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>58</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4003</td>
<td>RAWAT INAP</td>
<td>17-09-2022</td>
<td></td>
<td>HOLIDAH</td>
<td>`006930</td>
<td>01/4981</td>
<td>`0001959685569</td>
<td>`3526164107900564</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1990</td>
<td>32 Th</td>
<td>KEBONSARI, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum per
hari<br>Biaya rawat inap pasien umum per hari<br> </td>
</tr>
<tr align='left' valign="top">
<td>4004</td>
<td>RAWAT INAP</td>
<td>17-09-2022</td>
<td></td>
<td>AZKYA NAIARAPUTRI</td>
<td>`021461</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-05-2017</td>
<td>5 Th</td>
<td>TOMPE 10/4</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum per
hari<br>Biaya rawat inap pasien umum per hari<br> </td>
</tr>
<tr align='left' valign="top">
<td>4005</td>
<td>RAWAT INAP</td>
<td>17-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>SRI SULASMIATI</td>
<td>`021462</td>
<td></td>
<td>`</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-01-2002</td>
<td>20 Th</td>
<td>TANGKIL 9/3</td>
<td>TANGKIL</td>
<td>PANGGUL</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>panas 6 hari,mual, muntah, pusing</td>
<td>infus rl 20 tpm
inj.ampicillin 3x1 gr
inj.ranit 2x1 ampl
pamol
ctm
gg
antasida</td>
<td>100/70</td>
<td>88</td>
<td>39</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
Fever with chills </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum per
hari<br>Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum per
hari<br>Layanan Unit Gawat Darurat (UGD)<br>Pemasangan
infuse<br>Konsultasi<br>Tindakan medis ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>4006</td>
<td>POLINDES NGEPEH</td>
<td>17-09-2022</td>
<td></td>
<td>LIYA SANIYATUL ADYAN</td>
<td>`006818</td>
<td>04/4147</td>
<td>`0003080443048</td>
<td>`3503055401950001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-01-1995</td>
<td>27 Th</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001888</td>
<td>PERIKSA HAMIL</td>
<td>FE</td>
<td>123/76</td>
<td>80</td>
<td>36</td>
<td>24</td>
<td>155</td>
<td>61</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4007</td>
<td>POLINDES NGEPEH</td>
<td>17-09-2022</td>
<td></td>
<td>PRATAMA SAPUTRA</td>
<td>`013039</td>
<td>04/7545</td>
<td>`0002633645979</td>
<td>`3503140304140001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-12-2014</td>
<td>7 Th</td>
<td>DUSUN PONGGOK, RT : 24,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001889</td>
<td>FLU</td>
<td>SY DEMACOLIN</td>
<td>87/55</td>
<td>88</td>
<td>38</td>
<td>24</td>
<td>113</td>
<td>34</td>
<td>32</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4008</td>
<td>POLINDES NGEPEH</td>
<td>17-09-2022</td>
<td></td>
<td>PONIRAN</td>
<td>`021657</td>
<td></td>
<td>`0000665840395</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-01-1953</td>
<td>69 Th</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>PUSING</td>
<td>AMLODIPIN</td>
<td>197/98</td>
<td>88</td>
<td>37</td>
<td>24</td>
 <td>158</td>
<td>64</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4009</td>
<td>POLINDES NGEPEH</td>
<td>17-09-2022</td>
<td></td>
<td>MIKHAYLA VANESA AZZAHRA SALSA</td>
<td>`021658</td>
<td></td>
<td>`</td>
<td>`3502064708170002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-08-2017</td>
<td>5 Th</td>
<td>GERBO, RT : 12,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK</td>
<td>GG, PRED</td>
<td>78/54</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>102</td>
<td>21</td>
<td>32</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4010</td>
<td>PUSTU NGEPEH</td>
<td>17-09-2022</td>
<td></td>
<td>YAUMI</td>
<td>`002886</td>
<td></td>
<td>`0002802747925</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-06-1969</td>
<td>53 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001378</td>
<td>kontrol asma</td>
<td>ambroxol dexa salbutamol</td>
<td>113/68</td>
<td>76</td>
<td>35</td>
<td>22</td>
<td>158</td>
<td>78</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>R06.0</td>
<td>
Dyspnoea </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>4011</td>
<td>PUSTU NGEPEH</td>
<td>17-09-2022</td>
<td></td>
<td>KANIA PUTRI RAMADHANI</td>
<td>`007884</td>
<td></td>
<td>`0002970311207</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-06-2017</td>
<td>5 Th</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001379</td>
<td>batuk, pilek, panas</td>
<td>ambroxol ctm pamol</td>
<td>90/60</td>
<td>100</td>
<td>35</td>
<td>22</td>
<td>90</td>
<td>15</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4012</td>
<td>PUSTU NGEPEH</td>
<td>17-09-2022</td>
<td></td>
<td>SITI AMINAH</td>
<td>`000370</td>
<td>04/6037</td>
<td>`0001978434145</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>16-01-1974</td>
<td>48 Th</td>
<td>RT 07 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001381</td>
<td>sebah batuk pusing</td>
<td>omz ambroxol pamol</td>
<td>120/72</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4013</td>
<td>PUSTU NGEPEH</td>
<td>17-09-2022</td>
<td></td>
<td>SULASIH</td>
<td>`010747</td>
<td>04/1445</td>
<td>`0000665114049</td>
<td>`3503055703730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-03-1973</td>
<td>49 Th</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001382</td>
<td>batuk pilek panas</td>
<td>ambroxol loratadin amox</td>
<td>100/70</td>
<td>81</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4014</td>
<td>PUSTU NGEPEH</td>
<td>17-09-2022</td>
<td></td>
<td>TUKIMIN</td>
<td>`002134</td>
<td>04/5965A</td>
<td>`0002623970136</td>
<td>`3503055008550003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-08-1955</td>
<td>67 Th</td>
<td>DUSUN PONGGOK, RT : 21,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001384</td>
<td>vertigo</td>
<td>betahistin amlodipin </td>
<td>161/84</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>170</td>
 <td>62</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4015</td>
<td>PUSTU NGEPEH</td>
<td>17-09-2022</td>
<td></td>
<td>NABILA MAHIRA HASNA KAMILA PUTRI MUSTOFA</td>
<td>`005324</td>
<td></td>
<td>`0001978432479</td>
<td>`3503055103140001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-03-2014</td>
<td>8 Th</td>
<td>RT 15 RW 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001386</td>
<td>panas batuk pilek</td>
<td>ambroxol pamol ctm</td>
<td>100/70</td>
<td>100</td>
<td>37</td>
<td>22</td>
<td>155</td>
<td>44</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4016</td>
<td>PUSTU NGEPEH</td>
<td>17-09-2022</td>
<td></td>
<td>LAILA KHOIRUR ROSYIDAH</td>
<td>`011951</td>
<td></td>
<td>`0001978434472</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-06-1996</td>
<td>26 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001387</td>
<td>batuk, tenggorokan gatal</td>
<td>gg ctm ibuprofen</td>
<td>106/58</td>
<td>97</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>52</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4017</td>
 <td>PUSTU NGEPEH</td>
<td>17-09-2022</td>
<td></td>
<td>MIATI</td>
<td>`016587</td>
<td></td>
<td>`0001978434764</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-10-1971</td>
<td>50 Th</td>
<td>RT 11/4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001388</td>
<td>batuk, pilek,pusing,keju</td>
<td>ambroxol ctm nadik kalk</td>
<td>142/82</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4018</td>
<td>UGD</td>
<td>18-09-2022</td>
<td></td>
<td>REYZA INARA MAHARANI</td>
<td>`003257</td>
<td></td>
<td>`0002474014915</td>
<td>`3503066903170001</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>29-03-2017</td>
<td>5 Th</td>
<td>RT 11 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>4019</td>
<td>UGD</td>
<td>18-09-2022</td>
<td></td>
<td>SUKARI</td>
<td>`012303</td>
<td></td>
<td>`0000666957475</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-09-1947</td>
<td>75 Th</td>
<td>PRAMBON RT V3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
 <td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>4020</td>
<td>RAWAT INAP</td>
<td>18-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>SHELLA CAMELLY ALFATATY</td>
<td>`021463</td>
<td></td>
<td>`</td>
<td>`3503055803050002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-03-2005</td>
<td>17 Th</td>
<td>DUSUN KALIPINGGIR, RT : 18,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>panas 3 hari, mual, pusing</td>
<td>infus rl 20 tpm,
inj.ampicillin 3x1 gr
inj.deksa 2x1 amp
inj. metoclop 3x1 amp
inj.ranitifdine 2x1 amp
paracetamol 3x1
antasida 3x1</td>
 <td>120/80</td>
<td>87</td>
<td>38</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
Fever with chills </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum per
hari<br>Pemasangan infuse<br>Layanan Unit Gawat Darurat (UGD)<br>Biaya rawat inap
pasien umum per hari<br>Tindakan medis ringan lainnya<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4021</td>
<td>RAWAT INAP</td>
<td>18-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>JARWANTO</td>
<td>`021466</td>
<td></td>
<td>`0000664966844</td>
<td>`</td>
<td>`</td>
<td>jarwanto</td>
<td></td>
<td>L</td>
<td>12-11-1991</td>
<td>30 Th</td>
<td>RT 11 RW 2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td>pusig, nyeri pada luka herpez di leher sampai kepala</td>
<td>inf rl 20 tpm
inj antrain 3x1
inj ranitidin 2x1
inj dexa 2x1
inj ranitidin 2x1
os acyclovir 3x1
os ibuprofen 2x1
os bc 2x1
os vit c 1x1</td>
 <td>130/80</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>170</td>
<td>62</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>B02.9</td>
<td>
Zoster without complication </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pemasangan infuse<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis
ringan lainnya<br>Tindakan medis ringan lainnya<br>Konsultasi<br>Rawat Inap pasien
BPJS<br>Rawat Inap pasien BPJS<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis
ringan lainnya<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis ringan
lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>4022</td>
<td>POLINDES PRAMBON 1</td>
<td>19-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>DESTYA RATNASARI</td>
<td>`012324</td>
<td></td>
<td>`0001037015447</td>
<td>`3503055712950002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-12-1995</td>
<td>26 Th</td>
<td>DUSUN PAKEL, RT : 27,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
 <td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4023</td>
<td>POLINDES PRAMBON 1</td>
<td>19-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>ISMI</td>
<td>`016352</td>
<td></td>
<td>`</td>
<td>`3503055301800003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-01-1980</td>
<td>42 Th</td>
<td>PAKEL, RT : 152,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4024</td>
<td>POLINDES PRAMBON 1</td>
<td>19-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>TIWI</td>
<td>`010416</td>
<td></td>
<td>`0000667035189</td>
<td>`3503056803930002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-03-1993</td>
<td>29 Th</td>
<td>PRAMBON, RT : 29,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4025</td>
 <td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>MOHANDHANI FIRMANSYAH</td>
<td>`021360</td>
<td>03/4929</td>
<td>`</td>
<td>`3503052308040002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-08-2004</td>
<td>18 Th</td>
<td>RT 04 RW 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>PANAS BATUK PILEK PUSING HABIS BANGUN TIDUR PEGAL 2</td>
<td>CIPRO PCT AMBROKSOL CTM</td>
<td>137/84</td>
<td>123</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>68</td>
<td>68</td>
<td></td>
<td>KASUS BARU</td>
<td>J20.7</td>
<td>
Acute bronchitis due to echovirus </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4026</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td></td>
<td>SUKATMI</td>
<td>`021361</td>
<td>01/5618</td>
<td>`0000665593345</td>
<td>`3503055501510001</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>15-01-1951</td>
<td>71 Th</td>
<td>RT 15 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td>131506010922Y001055</td>
<td>BOYOK KEJU BAB KERAS,KENCING PANAS</td>
<td>NADIC,IBUPROFEN,DEXA,CIPROFLOXAXIN,GG</td>
<td>118/60</td>
<td>112</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>36</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>N39.0</td>
<td>
Urinary tract infection, site not specified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4027</td>
<td>POLI MTBS</td>
<td>19-09-2022</td>
<td></td>
<td>LAILIS ALFIANA</td>
<td>`021362</td>
<td>01/2190</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-08-2018</td>
<td>4 Th</td>
<td>RT 18 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
 <td>Lama</td>
<td></td>
<td>panas, batuk, pilek, bibir pecah2</td>
<td>pamol sy, amok, ambroxol, gentian violet</td>
<td>1/1</td>
<td>98</td>
<td>36</td>
<td>28</td>
<td>100</td>
<td>11.9</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K12.1</td>
<td>
Other forms of stomatitis </td>
<td>J03.9</td>
<td>
Acute tonsillitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4028</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td></td>
<td>KADIMUN</td>
<td>`001728</td>
<td>02/5771</td>
<td>`0001849714479</td>
<td>`3503053012550005</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-12-1955</td>
<td>66 Th</td>
<td>DUSUN CORAH MULYO, RT : 1,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Industri</td>
<td>Lama</td>
<td>131506010922Y001051</td>
<td>CEK GDP,PERIH KEMBUNG</td>
<td>GLIBENCLAMID,AMLODIPIN,ANTASIDA</td>
<td>161/81</td>
<td>63</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>52</td>
 <td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4029</td>
<td>POLI KIA</td>
<td>19-09-2022</td>
<td></td>
<td>AGHNIA FIDYA SAGAR NAJIBULLOH MUSTHOFA</td>
<td>`007389</td>
<td>06/1953</td>
<td>`</td>
<td>`3503055105950003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-05-1995</td>
<td>27 Th</td>
<td>KRAJAN, RT : 17,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4030</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>MISNATUN</td>
<td>`002203</td>
<td>02/1020</td>
<td>`0000665880568</td>
<td>`3503055604680001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-04-1968</td>
<td>54 Th</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001108</td>
<td>lutut ada luka babras post jatuh</td>
<td>cipro, asmef</td>
<td>145/65</td>
<td>65</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>57.1</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4031</td>
<td>POLI UMUM</td>
 <td>19-09-2022</td>
<td></td>
<td>KARSIDI</td>
<td>`020504</td>
<td>90/228</td>
<td>`</td>
<td>`3503050806670001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-06-1967</td>
<td>55 Th</td>
<td>MOJO KIDUL, RT : 021,RW :008 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PETANI/PEKEBUN</td>
<td>Lama</td>
<td></td>
<td>kontrol dada sesak sudah membaik</td>
<td>ranitidin antasida vit d</td>
<td>149/79</td>
<td>104</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>61</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4032</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>SITI ISTIQOMAH</td>
<td>`021097</td>
<td>90/228</td>
<td>`</td>
<td>`3503055611690001</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>16-11-1969</td>
<td>52 Th</td>
<td>MOJO KIDUL, RT : 021,RW :008 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PETANI/PEKEBUN</td>
<td>Lama</td>
<td></td>
<td>gatal pada kemaluan</td>
<td>griseufulfin loratadin prednison</td>
<td>169/97</td>
<td>126</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>69</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>B35.1</td>
<td>
Tinea unguium </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4033</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td></td>
<td>HARSO SEDYANTO</td>
<td>`002875</td>
<td>05/2063</td>
<td>`0000106553035</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-11-1959</td>
<td>62 Th</td>
<td>RT 02 RW 01</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
 <td>131506010922Y001050</td>
<td>NYERI ULU HATI,KEMBUNG,ALERGI MAKANAN</td>
<td>METFORMIN,AMLODIPIN,OMEPRAZOL,RANITIDIN</td>
<td>129/58</td>
<td>73</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>59</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4034</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td></td>
<td>RINI</td>
<td>`000009</td>
<td>01/6881</td>
<td>`0001978455532</td>
<td>`3503055908580002</td>
<td>`108544</td>
<td></td>
<td></td>
<td>P</td>
<td>19-08-1958</td>
<td>64 Th</td>
<td>DUSUN KEBONSARI, RT : 031,RW :007 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001054</td>
<td>KONTROL TENSI LUTUT BENGKAK</td>
<td>VIT K,NADIC,IBUPROFEN,DEXA,AMLODIPIN</td>
<td>130/75</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>71</td>
<td>85</td>
 <td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4035</td>
<td>POLI REMAJA</td>
<td>19-09-2022</td>
<td></td>
<td>DWYAN PUTRA MEDICA FORESTA</td>
<td>`011324</td>
<td>90/1400</td>
<td>`</td>
<td>`3503060402050002</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>04-02-2005</td>
<td>17 Th</td>
<td>DUSUN CETOK, RT : 19,RW :5 </td>
<td>KARANGAN</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>batuk,pilek</td>
<td>amox, </td>
<td>120/72</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>57.7</td>
<td>80</td>
<td>Karangan</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4036</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>RICKY BASTIAN NOVA WIDODO</td>
<td>`021363</td>
<td>90/01</td>
<td>`</td>
<td>`3503121111960005</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-11-1996</td>
<td>25 Th</td>
<td>RT 05 RW 02</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>pusing, panas, batuk, pilek</td>
<td>pamol, ctm, gg, vit c</td>
<td>112/76</td>
<td>67</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>94</td>
<td>90</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4037</td>
<td>POLI LANSIA</td>
 <td>19-09-2022</td>
<td></td>
<td>SARJI</td>
<td>`000644</td>
<td>02/355</td>
<td>`0000665627949</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-12-1957</td>
<td>64 Th</td>
<td>RT 09 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001039</td>
<td>rujukan</td>
<td>-</td>
<td>130/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>58</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4038</td>
<td>POLI KIA</td>
<td>19-09-2022</td>
<td></td>
<td>MUMA HUSNA MULIANA</td>
<td>`021364</td>
<td>04/1903</td>
<td>`</td>
<td>`3503056005850001</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>20-05-1985</td>
<td>37 Th</td>
<td>RT 04 RW 01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4039</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td></td>
<td>SUJITO</td>
<td>`011860</td>
<td>01/2099</td>
<td>`0001307680615</td>
<td>`3503051009590002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-09-1959</td>
<td>63 Th</td>
<td>DUSUN KEBONSARI, RT : 29,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
 <td>131506010922Y001042</td>
<td>kaki tebal buat jalan</td>
<td>metformin,omeprazol ranitidin,</td>
<td>107/62</td>
<td>76</td>
<td>36</td>
<td>24</td>
<td>160</td>
<td>62</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4040</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>CHELSEA SHAQILLA PUTRI</td>
<td>`011359</td>
<td>90/288</td>
<td>`</td>
<td>`3503066503170001</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>25-03-2017</td>
<td>5 Th</td>
<td>DUSUN JAMPI, RT : 5,RW :1 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS BATUK PILEK</td>
<td>AMOK PAMOL CM GG DEKSA</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>108</td>
<td>19</td>
 <td>20</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4041</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>NASATUN MATJIPAH</td>
<td>`021365</td>
<td>90/288</td>
<td>`</td>
<td>`3503064608950002</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>06-08-1995</td>
<td>27 Th</td>
<td>DUSUN JAMPI, RT : 5,RW :1 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>PANAS BATUK PILEK</td>
<td>AMOK PAMOL CTM GG DEXA</td>
<td>120/70</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>47</td>
<td>50</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
 <td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4042</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>TITIK MARLINA</td>
<td>`012311</td>
<td>02/4188</td>
<td>`0001090270012</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-03-1978</td>
<td>44 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001102</td>
<td>panas pusing batuk pilek</td>
<td>cipro pamol ctm gg dexa vit c</td>
<td>129/60</td>
<td>106</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>62</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4043</td>
 <td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>MUJILAN</td>
<td>`010619</td>
<td>02/3106</td>
<td>`0000666347703</td>
<td>`3503051204660002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1966</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001216</td>
<td>PERGELANGAN TANGAN ODEM NYERI</td>
<td>AMLODIPIN METFORMIN GLIMEPIRID ASPILET PAMOL BC</td>
<td>163/91</td>
<td>63</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>62</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4044</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td></td>
<td>TUKINI</td>
<td>`021366</td>
<td>90/288</td>
<td>`</td>
<td>`3503065701620001</td>
<td>`
</td>
 <td></td>
<td></td>
<td>P</td>
<td>17-01-1962</td>
<td>60 Th</td>
<td>DUSUN JAMPI, RT : 5,RW :1 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td></td>
<td>batuk panas,pusing</td>
<td>cipro,obh,ambroksol pamol , ctm</td>
<td>144/67</td>
<td>81</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>60</td>
<td>157</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4045</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>NGATMININGSIH</td>
<td>`001842</td>
<td>05/161</td>
<td>`0001978463193</td>
<td>`3503054507480002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-07-1948</td>
<td>74 Th</td>
<td>RT 03 RW 01</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlodipin, vit c</td>
<td>150/80</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>148</td>
<td>58</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4046</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>KATIRIN</td>
<td>`003914</td>
<td>03/3896</td>
<td>`0002802753426</td>
<td>`3503051204680008</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1968</td>
<td>54 Th</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001099</td>
<td>KONTROL RAWAT LUKA</td>
<td>-</td>
<td>133/61</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>165</td>
 <td>58</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4047</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SYAIFATUL AMANAH</td>
<td>`005956</td>
<td>05/1872</td>
<td>`0003067772804</td>
<td>`3503115606880001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-06-1988</td>
<td>34 Th</td>
<td>RT 1 RW 1</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk, pilek</td>
<td>ambroxol, ctm, vit c</td>
<td>121/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>51</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4048</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td></td>
<td>MUJIATI</td>
<td>`000290</td>
<td>90/2377</td>
<td>`0002190257392</td>
<td>`3503065105590001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-05-1959</td>
<td>63 Th</td>
<td>RT 06 RW 01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001061</td>
<td>PUSING PANAS BATUK PILEK</td>
<td>PAMOL,CTM DEKSA OMEPRAZOL RANITIDIN</td>
<td>91/82</td>
<td>81</td>
<td>36</td>
<td>22</td>
<td>148</td>
<td>48</td>
<td>62</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4049</td>
 <td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>NURGIANTO</td>
<td>`017954</td>
<td>04/5681</td>
<td>`0000665732564</td>
<td>`3503050610840002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-10-1984</td>
<td>37 Th</td>
<td>RT 28 RW 012</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001101</td>
<td>KONTROL AMBIL OBAT TBC</td>
<td>OAT 14 DOSIS CTM GG BC</td>
<td>107/68</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>48.8</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A15</td>
<td>
Respiratory tuberculosis, bacteriologically and histologically
confirmed </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4050</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUPARTIN</td>
<td>`006634</td>
<td></td>
<td>`0001978462899</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>12-05-1975</td>
<td>47 Th</td>
<td>BANARAN TUGU TRENGGALEK</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Tani / Perkebunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing, keju linu</td>
<td>parasetamol, nadic, vit c</td>
<td>110/60</td>
<td>68</td>
<td>35</td>
<td>22</td>
<td>150</td>
<td>55</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4051</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>JIHAN MAULANA</td>
<td>`021367</td>
<td>06/8432</td>
<td>`</td>
<td>`3503052008020001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-08-2002</td>
<td>20 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Pelajar/Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>sks</td>
<td>-</td>
<td>134/61</td>
<td>66</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>63.8</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4052</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>ADIV SUNANI ALI FATHONI</td>
<td>`021368</td>
<td></td>
<td>`</td>
<td>`3503052802030001</td>
<td>`</td>
<td>TN MARSID</td>
<td></td>
<td>L</td>
<td>28-02-2003</td>
<td>19 Th</td>
<td>KARANG PLOSO, RT : 010,RW :004 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PELAJAR/MAHASISWA</td>
<td>Baru</td>
<td></td>
<td>sks</td>
<td>-</td>
<td>115/64</td>
<td>69</td>
<td>36</td>
<td>20</td>
 <td>162</td>
<td>65</td>
<td>81</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4053</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SOEGIJO</td>
<td>`011417</td>
<td></td>
<td>`0000106707183</td>
<td>`3503051502430001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-02-1943</td>
<td>79 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic, vit c</td>
<td>110/70</td>
<td>58</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>51</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4054</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KASIATI</td>
<td>`009223</td>
<td></td>
<td>`0000665552924</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-06-1970</td>
<td>52 Th</td>
<td>RT 04 RW 02</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing, cengeng, keju linu</td>
<td>amlodipin, nadic, vit c, parasetamol</td>
<td>150/80</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>49</td>
<td>1</td>
<td>dr. Tatik Sukaryati</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>m79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4055</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUGENG WIDJIARSO</td>
<td>`005973</td>
<td></td>
<td>`0001978463608</td>
<td>`3503051910600001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-10-1960</td>
<td>61 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic,vit c</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>50</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4056</td>
<td>POLI MTBS</td>
<td>19-09-2022</td>
<td></td>
<td>FEBY CLAFISSA</td>
<td>`021369</td>
<td>08/4638</td>
<td>`</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-08-2018</td>
<td>4 Th</td>
<td>RT 002 RW 001</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>NYERI TELINGA</td>
<td>AMOK CTM DEXA PAMOL SYR</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>105</td>
<td>15</td>
<td>17</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>H61.2</td>
<td>
Impacted cerumen </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4057</td>
<td>POLI GIGI</td>
<td>19-09-2022</td>
<td></td>
<td>CHANTIKA FILZAH NUR SANTOSO</td>
<td>`009445</td>
<td>06/7645</td>
<td>`0002265733056</td>
<td>`3503055607170001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-07-2017</td>
<td>5 Th</td>
<td>DUSUN PAKEL, RT : 33,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001066</td>
<td>gigi depan bawah kanan kesundulan</td>
<td>anasthesi topikal cabut gigi 81</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>19</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>k00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>4058</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>PAERAH</td>
<td>`011157</td>
<td></td>
<td>`0001978463283</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-06-1958</td>
<td>64 Th</td>
<td>RT 003 RW 001</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk.pilek</td>
<td>gg, vit c, ctm</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
 <td>150</td>
<td>51</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4059</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>PAITO</td>
<td>`002258</td>
<td>06/6968</td>
<td>`0002253567104</td>
<td>`3503051803690001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-03-1969</td>
<td>53 Th</td>
<td>RT 1 RW1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001046</td>
<td>KONTROL</td>
<td>-</td>
<td>124/72</td>
<td>85</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>76.8</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I25</td>
<td>
Chronic ischaemic heart disease </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4060</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MURTINI</td>
<td>`014072</td>
<td></td>
<td>`0001978462631</td>
<td>`3503054510520001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-01-2000</td>
<td>22 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing, mual</td>
<td>omeprazole, amlodipin</td>
<td>160/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>4061</td>
<td>POLI KIA</td>
<td>19-09-2022</td>
<td></td>
<td>ERMA FITRIANTI</td>
<td>`021370</td>
<td>01/5782</td>
<td>`</td>
<td>`3503055501920001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-01-1992</td>
<td>30 Th</td>
<td>DUSUN KRAJAN II, RT : 28,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>MUAL</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>1</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4062</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUTINAH</td>
<td>`009220</td>
<td></td>
<td>`0001978462585</td>
<td>`3503055507610001</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>15-07-1961</td>
<td>61 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic,vit c``</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4063</td>
<td>POLI MTBS</td>
<td>19-09-2022</td>
<td></td>
<td>HANIFA KAYLA SA`BANIA</td>
<td>`012157</td>
<td>06/5628</td>
<td>`0002759911931</td>
<td>`3503056104190001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-04-2019</td>
<td>3 Th</td>
<td>RT 14 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001095</td>
<td>BATUK PILEK</td>
<td>CTM GG DEXA BC</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>102</td>
<td>13</td>
<td>15</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4064</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>MOH. NURUL HUDA</td>
<td>`013470</td>
<td>06/5628</td>
<td>`0001728973956</td>
<td>`3503051111820001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-11-1982</td>
<td>39 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001096</td>
<td>NYERI PERUT </td>
<td>ANTASIDA RANITIDIN PARASETAMOL</td>
<td>121/53</td>
<td>69</td>
<td>36</td>
<td>20</td>
<td>166</td>
 <td>56</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4065</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUWARNI</td>
<td>`014321</td>
<td></td>
<td>`0000665503953</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-07-1939</td>
<td>83 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju, badan sakit semua</td>
<td>b complek</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>50</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4066</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td></td>
<td>WIDARNI</td>
<td>`021147</td>
<td>02/4055</td>
<td>`0000106706193</td>
<td>`3503055407450002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-07-1945</td>
<td>77 Th</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y001056</td>
<td>KONTROL JAHITAN DI KEPALA</td>
<td>-</td>
<td>130/77</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>36</td>
<td>75</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>Z48</td>
<td>
Other surgical follow-up care </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4067</td>
 <td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td> ISNAINI MAULIDA</td>
<td>`000120</td>
<td>01/3921</td>
<td>`0002860462901</td>
<td>`3503057001150002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-01-2015</td>
<td>7 Th</td>
<td>RT 18 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001088</td>
<td>NYERI SEKITAR TENGGOROKAN</td>
<td>AMOK PAMOL DEKSA</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>24</td>
<td>30</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4068</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUMARLIK</td>
<td>`002278</td>
<td></td>
<td>`0000666225808</td>
<td>` </td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>27-06-1979</td>
<td>43 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic, vit bc</td>
<td>110/70</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>47</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4069</td>
<td>POLI REMAJA</td>
<td>19-09-2022</td>
<td></td>
<td>NADYA ALMIRA ZAHID</td>
<td>`021371</td>
<td>01/5568</td>
<td>`0001265361502</td>
<td>`9171026305090001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-05-2009</td>
<td>13 Th</td>
<td>DUSUN KEBONSARI, RT : 30,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
 <td>Lama</td>
<td>131506010922Y001053</td>
<td>BATUK PILEK GREGES, NYERI TENGGOROKAN</td>
<td>AMOK PAMOL CTM DEKSA GG </td>
<td>90/55</td>
<td>106</td>
<td>36</td>
<td>20</td>
<td>162</td>
<td>39</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4070</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TRIWINARSIH</td>
<td>`000309</td>
<td>05/267</td>
<td>`0000170069545</td>
<td>`3503055410680001</td>
<td>`95086</td>
<td></td>
<td></td>
<td>P</td>
<td>14-10-1968</td>
<td>53 Th</td>
<td>TAWANG, RT : 003,RW :002 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic,bc</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
 <td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4071</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUTANTI</td>
<td>`004938</td>
<td>05/3186</td>
<td>`0001109440686</td>
<td>`3503054105780001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-05-1978</td>
<td>44 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4072</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>NUR LEONEL ABRISAM</td>
<td>`013322</td>
<td>01/2145</td>
<td>`0002508071793</td>
<td>`3503052810150002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-10-2015</td>
<td>6 Th</td>
<td>RT 13 RW 03</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001217</td>
<td>BATUK PILEK PANAS NYERI TENGGOROKAN</td>
<td>PAMOL CTM GG DOMPERIDON ANTASIDA AMOK</td>
<td>1/1</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>19</td>
<td>20</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4073</td>
<td>POLI LANSIA</td>
 <td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUJINEM</td>
<td>`004936</td>
<td></td>
<td>`0003067659472</td>
<td>`3503054502510001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-02-1951</td>
<td>71 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu, rpd. dm</td>
<td>nadic, gliben, bc</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>49</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4074</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>ISTIKOMAH</td>
<td>`001377</td>
<td>05/6826</td>
<td>`0001978463632</td>
<td>`3503056304680001</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>23-04-1968</td>
<td>54 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>mual</td>
<td>omeprazole, bc</td>
<td>110/70</td>
<td>87</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4075</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUBAGIYO</td>
<td>`007971</td>
<td></td>
<td>`0000666208214</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-09-1956</td>
<td>66 Th</td>
<td>RT4 RW 2 BANARAN TRENGGALEK</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
 <td>Konseling</td>
<td>keju linu</td>
<td>nadic, bc, ctm</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>55</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4076</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SRI SUHARTI</td>
<td>`014070</td>
<td>05/2032</td>
<td>`0001978463338</td>
<td>`3503056506710001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-06-1971</td>
<td>51 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>badan sakit semua, </td>
<td>bc, ibuprofen</td>
<td>110/70</td>
<td>78</td>
<td>35</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>1</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4077</td>
<td>POLI MTBS</td>
<td>19-09-2022</td>
<td></td>
<td>RAYAN AKBAR</td>
<td>`021372</td>
<td>90/976</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-08-2020</td>
<td>2 Th</td>
<td>RT 06 RW 02</td>
<td>SUMBER</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PENIS MEMBESAR </td>
<td>DEXA CTM HIDRO PAMOL SYR</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>100</td>
<td>12</td>
<td>15</td>
<td></td>
<td>KASUS BARU</td>
<td>T33.9</td>
<td>
Superficial frostbite of other and unspecified sites </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4078</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KATINI</td>
<td>`009219</td>
<td></td>
<td>`0001978462629</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-03-1951</td>
<td>71 Th</td>
<td>RT 01 RW 01</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing, keju linu, mual</td>
<td>amlodipin, nadic, antasida, bc</td>
<td>150/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>m79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4079</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
 <td>POSYANDU LANSIA</td>
<td>TRINEM</td>
<td>`008284</td>
<td>05/3430</td>
<td>`0000106624732</td>
<td>`3503054703450001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-03-1945</td>
<td>77 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic, b komplek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>65</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4080</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MARYADI</td>
<td>`008519</td>
<td></td>
<td>`0000106624743</td>
<td>`3503051802410001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>18-02-1941</td>
<td>81 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu, </td>
<td>b complek, ambroxol, nadic</td>
<td>110/70</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4081</td>
<td>POLI MTBS</td>
<td>19-09-2022</td>
<td></td>
<td>BELLVANIA JASMEEN PUTRI ARYONO</td>
<td>`001251</td>
<td>06/4843</td>
<td>`0003054964522</td>
<td>`3503050203180006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-10-2020</td>
<td>1 Th</td>
<td>RT 15 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001111</td>
 <td>panas td malam,muntah</td>
<td>pamol dom peridom</td>
<td>1/1</td>
<td>100</td>
<td>36</td>
<td>24</td>
<td>70</td>
<td>9</td>
<td>46</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
Fever with chills </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4082</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>RUSTINI</td>
<td>`011708</td>
<td>07/2888</td>
<td>`0001978440636</td>
<td>`3503055608660002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-08-1966</td>
<td>56 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001093</td>
<td>GREGES, BATUK, PILEK</td>
<td>AMOK, PAMOL, CTM, GG, DEXA, VIT BC</td>
<td>114/71</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>35.6</td>
<td>76</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4083</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td></td>
<td>SUMINI</td>
<td>`020404</td>
<td>01/5518</td>
<td>`0000664934984</td>
<td>`3503057112600003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1960</td>
<td>61 Th</td>
<td>DUSUN KALIPINGGIR, RT : 18,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001060</td>
<td>PUSING MUAL BATUK</td>
<td>CIPRO,OBH,AMBROKSOL,CTM,DIMEN</td>
<td>130/70</td>
<td>100</td>
<td>36</td>
<td>24</td>
<td>150</td>
<td>53</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4084</td>
<td>POLI MTBS</td>
<td>19-09-2022</td>
<td></td>
<td>ABDULLAH YUSUF</td>
<td>`006669</td>
<td>02/1367</td>
<td>`0002494279631</td>
<td>`3503050803180002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-03-2018</td>
<td>4 Th</td>
<td>RT 20 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001091</td>
<td>BATUK, PILEK, PANAS</td>
<td>AMOK, CTM, GG, DEXA, VIT BC</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>110</td>
<td>15.8</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4085</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
 <td>SATINI</td>
<td>`002057</td>
<td></td>
<td>`0001978463248</td>
<td>`3503054505610001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-05-1961</td>
<td>61 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>mual, keju linu, pusing</td>
<td>omeprazol, nadic, amlodipin, bc</td>
<td>150/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>k29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4086</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>PAIT</td>
<td>`005382</td>
<td>05/7235</td>
<td>`0001978463777</td>
<td>`3503051707540002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-07-1954</td>
 <td>68 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing, mual</td>
<td>glibenclamid, amlodipin, antasida</td>
<td>160/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>k29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4087</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TUMINI</td>
<td>`011418</td>
<td></td>
<td>`0001978462743</td>
<td>`3503055802440001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-02-1944</td>
<td>78 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu, batuk</td>
 <td>glubenclamid, bc, nadic, ambroxol</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>m79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4088</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SINUNG</td>
<td>`009201</td>
<td></td>
<td>`0002737430368</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-04-1935</td>
<td>87 Th</td>
<td>RT 04 RW 02</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>BATUK, PUSING</td>
<td>GG, AMLODIPIN</td>
<td>160/90</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4089</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td></td>
<td>TUMI</td>
<td>`006144</td>
<td>90/3238</td>
<td>`0002589622481</td>
<td>`3502056505470003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1947</td>
<td>75 Th</td>
<td>RT 03 RW 02</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001052</td>
<td>RUJUKAN</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4090</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td></td>
<td>ROBIYAH</td>
<td>`004481</td>
<td>06/5727A</td>
<td>`0000664432143</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1957</td>
<td>64 Th</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001049</td>
<td>-</td>
<td>-</td>
<td>159/77</td>
<td>80</td>
<td>36</td>
<td>24</td>
<td>150</td>
<td>58</td>
<td>65</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>A16</td>
<td>
Respiratory tuberculosis, not confirmed bacteriologically or
histologically </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4091</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
 <td>PAIJAH</td>
<td>`005807</td>
<td></td>
<td>`0001978463046</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-02-1950</td>
<td>72 Th</td>
<td>RT 4 RW 2</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING, BATUK</td>
<td>AMLODIPIN, AMBROXOL</td>
<td>160/80</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4092</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TAJEM</td>
<td>`005177</td>
<td>05/2123</td>
<td>`0001037004816</td>
<td>`3503054804510001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-04-1951</td>
 <td>71 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING, BATUK</td>
<td>PAMOL, GG, BC</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>65</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4093</td>
<td>POLI REMAJA</td>
<td>19-09-2022</td>
<td></td>
<td>ANISA SILVIA JULIANI</td>
<td>`020783</td>
<td>90/331</td>
<td>`0000661045173</td>
<td>`3502056807070002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-07-2007</td>
<td>15 Th</td>
<td>RT 1 RW 6</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001089</td>
<td>PUSING, MUAL, PANAS, TENGGOROKAN KERING</td>
 <td>PAMOL, ANTASID, RANITIDIN, DOMPERIDON</td>
<td>112/68</td>
<td>119</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>39.6</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4094</td>
<td>POLI KIA</td>
<td>19-09-2022</td>
<td></td>
<td>NURHAMIDATUS SAKDIYAH</td>
<td>`021373</td>
<td>90/2344</td>
<td>`0002375186297</td>
<td>`3503066606960002</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>26-06-1996</td>
<td>26 Th</td>
<td>DUSUN SIGIT, RT : 9,RW :2 </td>
<td>KEDUNGSIGIT</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001067</td>
<td>TAA</td>
<td>-</td>
<td>130/75</td>
<td>108</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>71</td>
<td>1</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4095</td>
<td>POLINDES WINONG</td>
<td>19-09-2022</td>
<td></td>
<td>EKA MILAWATI</td>
<td>`000222</td>
<td>08/2330</td>
<td>`0001978467849</td>
<td>`3503054102890002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-02-1989</td>
<td>33 Th</td>
<td>RT 04 RW 02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Honorer</td>
<td>Lama</td>
<td>131506010922Y001819</td>
<td>sariawan</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>165</td>
<td>55</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K12.1</td>
<td>
Other forms of stomatitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4096</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SRI SUNDARI</td>
<td>`006632</td>
<td></td>
<td>`0002802745675</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-02-1968</td>
<td>54 Th</td>
<td>BANARAN TUGU TRENGGALEK</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU, MUAL</td>
<td>OMZ, NADIC, BC</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4097</td>
<td>POLINDES WINONG</td>
<td>19-09-2022</td>
<td></td>
 <td>DZU AL MAWAHIB WAROZATUL ANBIYA</td>
<td>`017713</td>
<td></td>
<td>`0002895056908</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-2017</td>
<td>5 Th</td>
<td>RT2RW1 DESA WINONG</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001824</td>
<td>flu</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>375</td>
<td>16</td>
<td>122</td>
<td>20</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4098</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUHARMI</td>
<td>`001944</td>
<td></td>
<td>`0001978463406</td>
<td>`3503055012560003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1956</td>
 <td>65 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>BC</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4099</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>WINARTI</td>
<td>`007578</td>
<td></td>
<td>`0000666220972</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-07-1977</td>
<td>45 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>MUAL, PUSING, </td>
 <td>GLIBENCLAMID, AMLODIPIN, ANTASIDA, BC</td>
<td>150/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>45</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4100</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>LAMIYEM</td>
<td>`005767</td>
<td></td>
<td>`0001978463722</td>
<td>`3503054807590001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-1959</td>
<td>63 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING, KEJU LINU</td>
<td>AMLODIPIN, NADIC, B KOMPLEK</td>
<td>150/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>149</td>
<td>48</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4101</td>
<td>POLINDES WINONG</td>
<td>19-09-2022</td>
<td></td>
<td>YATMIATI</td>
<td>`021348</td>
<td></td>
<td>`0001978468211</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-03-1975</td>
<td>47 Th</td>
<td>RT RW </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>taa</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>45</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K12.1</td>
<td>
Other forms of stomatitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4102</td>
<td>POLI REMAJA</td>
<td>19-09-2022</td>
<td></td>
<td>LUKMAN HAKIM</td>
<td>`021374</td>
<td>01/1539</td>
<td>`0000665374274</td>
<td>`3503050605070001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-05-2007</td>
<td>15 Th</td>
<td>DSN KALIPINGGIR, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4103</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SURINGAH</td>
 <td>`010233</td>
<td></td>
<td>`0000666305831</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-01-1953</td>
<td>69 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING, KEJU LINU</td>
<td>AMLODIPIN, NADIC, B KOMPLEK</td>
<td>160/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4104</td>
<td>POLI MTBS</td>
<td>19-09-2022</td>
<td></td>
<td>MIRZA MADA RADITYA</td>
<td>`010485</td>
<td>04/4824</td>
<td>`0002930533143</td>
<td>`3503053003200002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-03-2020</td>
<td>2 Th</td>
 <td>RT 09/03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001080</td>
<td>panas batuk pilek</td>
<td>pamol sy amok gg ctm deks b com</td>
<td>1/1</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>70</td>
<td>13.2</td>
<td>47</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4105</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KATEMI</td>
<td>`002415</td>
<td></td>
<td>`0002190268822</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-07-1949</td>
<td>73 Th</td>
<td>RT8 RW4</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>PILEK, BATUK</td>
<td>GG, CTM, BC</td>
 <td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>148</td>
<td>47</td>
<td>75</td>
<td>Pucanganak</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4106</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUPRIHATIN</td>
<td>`005555</td>
<td>05/3790</td>
<td>`0001037005121</td>
<td>`3503054901560001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-01-1956</td>
<td>66 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING, BATUK</td>
<td>GG, PAMOL, BC</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
 <td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4107</td>
<td>POLI KIA</td>
<td>19-09-2022</td>
<td></td>
<td>NINIK ERFIANI</td>
<td>`021375</td>
<td>08/4164</td>
<td>`0001896904056</td>
<td>`3503056910930003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-10-1993</td>
<td>28 Th</td>
<td>DUSUN BENGGLE, RT : 12,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001068</td>
<td>PUSING, MUAL</td>
<td>-</td>
<td>123/68</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>74</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4108</td>
<td>POLI REMAJA</td>
<td>19-09-2022</td>
<td></td>
<td>ULFA RIDHATUL MAHMUDAH</td>
<td>`021376</td>
<td>06/1117</td>
<td>`0000666274904</td>
<td>`3503054405100001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-05-2010</td>
<td>12 Th</td>
<td>RT 56 RW 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001069</td>
<td>NYERI PERUT, MUNTAH, DIARE</td>
<td>ATALPUGIT, ANTASID, PAMOL, DOMP, ORALIT</td>
<td>86/46</td>
<td>115</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>35.7</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4109</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>MISTIKAH</td>
<td>`019062</td>
 <td>01/3839</td>
<td>`0001872573265</td>
<td>`3503056507760004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-07-1976</td>
<td>46 Th</td>
<td>RT 17 RW 04 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001097</td>
<td>pusing,mual,sulit tidur</td>
<td>antasida, omeprzol</td>
<td>141/83</td>
<td>106</td>
<td>36</td>
<td>20</td>
<td>149</td>
<td>50</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.9</td>
<td>
Gastroduodenitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4110</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>AHMAD AMIRUL FATIH</td>
<td>`019063</td>
<td>01/3839</td>
<td>`0002272663034</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-07-2017</td>
<td>5 Th</td>
<td>RT 17 RW 04</td>
 <td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001112</td>
<td>batuk pilek</td>
<td>amok gg ctm deksa bcom</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>110</td>
<td>15</td>
<td>46</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R05</td>
<td>
Cough </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4111</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SAMINI</td>
<td>`006638</td>
<td></td>
<td>`0001978462787</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-02-1964</td>
<td>58 Th</td>
<td>BANARAN TUGU TGALEK</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC, PAMOL, VIT C</td>
<td>120/80</td>
 <td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>36</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4112</td>
<td>POLI GIZI</td>
<td>19-09-2022</td>
<td></td>
<td>NINIK ERFIANI</td>
<td>`021375</td>
<td>08/4164</td>
<td>`0001896904056</td>
<td>`3503056910930003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-10-1993</td>
<td>28 Th</td>
<td>DUSUN BENGGLE, RT : 12,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PUSING, MUAL</td>
<td>-</td>
<td>123/68</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>74</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4113</td>
<td>POLI KIA</td>
<td>19-09-2022</td>
<td></td>
<td>IKE WULANSARI</td>
<td>`014297</td>
<td>03/353</td>
<td>`</td>
<td>`3503055207930002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-07-1993</td>
<td>29 Th</td>
<td>DUSUN JUMOK, RT : 9,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>GERAK JANIN BERKURANG</td>
<td>-</td>
<td>108/56</td>
<td>101</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>59</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4114</td>
<td>UGD</td>
<td>19-09-2022</td>
<td></td>
<td>ATHALIA ZAHRANISA ERGIANTO</td>
<td>`013592</td>
<td>03/6302</td>
<td>`</td>
<td>`3503056002070001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-02-2007</td>
<td>15 Th</td>
<td>DUSUN JUMOK, RT : 11,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>LUKA BABRAS DI SIKU KANAN POST KLL</td>
<td>PAMOL, VIT BC</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>40</td>
<td>64</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>4115</td>
<td>POLI REMAJA</td>
<td>19-09-2022</td>
<td></td>
<td>YUSA CAMELIA PUTRI</td>
<td>`021377</td>
<td>06/9371</td>
 <td>`0002014127076</td>
<td>`3503055802100003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-02-2010</td>
<td>12 Th</td>
<td>PAKEL, RT : 38,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>POST KLL, LUKA BABRAS DI PIPI</td>
<td>PAMOL, VIT BC</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>44</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4116</td>
<td>UGD</td>
<td>19-09-2022</td>
<td></td>
<td>YUNITA SALSABILLA</td>
<td>`021378</td>
<td>06/5982</td>
<td>`</td>
<td>`3503054606100001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-06-2010</td>
<td>12 Th</td>
<td>PRAMBON, RT : 31,RW :6 </td>
<td>PRAMBON</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>POST KLL LUKA BABARS DI SIKU KANAN</td>
<td>PAMOL, VIT BC</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>44</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>4117</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>NARNIANIK</td>
<td>`003303</td>
<td>90/997</td>
<td>`</td>
<td>`3503065006720003</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>10-06-1972</td>
<td>50 Th</td>
<td>DUSUN JAMPI, RT : 5,RW :1 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>badan keju linu</td>
<td>nadik,prednison,antasida</td>
<td>111/61</td>
 <td>76</td>
<td>36</td>
<td>20</td>
<td>151</td>
<td>55</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
<td>M79.00</td>
<td>
Rheumatism, unspecified, multiple sites </td>
<td>K29.9</td>
<td>
Gastroduodenitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4118</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td></td>
<td>LILIK SUGIARTI</td>
<td>`012096</td>
<td></td>
<td>`0001978444596</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-02-1973</td>
<td>49 Th</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001083</td>
<td>BATUK</td>
<td>GG,VIT.C</td>
<td>117/77</td>
<td>73</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>52</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
 Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4119</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td></td>
<td>FATIMAH</td>
<td>`000061</td>
<td>08/3456</td>
<td>`0000076414206</td>
<td>`3503055309510001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-09-1951</td>
<td>71 Th</td>
<td>RT 7 RW 3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001058</td>
<td>RUJUKAN</td>
<td>-</td>
<td>98/57</td>
<td>77</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>58</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H25.9</td>
<td>
Senile cataract, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4120</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>INSANI MUSTAKIM</td>
<td>`001732</td>
<td>08/6158</td>
<td>`0000666129126</td>
<td>`3503050904820001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-1982</td>
<td>40 Th</td>
<td>RT 1 RW 1</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001090</td>
<td>greges batuk,</td>
<td>cipro, pamol,ambroksol,ctm deksa</td>
<td>154/102</td>
<td>127</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>101</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4121</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>AFIF R A</td>
<td>`013213</td>
<td></td>
 <td>`0001978444146</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-04-2004</td>
<td>18 Th</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/68</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4122</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MISTARYANTO</td>
<td>`010335</td>
<td>05/3336</td>
<td>`0000106823801</td>
<td>`3503050209560001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-09-1956</td>
<td>66 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING, </td>
<td>AMLODIPIN, BC</td>
<td>160/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4123</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TUKIJAH</td>
<td>`010227</td>
<td></td>
<td>`0002802750862</td>
<td>`3503054304420002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-04-1942</td>
<td>80 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING, MUAL,</td>
<td>PAMOL, B KOMPLEK, ANTASIDA, AMLODIPIN</td>
<td>160/80</td>
<td>88</td>
 <td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4124</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MASNGUDI</td>
<td>`013214</td>
<td></td>
<td>`0001978444157</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-11-1966</td>
<td>55 Th</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/74</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>169</td>
<td>67</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4125</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SINEM</td>
<td>`012829</td>
<td></td>
<td>`0001037004941</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-10-1948</td>
<td>73 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU,PUSING
</td>
<td>NADIC, BC, AMLODIPIN, CTM</td>
<td>160/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>4126</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>KARYATIN</td>
<td>`012091</td>
<td></td>
<td>`0001978444179</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-01-1974</td>
<td>48 Th</td>
<td>RT 08 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/72</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4127</td>
<td>POLI MTBS</td>
<td>19-09-2022</td>
<td></td>
<td>ALFATIH ZHIAN MAUZA</td>
<td>`021321</td>
<td>05/1632B</td>
 <td>`0002767850537</td>
<td>`3503051603180004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-03-2018</td>
<td>4 Th</td>
<td>RT 08 RW 04</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001098</td>
<td>PANAS BATUK PILEK</td>
<td>AMOK CTM GG DEXA BC PAMOL SYR</td>
<td>1/1</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>110</td>
<td>15</td>
<td>15</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4128</td>
<td>POLI GIGI</td>
<td>19-09-2022</td>
<td></td>
<td>ANGGER AMUKTI WICAKSONO</td>
<td>`005233</td>
<td>08/7399</td>
<td>`0003067626846</td>
<td>`3503052401150002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-01-2015</td>
<td>7 Th</td>
<td>DESA WINONG, RT : 2,RW :1 </td>
<td>WINONG</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001070</td>
<td>gigi depan atas kiri goyang derajat 3</td>
<td>anasthesi topikal cabut gigi 61</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>123</td>
<td>24</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.1</td>
<td>
Supernumerary teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4129</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>ARISKA SILVIA CITRA DEWI</td>
<td>`021379</td>
<td>06/8830</td>
<td>`</td>
<td>`3503054611020002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-11-2002</td>
<td>19 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>pusing berputar,mual,</td>
<td>pamol betahistin antasida domperidom</td>
<td>139/86</td>
<td>95</td>
 <td>36</td>
<td>20</td>
<td>155</td>
<td>80</td>
<td>68</td>
<td></td>
<td>KASUS BARU</td>
<td>H81</td>
<td>
Disorders of vestibular function </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4130</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SUBARTO</td>
<td>`013216</td>
<td></td>
<td>`0001978444203</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-08-1963</td>
<td>59 Th</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/72</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>64</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4131</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>HARIRI ULFA`I RROSYIDAH</td>
<td>`000665</td>
<td>02/3042</td>
<td>`0002802761381</td>
<td>`3503056504990002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-04-1999</td>
<td>23 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001084</td>
<td>gatal pad kaki , melebar </td>
<td>betametason deksactm vit c</td>
<td>113/67</td>
<td>108</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>53</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4132</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>DJAINUDIN</td>
<td>`000689</td>
<td>05/501</td>
<td>`0001037004761</td>
<td>`3503051002450001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-02-1945</td>
<td>77 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Tukang Batu</td>
<td>Lama</td>
<td>Konseling</td>
<td>BATUK, PUSING</td>
<td>AMBROXOL, AMLODIPIN,BC</td>
<td>155/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4133</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>YATINI</td>
<td>`005823</td>
<td></td>
<td>`0001037004355</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-02-1959</td>
<td>63 Th</td>
<td>BANARAN</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>BATUK, PUSING, KEJU LINU</td>
<td>NADIC, BC,AMLODIPIN, GG</td>
<td>160/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4134</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>ISMIATUN</td>
<td>`003356</td>
<td>02/3042</td>
<td>`0002802761368</td>
<td>`3503056212730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-12-1973</td>
<td>48 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4135</td>
<td>POLI GIGI</td>
<td>19-09-2022</td>
<td></td>
<td>ISMIATUN</td>
<td>`003356</td>
<td>02/3042</td>
<td>`0002802761368</td>
<td>`3503056212730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-12-1973</td>
<td>48 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y001303</td>
<td>pipi sebelah kanan terluka</td>
<td>pengikisan gigi</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
 <td>20</td>
<td>154</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K13.0</td>
<td>
Diseases of lips </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4136</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MUJITO</td>
<td>`011813</td>
<td>01/1620</td>
<td>`0003129651055</td>
<td>`3503052404580001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-04-1958</td>
<td>64 Th</td>
<td>RT 32 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>KONSULTASI</td>
<td>-</td>
<td>120/70</td>
<td>78</td>
<td>36</td>
<td>22</td>
<td>162</td>
<td>77</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4137</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MARJUGI</td>
<td>`015928</td>
<td></td>
<td>`0001978445891</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-10-1960</td>
<td>61 Th</td>
<td>RT 09</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/74</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4138</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUJOKO</td>
<td>`015993</td>
<td></td>
<td>`</td>
<td>`3503050405640002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-05-1964</td>
<td>58 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td></td>
<td>pusing</td>
<td>amlodipin, glibenclamid</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>e11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4139</td>
<td>UGD</td>
<td>19-09-2022</td>
<td></td>
<td>YUSA CAMELIA PUTRI</td>
<td>`021377</td>
<td>06/9371</td>
<td>`0002014127076</td>
<td>`3503055802100003</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-02-2010</td>
<td>12 Th</td>
<td>PAKEL, RT : 38,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001087</td>
<td>LUKA BABRAS DI PIPI, POST KLL</td>
<td>PAMOL, VIT BC</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>44</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>4140</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>TUKINEM</td>
<td>`015932</td>
<td></td>
<td>`0001978445979</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1945</td>
<td>76 Th</td>
<td>RT 09</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>116/72</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>51</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4141</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>PUJIANTO</td>
<td>`013985</td>
<td></td>
<td>`</td>
<td>`3503051607780004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-07-1979</td>
<td>43 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>keju linu</td>
<td>nadic, nifedipin</td>
<td>160/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
 <td>150</td>
<td>66</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4142</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>IDA BAGUS NYOMAN WINDIA</td>
<td>`021380</td>
<td>04/4216</td>
<td>`0001095177093</td>
<td>`3503052906640000</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-06-1964</td>
<td>58 Th</td>
<td>RT 21 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Kepolisian RI</td>
<td>Lama</td>
<td>131506010922Y001062</td>
<td>KEJANG 3 HR YANG LALU</td>
<td>-</td>
<td>126/88</td>
<td>94</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>82.6</td>
<td>96</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>G40.9</td>
<td>
Epilepsy, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4143</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MISNAN</td>
<td>`021404</td>
<td></td>
<td>`0002014089434</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1960</td>
<td>62 Th</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/74</td>
<td>72</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>4144</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SULASMINI</td>
<td>`004610</td>
<td></td>
<td>`0000665804777</td>
<td>`3503056703890002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-03-1989</td>
<td>33 Th</td>
<td>MLOKO, RT : 164,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4145</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td></td>
<td>MARIJATUN</td>
<td>`012067</td>
<td>01/1429</td>
<td>`0002802748757</td>
<td>`3503054501480001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-01-1948</td>
<td>74 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>131506010922Y001064</td>
<td>KONTROL TENSI</td>
<td>AMLODIP[IN BCOM</td>
<td>172/63</td>
<td>61</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>64</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4146</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>RADIT GALIH ARDHA SAPUTRA</td>
<td>`017471</td>
<td></td>
<td>`0002802747238</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-11-2009</td>
<td>12 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>54</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4147</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>FIRA DWI FEBRIANTI</td>
<td>`011056</td>
<td></td>
<td>`0001978448332</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-02-2008</td>
<td>14 Th</td>
<td>RT 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>95/64</td>
<td>84</td>
<td>36</td>
 <td>20</td>
<td>146</td>
<td>40</td>
<td>73</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.1</td>
<td>
Routine child health examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4148</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>YATENI</td>
<td>`017062</td>
<td></td>
<td>`0002802760018</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-05-1973</td>
<td>49 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>159</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4149</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SULASTRI</td>
<td>`017903</td>
<td></td>
<td>`0001978486705</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-01-1972</td>
<td>50 Th</td>
<td>RT 42</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>64</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>4150</td>
<td>POLI GIGI</td>
<td>19-09-2022</td>
<td></td>
<td>MUHARDI</td>
<td>`019849</td>
<td>08/4589</td>
<td>`0001255932459</td>
<td>`3503051501680001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-01-1968</td>
<td>54 Th</td>
<td>DESA WINONG, RT : 8,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001305</td>
<td>gigi geraham belakang atas kanan modot</td>
<td>konsultasi dan medikasi</td>
<td>130/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>75</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4151</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>ARIA OKTIA NURHANI</td>
<td>`013065</td>
<td></td>
 <td>`0001978448253</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-10-2006</td>
<td>15 Th</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/65</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>74</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4152</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>REIVANO ADITIYA IBNU HABIBI</td>
<td>`010737</td>
<td>06/1081</td>
<td>`0002802765317</td>
<td>`3503051903140003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-03-2014</td>
<td>8 Th</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>125</td>
<td>25</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4153</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>CINTYA LIANA PUTRI</td>
<td>`013775</td>
<td></td>
<td>`0002802760637</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-06-2011</td>
<td>11 Th</td>
<td>PRAMBON RT 49</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>90/60</td>
 <td>88</td>
<td>36</td>
<td>22</td>
<td>140</td>
<td>45</td>
<td>54</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4154</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>JARNO</td>
<td>`013828</td>
<td></td>
<td>`0001978448343</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-04-1970</td>
<td>52 Th</td>
<td>RT 01 RW 01 DUSUN KRAJAN</td>
<td>tumpuk</td>
<td>tugu</td>
<td>trenggalek</td>
<td></td>
<td>swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/76</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>64</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4155</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MUHADI WIYONO</td>
<td>`000022</td>
<td>01/1988</td>
<td>`0001791957969</td>
<td>`3503051008490002</td>
<td>`124590</td>
<td></td>
<td></td>
<td>L</td>
<td>10-08-1949</td>
<td>73 Th</td>
<td>DUSUN KRAJAN, RT : 003,RW :001 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>WIRASWASTA</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>4156</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SUDJAK</td>
<td>`018744</td>
<td></td>
<td>`0003068091011</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1965</td>
<td>56 Th</td>
<td>RT 47</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4157</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td></td>
<td>MARYONO</td>
 <td>`000044</td>
<td>02/2946</td>
<td>`0001037003354</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1948</td>
<td>74 Th</td>
<td>RT 11 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001063</td>
<td>DADA PANAS, TENGKUK CENGENG,</td>
<td>AMOK PAMOL OMEPRAZOL,RANITIDIN,ASPILET</td>
<td>157/90</td>
<td>81</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>57</td>
<td>56</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4158</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>RIRKY RAHMANING AMALIA</td>
<td>`008717</td>
<td>03/1127</td>
<td>`0001978448354</td>
<td>`3503055711040001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-11-2004</td>
<td>17 Th</td>
 <td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>106/65</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>51</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4159</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>UTAMI</td>
<td>`020612</td>
<td></td>
<td>`0001978489912</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1969</td>
<td>53 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>57</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4160</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>KATEMI</td>
<td>`001104</td>
<td>01/69</td>
<td>`0000665615676</td>
<td>`3503054210650001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-10-1965</td>
<td>56 Th</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001085</td>
<td>batuk sesak tenggorokan gatal</td>
<td>cipro,ambroksol,deksa vit c</td>
<td>132/74</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>60</td>
<td>58</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4161</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MESIRAN</td>
<td>`021448</td>
<td></td>
<td>`0001978489923</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1960</td>
<td>62 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>159</td>
<td>60</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4162</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MUJAIT</td>
<td>`021449</td>
<td></td>
<td>`0001978489899</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-06-1968</td>
<td>54 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>62</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4163</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
 <td>KONSULTASI</td>
<td>KABUL</td>
<td>`016649</td>
<td></td>
<td>`0001978448567</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-08-1947</td>
<td>75 Th</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>125/76</td>
<td>72</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>60</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4164</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>ARNITA SETIYANI</td>
<td>`005094</td>
<td>07/2545</td>
<td>`</td>
<td>`3503054801940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>08-01-1994</td>
<td>28 Th</td>
<td>RT 1 RW 1</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>SKS </td>
<td>-</td>
<td>112/70</td>
<td>62</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>61.4</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4165</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>WIJI</td>
<td>`021450</td>
<td></td>
<td>`0000665534046</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1938</td>
<td>84 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
 <td></td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>159</td>
<td>60</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4166</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>BAMBANG EKO CAHYONO</td>
<td>`000821</td>
<td>02/3616</td>
<td>`0000106802706</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-07-1959</td>
<td>63 Th</td>
<td>RT 19 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>127/66</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>63</td>
 <td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4167</td>
<td>POLI GIGI</td>
<td>19-09-2022</td>
<td></td>
<td>ISMIATUN</td>
<td>`003356</td>
<td>02/3042</td>
<td>`0002802761368</td>
<td>`3503056212730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-12-1973</td>
<td>48 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y001303</td>
<td>pipi sebelah kanan luka</td>
<td>pengikisan gigi</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>58</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K13.0</td>
<td>
Diseases of lips </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4168</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>DIMAS MUFIDATUS M</td>
<td>`021451</td>
<td></td>
<td>`0001978489901</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-11-2002</td>
<td>19 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/79</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4169</td>
 <td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SISWANTO</td>
<td>`016652</td>
<td></td>
<td>`0001978448624</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-07-1977</td>
<td>45 Th</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/72</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>65</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4170</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SOIJEM</td>
<td>`018340</td>
<td></td>
<td>`0001978489765</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>21-03-1955</td>
<td>67 Th</td>
<td>RT 046 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>60</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4171</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MISTINI</td>
<td>`014777</td>
<td></td>
<td>`0001312831798</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-02-1980</td>
<td>42 Th</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>159</td>
<td>58</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4172</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>WIDARTO</td>
<td>`015068</td>
<td></td>
<td>`0001978448635</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-01-1990</td>
<td>32 Th</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
 <td>169</td>
<td>67</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4173</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SUMARTIN</td>
<td>`013909</td>
<td></td>
<td>`0000664479639</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-04-1978</td>
<td>44 Th</td>
<td>PRAMBON RT 45</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>59</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4174</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td></td>
<td>WAHYUNI</td>
<td>`003142</td>
<td>06/6778</td>
<td>`0000667058782</td>
<td>`3503054911970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-11-1997</td>
<td>24 Th</td>
<td>SOOKO, RT : 157,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001074</td>
<td>Sakit gigi</td>
<td>Ibuf, dexa</td>
<td>120/70</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02</td>
<td>
Dental caries </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4175</td>
<td>POLI GIGI</td>
<td>19-09-2022</td>
<td></td>
<td>NAFISA AZZAHRA PRATAMA</td>
<td>`021381</td>
<td>05/9372</td>
<td>`0002233764033</td>
<td>`3503055803170001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-03-2017</td>
<td>5 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001306</td>
<td>gigi geraham berlubang</td>
<td>konsultasi dan medikasi</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>113</td>
<td>20</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4176</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MARYATI</td>
<td>`011769</td>
<td>06/5185</td>
<td>`0002802763045</td>
<td>`3503055308750003</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-08-1975</td>
<td>47 Th</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>130/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>60</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4177</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SUNARNO</td>
<td>`005126</td>
<td>06/5185</td>
<td>`0002802763034</td>
<td>`3503051903740002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-03-1974</td>
<td>48 Th</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan BUMD</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/79</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4178</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>AMIRUL ICHSAN</td>
<td>`021452</td>
<td></td>
<td>`0001978489811</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-08-1997</td>
<td>25 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
 <td>36</td>
<td>20</td>
<td>167</td>
<td>60</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4179</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>JAIMUN</td>
<td>`021453</td>
<td></td>
<td>`0000665301093</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-01-1972</td>
<td>50 Th</td>
<td>RT 49</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
 General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4180</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MUJIATI</td>
<td>`021409</td>
<td></td>
<td>`0000109865889</td>
<td>`3503057105690001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-05-1969</td>
<td>53 Th</td>
<td>DUSUN KRAJAN, RT : 2,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>110/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>4181</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>NANANG SAFI `I</td>
<td>`021454</td>
<td></td>
<td>`0002867872239</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-04-1991</td>
<td>31 Th</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4182</td>
<td>POLI MTBS</td>
<td>19-09-2022</td>
<td></td>
<td>AQLAN HARITH RIDAUDDIN</td>
 <td>`002468</td>
<td>06/4219</td>
<td>`0002903501013</td>
<td>`3503052510190001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-10-2019</td>
<td>2 Th</td>
<td>RT 31 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001118</td>
<td>batuk pilek</td>
<td>amok ctm gg deksa bcom</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>105</td>
<td>12</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4183</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td></td>
<td>FARID SYARIFUDDIN AL-ISHAQI</td>
<td>`007505</td>
<td></td>
<td>`0002221972806</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-04-2016</td>
<td>6 Th</td>
 <td>PRAMBON RT 42/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001076</td>
<td>Pusing, batuk</td>
<td>Obh, pct</td>
<td>80/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>123</td>
<td>16</td>
<td>53</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4184</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>TRI UTAMI</td>
<td>`005088</td>
<td></td>
<td>`0000664404298</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-08-1983</td>
<td>39 Th</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
 <td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>65</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4185</td>
<td>POLI REMAJA</td>
<td>19-09-2022</td>
<td></td>
<td>ADIES RISKI PUTRA</td>
<td>`008360</td>
<td>06/4219</td>
<td>`0000665996308</td>
<td>`3503051301080001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-01-2008</td>
<td>14 Th</td>
<td>TENGGAR, RT : 3,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001073</td>
<td>GEMBREGES BATUK PILEK</td>
<td>AMOK PAMOL CTM GG DEXA VIT C</td>
<td>114/71</td>
<td>122</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>50</td>
<td>51</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4186</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SUWARNI</td>
<td>`014788</td>
<td></td>
<td>`0000665926896</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-01-1957</td>
<td>65 Th</td>
<td>RT 41</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>64</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4187</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>ESTI RAHAYU</td>
<td>`008361</td>
<td>06/4219</td>
<td>`0000665995656</td>
<td>`3503054611830001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-11-1983</td>
<td>38 Th</td>
<td>TENGGAR, RT : 3,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y001075</td>
<td>BATUK</td>
<td>DEMACOLIN GG DEXA </td>
<td>128/82</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>56</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4188</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
 <td>MESIKEM</td>
<td>`009149</td>
<td></td>
<td>`0000666301083</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-01-1941</td>
<td>81 Th</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4189</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SURAIRAH</td>
<td>`021410</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>20-09-1977</td>
<td>45 Th</td>
<td>RT 04</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>batuk, pilek, pusing</td>
<td>gg,pamol, ctm, b komplek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>88</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4190</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>KUN SETYA BUDI</td>
<td>`021382</td>
<td>01/2870</td>
<td>`0000106517193</td>
<td>`3503053108640001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-08-1964</td>
<td>58 Th</td>
<td>DUSUN KEBON, RT : 22,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>131506010922Y001071</td>
 <td>KONTROL POST OPNAME DNG ASMA DAN DISPEPSIA</td>
<td>CIPRO AMBROKSOL SALBUTAMOL DEXAMETASON NEBUL</td>
<td>143/60</td>
<td>100</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>68.6</td>
<td>70</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4191</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>DIAN AYU MUSTIKA NINGTYAS</td>
<td>`002573</td>
<td>01/977</td>
<td>`0001079020631</td>
<td>`3503055312010001</td>
<td>`</td>
<td></td>
<td>087860812241</td>
<td>P</td>
<td>13-12-2001</td>
<td>20 Th</td>
<td>DUSUN KRAJAN, RT : 2,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>84</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4192</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUNARTI</td>
<td>`020668</td>
<td></td>
<td>`0003254958821</td>
<td>`3503054412710005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-12-1971</td>
<td>50 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>batuk, pusing, </td>
<td>ambroxol, pamol, vit c</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>88</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>j06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4193</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUYONO</td>
<td>`014357</td>
<td></td>
<td>`0003067658763</td>
<td>`3503051002780001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-02-1978</td>
<td>44 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic, b komplek</td>
<td>100/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>m79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4194</td>
<td>POLI GIGI</td>
<td>19-09-2022</td>
<td></td>
 <td>ISMI ROHUL HAYATI</td>
<td>`021383</td>
<td>06/872</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-04-2017</td>
<td>5 Th</td>
<td>RT 18 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi depan atas kanan kesundulan </td>
<td>anasthesi topikal cabut gigi 51</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>19</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>4195</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>NANIK ROSITAWATI</td>
<td>`012579</td>
<td></td>
<td>`0002802757645</td>
<td>`3318216705860001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-05-1986</td>
 <td>36 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>b komplek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>m79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4196</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUPRIYATUN</td>
<td>`011416</td>
<td></td>
<td>`0000106882784</td>
<td>`3503056006590002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-06-1959</td>
<td>63 Th</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu, mual, </td>
 <td>nadic, antasida, b komplek</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>45</td>
<td>80</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4197</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MELISA FITRIA SUPENI</td>
<td>`009208</td>
<td></td>
<td>`</td>
<td>`3503055704920002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-04-1992</td>
<td>30 Th</td>
<td>DUSUN TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>mual</td>
<td>antasida, b komplek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4198</td>
<td>POLI REMAJA</td>
<td>19-09-2022</td>
<td></td>
<td>ATISSA FICQA AZALINA</td>
<td>`016201</td>
<td>08/9261</td>
<td>`0001978468975</td>
<td>`3503057012070001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-2007</td>
<td>14 Th</td>
<td>DESA WINONG, RT : 8,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001078</td>
<td>PERUT PERIH MUAL</td>
<td>ANTASIDA RANITIDIN DOMPERIDON PAMO;</td>
<td>105/60</td>
<td>97</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>46</td>
<td>47</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4199</td>
<td>POLI REMAJA</td>
<td>19-09-2022</td>
<td></td>
<td>BAGAS BANGUN PERMANA</td>
<td>`000383</td>
<td>07/6839</td>
<td>`0002014134928</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-07-2009</td>
<td>13 Th</td>
<td>RT 07 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001077</td>
<td>KONTROL</td>
<td>RUJUKAN</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>37</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I33.9</td>
<td>
Acute endocarditis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4200</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KARYONO</td>
 <td>`021411</td>
<td></td>
<td>`</td>
<td>`3503051205690001-488445</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-05-1969</td>
<td>53 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>pusing, batuk, keju linu</td>
<td>amlodipin, ambroxol, b komplek, nadic</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>36</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>j06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>m79.1</td>
<td>
Myalgia </td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4201</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td></td>
<td>MAT DJAIS</td>
<td>`006870</td>
<td></td>
<td>`0000665723632</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-09-1954</td>
<td>68 Th</td>
 <td>RT-</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001541</td>
<td>pegal dibahu,nyeri</td>
<td>nadif,kalk,ttd</td>
<td>120/73</td>
<td>89</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>46</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M19.0</td>
<td>
Primary arthrosis of other joints </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4202</td>
<td>PUSTU NGEPEH</td>
<td>19-09-2022</td>
<td></td>
<td>MURISAH</td>
<td>`006425</td>
<td>04/2049</td>
<td>`0003067893461</td>
<td>`3503055809770002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-09-1977</td>
<td>45 Th</td>
<td>RT 6 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001392</td>
<td>batuk</td>
<td>amlodipin, ambroxol, cypro bcom</td>
 <td>199/99</td>
<td>109</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4203</td>
<td>POLI GIGI</td>
<td>19-09-2022</td>
<td></td>
<td>AMIRA HUSNA</td>
<td>`021384</td>
<td>02/3253</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-05-2017</td>
<td>5 Th</td>
<td>RT 16 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi geraham bawah berlubang</td>
<td>konsultasi</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>20</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K02.1</td>
 <td>
Caries of dentine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4204</td>
<td>PUSTU NGEPEH</td>
<td>19-09-2022</td>
<td></td>
<td>KHAYLA APRILIA GUNAWAN</td>
<td>`004914</td>
<td>04/6180</td>
<td>`0001978432209</td>
<td>`3503056504140001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-04-2014</td>
<td>8 Th</td>
<td>RT 14 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001393</td>
<td>panas pusing batuk</td>
<td>ctm gg pamol</td>
<td>90/60</td>
<td>100</td>
<td>37</td>
<td>22</td>
<td>100</td>
<td>28</td>
<td>48</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4205</td>
<td>POLINDES PRAMBON 2</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>RUMIATI</td>
<td>`000775</td>
<td></td>
<td>`0000665357962</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-1974</td>
<td>48 Th</td>
<td>PRAMBON RT 44/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>54</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4206</td>
<td>PUSTU NGEPEH</td>
<td>19-09-2022</td>
<td></td>
<td>MARJUNI</td>
 <td>`008204</td>
<td></td>
<td>`0002802748511</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-07-1954</td>
<td>68 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001394</td>
<td>gatal sebah</td>
<td>dexa antasid pamol</td>
<td>131/74</td>
<td>81</td>
<td>35</td>
<td>20</td>
<td>160</td>
<td>57</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4207</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>PARMI</td>
<td>`021412</td>
<td></td>
<td>`0002865185201</td>
<td>`3503054110650005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-1965</td>
<td>56 Th</td>
 <td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4208</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUJARI</td>
<td>`005256</td>
<td></td>
<td>`0003054474189</td>
<td>`3503050104690003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-1969</td>
<td>53 Th</td>
<td>DUSUN KRAJAN I, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perangkat Desa</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic, allopurinol, b komplek</td>
 <td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4209</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MULYADI</td>
<td>`021413</td>
<td></td>
<td>`0001960120653</td>
<td>`3503050504590001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-04-1959</td>
<td>63 Th</td>
<td>DUSUN GONDANG KIDUL, RT : 10,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>56</td>
<td>62</td>
<td>dr. Tatik Sukaryati</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4210</td>
<td>POLI GIGI</td>
<td>19-09-2022</td>
<td></td>
<td>ALMAHESA FORTUNATA ANDANI</td>
<td>`005326</td>
<td>04/1422</td>
<td>`0002595340416</td>
<td>`3503054601150002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-11-2015</td>
<td>6 Th</td>
<td>DUSUN BENGGLE, RT : 12,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001307</td>
<td>gigi depan bawah kiri kesundulan</td>
<td>infiltrasi anasthesi topikal cabut gigi 72</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>123</td>
<td>23</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
 <td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4211</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SRI WIDAYATI</td>
<td>`015217</td>
<td></td>
<td>`0000666287155</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-06-1973</td>
<td>49 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>110/62</td>
<td>850</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4212</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>PAINI</td>
<td>`006223</td>
 <td>01/5396</td>
<td>`0001478257964</td>
<td>`3503057112570007</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1957</td>
<td>64 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4213</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SUMIATI</td>
<td>`021414</td>
<td></td>
<td>`0000106512265</td>
<td>`3503057012520004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1952</td>
<td>69 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
 <td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>110/75</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4214</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SUTI ATMINI</td>
<td>`021416</td>
<td></td>
<td>`0001100988011</td>
<td>`3503055301670001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-01-1967</td>
<td>55 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/75</td>
 <td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Klinik Aba Husada</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4215</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>FARIDATUL MASRURIN</td>
<td>`021417</td>
<td></td>
<td>`0000666242572</td>
<td>`3503055308940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-08-1994</td>
<td>28 Th</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4216</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>LISTIANA</td>
<td>`021418</td>
<td></td>
<td>`0000665914206</td>
<td>`3503115903890001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-03-1989</td>
<td>33 Th</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>80</td>
<td>Rejowinangun</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>4217</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>TUMINEM</td>
<td>`002577</td>
<td></td>
<td>`0000077105621</td>
<td>`3503055007570001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-07-1957</td>
<td>65 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4218</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>KARMINI</td>
<td>`021419</td>
<td></td>
 <td>`0003011261229</td>
<td>`3503057112580053</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1958</td>
<td>63 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4219</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>NYARUPI</td>
<td>`021420</td>
<td></td>
<td>`0001707125253</td>
<td>`3503054107620002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1962</td>
<td>60 Th</td>
<td>DUSUN KRAJAN, RT : 2,RW :1 </td>
<td>GONDANG</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4220</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SUTAMPI</td>
<td>`021421</td>
<td></td>
<td>`0002429881615</td>
<td>`3503056505570001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1957</td>
<td>65 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>80</td>
 <td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4221</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>EKO PRASETYO</td>
<td>`005573</td>
<td>01/446</td>
<td>`0002872633432</td>
<td>`3503052504860001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-05-1986</td>
<td>36 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/72</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4222</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>KAMARTO</td>
<td>`021422</td>
<td></td>
<td>`0001094893547</td>
<td>`3503051304600001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-04-1960</td>
<td>62 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Tentara Nasional Indonesia (TNI)</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>85</td>
<td>Polres Trenggalek</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4223</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SUBARI</td>
<td>`018315</td>
<td>01/5418</td>
<td>`0001037000981</td>
<td>`3503050304430001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-04-1943</td>
<td>79 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4224</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>NYAMIRAH</td>
<td>`010573</td>
<td>01/737</td>
<td>`0001037001058</td>
 <td>`3503054503560001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-03-1956</td>
<td>66 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>82</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4225</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MUSRINI</td>
<td>`010371</td>
<td>01/264</td>
<td>`0002315211715</td>
<td>`3503055505660002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-05-1966</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4226</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SITI ZUBAIDAH</td>
<td>`021423</td>
<td></td>
<td>`0001287711527</td>
<td>`9171024108860003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-1986</td>
<td>36 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
 <td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4227</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>NURUL FAUZIAH</td>
<td>`021424</td>
<td></td>
<td>`0001277695416</td>
<td>`3503055106830005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-06-1983</td>
<td>39 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4228</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SEKARINI</td>
<td>`021425</td>
<td></td>
<td>`0001101170384</td>
<td>`3503055608640001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-08-1964</td>
<td>58 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>82</td>
<td>Polres Trenggalek</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4229</td>
<td>POLI LANSIA</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>KATIPAH</td>
<td>`004361</td>
<td>01/793</td>
<td>`0000170069962</td>
<td>`350305 </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-01-1965</td>
<td>57 Th</td>
<td>RT 5 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>sekrining</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4230</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td></td>
<td>ENDAH SETIOWATI</td>
<td>`003678</td>
<td></td>
<td>`0001978450481</td>
<td>`3503056103870001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-03-1987</td>
<td>35 Th</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>KONTROL KB SUNTIK</td>
<td>DEPO,SPUIT 3 ML,ALKOHOL SWABS</td>
<td>132/719</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>55.5</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4231</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>RENI YULI ASTUTI</td>
<td>`011561</td>
<td>90/2914</td>
<td>`0003125256467</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-1995</td>
<td>27 Th</td>
<td>RT 04/01 DONGKO</td>
<td>DONGKO</td>
<td>DONGKO</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y001100</td>
<td>BATUK NYERI TELAN MUAL</td>
<td>AMOK GG DOMPERIDON</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4232</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td></td>
<td>NURRIZQY HILWAN HAFIQI</td>
<td>`019816</td>
<td></td>
<td>`</td>
<td>`3503050202120001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-02-2010</td>
<td>12 Th</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK,PUSING</td>
<td>PAMOL,AMBROXOL,VIT.C</td>
<td>95/54</td>
<td>103</td>
<td>36</td>
<td>20</td>
 <td>150</td>
<td>50.5</td>
<td>70</td>
<td></td>
<td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4233</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td></td>
<td>INDAYANI</td>
<td>`001035</td>
<td>03/1936</td>
<td>`0001978452066</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-08-1981</td>
<td>41 Th</td>
<td>RT 03 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001086</td>
<td>KONTROL TENSI,BATUK,PILEK,PUSING,</td>
<td>AMLO,PAMOL,AMBROXOL,CTM</td>
<td>176/108</td>
<td>97</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>63</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>J06.9</td>
<td>
 Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4234</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td>KIA PUSTU - POLINDES</td>
<td>FATMAWATI</td>
<td>`021385</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-09-1995</td>
<td>27 Th</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>PERIKSA KEHAMILAN</td>
<td>VIT.C,FE</td>
<td>107/63</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>44</td>
<td>75</td>
<td></td>
<td>KASUS BARU</td>
<td>Z34</td>
<td>
Supervision of normal pregnancy </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>4235</td>
<td>UGD</td>
<td>19-09-2022</td>
<td></td>
<td>EKA FITRI</td>
<td>`021386</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-09-2010</td>
<td>12 Th</td>
<td>RT 5 RW 2</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>PANAS 1 HARI,PUSING,GATAL DI TANGAN</td>
<td>PCT 3X1
AMOX 3X1
SCABIES 1DEXA 2X1</td>
<td>90/50</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>38</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td>B86</td>
<td>
Scabies </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>4236</td>
<td>UGD</td>
<td>19-09-2022</td>
<td></td>
<td>DEVIANA NISRINA ZAHRA</td>
<td>`006572</td>
<td></td>
<td>`</td>
 <td>`3503057107090001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-07-2009</td>
<td>13 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS 2 HARI, PUSING, LEMES</td>
<td>PCT 3X1
AMOX 3X1
DEXA 2X1</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>45</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>4237</td>
<td>PONKESDES TUMPUK</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>WIDIA LESTARI</td>
<td>`015070</td>
<td></td>
<td>`0001978448679</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-05-2002</td>
<td>20 Th</td>
<td>RT 01 RW01</td>
 <td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4238</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td></td>
<td>SRI UTAMI</td>
<td>`001496</td>
<td>04/3595</td>
<td>`0000106534912</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-04-1969</td>
<td>53 Th</td>
<td>RT 14 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y001092</td>
<td>KONTROL</td>
<td>RUJUKAN</td>
<td>120/80</td>
 <td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>74</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4239</td>
<td>POLI UMUM</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SAMSUDIN</td>
<td>`008864</td>
<td>04/3595</td>
<td>`0000106742946</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-12-1968</td>
<td>53 Th</td>
<td>RT 09 RW 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>Konseling</td>
<td>KONSULTASI RUJUKAN</td>
<td>-</td>
<td>121/53</td>
<td>69</td>
<td>36</td>
<td>20</td>
<td>166</td>
<td>56</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
 <td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4240</td>
<td>POLINDES NGEPEH</td>
<td>19-09-2022</td>
<td></td>
<td>RIRIN DWI RAHAYU</td>
<td>`007832</td>
<td>04/1911</td>
<td>`0001978434336</td>
<td>`3503056411930001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-11-1993</td>
<td>28 Th</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001890</td>
<td>PERIKSA HAMIL</td>
<td>KALK, FE</td>
<td>116/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4241</td>
<td>POLINDES NGEPEH</td>
<td>19-09-2022</td>
<td></td>
<td>SURTINI</td>
<td>`005760</td>
<td></td>
<td>`0000665944176</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-08-1971</td>
<td>51 Th</td>
<td>RT. 3 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001891</td>
<td>KB PIL</td>
<td>PIL KB</td>
<td>132/86</td>
<td>80</td>
<td>36</td>
<td>24</td>
<td>162</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4242</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>DEDY FRASETYA</td>
<td>`019265</td>
 <td></td>
<td>`0000665747662</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-03-1987</td>
<td>35 Th</td>
<td>RT 08</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4243</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>ZINDI AGUSTIN MEGA SAPUTRI</td>
<td>`014188</td>
<td></td>
<td>`0000665743173</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-1999</td>
<td>23 Th</td>
<td>RT 2 RW 2</td>
 <td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>110/80</td>
<td>87</td>
<td>360</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4244</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SADI SUYONO</td>
<td>`016258</td>
<td></td>
<td>`0000665743353</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-12-1972</td>
<td>49 Th</td>
<td>DSN. GENDONG RT 09 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
 <td>87</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>43</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4245</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>NAZIROTUN NISA`</td>
<td>`016260</td>
<td></td>
<td>`0000665744692</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-09-1997</td>
<td>25 Th</td>
<td>DUSUN. GENDONG RT 09 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>kunjungan sehat</td>
<td>-</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>145</td>
<td>54</td>
<td>87</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
 General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4246</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SIGIT DWI PANARA</td>
<td>`019266</td>
<td></td>
<td>`0000665750384</td>
<td>`3503053108020003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-08-2007</td>
<td>15 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>4247</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SURATMAN</td>
<td>`016254</td>
<td></td>
<td>`0000665725961</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-08-1965</td>
<td>57 Th</td>
<td>DUSUN GENDONG RT 10 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4248</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>JUDI NAWAWI</td>
<td>`017219</td>
<td></td>
 <td>`0000665798488</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-08-1968</td>
<td>54 Th</td>
<td>RT 10</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4249</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SUPARMI</td>
<td>`017220</td>
<td></td>
<td>`0000665798545</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-08-1981</td>
<td>41 Th</td>
<td>RT 10</td>
<td>SUKOREJO</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4250</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>NANDIR</td>
<td>`016269</td>
<td></td>
<td>`0000665764525</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-02-1964</td>
<td>58 Th</td>
<td>DUSUN GENDONG RT 11 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
 <td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4251</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>AMALIA IFANA SARI</td>
<td>`016268</td>
<td></td>
<td>`0000665764042</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-08-2009</td>
<td>13 Th</td>
<td>DUSUN GENDONG RT 11 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4252</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SUNARI</td>
<td>`016266</td>
<td></td>
<td>`0000665763849</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-09-1979</td>
<td>43 Th</td>
<td>DUSUN GENDONG RT 11 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4253</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>DEDI RAHAYU WIDODO</td>
<td>`017405</td>
<td></td>
<td>`0000665752059</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-07-2001</td>
<td>21 Th</td>
<td>RT 11</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4254</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>AYU WULAN PURWANINGSIH</td>
<td>`017403</td>
<td></td>
<td>`0000665751857</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-10-1997</td>
<td>24 Th</td>
<td>RT 11</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4255</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>AYU WULAN PURWANINGSIH</td>
<td>`017403</td>
<td></td>
<td>`0000665751857</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-10-1997</td>
<td>24 Th</td>
<td>RT 11</td>
<td>SUKOREJO</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4256</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MUKANI</td>
<td>`010782</td>
<td></td>
<td>`0000665750744</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1953</td>
<td>68 Th</td>
<td>RT 011 RW -</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
 <td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4257</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SUPARMI</td>
<td>`006871</td>
<td></td>
<td>`0000665751003</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1958</td>
<td>63 Th</td>
<td>RT-</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4258</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>PURNOMO</td>
<td>`016271</td>
<td></td>
<td>`0000665751306</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-1963</td>
<td>59 Th</td>
<td>DUSUN GENDONG RT 11 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4259</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SITI AMINATUN</td>
<td>`016272</td>
<td></td>
<td>`0000665751328</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-07-1973</td>
<td>49 Th</td>
<td>DUSUN GENDONG RT 11 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4260</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>ABU HAMID</td>
<td>`016273</td>
<td></td>
<td>`0000665751622</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-02-1993</td>
<td>29 Th</td>
<td>DUSUN GENDONG RT 11 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4261</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MUNIR</td>
<td>`017395</td>
<td></td>
<td>`0000665813215</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-11-1975</td>
<td>46 Th</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4262</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>WIJI SADIYAH</td>
<td>`017396</td>
<td></td>
<td>`0000665813878</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-08-1978</td>
<td>44 Th</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
 <td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4263</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MUHAMMAD AS`AD SYAMSUL ARIFIN</td>
<td>`017397</td>
<td></td>
<td>`0000665814655</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-09-2000</td>
<td>22 Th</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4264</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MUHAMMAD IHSANUL QOMARUDDIN N.</td>
<td>`017400</td>
<td></td>
<td>`0000665815138</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-01-2004</td>
<td>18 Th</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>4265</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MUHAMMAD HABIB `ABDILLAH</td>
<td>`017401</td>
<td></td>
<td>`0000665815757</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-06-2008</td>
<td>14 Th</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4266</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SUPARTI</td>
<td>`014189</td>
<td></td>
<td>`0000665788274</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>01-07-1961</td>
<td>61 Th</td>
<td>RT 3 RW 2</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4267</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SUBARI</td>
<td>`017393</td>
<td></td>
<td>`0000665804845</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-08-1970</td>
<td>52 Th</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4268</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>YULI EKOWATI</td>
<td>`017391</td>
<td></td>
<td>`0000665804889</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-06-1983</td>
<td>39 Th</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
 <td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4269</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>MUHAMMAD HIDLIR</td>
<td>`011923</td>
<td>07/5955</td>
<td>`0000665805442</td>
<td>`3503050110080001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-10-2008</td>
<td>13 Th</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4270</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>SURIPMI</td>
<td>`004091</td>
<td></td>
<td>`0000665805519</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-04-1963</td>
<td>59 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4271</td>
 <td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>KHAIRUL ANWAR</td>
<td>`017222</td>
<td></td>
<td>`0000665779702</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-12-1980</td>
<td>41 Th</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4272</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>FAZA ILYA MUSDALIFA PUTRI</td>
<td>`017389</td>
<td></td>
<td>`0000665779768</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>13-10-2010</td>
<td>11 Th</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4273</td>
<td>PONKESDES SUKOREJO</td>
<td>19-09-2022</td>
<td>KONSULTASI</td>
<td>TUMIJAN</td>
<td>`010887</td>
<td></td>
<td>`0000665788149</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-10-1955</td>
<td>66 Th</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
 <td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4274</td>
<td>PUSTU NGEPEH</td>
<td>19-09-2022</td>
<td></td>
<td>TUKIMIN</td>
<td>`002134</td>
<td>04/5965A</td>
<td>`0002623970136</td>
<td>`3503055008550003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-08-1955</td>
<td>67 Th</td>
<td>DUSUN PONGGOK, RT : 21,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001395</td>
<td>vertigo</td>
<td>betahistin amlodipin</td>
<td>150/85</td>
<td>91</td>
<td>35</td>
<td>20</td>
<td>170</td>
<td>58</td>
 <td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4275</td>
<td>PUSTU NGEPEH</td>
<td>19-09-2022</td>
<td></td>
<td>TUMINI</td>
<td>`021497</td>
<td></td>
<td>`</td>
<td>`3503054606740001-503962</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-06-1974</td>
<td>48 Th</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>nyeri gigi, cengeng</td>
<td>nadik, bcom</td>
<td>147/82</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4276</td>
<td>POLINDES NGEPEH</td>
<td>19-09-2022</td>
<td></td>
<td>MARYATI</td>
<td>`021656</td>
<td></td>
<td>`0001551474573</td>
<td>`3503054908780001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-08-1978</td>
<td>44 Th</td>
<td>KRAJAN, RT : 3,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001892</td>
<td>KONSULTASI</td>
<td>-</td>
<td>116/70</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>167</td>
<td>65</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4277</td>
<td>POLINDES NGEPEH</td>
 <td>19-09-2022</td>
<td></td>
<td>RAFFASYA QIYAS IRAWAN</td>
<td>`006508</td>
<td></td>
<td>`0003082121616</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-05-2021</td>
<td>1 Th</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK</td>
<td>GG, PREDNISON</td>
<td>56/34</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>98</td>
<td>14</td>
<td>23</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4278</td>
<td>PUSTU NGEPEH</td>
<td>19-09-2022</td>
<td></td>
<td>RIRIN ERNAWATI</td>
<td>`002899</td>
<td></td>
<td>`0000666111205</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>01-06-1981</td>
<td>41 Th</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001389</td>
<td>pusing</td>
<td>pamol, bc</td>
<td>109/63</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>42</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4279</td>
<td>PUSTU NGEPEH</td>
<td>19-09-2022</td>
<td></td>
<td>SEMI</td>
<td>`003018</td>
<td></td>
<td>`0002158255991</td>
<td>`3503054406610001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1961</td>
<td>61 Th</td>
<td>DUSUN BEJI, RT : 17,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
 <td>131506010922Y001390</td>
<td>batuk pilek pusing</td>
<td>pamol ambroxol ctm amlodipin</td>
<td>148/65</td>
<td>54</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4280</td>
<td>PUSTU NGEPEH</td>
<td>19-09-2022</td>
<td></td>
<td>DIANI</td>
<td>`002375</td>
<td>04/4838</td>
<td>`0000666124435</td>
<td>`3503056505850004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1985</td>
<td>37 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001391</td>
<td>batuk, keju</td>
<td>ambroxol cypro nadik</td>
<td>117/74</td>
<td>90</td>
<td>35</td>
<td>20</td>
<td>158</td>
<td>53</td>
<td>85</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4281</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>NAJAMUDIN</td>
<td>`019098</td>
<td>01/96</td>
<td>`0001707124656</td>
<td>`3503051903580001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-03-1958</td>
<td>64 Th</td>
<td>DUSUN KEBONSARI, RT : 27,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001154</td>
<td>pusing gliyur,kembung</td>
<td>amlodipin,furocemid,dimenhidrinat,antasida</td>
<td>188/116</td>
<td>89</td>
<td>36</td>
<td>22</td>
<td>165</td>
<td>73</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4282</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>AHMAD KHOLIL</td>
<td>`021387</td>
<td>01/3005</td>
<td>`0000666633701</td>
<td>`3503051611570002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-11-1957</td>
<td>64 Th</td>
<td>DUSUN KEBONSARI, RT : 26,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Baru</td>
<td>131506010922Y001152</td>
<td>nyeri jari telunjuk,batuk,sesak</td>
<td>salbutamol,deksa,allopurinol,ambroxol,asmef</td>
<td>127/75</td>
<td>89</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4283</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
 <td></td>
<td>TARMUJI</td>
<td>`001899</td>
<td>04/8937</td>
<td>`0000666202915</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-06-1973</td>
<td>49 Th</td>
<td>RT 24 RW 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001104</td>
<td>kontrol</td>
<td>rujukan</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>F41.9</td>
<td>
Anxiety disorder, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4284</td>
<td>POLINDES PRAMBON 2</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>MUHAMMAD ILHAM AL AZIZ</td>
<td>`016607</td>
<td></td>
<td>`0003067050767</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>28-10-2020</td>
<td>1 Th</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>80/60</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>88</td>
<td>12</td>
<td>48</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4285</td>
<td>POLINDES PRAMBON 2</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>SUNARTI</td>
<td>`002969</td>
<td>06/4604</td>
<td>`0000665982729</td>
<td>`3503056210880004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-10-1988</td>
<td>33 Th</td>
<td>PAKEL, RT : 38,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>58</td>
<td>56</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4286</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>MUJIRAH</td>
<td>`007764</td>
<td>01/9066</td>
<td>`</td>
<td>`3503057012550003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1955</td>
<td>66 Th</td>
<td>RT 5 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>kontrol tensi</td>
<td>amlodipin,bc</td>
<td>121/69</td>
<td>83</td>
<td>36</td>
<td>22</td>
<td>153</td>
<td>45</td>
 <td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4287</td>
<td>POLINDES PRAMBON 2</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>SINI</td>
<td>`003751</td>
<td></td>
<td>`0000666254171</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-11-1970</td>
<td>51 Th</td>
<td>DUSUN MLOKO, RT : 57,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>59</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4288</td>
<td>POLINDES PRAMBON 2</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>BISMA WAHYU PRATAMA</td>
<td>`011382</td>
<td>06/1214</td>
<td>`0002752590756</td>
<td>`3503051603190002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-03-2019</td>
<td>3 Th</td>
<td>RT 43 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>80/60</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>84</td>
<td>58</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>4289</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>WARSINI</td>
<td>`004608</td>
<td>06/5308</td>
<td>`0002900388317</td>
<td>`3503055012750002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1975</td>
<td>46 Th</td>
<td>TENGGAR, RT : 3,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001129</td>
<td>gringgingen pd jari tangan</td>
<td>antasida bcom omeprazol</td>
<td>134/78</td>
<td>94</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>58</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R20.2</td>
<td>
Paraesthesia of skin </td>
<td>K29.9</td>
<td>
Gastroduodenitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4290</td>
<td>POLI KIA</td>
<td>20-09-2022</td>
<td></td>
<td>SITI SUNDARI</td>
<td>`021388</td>
<td>04/6180</td>
<td>`0000666209283</td>
<td>`9171054112920003</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>01-12-1992</td>
<td>29 Th</td>
<td>RT 14 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td>131506010922P001164</td>
<td>MUAL</td>
<td>-</td>
<td>110/70</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4291</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>SUMINAH</td>
<td>`001696</td>
<td>06/6287</td>
<td>`0000666201611</td>
<td>`3503057101650001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-01-1965</td>
<td>57 Th</td>
<td>PAKEL, RT : 153,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001105</td>
<td>kontrol</td>
<td>rujukan</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4292</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>AHMAD RIYADI</td>
<td>`000269</td>
<td>90/55</td>
<td>`0001318095268</td>
<td>`9171031009490001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-09-1949</td>
<td>73 Th</td>
<td>RT 03 RW 01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001126</td>
<td>nyeri bahu kanan dan kiri batuk</td>
<td>nadic,ibuprofen,ambroxol,dexa b1</td>
<td>143/66</td>
<td>84</td>
<td>36</td>
<td>22</td>
 <td>170</td>
<td>61</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4293</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>SUPINGI</td>
<td>`021389</td>
<td>90/1240</td>
<td>`0002738183152</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-10-1954</td>
<td>67 Th</td>
<td>RT 13 RW </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td>131506010922Y001103</td>
<td>rujukan</td>
<td>-</td>
<td>185/100</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>64</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I63.3</td>
<td>
Cerebral infarction due to thrombosis of cerebral arteries </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4294</td>
<td>POLI GIGI</td>
<td>20-09-2022</td>
<td></td>
<td>KWIN YULIATI</td>
<td>`003255</td>
<td>90/58</td>
<td>`0000106525416</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-07-1973</td>
<td>49 Th</td>
<td>RT 1 RW 1</td>
<td>SUMBER</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y001134</td>
<td>GIGI BQWAH KANAN SAKIT</td>
<td>TUMPATAN SEMENTARA</td>
<td>100/70</td>
<td>89</td>
<td>36</td>
<td>25</td>
<td>155</td>
<td>51</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Tambal gigi sementara per gigi<br>Konsultasi<br>
</td>
</tr>
<tr align='left' valign="top">
<td>4295</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>EDY PURNOMO</td>
<td>`021390</td>
<td>06/7040</td>
<td>`0000665805565</td>
<td>`3519010205820001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-05-1982</td>
<td>40 Th</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001296</td>
<td>KONTROL POST OPERASI</td>
<td>CIPRO, RANITIDIN</td>
<td>106/65</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>175</td>
<td>51.5</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z48</td>
<td>
Other surgical follow-up care </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4296</td>
<td>POLI K.B</td>
<td>20-09-2022</td>
<td></td>
<td>SULISTRIANI</td>
<td>`021391</td>
<td>06/7040</td>
<td>`0002970311264</td>
<td>`3503055411860002</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-11-1986</td>
<td>35 Th</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4297</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>LINA ROHMAWATI</td>
<td>`002906</td>
<td>07/721</td>
<td>`0000666951581</td>
<td>`3503056312970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-12-1997</td>
<td>24 Th</td>
<td>RT 5 RW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001106</td>
<td>nyeri di lambung</td>
<td>-</td>
<td>93/50</td>
<td>91</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>47</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>F41.9</td>
<td>
Anxiety disorder, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4298</td>
<td>POLI GIGI</td>
<td>20-09-2022</td>
<td></td>
<td>SITI RATNASARI</td>
<td>`021247</td>
<td>04/9366</td>
<td>`</td>
<td>`3503056208950003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-08-1995</td>
<td>27 Th</td>
<td>RT 28 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>GIGI BAWAH KANAN sisa akar</td>
<td> cabut gigi 46</td>
<td>110/70</td>
<td>87</td>
<td>36</td>
<td>25</td>
 <td>154</td>
<td>51</td>
<td>69</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi dewasa ringan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4299</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>NYAMIRAH</td>
<td>`010573</td>
<td>01/737</td>
<td>`0001037001058</td>
<td>`3503054503560001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-03-1956</td>
<td>66 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>131506010922Y001123</td>
<td>nyeri punggung</td>
<td>glibenclamid,amlodipin,simvastatin,bcasmef</td>
<td>145/62</td>
<td>71</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>51</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4300</td>
<td>POLI MTBS</td>
<td>20-09-2022</td>
<td></td>
<td>MUHAMMAD MARDHIYA ASABBIAN</td>
<td>`021392</td>
<td>01/1017</td>
<td>`0003073846386</td>
<td>`3503051303200001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-03-2020</td>
<td>2 Th</td>
<td>RT 04 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y001135</td>
<td>batuk pilek,bab lembek,</td>
<td>cotrim pct,gg,oralit,</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>92</td>
<td>10</td>
<td>36</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02</td>
<td>
Acute pharyngitis </td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>4301</td>
<td>POLI GIGI</td>
<td>20-09-2022</td>
<td></td>
<td>ARDIAN ARYA PURNOMO</td>
<td>`020530</td>
<td>90/1161</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-09-2016</td>
<td>6 Th</td>
<td>RT 01 RW 01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi bawah goyang</td>
<td>extractie gigi 71</td>
<td>90/60</td>
<td>86</td>
<td>35</td>
<td>25</td>
<td>132</td>
<td>31</td>
<td>67</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>4302</td>
<td>POLI KIA</td>
<td>20-09-2022</td>
<td></td>
<td>EKA YULIA WULANDARI</td>
<td>`014179</td>
<td>07/1459</td>
<td>`0002085241184</td>
<td>`3503065107940001</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>11-07-1994</td>
<td>28 Th</td>
<td>RT 01 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y001297</td>
<td>TAA</td>
<td>-</td>
<td>120/89</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4303</td>
<td>POLI GIGI</td>
<td>20-09-2022</td>
<td></td>
<td>DZAKY IRHAB ZULFADHLI</td>
<td>`003827</td>
<td>02/424</td>
<td>`</td>
<td>`3503052508170001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-08-2017</td>
<td>5 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi ba3ah kanan sakit</td>
<td>obat</td>
<td>90/60</td>
<td>87</td>
<td>35</td>
<td>25</td>
<td>135</td>
<td>27</td>
<td>64</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4304</td>
<td>POLI GIGI</td>
<td>20-09-2022</td>
<td></td>
<td>MUHAMMAD ASKA YUSUF ARZAKY</td>
<td>`020558</td>
<td>90/3463</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-09-2016</td>
<td>6 Th</td>
<td>RT 01 RW 01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi atas kesundulan</td>
<td>extractie gigi 51</td>
<td>100/60</td>
<td>87</td>
<td>36</td>
<td>25</td>
<td>142</td>
 <td>31</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>4305</td>
<td>POLI KIA</td>
<td>20-09-2022</td>
<td></td>
<td>WINARSIH</td>
<td>`013455</td>
<td>02/3609</td>
<td>`0002605891588</td>
<td>`3503055303830003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-03-1983</td>
<td>39 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4306</td>
<td>POLI K.B</td>
<td>20-09-2022</td>
<td></td>
<td>ATIK MUNAWAROH</td>
<td>`001546</td>
<td>01/1166</td>
<td>`0002802765137</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-04-1977</td>
<td>45 Th</td>
<td>RT 23 RW 06</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922P001173</td>
<td>suntik kb</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.4</td>
<td>
Surveillance of contraceptive drugs </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4307</td>
 <td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>SRI UTAMI</td>
<td>`001496</td>
<td>04/3595</td>
<td>`0000106534912</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-04-1969</td>
<td>53 Th</td>
<td>RT 14 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y001150</td>
<td>CEK LAB</td>
<td>-</td>
<td>110/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>74</td>
<td>86</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4308</td>
<td>UGD</td>
<td>20-09-2022</td>
<td></td>
<td>SUBANDI</td>
<td>`021393</td>
<td>06/9373</td>
<td>`</td>
<td>`3503050703780001</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>07-03-1978</td>
<td>44 Th</td>
<td>MLOKO, RT : 54,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>4309</td>
<td>POLI KIA</td>
<td>20-09-2022</td>
<td></td>
<td>EVA ROYANI</td>
<td>`003420</td>
<td>08/6150</td>
<td>`0000666140815</td>
<td>`3503055604940002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-04-1994</td>
<td>28 Th</td>
<td>DUSUN TLOGOREJO, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
 <td>Lama</td>
<td>131506010922P001161</td>
<td>MUAL</td>
<td>-</td>
<td>115/74</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>52</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4310</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>RAFELINO RELIAN KARSELAN</td>
<td>`021394</td>
<td>01/10</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-01-2003</td>
<td>19 Th</td>
<td>RT 000 RW 000</td>
<td>PARAMARIBO</td>
<td>PARAMARIBO</td>
<td>SURINAME</td>
<td></td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>sks</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>185</td>
<td>110</td>
 <td>115</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4311</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>FAHRUL RIVA`I</td>
<td>`015376</td>
<td>06/5915</td>
<td>`0003012959968</td>
<td>`3503051202160001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-02-2016</td>
<td>6 Th</td>
<td>DUSUN TENGGAR, RT : 11,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001127</td>
<td>mata merah</td>
<td>-</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>17</td>
<td>47</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H10.9</td>
<td>
Conjunctivitis, unspecified </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4312</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>MARYATUN</td>
<td>`010771</td>
<td>01/312</td>
<td>`0002014056909</td>
<td>`3503055809630003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-09-1963</td>
<td>59 Th</td>
<td>RT 10 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001119</td>
<td>BATUK, PANAS, WAJAH DAN MUKA PANAS, PILEK, KEJU DI KAKI</td>
<td>AMBROXOL, PAMOL, VIT C</td>
<td>163/81</td>
<td>73</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4313</td>
 <td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>KOMSUL USTADIYAH</td>
<td>`021395</td>
<td>01/1831</td>
<td>`0000666242324</td>
<td>`3503056306720001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-06-1972</td>
<td>50 Th</td>
<td>RT 03 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td>131506010922Y001116</td>
<td>KEJU LINU, GRINGGINGEN</td>
<td>AMLODIPIN, OMEPRAZOLE, ANTASID</td>
<td>176/96</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>61</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4314</td>
<td>POLI GIGI</td>
<td>20-09-2022</td>
<td></td>
<td>ISAROH</td>
<td>`003051</td>
<td>06/5442</td>
<td>`0000666549382</td>
<td>`3503055011700002</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>04-12-1970</td>
<td>51 Th</td>
<td>PRAMBON RT 12/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001160</td>
<td>gigi bawah sakit</td>
<td>obat</td>
<td>140/80</td>
<td>90</td>
<td>36</td>
<td>25</td>
<td>153</td>
<td>65</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4315</td>
<td>POLI REMAJA</td>
<td>20-09-2022</td>
<td></td>
<td>MAILA HIDAYATI HUSNIATI</td>
<td>`001343</td>
<td>01/1274b</td>
<td>`0002596381694</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-11-2011</td>
<td>10 Th</td>
<td>RT 28 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
 <td>Lama</td>
<td>131506010922Y001124</td>
<td>pusing batuk panas nyeri telan pilek</td>
<td>amok pamol ctm deksa gg c</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>143</td>
<td>35</td>
<td>46</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4316</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>SITI NURHIDAYATI</td>
<td>`005429</td>
<td>01/302</td>
<td>`0000664941025</td>
<td>`3503055011830001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-11-1983</td>
<td>38 Th</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001147</td>
<td>CEK TENSI</td>
<td>-</td>
<td>137/70</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>75</td>
 <td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4317</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>M. RAFI</td>
<td>`002095</td>
<td>01/302</td>
<td>`0002228541838</td>
<td>`3503051102170001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-02-2017</td>
<td>5 Th</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001145</td>
<td>BATUK, PANAS</td>
<td>PAMOL, GG, DEKSA</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>110</td>
<td>18.8</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4318</td>
<td>POLI KIA</td>
<td>20-09-2022</td>
<td></td>
<td>DESY JAWATRI</td>
<td>`008710</td>
<td>05/4225</td>
<td>`</td>
<td>`3503055112940004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-12-1994</td>
<td>27 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>MUAL</td>
<td>-</td>
<td>110/70</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4319</td>
 <td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>MASHURI YANTO</td>
<td>`021396</td>
<td>90/01</td>
<td>`0000664464789</td>
<td>`3503060506940003</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>05-06-1994</td>
<td>28 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :1 </td>
<td>KERJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td>131506010922Y001122</td>
<td>BADAN PEGEL LINU,</td>
<td>PAMOL, NADIF, PREDNISON</td>
<td>108/64</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>66.4</td>
<td>83</td>
<td>Karangan</td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4320</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>EDI SANTOSO</td>
<td>`021397</td>
<td>90/01</td>
<td>`0000665720796</td>
<td>`3503112104940004</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>01-04-1994</td>
<td>28 Th</td>
<td>RT 06 RW 02</td>
<td>KELUTAN</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Baru</td>
<td>131506010922Y001120</td>
<td>BATUK,PILEK, NYERI TELAN</td>
<td>AMOK, PAMOL, CTM, GG, DEXA, VIT C</td>
<td>132/71</td>
<td>70</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>59.6</td>
<td>85</td>
<td>Trenggalek </td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4321</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>SUPARDI</td>
<td>`010827</td>
<td>01/3405</td>
<td>`0001474485625</td>
<td>`3503050608540001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-08-1954</td>
<td>68 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001151</td>
<td>pusing,batuk,pilek</td>
<td>ambroxol,ctm,dexa,pct,cipro</td>
<td>134/57</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>170</td>
<td>67</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4322</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>SLAMET RIYADI</td>
<td>`000020</td>
<td>03/7734</td>
<td>`0001077706146</td>
<td>`8171020201530007</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-01-1953</td>
<td>69 Th</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001146</td>
<td>keju linu di kaki gatal2</td>
<td>salep hydro,mp,loratadin,nadic,bc,amlodipin</td>
<td>166/139</td>
<td>74</td>
<td>36</td>
<td>22</td>
<td>170</td>
 <td>71</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L40</td>
<td>
Psoriasis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4323</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>ISTRIATUN</td>
<td>`000021</td>
<td>03/7734</td>
<td>`0001077706157</td>
<td>`8171025503570005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-03-1957</td>
<td>65 Th</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001153</td>
<td>kontrl dm</td>
<td>keju lu pilek</td>
<td>161/72</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>57</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4324</td>
<td>POLI GIGI</td>
<td>20-09-2022</td>
<td></td>
<td>SITI IRJAYANTI</td>
<td>`004886</td>
<td>08/3865</td>
<td>`0002018011601</td>
<td>`3503055209970002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-1997</td>
<td>25 Th</td>
<td>RT 12 RW 4</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001165</td>
<td>karang gigi</td>
<td>membersihkan karang gigi</td>
<td>100/70</td>
<td>90</td>
<td>36</td>
<td>25</td>
<td>156</td>
<td>48</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K03.6</td>
<td>
Deposits [accretions] on teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br>Pembersihan karang gigi (per
kwadran)<br> </td>
</tr>
<tr align='left' valign="top">
 <td>4325</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>SABAR</td>
<td>`021299</td>
<td></td>
<td>`0000666228205</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1935</td>
<td>86 Th</td>
<td>RT 17 RW 4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4326</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>SUMINTO</td>
<td>`021398</td>
<td>01/446</td>
<td>`</td>
<td>`3503051512580001</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>15-12-1958</td>
<td>63 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>lemes letih lesu</td>
<td>bc,dexa,nadic,</td>
<td>138/75</td>
<td>91</td>
<td>36</td>
<td>22</td>
<td>165</td>
<td>52</td>
<td>67</td>
<td></td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4327</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>MIFTAKUL JANAH</td>
<td>`003883</td>
<td>04/1462</td>
<td>`0001036922501</td>
<td>`3503056010920001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-10-1992</td>
<td>29 Th</td>
<td>RT 28 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001117</td>
<td>KONTROL</td>
<td>-</td>
<td>105/62</td>
<td>106</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>35.6</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J18.90</td>
<td>
Community Acquired Pneumonia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4328</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>MISRI</td>
<td>`020390</td>
<td>08/4096</td>
<td>`0001978468029</td>
<td>`3503054307510001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-07-1951</td>
<td>71 Th</td>
<td>DESA WINONG, RT : 2,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001136</td>
<td>gringgingen kaki kiri pusing kadang2</td>
<td>amlodipin,aspilet,simvastatin,allopurinol.dexa,paracetamol,bc</td>
<td>186/74</td>
<td>126</td>
<td>36</td>
<td>22</td>
<td>152</td>
 <td>42</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4329</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>MUHAMMAD RIDWAN FAUZI</td>
<td>`004786</td>
<td>90/3322</td>
<td>`0002777454988</td>
<td>`3504170401920002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-01-1992</td>
<td>30 Th</td>
<td>RT 1 RW 1</td>
<td>MERGAYU</td>
<td>BANDUNG</td>
<td>TULUNGAGUNG</td>
<td>JAWA TIMUR</td>
<td>Dokter</td>
<td>Lama</td>
<td></td>
<td>PUSING</td>
<td>KONSULTASI</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>65</td>
<td>90</td>
<td>Durenan</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4330</td>
<td>PUSTU PRAMBON</td>
<td>20-09-2022</td>
<td></td>
<td>SIGIT RIZKY PUTRA</td>
<td>`001537</td>
<td>06/3537</td>
<td>`0002594102949</td>
<td>`3503050707120002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-07-2012</td>
<td>10 Th</td>
<td>DUSUN TENGGAR, RT : 5,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4331</td>
 <td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>LEMU</td>
<td>`020640</td>
<td>07/9364</td>
<td>`0001963863742</td>
<td>`5207080911590001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-11-1959</td>
<td>62 Th</td>
<td>RT 12 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>terpasang dc</td>
<td>cipro,asmef</td>
<td>142/72</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>168</td>
<td>52</td>
<td>75</td>
<td>LAMONGAN</td>
<td>KASUS BARU</td>
<td>R33</td>
<td>
Retention of urine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4332</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>KATIRAH</td>
<td>`004542</td>
<td>01/946</td>
<td>`0002802747993</td>
<td>`3503055209300002</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>12-09-1930</td>
<td>92 Th</td>
<td>RT 5 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001133</td>
<td>keju linu,punggung gatal</td>
<td>amlodipin,simvastatin,nadic,bc,ctm</td>
<td>170/74</td>
<td>96</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>42</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4333</td>
<td>PUSTU PRAMBON</td>
<td>20-09-2022</td>
<td></td>
<td>JUNARIN</td>
<td>`009164</td>
<td></td>
<td>`0001978487651</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-09-1951</td>
<td>71 Th</td>
<td>RT 45</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Tani / Perkebunan</td>
 <td>Lama</td>
<td>131506010922Y001115</td>
<td>PUSING</td>
<td>NATDIK CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4334</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>SUKADI</td>
<td>`000468</td>
<td>01/3548</td>
<td>`0000665392443</td>
<td>`3503050607450001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-07-1945</td>
<td>77 Th</td>
<td>DUSUN SETONO, RT 14 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001121</td>
<td>mata kabur</td>
<td>-</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>165</td>
<td>52</td>
 <td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H40</td>
<td>
Glaucoma </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4335</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>MUSIMIN</td>
<td>`006724</td>
<td>02/3095</td>
<td>`0000666420761</td>
<td>`3503053112450035</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1945</td>
<td>76 Th</td>
<td>RT 009 RW 003</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001128</td>
<td>kontrol tensi,kaki kanan kiri gringgingen</td>
<td>amlodipin,simvastatin,b1,metformin,aspilet</td>
<td>196/72</td>
<td>79</td>
<td>36</td>
<td>22</td>
<td>170</td>
<td>62</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4336</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>SUTARDJO</td>
<td>`004426</td>
<td>02/1195A</td>
<td>`0001978460559</td>
<td>`3503053112530033</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1953</td>
<td>68 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001138</td>
<td>kembung,batuk kadang2</td>
<td>amlodipin,antasida,ranitidin</td>
<td>174/70</td>
<td>67</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>67</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4337</td>
<td>POLI UMUM</td>
 <td>20-09-2022</td>
<td></td>
<td>HARYATUN</td>
<td>`000247</td>
<td>90/55</td>
<td>`0001318097283</td>
<td>`9171036006670001</td>
<td>`</td>
<td></td>
<td>081344975763</td>
<td>P</td>
<td>20-06-1967</td>
<td>55 Th</td>
<td>RT 3 RW 1</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4338</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>DECAFARA SEKAR PURNAMA</td>
<td>`009701</td>
<td>04/8500</td>
<td>`0002860464249</td>
<td>`3503056012120001</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>20-12-2012</td>
<td>9 Th</td>
<td>RT 05/02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001131</td>
<td>DREDEG, LEMAS</td>
<td>PAMOL, DEXA</td>
<td>1/1</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>28.3</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4339</td>
<td>POLI KIA</td>
<td>20-09-2022</td>
<td></td>
<td>AGUSTIN DWI SULISTYOPUTRI</td>
<td>`006331</td>
<td>03/158</td>
<td>`0001978449614</td>
<td>`3503056708970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-08-1997</td>
<td>25 Th</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
 <td>131506010922Y001298</td>
<td>TAA</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>1</td>
<td>TONKES YONIF 734/SNS</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4340</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>SUKARDI</td>
<td>`017361</td>
<td>02/1212</td>
<td>`0000076618528</td>
<td>`3503052101420001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-12-1942</td>
<td>79 Th</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y001141</td>
<td>pusing ngliyeng,mual,batuk</td>
<td>antasida,ranitidin,obh,pct</td>
<td>126/59</td>
<td>77</td>
<td>36</td>
<td>22</td>
<td>170</td>
<td>57</td>
<td>85</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4341</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>ANNISA</td>
<td>`003836</td>
<td>02/1212</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-05-2015</td>
<td>7 Th</td>
<td>RT 1RW 1</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>batuk pilek sulit makan</td>
<td>pamol,ambroksol oat</td>
<td>1/1</td>
<td>100</td>
<td>36</td>
<td>22</td>
<td>103</td>
<td>16</td>
<td>34</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>A16</td>
<td>
Respiratory tuberculosis, not confirmed bacteriologically or
histologically </td>
<td></td>
 <td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4342</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>ISTINGANAH</td>
<td>`000096</td>
<td>01/6723</td>
<td>`0002743392407</td>
<td>`3503055103520001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-03-1952</td>
<td>70 Th</td>
<td>RT 3 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001125</td>
<td>prb</td>
<td>bisoprolol 2,5 1x1 30 biji
furocemid40 1x1 30 biji
cpg75 1x1 30 biji
ramipril2,5 1x1 30 biji
simvastatin20 1x1 30 biji
spironolacton 1x1 30 biji</td>
<td>119/55</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I50.0</td>
<td>
Congestive heart failure </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4343</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>MUDJIRAN</td>
<td>`010069</td>
<td>04/2398</td>
<td>`</td>
<td>`3503051112310001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-12-1931</td>
<td>90 Th</td>
<td>GERBO, RT : 12,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>nyeri luka di lutut kiri</td>
<td>amox,asmef,bc,dexa</td>
<td>125/62</td>
<td>73</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>37</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4344</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>MUTINI</td>
<td>`007129</td>
<td>01/351</td>
 <td>`0000665791503</td>
<td>`3503055012620007</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1962</td>
<td>59 Th</td>
<td>DUSUN SETONO, RT : 14,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001148</td>
<td>SAKIT KEPALA, LINU</td>
<td>AMLO 10, ASPILET, PAMOL, VIT BC</td>
<td>144/84</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>66.1</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4345</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>WINARNI</td>
<td>`011653</td>
<td>02/7711</td>
<td>`0001978460368</td>
<td>`3503055606630002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-06-1963</td>
<td>59 Th</td>
<td>ETAN KALI, RT : 22,RW :5 </td>
<td>NGLONGSOR</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001144</td>
<td>KONTROL RUTIN HT + CVA</td>
<td>AMLO 10, ASPILET</td>
<td>131/74</td>
<td>84</td>
<td>363</td>
<td>19</td>
<td>151</td>
<td>54.7</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I63.9</td>
<td>
Cerebral infarction, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4346</td>
<td>POLINDES PRAMBON 2</td>
<td>20-09-2022</td>
<td></td>
<td>SUPATMININGSIH</td>
<td>`008822</td>
<td>06/3545</td>
<td>`</td>
<td>`3503056305850003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-05-1985</td>
<td>37 Th</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td>Suntik kb</td>
<td>Depo</td>
<td>110/70</td>
<td>86</td>
 <td>36</td>
<td>22</td>
<td>156</td>
<td>54</td>
<td>86</td>
<td></td>
<td>KASUS BARU</td>
<td>Z30.5</td>
<td>
Surveillance of (intrauterine) contraceptive device </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4347</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>DIAN YULIANA</td>
<td>`021399</td>
<td>90/01</td>
<td>`</td>
<td>`3503056207990002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-07-1999</td>
<td>23 Th</td>
<td>RT 08 RW 02</td>
<td>GONDANG</td>
<td>KARANGREJO</td>
<td>MAGETAN</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td>SKS</td>
<td>-</td>
<td>128/82</td>
<td>103</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>73.1</td>
<td>78</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4348</td>
<td>POLINDES PRAMBON 2</td>
<td>20-09-2022</td>
<td></td>
<td>TITIN</td>
<td>`014786</td>
<td></td>
<td>`0001975776917</td>
<td>`3503056310930003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-10-1993</td>
<td>28 Th</td>
<td>DUSUN MLOKO, RT : 58,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001193</td>
<td>Sakit gigi</td>
<td>Ibuf, dexa, gentian</td>
<td>110/79</td>
<td>86</td>
<td>36</td>
<td>22</td>
<td>157</td>
<td>58</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02</td>
<td>
Dental caries </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4349</td>
<td>POLI K.B</td>
<td>20-09-2022</td>
<td></td>
<td>SITI BAROKAH</td>
<td>`021400</td>
<td>02/9374</td>
<td>`</td>
<td>`3503054906960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-06-1996</td>
<td>26 Th</td>
<td>RT 25 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>CPW</td>
<td>-</td>
<td>116/89</td>
<td>93</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>54</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4350</td>
<td>POLI K.B</td>
<td>20-09-2022</td>
<td></td>
<td>PURWADI</td>
<td>`021401</td>
<td>02/9374</td>
 <td>`0000667990721</td>
<td>`3504041506900002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-06-1990</td>
<td>32 Th</td>
<td>RT 15 RW 05</td>
<td>POJOK</td>
<td>NGANTRU</td>
<td>TULUNGAGUNG</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>CPP</td>
<td>-</td>
<td>110/78</td>
<td>74</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>54</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4351</td>
<td>POLI MTBS</td>
<td>20-09-2022</td>
<td></td>
<td>NAYA AZMI LATIFAH</td>
<td>`021402</td>
<td>07/651</td>
<td>`</td>
<td>`3503057011190001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-11-2019</td>
<td>2 Th</td>
<td>RT 07 RW 04</td>
<td>SUKOREJO</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PERUT SAKIT, PANAS</td>
<td>ANTASID, PAMOL SY, AMOX </td>
<td>1/1</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>95</td>
<td>10.8</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>R10.4</td>
<td>
Other and unspecified abdominal pain </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4352</td>
<td>POLI GIZI</td>
<td>20-09-2022</td>
<td></td>
<td>SITI BAROKAH</td>
<td>`021400</td>
<td>02/9374</td>
<td>`</td>
<td>`3503054906960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-06-1996</td>
<td>26 Th</td>
<td>RT 25 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>CPW</td>
<td>-</td>
<td>116/89</td>
<td>93</td>
 <td>36</td>
<td>20</td>
<td>150</td>
<td>54</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4353</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>SUPARMIATI</td>
<td>`021403</td>
<td>01/4689</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-04-1972</td>
<td>50 Th</td>
<td>RT 05 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>KEPALA CENGENG, KAKI TERAS BERAT DAN NYERI</td>
<td>PAMOL, NADIF</td>
<td>114/73</td>
<td>62</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>70.5</td>
<td>90</td>
<td></td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
 <td>G44.2</td>
<td>
Tension-type headache </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4354</td>
<td>POLI KIA</td>
<td>20-09-2022</td>
<td></td>
<td>KARMILASARI</td>
<td>`021405</td>
<td>90/3473</td>
<td>`0002375566413</td>
<td>`3503064309930004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-09-1993</td>
<td>29 Th</td>
<td>RT 11 RW 04</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td>131506010922P001162</td>
<td>TELAPAK TANGAN GRINGGINGEN</td>
<td>-</td>
<td>123/74</td>
<td>79</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>84</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4355</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>MUSRINI</td>
<td>`002644</td>
<td>01/762</td>
<td>`0000665895633</td>
<td>`3503054904710001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-1971</td>
<td>51 Th</td>
<td>RT 32 RW 8</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001132</td>
<td>KONTROL</td>
<td>-</td>
<td>160/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>80</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4356</td>
<td>POLI GIGI</td>
<td>20-09-2022</td>
<td></td>
<td>AMIROTUN NAYYROTUL HUSNA A</td>
<td>`021406</td>
<td>90/3452</td>
 <td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-10-2016</td>
<td>5 Th</td>
<td>RT 21 RW 08</td>
<td>SALAMREJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi depan bawah kesendulan</td>
<td>extracte 71</td>
<td>140/80</td>
<td>89</td>
<td>351</td>
<td>24</td>
<td>143</td>
<td>70</td>
<td>72</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>4357</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>SUPRIHATIN</td>
<td>`005555</td>
<td>05/3790</td>
<td>`0001037005121</td>
<td>`3503054901560001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-01-1956</td>
<td>66 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001130</td>
<td>rujukan</td>
<td>-</td>
<td>130/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I11</td>
<td>
Hypertensive heart disease </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4358</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>MESINI</td>
<td>`021407</td>
<td>06/6472</td>
<td>`0000666301724</td>
<td>`3503056901730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>29-01-1973</td>
<td>49 Th</td>
<td>DUSUN SOOKO, RT : 50,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001142</td>
<td>GATAL DI BADAN, MERIANG</td>
<td>CTM, PREDNISON</td>
<td>153/71</td>
<td>81</td>
 <td>36</td>
<td>20</td>
<td>150</td>
<td>44.3</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>B86</td>
<td>
Scabies </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4359</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>RIKEM</td>
<td>`021408</td>
<td>01/526</td>
<td>`0001037002904</td>
<td>`3503057112340001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1934</td>
<td>87 Th</td>
<td>DESA GONDANG, RT : 11,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001143</td>
<td>batuk sesak</td>
<td>amlodipin,furocemid,ambroxol,salbutamol.obh</td>
<td>248/97</td>
<td>104</td>
<td>36</td>
<td>22</td>
<td>135</td>
<td>35</td>
<td>74</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4360</td>
<td>POLI GIGI</td>
<td>20-09-2022</td>
<td></td>
<td>ALBY NAUFAL ALFARIZQI</td>
<td>`013351</td>
<td>02/704</td>
<td>`0002207294739</td>
<td>`3503050603160001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-03-2016</td>
<td>6 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi atas goyang</td>
<td>extractei 51</td>
<td>90/60</td>
<td>87</td>
<td>36</td>
<td>25</td>
<td>132</td>
<td>25</td>
<td>64</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>4361</td>
<td>PONKESDES TUMPUK</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>KARTINI</td>
<td>`004054</td>
<td></td>
<td>`0001978449423</td>
<td>`3503056306540001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-06-1954</td>
<td>68 Th</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/76</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4362</td>
<td>PONKESDES TUMPUK</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>GEMI</td>
<td>`015951</td>
<td></td>
<td>`0001978450108</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1940</td>
<td>81 Th</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/76</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>53</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4363</td>
<td>PONKESDES TUMPUK</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>BONARI</td>
<td>`015882</td>
<td></td>
<td>`0001978450097</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-07-1962</td>
<td>60 Th</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>116/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>64</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4364</td>
<td>POLI UMUM</td>
<td>20-09-2022</td>
<td></td>
<td>ANGELICA ELVARETTA AYA FAUSTINE</td>
<td>`001924</td>
<td>06/7430</td>
<td>`</td>
<td>`3503056205140001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-05-2014</td>
<td>8 Th</td>
<td>SOOKO, RT : 42,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BENJOLAN DI DALAM BIBIR</td>
<td>DEXA, AMOX, CTM</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
 <td>20</td>
<td>125</td>
<td>24.6</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K11.6</td>
<td>
Mucocele of salivary gland </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4365</td>
<td>PONKESDES TUMPUK</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>SUMARMI</td>
<td>`000774</td>
<td>03/1246</td>
<td>`0001978449952</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-05-1963</td>
<td>59 Th</td>
<td>RT 02 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/68</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4366</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>EMY SOELASMI</td>
<td>`000552</td>
<td>90/1371</td>
<td>`0001834805439</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-03-1955</td>
<td>67 Th</td>
<td>RT 16 RW 05</td>
<td>SUMBERGEDONG</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001137</td>
<td>rujukan</td>
<td>-</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>64</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>C50</td>
<td>
Malignant neoplasm of breast </td>
<td>I25.2</td>
<td>
Old myocardial infarction </td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4367</td>
<td>PONKESDES TUMPUK</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>SUPARTI</td>
<td>`017439</td>
<td></td>
<td>`0001978454992</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-05-1967</td>
<td>55 Th</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/76</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4368</td>
<td>PONKESDES TUMPUK</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>SOLIKAH</td>
<td>`017441</td>
<td></td>
<td>`0001978455069</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-08-1975</td>
<td>47 Th</td>
<td>RT 005</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>118/72</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4369</td>
<td>PONKESDES SUKOREJO</td>
<td>20-09-2022</td>
<td></td>
<td>DINA PATMIASIH</td>
<td>`018272</td>
<td></td>
<td>`0003000876478</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-09-1989</td>
<td>33 Th</td>
<td>RT 06</td>
<td>SUKOREJO</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001540</td>
<td>batuk pilek</td>
<td>pamol,gg,deksametason,ttd</td>
<td>104/61</td>
<td>95</td>
<td>36</td>
<td>24</td>
<td>154</td>
<td>54</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4370</td>
<td>PONKESDES SUKOREJO</td>
<td>20-09-2022</td>
<td></td>
<td>WAFI SALMA LESTARI</td>
<td>`002433</td>
<td></td>
<td>`0000197394355</td>
<td>`3503054910060002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-10-2006</td>
<td>15 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001539</td>
<td>batuk pilek</td>
<td>pamol,ambroxol,dexa,b complek</td>
<td>108/61</td>
<td>95</td>
<td>36</td>
 <td>24</td>
<td>154</td>
<td>35</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4371</td>
<td>PONKESDES TUMPUK</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>AHMAD DA`I BACHTIAR</td>
<td>`010342</td>
<td></td>
<td>`0001978455047</td>
<td>`3503051303030004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-03-2003</td>
<td>19 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/68</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4372</td>
<td>PUSTU NGEPEH</td>
<td>20-09-2022</td>
<td></td>
<td>EKA SURYA FERDIANTO</td>
<td>`018057</td>
<td></td>
<td>`0000666405415</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-10-2007</td>
<td>14 Th</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001396</td>
<td>nyeri gigi</td>
<td>nadik dexa</td>
<td>110/70</td>
<td>82</td>
<td>35</td>
<td>20</td>
<td>160</td>
<td>55</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02.9</td>
<td>
Dental caries, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4373</td>
<td>PUSTU NGEPEH</td>
<td>20-09-2022</td>
<td></td>
<td>SRI WULAN</td>
<td>`015491</td>
<td></td>
<td>`0000666828314</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-05-1980</td>
<td>42 Th</td>
<td>RT 019 RW 008</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001397</td>
<td>nyeri tenggorokan pusing</td>
<td>amlo cypro ctm pamol</td>
<td>170/104</td>
<td>104</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4374</td>
<td>PUSTU NGEPEH</td>
<td>20-09-2022</td>
<td></td>
<td>MISILAH</td>
<td>`016214</td>
<td></td>
<td>`0000666304312</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-08-1969</td>
<td>53 Th</td>
<td>RT 10 RW4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001398</td>
<td>vertigo, mual, sebah</td>
<td>betahistin antasid omz</td>
<td>120/75</td>
<td>78</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4375</td>
<td>PONKESDES TUMPUK</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>M FUAD LUTHFI AZIS</td>
<td>`010712</td>
<td>03/2455</td>
<td>`0001978455058</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-10-1995</td>
<td>26 Th</td>
<td>RT 05 RW 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/68</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>65</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4376</td>
<td>PUSTU NGEPEH</td>
<td>20-09-2022</td>
<td></td>
<td>JAINI</td>
<td>`004515</td>
<td></td>
<td>`0000666232795</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-09-1966</td>
<td>56 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001399</td>
<td>keju, asam urat</td>
<td>allopiurinol nadik amlo</td>
<td>182/87</td>
<td>100</td>
<td>35</td>
<td>20</td>
 <td>157</td>
<td>55</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4377</td>
<td>PUSTU NGEPEH</td>
<td>20-09-2022</td>
<td></td>
<td>SARMINI</td>
<td>`003008</td>
<td>04/4743</td>
<td>`0000666054819</td>
<td>`3503056402820002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-02-1982</td>
<td>40 Th</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001400</td>
<td>cek tensi, pusing</td>
<td>amlodipin pamol</td>
<td>137/85</td>
<td>77</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4378</td>
<td>PONKESDES TUMPUK</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>ALIFIA RAHMA</td>
<td>`020287</td>
<td></td>
<td>`0001978436474</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-07-2001</td>
<td>21 Th</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>105/65</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>53</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>4379</td>
<td>PUSTU NGEPEH</td>
<td>20-09-2022</td>
<td></td>
<td>TINAH</td>
<td>`000439</td>
<td></td>
<td>`0002802767499</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-02-1972</td>
<td>50 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001401</td>
<td>keju, sebah</td>
<td>omz nadik amlo</td>
<td>144/77</td>
<td>100</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4380</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>SOEMIYATI</td>
<td>`000476</td>
<td>03/3949</td>
<td>`0000077103549</td>
<td>`3503054706470001</td>
<td>`9475</td>
 <td></td>
<td></td>
<td>P</td>
<td>07-06-1947</td>
<td>75 Th</td>
<td>DSN KRAJAN, RT : 002,RW :001 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PENSIUNAN</td>
<td>Lama</td>
<td>131506010922Y001140</td>
<td>rujukan</td>
<td>-</td>
<td>163/82</td>
<td>67</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4381</td>
<td>PUSTU NGEPEH</td>
<td>20-09-2022</td>
<td></td>
<td>TARFAH PUTRI WIKALINTANG RAHAYU</td>
<td>`002873</td>
<td></td>
<td>`0002307755351</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-11-2012</td>
<td>9 Th</td>
<td>RT 16 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001402</td>
<td>panas batuk pilek</td>
<td>gg ctm pamol</td>
<td>100/70</td>
<td>100</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4382</td>
<td>PONKESDES TUMPUK</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>ANIK SURYANTI</td>
<td>`020289</td>
<td></td>
<td>`0001978436889</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-12-1970</td>
<td>51 Th</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/72</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
 <td>54</td>
<td>790</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4383</td>
<td>POLI LANSIA</td>
<td>20-09-2022</td>
<td></td>
<td>SUKARTI</td>
<td>`009893</td>
<td>02/1934</td>
<td>`0003177400904</td>
<td>`3503057112520026</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1952</td>
<td>69 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td>131506010922Y001149</td>
<td>perih ulu hati,ngliyeng,kembung</td>
<td>dimenhidrinat,antasida,amlodipin</td>
<td>160/75</td>
<td>76</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4384</td>
<td>PONKESDES TUMPUK</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>LENI DWI OKTAVIANI</td>
<td>`020296</td>
<td></td>
<td>`0001978443191</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-10-2009</td>
<td>12 Th</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>95/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>40</td>
<td>74</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4385</td>
 <td>PONKESDES TUMPUK</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>TUMIDI</td>
<td>`015556</td>
<td></td>
<td>`0001978455071</td>
<td>`3503050310510001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-10-1951</td>
<td>70 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/68</td>
<td>72</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4386</td>
<td>PONKESDES TUMPUK</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>TUSBIANTO</td>
<td>`010584</td>
<td></td>
<td>`0001978455036</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>08-02-1969</td>
<td>53 Th</td>
<td>RT 005 RW 002</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/74</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>64</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4387</td>
<td>PONKESDES TUMPUK</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>LASMINI</td>
<td>`021415</td>
<td></td>
<td>`0001978446385</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-05-1991</td>
<td>31 Th</td>
<td>RT 10 RW 4</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
 <td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>115/72</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4388</td>
<td>PONKESDES TUMPUK</td>
<td>20-09-2022</td>
<td>KONSULTASI</td>
<td>YATI</td>
<td>`011455</td>
<td>03/6302</td>
<td>`0001978455317</td>
<td>`3503054112610001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1961</td>
<td>60 Th</td>
<td>DUSUN JUMOK, RT : 11,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>124/74</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>53</td>
 <td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4389</td>
<td>RAWAT INAP</td>
<td>20-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>MURAH</td>
<td>`021464</td>
<td>06/4777</td>
<td>`</td>
<td>`3503056610710001</td>
<td>`</td>
<td>sukardi</td>
<td></td>
<td>P</td>
<td>26-10-1971</td>
<td>50 Th</td>
<td>RT 34 RW 6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>LEMES, PUSING BERPUTAR PUTAR, MUAL MUNTAH</td>
<td>infus rl 20 tpm, inj.metoclop 3x1 amp.betahistine 3x1,pamol, 3x1, ranit
3x1</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>58</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>H81.0</td>
<td>
Meniere`s disease </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Biaya rawat inap pasien umum per hari<br>Layanan Unit Gawat Darurat
(UGD)<br>Pemasangan infuse<br>Biaya rawat inap pasien umum per hari<br>Tindakan
medis ringan lainnya<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4390</td>
<td>RAWAT INAP</td>
<td>20-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>HARIJANTO</td>
<td>`021465</td>
<td></td>
<td>`0000080673838</td>
<td>`3571012403530001</td>
<td>`</td>
<td>harijanto</td>
<td></td>
<td>L</td>
<td>24-03-1953</td>
<td>69 Th</td>
<td>JL.RAUNG GG.1 NO 4</td>
<td>MOJOROTO</td>
<td>MOJOROTO</td>
<td>KOTA KEDIRI</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td></td>
<td>MUAL, KEMBUNG, NYERI PERUT</td>
<td>INFUS RL 20 TPM,INJ.METAMIZOLE 3X1 AMP,INJ.METOCLOP 3X1 AMP,PAMOL 3X1,
RANIT 2X1, ANTASIDA 3X1</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>60</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Biaya rawat inap pasien umum per hari<br>Layanan Unit Gawat Darurat
(UGD)<br>Pemasangan infuse<br>Biaya rawat inap pasien umum per hari<br>Tindakan
medis ringan lainnya<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4391</td>
<td>RAWAT INAP</td>
<td>20-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>SITI AMANAH</td>
<td>`021467</td>
<td>90/1541</td>
<td>`0001622552275</td>
<td>`3503054803780003</td>
<td>`</td>
<td>rusdiono</td>
<td></td>
<td>P</td>
<td>08-03-1978</td>
<td>44 Th</td>
<td>RT 6 RW 2</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>mual, muntah, batuk, pusing</td>
<td>amlo, obh syr, HCT, </td>
<td>200/110</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pemasangan infuse<br>Layanan Unit Gawat Darurat (UGD)<br>Rawat Inap pasien
BPJS<br>Rawat Inap pasien BPJS<br>Rawat Inap pasien BPJS<br> </td>
</tr>
<tr align='left' valign="top">
<td>4392</td>
<td>RAWAT INAP</td>
<td>20-09-2022</td>
<td></td>
<td>SUNARTO</td>
 <td>`021468</td>
<td></td>
<td>`0002070761793</td>
<td>`</td>
<td>`</td>
<td>sunarto</td>
<td></td>
<td>L</td>
<td>01-09-1963</td>
<td>59 Th</td>
<td>RT 10 RW 4</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Pucanganak</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pemasangan infuse<br>Biaya rawat inap
pasien umum per hari<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis
ringan lainnya<br>Rawat Inap pasien BPJS<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis
ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>4393</td>
<td>RAWAT INAP</td>
<td>20-09-2022</td>
<td></td>
<td>PAIMIN</td>
<td>`021469</td>
<td></td>
<td>`0000666034953</td>
<td>`</td>
<td>`</td>
<td>paimin</td>
 <td></td>
<td>L</td>
<td>14-12-1961</td>
<td>60 Th</td>
<td>RT 15 RW 3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pemasangan infuse<br>Layanan Unit Gawat Darurat (UGD)<br>Biaya rawat inap
pasien umum per hari<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis
ringan lainnya<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis ringan
lainnya<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis ringan
lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>4394</td>
<td>POLINDES NGEPEH</td>
<td>20-09-2022</td>
<td></td>
<td>DIKA RAFITA MERIYANTI</td>
<td>`002159</td>
<td>04/7123</td>
<td>`0000665593525</td>
<td>`3503054603000001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-03-2000</td>
<td>22 Th</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001893</td>
<td>KB KONDOM</td>
<td>KONDOM</td>
<td>126/87</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>65</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z30.8</td>
<td>
Other contraceptive management </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4395</td>
<td>POLINDES NGEPEH</td>
<td>20-09-2022</td>
<td></td>
<td>KUSDI</td>
<td>`008208</td>
<td></td>
<td>`0002802749984</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-05-1960</td>
<td>62 Th</td>
<td>RT 18 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001894</td>
<td>KEJU</td>
<td>BC</td>
<td>117/65</td>
<td>80</td>
 <td>37</td>
<td>20</td>
<td>165</td>
<td>67</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4396</td>
<td>POLINDES NGEPEH</td>
<td>20-09-2022</td>
<td></td>
<td>MARTINI</td>
<td>`018461</td>
<td></td>
<td>`0002802749995</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-08-1963</td>
<td>59 Th</td>
<td>BEJI RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001895</td>
<td>LEHER KAKU</td>
<td>AMLODIPIN</td>
<td>199/97</td>
<td>88</td>
<td>37</td>
<td>18</td>
<td>158</td>
<td>67</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4397</td>
<td>POLINDES PRAMBON 1</td>
<td>21-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>JUMINI</td>
<td>`002081</td>
<td></td>
<td>`0000666301094</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-01-1975</td>
<td>47 Th</td>
<td>BANARAN RT 11/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4398</td>
<td>POLINDES NGLONGSOR</td>
<td>21-09-2022</td>
<td>KONSULTASI</td>
<td>ASMUNGI</td>
<td>`021536</td>
<td></td>
<td>`0000665922159</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-05-1952</td>
<td>70 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Tani / Perkebunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>96</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4399</td>
<td>POLINDES NGLONGSOR</td>
<td>21-09-2022</td>
<td>KONSULTASI</td>
<td>SITI ROMELAH</td>
<td>`021537</td>
<td></td>
<td>`0000665922205</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-02-1962</td>
<td>60 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Tani / Perkebunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4400</td>
<td>POLINDES NGLONGSOR</td>
<td>21-09-2022</td>
<td>KONSULTASI</td>
<td>EDY MULYONO</td>
<td>`021538</td>
<td></td>
<td>`0000665923454</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-10-1997</td>
<td>24 Th</td>
<td>RT16RW4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>170</td>
<td>58</td>
<td>95</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4401</td>
<td>POLINDES NGLONGSOR</td>
<td>21-09-2022</td>
<td>KONSULTASI</td>
<td>BIBIT</td>
<td>`007795</td>
<td>02/9071</td>
<td>`0000665944716</td>
<td>`3503050811380002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-11-1938</td>
<td>83 Th</td>
<td>RT 20 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>35</td>
 <td>22</td>
<td>165</td>
<td>55</td>
<td>95</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4402</td>
<td>POLINDES NGLONGSOR</td>
<td>21-09-2022</td>
<td>KONSULTASI</td>
<td>MUSRI</td>
<td>`021539</td>
<td></td>
<td>`0000665944874</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-11-1947</td>
<td>74 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>60</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4403</td>
<td>POLINDES NGLONGSOR</td>
<td>21-09-2022</td>
<td>KONSULTASI</td>
<td>SAELUN</td>
<td>`021540</td>
<td></td>
<td>`0000666061705</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-08-1953</td>
<td>69 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4404</td>
<td>POLINDES NGLONGSOR</td>
<td>21-09-2022</td>
<td>KONSULTASI</td>
<td>SITI MUKINAH</td>
<td>`021541</td>
<td></td>
<td>`0000666062368</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1967</td>
<td>54 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>55</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4405</td>
<td>POLINDES NGLONGSOR</td>
<td>21-09-2022</td>
<td>KONSULTASI</td>
<td>RIRIN SETYORINI</td>
<td>`021542</td>
<td></td>
<td>`0000666063718</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-01-1995</td>
<td>27 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>61</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4406</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>AZZAM JAZIRA RESPATI SASTRA NEGARA</td>
<td>`021426</td>
<td>01/8146</td>
<td>`0003120489922</td>
<td>`3503051807160001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-07-2016</td>
<td>6 Th</td>
<td>DESA GONDANG, RT : 8,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001213</td>
<td>PANAS, BATUK,PILEK</td>
<td>AMOK, PAMOL, DEXA, ZINC, VIT D, VIT C</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>118</td>
<td>23.5</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4407</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>ERNA DWI HANDAYANI</td>
<td>`021427</td>
<td>01/380</td>
<td>`0000169853758</td>
<td>`3503054207800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-07-1980</td>
<td>42 Th</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y001168</td>
<td>mata gatal jika pagi</td>
<td>rujukan</td>
<td>146/90</td>
<td>88</td>
<td>36</td>
<td>20</td>
 <td>155</td>
<td>60</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H52.5</td>
<td>
Disorders of accommodation </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4408</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>GAGAS SATRIA BUDI</td>
<td>`001617</td>
<td>06/5824</td>
<td>`0001081068131</td>
<td>`3503050703950003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-03-1995</td>
<td>27 Th</td>
<td>KRAJAN, RT : 23,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001167</td>
<td>kontrol</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>162</td>
<td>95</td>
<td>100</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>F20.9</td>
<td>
Schizophrenia, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4409</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>TRI WAHYULI ANTOG</td>
<td>`021428</td>
<td>02/7935</td>
<td>`0000665627837</td>
<td>`3503052807910001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-07-1991</td>
<td>31 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Baru</td>
<td>131506010922Y001180</td>
<td>GATAL</td>
<td>LORATADIN</td>
<td>129/70</td>
<td>70</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>64</td>
<td>68</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L50</td>
<td>
Urticaria </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>4410</td>
<td>POLI MTBS</td>
<td>21-09-2022</td>
<td></td>
<td>ALTHAFANDRA AVERROES NAWI K</td>
<td>`021429</td>
<td>06/6190</td>
<td>`</td>
<td>`3503051804180001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-04-2018</td>
<td>4 Th</td>
<td>RT 10 RW 02</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>PANAS, BATUK, PILEK, MUNTAH</td>
<td>DEMACOLIN SY</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>108</td>
<td>16.8</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>J30.4</td>
<td>
Allergic rhinitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4411</td>
<td>POLI MTBS</td>
<td>21-09-2022</td>
<td></td>
<td> AISYAH KIRANA Z</td>
<td>`013811</td>
<td>08/8348</td>
<td>`0002926260538</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>04-03-2020</td>
<td>2 Th</td>
<td>RT9RW3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001170</td>
<td>-</td>
<td>-</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>95</td>
<td>11</td>
<td>35</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>D36.7</td>
<td>
Benign neoplasm of other specified sites </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4412</td>
<td>POLI MTBS</td>
<td>21-09-2022</td>
<td></td>
<td>NABILA AZZAHRA IZZATUNNISA SYAUQIA</td>
<td>`021430</td>
<td>07/7563</td>
<td>`0002494179909</td>
<td>`3503056310180001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-10-2018</td>
<td>3 Th</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y001179</td>
<td>PANAS BERSIN 2 PILEK,MUAL MUNTAH</td>
<td>DEMACOLIN SY</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>105</td>
<td>20</td>
<td>47</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4413</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>MISKAN</td>
<td>`021103</td>
<td>04/7063</td>
<td>`0001036998685</td>
<td>`3503050210620002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-10-1962</td>
<td>59 Th</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001172</td>
<td>batuk ,sesak</td>
<td>-</td>
<td>108/72</td>
<td>103</td>
<td>36</td>
<td>20</td>
<td>155</td>
 <td>33</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z03.0</td>
<td>
Observation for suspected tuberculosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4414</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td></td>
<td>KATEMI</td>
<td>`007126</td>
<td>06/9375</td>
<td>`0000665275691</td>
<td>` 3503055610300002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-10-1930</td>
<td>91 Th</td>
<td>DUSUN SOKO, RT : 49,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001169</td>
<td>rujukan</td>
<td>-</td>
<td>130/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K25</td>
<td>
Gastric ulcer </td>
<td>D64.9</td>
<td>
Anaemia, unspecified </td>
 <td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4415</td>
<td>POLI GIGI</td>
<td>21-09-2022</td>
<td></td>
<td>IQBAL ZAHRIL SETIONO</td>
<td>`018904</td>
<td>04/4346</td>
<td>`0002802767049</td>
<td>`3503052806070001</td>
<td>`</td>
<td></td>
<td>081335703238</td>
<td>L</td>
<td>28-06-2007</td>
<td>15 Th</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001183</td>
<td>gigi geraham bawah kiri berlubangh</td>
<td>tumpatan sementara 36 eugenol</td>
<td>100/70</td>
<td>89</td>
<td>35</td>
<td>25</td>
<td>156</td>
<td>51</td>
<td>69</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.0</td>
<td>
Pulpitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Tambal gigi sementara per gigi<br></td>
</tr>
<tr align='left' valign="top">
<td>4416</td>
 <td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>BUDIARTO</td>
<td>`007912</td>
<td>03/4026</td>
<td>`</td>
<td>`3503052112710001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-12-1971</td>
<td>50 Th</td>
<td>DUSUN JUMOK, RT : 6,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>DADA TERASA BERAT</td>
<td>SIMVASTATIN</td>
<td>129/72</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>84.4</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E78.2</td>
<td>
Mixed hyperlipidaemia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4417</td>
<td>POLI KIA</td>
<td>21-09-2022</td>
<td></td>
<td>ULFA NUR DIANA</td>
<td>`009120</td>
<td>02/5363</td>
<td>`0000665820077</td>
<td>`3503055305970003</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>13-05-1997</td>
<td>25 Th</td>
<td>DUSUN KRAJAN, RT : 13,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001220</td>
<td>MUAL</td>
<td>-</td>
<td>110/70</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4418</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>KONSULTASI</td>
<td>MAHMUD</td>
<td>`021431</td>
<td>01/3442</td>
<td>`</td>
<td>`3503050307620002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-02-1962</td>
<td>60 Th</td>
<td>DUSUN KRAJAN, RT : 2,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
 <td>Baru</td>
<td></td>
<td>cek golda</td>
<td>-</td>
<td>120/70</td>
<td>880</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>70</td>
<td>85</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4419</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td>KONSULTASI</td>
<td>KHUSNUL KHOTIMAH</td>
<td>`021432</td>
<td>01/3442</td>
<td>`</td>
<td>`3503056801680002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-01-1968</td>
<td>54 Th</td>
<td>DUSUN KRAJAN, RT : 2,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td></td>
<td>cek golda</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>520</td>
 <td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4420</td>
<td>PUSTU PRAMBON</td>
<td>21-09-2022</td>
<td></td>
<td>SUWARNI</td>
<td>`014321</td>
<td></td>
<td>`0000665503953</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-07-1939</td>
<td>83 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001221</td>
<td>BATUK</td>
<td>PAMOL GG CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4421</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>YUNITA IKE WULANDARI</td>
<td>`008216</td>
<td>90/3276</td>
<td>`0001307347571</td>
<td>`3503115206860002</td>
<td>`</td>
<td></td>
<td>08113661286</td>
<td>P</td>
<td>12-06-1986</td>
<td>36 Th</td>
<td>RT 7 RW 2</td>
<td>SURODAKAN</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td>131506010922Y001200</td>
<td>batuk pilek panas</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>45</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4422</td>
<td>POLI LANSIA</td>
 <td>21-09-2022</td>
<td></td>
<td>MARSID</td>
<td>`014598</td>
<td></td>
<td>`0001978467129</td>
<td>`3503051012490002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-12-1949</td>
<td>72 Th</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>131506010922Y001222</td>
<td>BATUK LAMA SESAK</td>
<td>TCM</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z03.0</td>
<td>
Observation for suspected tuberculosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4423</td>
<td>POLI KIA</td>
<td>21-09-2022</td>
<td></td>
<td>AID DATUL FAIZAH</td>
<td>`021433</td>
<td>01/4094</td>
<td>`</td>
<td>`3503056106850003</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>21-06-1985</td>
<td>37 Th</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>mual</td>
<td>-</td>
<td>110/74</td>
<td>85</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>54</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4424</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>REBO</td>
<td>`004702</td>
<td>08/3647</td>
<td>`0001037005751</td>
<td>`350305070568003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-05-1968</td>
<td>54 Th</td>
<td>RT 7 RW 3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
 <td>131506010922Y001176</td>
<td>kontrol</td>
<td>amlodipin 5mg(30),cadesartan 8mg,(30),clopidogrel 75mg(30)</td>
<td>141/70</td>
<td>80</td>
<td>36</td>
<td>24</td>
<td>165</td>
<td>54</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4425</td>
<td>POLI KIA</td>
<td>21-09-2022</td>
<td></td>
<td>EKA YULIA WULANDARI</td>
<td>`014179</td>
<td>07/1459</td>
<td>`0002085241184</td>
<td>`3503065107940001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-07-1994</td>
<td>28 Th</td>
<td>RT 01 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y001171</td>
<td>pinggang keju</td>
<td>rujukan</td>
<td>115/64</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>57</td>
<td>1</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z35.9</td>
<td>
Supervision of high-risk pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4426</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>WIDIANTO</td>
<td>`004913</td>
<td>08/9067</td>
<td>`0001978468784</td>
<td>`3503052003740001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-03-1974</td>
<td>48 Th</td>
<td>DESA WINONG, RT : 8,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001210</td>
<td>BATUK SESAK</td>
<td>CIPRO GG DEXA PAMOL FUROSEMID</td>
<td>180/90</td>
<td>72</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>89.6</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z03.0</td>
<td>
Observation for suspected tuberculosis </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
 </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4427</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>SELAN</td>
<td>`019530</td>
<td>02/1568</td>
<td>`0000666152155</td>
<td>`3503052311620001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-11-1962</td>
<td>59 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001177</td>
<td>bak netes</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>57</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N40</td>
<td>
Hyperplasia of prostate </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4428</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
 <td></td>
<td>HARSO SEDYANTO</td>
<td>`002875</td>
<td>05/2063</td>
<td>`0000106553035</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-11-1959</td>
<td>62 Th</td>
<td>RT 02 RW 01</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y001184</td>
<td>kontrol nyeri epigastrik</td>
<td>omz,ranitidin,pct</td>
<td>109/55</td>
<td>70</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>59</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4429</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td></td>
<td>PANIRAN</td>
<td>`000416</td>
<td>06/5443</td>
<td>`0000665764749</td>
<td>`3503051212500004</td>
<td>`81453</td>
<td></td>
<td>082229153311</td>
<td>L</td>
 <td>12-12-1950</td>
<td>71 Th</td>
<td>KRAJAN, RT : 018,RW :003 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001174</td>
<td>prb</td>
<td>furocemid 40 1x1 30biji
clopidogrel 75 1x1 30 biji
ramipril 5 mg 1x1 30 biji
spironolacton 25 1x1 30 biji</td>
<td>114/56</td>
<td>69</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>46</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I50</td>
<td>
Heart failure </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4430</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>NAFA IRFAUR RISKA</td>
<td>`002006</td>
<td>01/3869</td>
<td>`0000666157228</td>
<td>`3503055507970001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-07-1997</td>
<td>25 Th</td>
<td>DUSUN SETONO, RT : 14,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001182</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>70</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>G40.9</td>
<td>
Epilepsy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4431</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>SUMIRAH</td>
<td>`002780</td>
<td>06/5208</td>
<td>`0002769106476</td>
<td>`3503054311620001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-11-1962</td>
<td>59 Th</td>
<td>RT 40 RW 07</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001181</td>
<td>-</td>
<td>-</td>
<td>130/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
 <td>60</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I48</td>
<td>
Atrial fibrillation and flutter </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4432</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>AMIRAH</td>
<td>`001231</td>
<td>06/6813</td>
<td>`0000665908841</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-12-1963</td>
<td>58 Th</td>
<td>PRAMBON RT 36/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001208</td>
<td>GATAL DI TANGAN</td>
<td>AMOK CTM PREDNISON VIT C BETAMETASON MIKONAZOLE</td>
<td>118/67</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55.2</td>
<td>56</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4433</td>
<td>POLI GIZI</td>
<td>21-09-2022</td>
<td></td>
<td>AID DATUL FAIZAH</td>
<td>`021433</td>
<td>01/4094</td>
<td>`</td>
<td>`3503056106850003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-06-1985</td>
<td>37 Th</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>mual</td>
<td>-</td>
<td>110/74</td>
<td>85</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>54</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4434</td>
 <td>POLI LANSIA</td>
<td>21-09-2022</td>
<td></td>
<td>SAMIRAH</td>
<td>`021434</td>
<td>90/3474</td>
<td>`0000665790142</td>
<td>`3503054902540001</td>
<td>`154382</td>
<td></td>
<td></td>
<td>P</td>
<td>09-02-1954</td>
<td>68 Th</td>
<td>DUSUN GEBANG, RT : 019,RW :007 </td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PETANI/PEKEBUN</td>
<td>Baru</td>
<td>131506010922Y001185</td>
<td>panas,batuk,pilek panas</td>
<td>amlodipin,cipro,ambroxol,pct,ctm,dexa,antasida</td>
<td>174/110</td>
<td>92</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>43</td>
<td>85</td>
<td>Pucanganak</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R50.9</td>
<td>
Fever, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4435</td>
<td>POLI GIGI</td>
<td>21-09-2022</td>
<td></td>
<td>WIWIN NURUL KOTIMAH</td>
<td>`002569</td>
<td>90/1538</td>
<td>`0001273311044</td>
<td>`3503064510770001</td>
<td>`
</td>
 <td></td>
<td></td>
<td>P</td>
<td>05-10-1977</td>
<td>44 Th</td>
<td>DUSUN BURET, RT : 15,RW :5 </td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001175</td>
<td>gigi atas kiri berlubang</td>
<td> tumpatan sementara</td>
<td>110/70</td>
<td>87</td>
<td>35</td>
<td>25</td>
<td>155</td>
<td>61</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Tambal gigi sementara per gigi<br></td>
</tr>
<tr align='left' valign="top">
<td>4436</td>
<td>POLI KIA</td>
<td>21-09-2022</td>
<td></td>
<td>MARYATI</td>
<td>`012374</td>
<td>04/3080</td>
<td>`</td>
<td>`9171026106770004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-06-1977</td>
<td>45 Th</td>
<td>DUSUN BEJI, RT : 16,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4437</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td></td>
<td>DAMARTI</td>
<td>`021435</td>
<td>90/1323</td>
<td>`0000663898915</td>
<td>`3503064610580003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-10-1958</td>
<td>63 Th</td>
<td>RT 09 RW 03</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td>131506010922Y001197</td>
<td>panas dingin 3 hari,batuk polek pusing nyeri telan mual</td>
<td>ctm,metformin,cipro,ambroxol,antasida,gliben</td>
<td>126/64</td>
<td>105</td>
<td>36</td>
<td>22</td>
<td>150</td>
 <td>57</td>
<td>85</td>
<td>Karangan</td>
<td>KASUS BARU</td>
<td>R73.9</td>
<td>
Hyperglycaemia, unspecified </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4438</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>AMORA AZA AZAHRA</td>
<td>`021436</td>
<td>06/9086</td>
<td>`0002802763348</td>
<td>`3503054912110001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-12-2011</td>
<td>10 Th</td>
<td>KRAJAN, RT : 23,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001195</td>
<td>NYERI PERUT,MUAL MUNTAH</td>
<td>PAMOL GG CTM ANTASIDA DOM</td>
<td>1/1</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>130</td>
<td>35</td>
<td>56</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>K29.6</td>
<td>
Other gastritis </td>
 <td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4439</td>
<td>POLI REMAJA</td>
<td>21-09-2022</td>
<td></td>
<td>HANDI PRASETYO</td>
<td>`000316</td>
<td>02/2335</td>
<td>`0000170461934</td>
<td>`3503051908080003</td>
<td>`63489</td>
<td></td>
<td></td>
<td>L</td>
<td>19-08-2008</td>
<td>14 Th</td>
<td>DUSUN KRAJAN, RT : 008,RW :004 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>BELUM/TIDAK BEKERJA</td>
<td>Lama</td>
<td>131506010922Y001189</td>
<td>BATUK PILEK PANAS</td>
<td>AMOK PAMOL CTM GG DEKSA</td>
<td>124/79</td>
<td>103</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>57</td>
<td>58</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4440</td>
 <td>POLI LANSIA</td>
<td>21-09-2022</td>
<td></td>
<td>IMAM SUPANDI</td>
<td>`013891</td>
<td>02/917</td>
<td>`0000106884426</td>
<td>`3503051402570001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-02-1957</td>
<td>65 Th</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td>131506010922Y001178</td>
<td>rujukan</td>
<td>-</td>
<td>140/62</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4441</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>AGUSTINA RAHAYU</td>
<td>`001589</td>
<td>01/210</td>
<td>`0001037001082</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>29-08-1994</td>
<td>28 Th</td>
<td>RT 14 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001186</td>
<td>-</td>
<td>-</td>
<td>114/76</td>
<td>91</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>G40.9</td>
<td>
Epilepsy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4442</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>NOVIA SANFA ISHAM</td>
<td>`021437</td>
<td></td>
<td>`</td>
<td>`3503055711940003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-11-1994</td>
<td>27 Th</td>
<td>DUSUN SETONO, RT : 15,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>-</td>
<td>-</td>
<td>109/58</td>
<td>62</td>
<td>36</td>
<td>20</td>
<td>159.5</td>
<td>58</td>
<td>56</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4443</td>
<td>PUSTU PRAMBON</td>
<td>21-09-2022</td>
<td></td>
<td>FARA DITA FITRIA AGUSTIN</td>
<td>`003762</td>
<td></td>
<td>`0002802751852</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-08-2012</td>
<td>10 Th</td>
<td>RT 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001201</td>
<td>BATUK MUAL</td>
<td>PAMOL GG ANTASID</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>90</td>
 <td>18</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4444</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>IDHAMATUL ISTIKHOMAH</td>
<td>`021438</td>
<td>06/7498</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-03-2004</td>
<td>18 Th</td>
<td>RT 40 RW 07</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4445</td>
<td>POLI K.B</td>
<td>21-09-2022</td>
<td></td>
<td>KARTIKA AYU ANGGRAENI</td>
<td>`005151</td>
<td>04/4273</td>
<td>`</td>
<td>`3503056104970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-04-1997</td>
<td>25 Th</td>
<td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4446</td>
 <td>POLI K.B</td>
<td>21-09-2022</td>
<td></td>
<td>RINDANG DIAS MUKTI PRAYOGA</td>
<td>`021439</td>
<td>04/4273</td>
<td>`</td>
<td>`3503122905970002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-05-1997</td>
<td>25 Th</td>
<td>RT 27 RW 12</td>
<td>NGADIRENGGO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Kepolisian RI</td>
<td>Baru</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4447</td>
<td>POLINDES WINONG</td>
<td>21-09-2022</td>
<td></td>
<td>SUPIYAH</td>
<td>`021667</td>
<td></td>
<td>`0000666408587</td>
<td>` </td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>25-04-1978</td>
<td>44 Th</td>
<td>DUSUN BENGGLE, RT : 11,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001826</td>
<td>taa</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K12.1</td>
<td>
Other forms of stomatitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4448</td>
<td>POLINDES WINONG</td>
<td>21-09-2022</td>
<td></td>
<td>TUMISAH</td>
<td>`012961</td>
<td></td>
<td>`0001978464295</td>
<td>`3503054703630001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-03-1963</td>
<td>59 Th</td>
<td>DUSUN BENGGLE, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
 <td>Lama</td>
<td>131506010922Y001827</td>
<td>linu</td>
<td>1</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>16</td>
<td>154</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.0</td>
<td>
Rheumatism, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Pipit Rengganing Astuti, A.Md.keb. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4449</td>
<td>POLI REMAJA</td>
<td>21-09-2022</td>
<td></td>
<td>AHMAD YOGA PRATAMA</td>
<td>`021441</td>
<td>01/10</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-01-2007</td>
<td>15 Th</td>
<td>RT </td>
<td>PERJAYA BARAT</td>
<td>MARTAPURA</td>
<td>OGAN KOMERING ULU TIMUR</td>
<td>SUMATERA SELATAN</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>MUNTAH,MUAL, GREGES</td>
<td>PAMOL ANTASIDA DOMPERIDOM</td>
<td>116/57</td>
<td>62</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>48</td>
 <td>57</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
Fever with chills </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4450</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>WAHYU TRI HANDAYANI</td>
<td>`015953</td>
<td>03/8115</td>
<td>`0001978450154</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-02-1973</td>
<td>49 Th</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001191</td>
<td>BATUK PILEK PUSING</td>
<td>PAMOL GG CTM FUROSEMID</td>
<td>171/96</td>
<td>90</td>
<td>36</td>
<td>24</td>
<td>162</td>
<td>71</td>
<td>68</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
 <td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4451</td>
<td>POLI KIA</td>
<td>21-09-2022</td>
<td></td>
<td>ENDANG SUNINGSIH</td>
<td>`006330</td>
<td>02/3526</td>
<td>`0002014071671</td>
<td>`3328086708820006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-08-1982</td>
<td>40 Th</td>
<td>RT 9 RW </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4452</td>
<td>POLI UMUM</td>
 <td>21-09-2022</td>
<td></td>
<td>SITI MUALIFAH</td>
<td>`021442</td>
<td>06/6422</td>
<td>`0000666562184</td>
<td>`3503056211020001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-11-2002</td>
<td>19 Th</td>
<td>DUSUN MLOKO, RT : 56,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001203</td>
<td>NYERI PERUT BAWAH</td>
<td>ASMEF SF</td>
<td>121/76</td>
<td>91</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>62</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N94.6</td>
<td>
Dysmenorrhoea, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4453</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td></td>
<td> MUHDI</td>
<td>`001426</td>
<td>04/5620</td>
<td>`0001270609558</td>
<td>`3503052912450001</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>29-12-1945</td>
<td>76 Th</td>
<td>KRAJAN, RT : 2,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001188</td>
<td>kontrol</td>
<td>-</td>
<td>140/75</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>47</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4454</td>
<td>POLI GIGI</td>
<td>21-09-2022</td>
<td></td>
<td>NATASHA AULIA RADINKA PUTRI</td>
<td>`016238</td>
<td>05/4090</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-10-2016</td>
<td>5 Th</td>
<td>RT 01 RW 01</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
 <td></td>
<td>GIGI deapan atas kelebihan gigi</td>
<td>extractie 51</td>
<td>90/60</td>
<td>89</td>
<td>35</td>
<td>25</td>
<td>110</td>
<td>21</td>
<td>67</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>4455</td>
<td>POLI GIGI</td>
<td>21-09-2022</td>
<td></td>
<td>ANDRI NURHUDA</td>
<td>`021443</td>
<td>06/7498</td>
<td>`0002014100908</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-04-1999</td>
<td>23 Th</td>
<td>RT 40 RW 07</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Tentara Nasional Indonesia</td>
<td>Lama</td>
<td>131506010922Y001223</td>
<td>karang gigi bagian kanan RA RB</td>
<td>konsultasi</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>64</td>
<td>1</td>
 <td>KLINIK PRATAMA LANTAMAL XIV</td>
<td>KASUS BARU</td>
<td>K03.6</td>
<td>
Deposits [accretions] on teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4456</td>
<td>POLI K.B</td>
<td>21-09-2022</td>
<td></td>
<td>NANING DIAH RETNOWATI</td>
<td>`005472</td>
<td>01/2530</td>
<td>`</td>
<td>`3503054810840005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-10-1984</td>
<td>37 Th</td>
<td>DUSUN GONDANG, RT : 7,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4457</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>WULAN NUR NGAENI</td>
<td>`021270</td>
<td>04/7712</td>
<td>`</td>
<td>`3503054112960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1996</td>
<td>25 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>-</td>
<td>124/74</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>48.7</td>
<td>57</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4458</td>
<td>PONKESDES TUMPUK</td>
<td>21-09-2022</td>
 <td></td>
<td>YUNITA PERMATASARI</td>
<td>`021084</td>
<td>03/3328A</td>
<td>`0000106543045</td>
<td>`3503054306990005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-06-1999</td>
<td>23 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>GATAL</td>
<td>CTM,VIT.C,METIL</td>
<td>121/70</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>55</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>L30.0</td>
<td>
Nummular dermatitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4459</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td></td>
<td>SUDJARNO</td>
<td>`011008</td>
<td>06/9163</td>
<td>`0003129218256</td>
<td>`3503051302570001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>13-02-1957</td>
<td>65 Th</td>
<td>TENGGAR, RT : 1,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001190</td>
<td>rujukan</td>
<td>-</td>
<td>190/100</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>82</td>
<td>95</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>L40.9</td>
<td>
Psoriasis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4460</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>SITI ASMIATUN</td>
<td>`002078</td>
<td>90/1019B</td>
<td>`0000666569305</td>
<td>`3503054107730003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1973</td>
<td>49 Th</td>
<td>RT 18 RW 07</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001383</td>
 <td>kaki nyeri</td>
<td>amlodipin dexa nadif</td>
<td>142/96</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4461</td>
<td>PONKESDES TUMPUK</td>
<td>21-09-2022</td>
<td></td>
<td>DINNAR PRATAMA WULANDARI</td>
<td>`001284</td>
<td>03/6435</td>
<td>`0002217191376</td>
<td>`3503055810920001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-10-1992</td>
<td>29 Th</td>
<td>DUSUN JUMOK, RT : 10,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001600</td>
<td>BATUK</td>
<td>AMOX,GG,METIL</td>
<td>134/90</td>
<td>109</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>55</td>
<td>79</td>
<td>Tugu</td>
 <td>KASUS LAMA</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4462</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td></td>
<td>SUPARNO</td>
<td>`010397</td>
<td>90/1019 B</td>
<td>`0000666568113</td>
<td>`3503050912590001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-12-1959</td>
<td>62 Th</td>
<td>MOJO KIDUL, RT : 018,RW :007 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PETANI/PEKEBUN</td>
<td>Lama</td>
<td>131506010922Y001198</td>
<td>kontrol tensi</td>
<td>nadic ibuprofen bc</td>
<td>130/70</td>
<td>74</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>42</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
 <td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4463</td>
<td>POLI KIA</td>
<td>21-09-2022</td>
<td></td>
<td>SITI MUALIFAH</td>
<td>`021442</td>
<td>06/6422</td>
<td>`0000666562184</td>
<td>`3503056211020001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-11-2002</td>
<td>19 Th</td>
<td>DUSUN MLOKO, RT : 56,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001224</td>
<td>NYERI PERUT BAWAH</td>
<td>ASMEF SF</td>
<td>121/76</td>
<td>91</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>62</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N94.6</td>
<td>
Dysmenorrhoea, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4464</td>
<td>PUSTU PRAMBON</td>
<td>21-09-2022</td>
<td></td>
 <td>MINAH</td>
<td>`010857</td>
<td>04/6894</td>
<td>`0000665897769</td>
<td>`3503054107470042</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1947</td>
<td>75 Th</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001187</td>
<td>NYERI ULU HATI</td>
<td>PAMOL ANTASID BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4465</td>
<td>PONKESDES TUMPUK</td>
<td>21-09-2022</td>
<td></td>
<td>DELA</td>
<td>`021624</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-2015</td>
 <td>7 Th</td>
<td>TR 9 RW 4</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>LUKA DI BIBIR POST TERBENTUR MEJA</td>
<td>AMOX,PAMOL,</td>
<td>85/60</td>
<td>112</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>24.8</td>
<td>25</td>
<td></td>
<td>KASUS LAMA</td>
<td>S40.9</td>
<td>
Superficial injury of shoulder and upper arm, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4466</td>
<td>POLI REMAJA</td>
<td>21-09-2022</td>
<td></td>
<td>MISKA NAZULA APRILIA</td>
<td>`019697</td>
<td>01/9326</td>
<td>`0003177490364</td>
<td>`3503057004090002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-04-2009</td>
<td>13 Th</td>
<td>DUSUN GONDANG KIDUL, RT : 12,RW :3 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001196</td>
<td>NYERI PERUT, PUSING</td>
 <td>ANTASIDA, RANITIDIN PAMOL</td>
<td>117/76</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>42</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4467</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>HARYATUN</td>
<td>`000247</td>
<td>90/55</td>
<td>`0001318097283</td>
<td>`9171036006670001</td>
<td>`</td>
<td></td>
<td>081344975763</td>
<td>P</td>
<td>20-06-1967</td>
<td>55 Th</td>
<td>RT 3 RW 1</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001206</td>
<td>KONTROL LUKA PADA KAKI</td>
<td>CIPRO PAMOL OMZ GG</td>
<td>119/70</td>
<td>104</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>69.6</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4468</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>SURANI</td>
<td>`021444</td>
<td>06/4130</td>
<td>`0000665820224</td>
<td>`3503051807700001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-07-1970</td>
<td>52 Th</td>
<td>RT 02 RW 01 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001202</td>
<td>SESAK NYERI DADA</td>
<td>RUJUKAN</td>
<td>111/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>54</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I49.9</td>
<td>
Cardiac arrhythmia, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4469</td>
<td>PUSTU PRAMBON</td>
<td>21-09-2022</td>
<td></td>
<td>SUPARNO</td>
<td>`007929</td>
<td></td>
<td>`0001840043496</td>
<td>`3503050801670001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-01-1967</td>
<td>55 Th</td>
<td>PAKEL, RT : 32,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td>131506010922Y001192</td>
<td>NYERI ULU HATI</td>
<td>PAMOL BC ANTASID SIRUP</td>
<td>140/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>72</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4470</td>
<td>POLI KIA</td>
<td>21-09-2022</td>
<td></td>
<td>NOVA LIANA</td>
 <td>`014400</td>
<td>06/5714</td>
<td>`0000666696543</td>
<td>`3503054411010001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-11-2001</td>
<td>20 Th</td>
<td>RT 56 RW 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001672</td>
<td>taa</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4471</td>
<td>POLI GIGI</td>
<td>21-09-2022</td>
<td></td>
<td>SEPTI WAHYUNING PUTRI</td>
<td>`006561</td>
<td>01/528</td>
<td>`</td>
<td>`3503057009980001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-09-1998</td>
<td>24 Th</td>
 <td>RT 5 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>gigi geraham belakang kiri atas tumbuh miring</td>
<td>konsultsi dan medikasi</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>51</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K01.1</td>
<td>
Impacted teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4472</td>
<td>POLI MTBS</td>
<td>21-09-2022</td>
<td></td>
<td>KANAYA</td>
<td>`000702</td>
<td>90/1184</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-06-2018</td>
<td>4 Th</td>
<td>RT 07</td>
<td>KARANGAN</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS BATUK PILEK</td>
<td>AMOK CTM GG DEXA BC PAMOL SYR</td>
 <td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>17</td>
<td>17</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4473</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>MUHARDI</td>
<td>`019849</td>
<td>08/4589</td>
<td>`0001255932459</td>
<td>`3503051501680001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-01-1968</td>
<td>54 Th</td>
<td>DESA WINONG, RT : 8,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001204</td>
<td>NYERI PAHA KIRI 2 BULAN</td>
<td>ALOPURINOL PAMOL PREDNISON</td>
<td>143/84</td>
<td>64</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>87</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
 <td>
Myalgia </td>
<td>M10.0</td>
<td>
Idiopathic gout </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4474</td>
<td>POLI REMAJA</td>
<td>21-09-2022</td>
<td></td>
<td>WINDOW HARNANTA PRASETIA PUTRA</td>
<td>`021445</td>
<td>02/1366</td>
<td>`0001301974964</td>
<td>`3503050812060001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-12-2006</td>
<td>15 Th</td>
<td>RT 19 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td>131506010922Y001212</td>
<td>KONTROL POST HETING</td>
<td>ASMEF</td>
<td>102/66</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>45</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4475</td>
<td>POLI GIGI</td>
<td>21-09-2022</td>
<td></td>
<td>ADIYATMA SURKAN RAMADHAN MUKTAR</td>
<td>`011094</td>
<td>03/7341</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-06-2016</td>
<td>6 Th</td>
<td>RT 03 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi depan atas kanan goyang derajat 2</td>
<td>konsultasi</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>116</td>
<td>22</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.1</td>
<td>
Supernumerary teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4476</td>
<td>POLINDES PRAMBON 2</td>
<td>21-09-2022</td>
<td></td>
<td>DAFFA MAULANA YUSUF</td>
<td>`021446</td>
 <td></td>
<td>`0002437408877</td>
<td>`3503052112170001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-12-2017</td>
<td>4 Th</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001194</td>
<td>Panas</td>
<td>Pct, cuma, ambrox</td>
<td>80/60</td>
<td>88</td>
<td>39</td>
<td>22</td>
<td>110</td>
<td>16</td>
<td>53</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50</td>
<td>
Fever of other and unknown origin </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4477</td>
<td>POLI GIGI</td>
<td>21-09-2022</td>
<td></td>
<td>IMAM SAIFUDIN</td>
<td>`018316</td>
<td>06/8106A</td>
<td>`0001707022427</td>
<td>`3503052806910001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-06-1991</td>
<td>31 Th</td>
<td>DUSUN PAKEL, RT : 041,RW :010 </td>
 <td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>131506010922Y001225</td>
<td>gigi geraham bawah kanan berlubang</td>
<td>bongkar TS + tumpatan GI gigi 48</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>64</td>
<td>1</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>K04.0</td>
<td>
Pulpitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Tambal gigi tetap<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4478</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>MUHAMMAD NUR FREDI</td>
<td>`021447</td>
<td></td>
<td>`</td>
<td>`3503052606910002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-06-1991</td>
<td>31 Th</td>
<td>RT 006 RW 003</td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>SKS</td>
<td>-</td>
<td>157/83</td>
 <td>63</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>75</td>
<td>65</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4479</td>
<td>PUSTU PRAMBON</td>
<td>21-09-2022</td>
<td></td>
<td>SUWANDI</td>
<td>`000898</td>
<td></td>
<td>`0001037015313</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-08-1970</td>
<td>52 Th</td>
<td>PRAMBON RT 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001199</td>
<td>BATUK</td>
<td>PAMOL GG CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
 Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4480</td>
<td>PUSTU PRAMBON</td>
<td>21-09-2022</td>
<td></td>
<td>MESELAN</td>
<td>`000807</td>
<td></td>
<td>`0002681899367</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-08-1958</td>
<td>64 Th</td>
<td>PRAMBONRT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PE</td>
<td>Lama</td>
<td>131506010922Y001226</td>
<td>BATUK</td>
<td>PAMOL GG CTM</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4481</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>YENI SISKAWATI</td>
<td>`000305</td>
<td>04/6436</td>
<td>`0001978432064</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-12-1988</td>
<td>33 Th</td>
<td>RT 12 RW 05</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001214</td>
<td>PUSING, LEMAS</td>
<td>CIPRO, PAMOL, DEXA</td>
<td>134/65</td>
<td>91</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>52.8</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4482</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>NUR HIDAYATI</td>
<td>`021455</td>
<td>02/7746</td>
 <td>`</td>
<td>`3503055305910005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-05-1991</td>
<td>31 Th</td>
<td>RT 02 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>SKS</td>
<td>-</td>
<td>125/75</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>162</td>
<td>56.8</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4483</td>
<td>PUSTU PRAMBON</td>
<td>21-09-2022</td>
<td></td>
<td>YAHMI</td>
<td>`001475</td>
<td></td>
<td>`0000664501498</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1976</td>
<td>45 Th</td>
<td>PRAMBON RT 4/1</td>
<td>PRAMBON</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001205</td>
<td>BATUK MUAL</td>
<td>PAMOL ANTASID GG</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4484</td>
<td>PUSTU PRAMBON</td>
<td>21-09-2022</td>
<td></td>
<td>MOHAMAD RISKI</td>
<td>`005794</td>
<td></td>
<td>`0000664501871</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-04-2002</td>
<td>20 Th</td>
<td>PRAMBON RT 4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001207</td>
<td>MUAL BATUK</td>
<td>PAMOL ANTASID GG</td>
<td>120/70</td>
<td>76</td>
 <td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4485</td>
<td>PUSTU PRAMBON</td>
<td>21-09-2022</td>
<td></td>
<td>DAMIN</td>
<td>`002853</td>
<td></td>
<td>`0001978490351</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-12-1957</td>
<td>64 Th</td>
<td>PRAMBON RT 49</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001866</td>
<td>KEJU LINU</td>
<td>NATDIK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4486</td>
<td>PUSTU PRAMBON</td>
<td>21-09-2022</td>
<td></td>
<td>WATI</td>
<td>`000593</td>
<td>06/7929</td>
<td>`0000787191197</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-1962</td>
<td>60 Th</td>
<td>RT 18 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001869</td>
<td>BATUK</td>
<td>PAMOL GG</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4487</td>
<td>PUSTU PRAMBON</td>
<td>21-09-2022</td>
<td></td>
<td>PUJI ASTUTI</td>
<td>`012523</td>
<td>06/8982</td>
<td>`0001255931965</td>
<td>`3503056509880001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-09-1988</td>
<td>34 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001867</td>
<td>BATUK</td>
<td>PAMOL GG</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4488</td>
<td>PUSTU PRAMBON</td>
<td>21-09-2022</td>
<td></td>
<td>YAHMIN</td>
<td>`000505</td>
<td>06/5341</td>
<td>`0000665523808</td>
 <td>`3503050107400044</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1940</td>
<td>82 Th</td>
<td>MLOKO, RT : 162,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001861</td>
<td>KONTROL TENSI</td>
<td>NATDIK AMLO 10 MG</td>
<td>200/90</td>
<td>80</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4489</td>
<td>POLI REMAJA</td>
<td>21-09-2022</td>
<td></td>
<td>NAUFAL JAUHARI</td>
<td>`003722</td>
<td>07/4951</td>
<td>`</td>
<td>`3503052004110001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-04-2011</td>
<td>11 Th</td>
<td>DESA SUKOREJO, RT : 11,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK, PILEK, PANAS, NYERI TENGGOROKAN, PUSING</td>
<td>PAMOL, GG, CTM, DEXA, SALBUTAMOL</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>130</td>
<td>27.9</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4490</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>ANANDA RIZKA SEPTIA PUTRI</td>
<td>`019079</td>
<td>07/4972</td>
<td>`0002802756273</td>
<td>`3503056409040002</td>
<td>`</td>
<td>MUJIATI</td>
<td>082232969991</td>
<td>P</td>
<td>24-09-2004</td>
<td>18 Th</td>
<td>RT 11 RW 5</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001209</td>
<td>KONTROL HIPERTIROID</td>
<td>RUJUKAN</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
 <td>20</td>
<td>155</td>
<td>42</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E05</td>
<td>
Thyrotoxicosis [hyperthyroidism] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4491</td>
<td>POLI GIGI</td>
<td>21-09-2022</td>
<td></td>
<td>RAFKHA ADHYAKSA ALFARIZY</td>
<td>`005852</td>
<td>08/1678</td>
<td>`0001863495753</td>
<td>`3503051102150001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-02-2015</td>
<td>7 Th</td>
<td>RT 01 RW 01 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001227</td>
<td>gigi depan atas kanan kesundulan</td>
<td>anasthesi topikal cabut gigi 51</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>26</td>
<td>1</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>4492</td>
<td>PONKESDES TUMPUK</td>
<td>21-09-2022</td>
<td>KIA PUSTU - POLINDES</td>
<td>RENI WAHYU CAHYATI</td>
<td>`020373</td>
<td>03/4858</td>
<td>`0000665096051</td>
<td>`3503066207960002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-07-1996</td>
<td>26 Th</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001602</td>
<td>PERIKSA KEHAMILAN</td>
<td>VIT.C,FE</td>
<td>101/66</td>
<td>94</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>49.7</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>Z34.0</td>
<td>
Supervision of normal first pregnancy </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4493</td>
<td>PUSTU NGEPEH</td>
<td>21-09-2022</td>
<td></td>
<td>DEWI FATIMAH</td>
<td>`019274</td>
<td></td>
<td>`0000666104477</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-02-1982</td>
<td>40 Th</td>
<td>RT. 3 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001403</td>
<td>pusing mual</td>
<td>antasid fe domperidon</td>
<td>135/88</td>
<td>71</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4494</td>
<td>PUSTU NGEPEH</td>
<td>21-09-2022</td>
<td></td>
<td>SULASIH</td>
<td>`010747</td>
<td>04/1445</td>
<td>`0000665114049</td>
<td>`3503055703730001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-03-1973</td>
<td>49 Th</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001404</td>
<td>sebah batuk pusing</td>
<td>amlo gg antasid cypro</td>
<td>152/99</td>
<td>110</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4495</td>
<td>PUSTU NGEPEH</td>
<td>21-09-2022</td>
<td></td>
<td>IWAYAN SUGITO</td>
<td>`016206</td>
<td></td>
<td>`0000665867529</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-06-1971</td>
<td>51 Th</td>
<td>RT 19 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y001405</td>
<td>NYERI GIGI</td>
<td>NADIK DEXA</td>
<td>120/70</td>
<td>89</td>
<td>35</td>
<td>20</td>
<td>160</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K02.9</td>
<td>
Dental caries, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4496</td>
<td>PUSTU PRAMBON</td>
<td>21-09-2022</td>
<td>KONSULTASI</td>
<td>KHOIRUL INSAN</td>
<td>`010861</td>
<td></td>
<td>`0000665772963</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-01-1986</td>
<td>36 Th</td>
<td>PRAMBON RT 17/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
 <td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4497</td>
<td>PUSTU PRAMBON</td>
<td>21-09-2022</td>
<td>KONSULTASI</td>
<td>YATINEM</td>
<td>`014109</td>
<td></td>
<td>`0001978490362</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-1960</td>
<td>61 Th</td>
<td>PRAMBON RT 49</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4498</td>
<td>PUSTU PRAMBON</td>
<td>21-09-2022</td>
<td>KONSULTASI</td>
<td>AGUS WIDADI</td>
<td>`003615</td>
<td></td>
<td>`0000666944976</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-01-1990</td>
<td>32 Th</td>
<td>PRAMBON RT 49</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>4499</td>
<td>POLI UMUM</td>
<td>21-09-2022</td>
<td></td>
<td>MARYATI</td>
<td>`012374</td>
<td>04/3080</td>
<td>`</td>
<td>`9171026106770004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-06-1977</td>
<td>45 Th</td>
<td>DUSUN BEJI, RT : 16,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td>MUNTAH NYERI PERUT MUAL BADAN TERASA DINGIN</td>
<td>ANTASIDA OMZ PAMOL DOMPERIDON</td>
<td>122/71</td>
<td>91</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56.9</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4500</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>PARTINI</td>
<td>`001987</td>
<td></td>
<td>`0003058814755</td>
<td>`3503056512680002</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>25-12-1968</td>
<td>53 Th</td>
<td>DUSUN KRAJAN I, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>AMLODIPIN,. BC</td>
<td>150/85</td>
<td>68</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4501</td>
<td>POLI REMAJA</td>
<td>21-09-2022</td>
<td></td>
<td>ALMIRA</td>
<td>`021458</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-2009</td>
<td>13 Th</td>
<td>RT 1 RW 1</td>
<td>WONOREJO</td>
<td>SUMBERGEMPOL</td>
<td>TULUNGAGUNG</td>
<td>JAWA TIMUR</td>
 <td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>TELINGA ADA KOTORAN PENDENGARAN MENURUN</td>
<td>PAMOL EKSTRAKSI SERUMEN</td>
<td>85/69</td>
<td>95</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>38.2</td>
<td>40</td>
<td></td>
<td>KASUS BARU</td>
<td>H61.2</td>
<td>
Impacted cerumen </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4502</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MISIKEM NGAISAH</td>
<td>`004356</td>
<td></td>
<td>`0000665523235</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-06-1950</td>
<td>72 Th</td>
<td>BANARAN RT 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC, B KOMPLEK</td>
<td>110/70</td>
<td>88</td>
<td>35</td>
<td>20</td>
<td>155</td>
 <td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4503</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUNARTI</td>
<td>`010309</td>
<td></td>
<td>`0000665487652</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-10-1960</td>
<td>61 Th</td>
<td>RT 10/05</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>AMLODIPIN, B KOMPLEK</td>
<td>155/85</td>
<td>88</td>
<td>35</td>
<td>22</td>
<td>155</td>
<td>50</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4504</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>WINARTI</td>
<td>`014358</td>
<td></td>
<td>`0003258745187</td>
<td>`3503056707680001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-07-1968</td>
<td>54 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING BATUK, PILEK, KEJU LINU</td>
<td>AMLODIPIN, GG, CTM, VIT C, NADIC</td>
<td>155/80</td>
<td>88</td>
<td>36</td>
<td>23</td>
<td>145</td>
<td>51</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4505</td>
 <td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUMIRAH</td>
<td>`001840</td>
<td>05/5352</td>
<td>`0001978462012</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-02-1978</td>
<td>44 Th</td>
<td>BANARAN RT 7/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>PARASETAMOL, VIT C</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4506</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MIYEM</td>
<td>`001227</td>
<td></td>
<td>`0001978462001</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>02-04-1950</td>
<td>72 Th</td>
<td>BANARAN RT 7/4</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>Batuk, pilek</td>
<td>gg, CTM</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>74</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4507</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUMINI</td>
<td>`011429</td>
<td></td>
<td>`0000666287414</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-08-1960</td>
<td>62 Th</td>
<td>RT 12 RW 06</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
 <td>Lama</td>
<td>Konseling</td>
<td>PUSING, KEJU LINU</td>
<td>AMLODIPIN,Nadic, b komplek</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>36</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>i10</td>
<td>
Essential (primary) hypertension </td>
<td>m79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4508</td>
<td>POLI REMAJA</td>
<td>21-09-2022</td>
<td></td>
<td>AHMAD YOGI PRATAMA</td>
<td>`021459</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-01-2007</td>
<td>15 Th</td>
<td>-</td>
<td>PERJAYA BARAT</td>
<td>MARTAPURA</td>
<td>OGAN KOMERING ULU TIMUR</td>
<td>SUMATERA SELATAN</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>MUAL MUNTAH GEMBREGES</td>
<td>PAMOL ANTASIDA DOMPERIDON</td>
<td>116/57</td>
<td>62</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>48</td>
 <td>50</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
Fever with chills </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4509</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SULASTRI</td>
<td>`005117</td>
<td></td>
<td>`0000665492139</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1969</td>
<td>52 Th</td>
<td>BANARAN 9/5</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>b komplek, nadic</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>65</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>m79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4510</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUSWATI</td>
<td>`000315</td>
<td>05/4918</td>
<td>`0000666236687</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-1968</td>
<td>54 Th</td>
<td>RT 11 RW 06</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>amlodipin, vit c</td>
<td>160/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>i10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4511</td>
<td>POLI LANSIA</td>
 <td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>AMAN</td>
<td>`009253</td>
<td>05/8246</td>
<td>`0002458261282</td>
<td>`3503050801520002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-01-1952</td>
<td>70 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING, pilek</td>
<td>amlodipin, ctm</td>
<td>160/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>i10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4512</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>DJAIKEM</td>
<td>`009143</td>
<td></td>
<td>`0002750031213</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>01-07-1948</td>
<td>74 Th</td>
<td>BANARAN RT 10/5</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic, glibenclamid, b komplek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>e11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>m79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4513</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUPRIYANTO</td>
<td>`021460</td>
<td></td>
<td>`0002729556235</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-09-1980</td>
<td>42 Th</td>
<td>RT 009 RW </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
 <td>Konseling</td>
<td>PUSING</td>
<td>parasetamol, vit c</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>r51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4514</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>HARSINI</td>
<td>`011437</td>
<td></td>
<td>`0001037004917</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1969</td>
<td>52 Th</td>
<td>RT 10 RW 5</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>amlodipin, vit c</td>
<td>150/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>80</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>i10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4515</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MESINI</td>
<td>`010303</td>
<td></td>
<td>`0000106549896</td>
<td>`3503055901550001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-01-1955</td>
<td>67 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic, b komplek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>m79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4516</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KATIJAH</td>
<td>`005808</td>
<td></td>
<td>`0000077097903</td>
<td>`3503105108550001</td>
<td>`270</td>
<td></td>
<td></td>
<td>P</td>
<td>11-08-1955</td>
<td>67 Th</td>
<td>RT 05</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>mual</td>
<td>omz, bc</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>k29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4517</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
 <td>POSYANDU LANSIA</td>
<td>SITI FADILAH</td>
<td>`012612</td>
<td></td>
<td>`0002802768579</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-04-1977</td>
<td>45 Th</td>
<td>RT RW </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING berputar</td>
<td>betahistin, amlodipin</td>
<td>110/78</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>i10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4518</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUKARTI</td>
<td>`007892</td>
<td></td>
<td>`0002802772113</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>14-03-1968</td>
<td>54 Th</td>
<td>BANARAN RT 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu, mual</td>
<td>omz, nadic</td>
<td>110/70</td>
<td>88</td>
<td>35</td>
<td>22</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>m79</td>
<td>
Other soft tissue disorders, not elsewhere classified </td>
<td>k29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4519</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>CATUR SUNDARI</td>
<td>`003144</td>
<td></td>
<td>`0002773742826</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-09-1967</td>
<td>55 Th</td>
<td>BANARAN 1</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
 <td>PUSING, keju linu</td>
<td>amlodipin, nadic, bc</td>
<td>150/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>i10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4520</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>UMINI</td>
<td>`005054</td>
<td></td>
<td>`0000666226809</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-02-1961</td>
<td>61 Th</td>
<td>BANARAN RT9/5</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>PARASETAMOL, NADIC, B KOMPLEK</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4521</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SATINI</td>
<td>`014166</td>
<td></td>
<td>`0000665493772</td>
<td>`3503054212400001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-12-1940</td>
<td>81 Th</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING,BATUK PILEK</td>
<td>AMLODIPIN, GG, CTM</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4522</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TUMILAH</td>
<td>`003799</td>
<td></td>
<td>`0001037004118</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-01-1963</td>
<td>59 Th</td>
<td>BANARAN RT 6/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING, BATUK</td>
<td>AMLODIPIN, GG, VIT C</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4523</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
 <td>SUKIYAM</td>
<td>`002002</td>
<td>06/3558</td>
<td>`0001707122586</td>
<td>`3503054507480001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-07-1948</td>
<td>74 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING, KEJU LINU</td>
<td>AMLODIPIN, NADIC, BC</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>21</td>
<td>150</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4524</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>WAHYU HANDAYANI</td>
<td>`008808</td>
<td></td>
<td>`0002802747328</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-06-1971</td>
 <td>51 Th</td>
<td>BANARAN RT 11/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING, KEJU LINU</td>
<td>AMLODIPIN, NADIC, BC, GG</td>
<td>150/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>62</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4525</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TUTIK YULIAWATI</td>
<td>`008736</td>
<td></td>
<td>`0000106513378</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1961</td>
<td>61 Th</td>
<td>-</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING, KEJU LINU</td>
 <td>AMLODIPIN, VIT C, NADIC</td>
<td>150/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4526</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>PAIJAH</td>
<td>`005238</td>
<td></td>
<td>`0001037004849</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-11-1955</td>
<td>66 Th</td>
<td>BANARAN RT 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING,</td>
<td>AMLODIPIN, VIT BC, IBUPROFEN</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4527</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUJARMI</td>
<td>`001748</td>
<td></td>
<td>`0001481938119</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-10-1947</td>
<td>74 Th</td>
<td>BANARAN RT 11/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC, PREDNISON, BC</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4528</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUAJI</td>
<td>`013316</td>
<td></td>
<td>`0002802747317</td>
<td>`3503050510670004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-10-1967</td>
<td>54 Th</td>
<td>DUSUN KRAJAN I, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>AMLODIPIN, BC, OMZ</td>
<td>140/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4529</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUDIRMAN</td>
 <td>`009248</td>
<td></td>
<td>`</td>
<td>`3503050304630001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-04-1963</td>
<td>59 Th</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>PUSING</td>
<td>PAMOL, NADIC, VIT C</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>65</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4530</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUTINI</td>
<td>`012936</td>
<td>05/2169</td>
<td>`0001707122867</td>
<td>`3503056403860001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-03-1986</td>
<td>36 Th</td>
 <td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>AMLODIPIN, NADIC, BC</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4531</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KASIANI</td>
<td>`015992</td>
<td></td>
<td>`0002491547692</td>
<td>`3503054401770005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-01-1977</td>
<td>45 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PANAS, BATUK, PILEK, PUSING</td>
<td>PARASETAMOL, CTM, GG</td>
 <td>110/70</td>
<td>88</td>
<td>38</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4532</td>
<td>POLI LANSIA</td>
<td>21-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>WIJI ASTUTI</td>
<td>`009000</td>
<td>05/6324</td>
<td>`</td>
<td>`3503055508660002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-08-1966</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td></td>
<td>PUSING, MUAL, </td>
<td>PARASETAMOL, OMZ</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
 <td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4533</td>
<td>RAWAT INAP</td>
<td>21-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>MISKA NAZULA APRILIA</td>
<td>`019697</td>
<td>01/9326</td>
<td>`0003177490364</td>
<td>`3503057004090002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-04-2009</td>
<td>13 Th</td>
<td>DUSUN GONDANG KIDUL, RT : 12,RW :3 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>NYERI PERUT, MUAL, MUNTAH, PUSING , LEMES, TIDAK NAFSU MAKAN</td>
<td>INFUS NACL 21 TPM, INJ.RANIT 3X1, INJ. METAMIZOLE 3X1 AMPL,DIMENHIDRINAT
1X1, OMEPRAZOLE 2X1</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Rawat Inap pasien BPJS<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Pemasangan infuse<br>Layanan Unit Gawat Darurat
(UGD)<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis ringan
lainnya<br>Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum
per hari<br>Biaya rawat inap pasien umum per hari<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Konsultasi<br>Tindakan medis
ringan lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>4534</td>
<td>PONKESDES SUKOREJO</td>
<td>21-09-2022</td>
<td></td>
<td>SUKARNI</td>
<td>`002954</td>
<td>07/3026</td>
<td>`0001702404066</td>
<td>`3503056206740001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-06-1974</td>
<td>48 Th</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001538</td>
<td>pusing haid nya banyak keluar darah</td>
<td>asmed,ttd,vit c</td>
<td>145/88</td>
<td>76</td>
<td>36</td>
<td>24</td>
<td>150</td>
<td>67</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R52.9</td>
<td>
Pain, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4535</td>
<td>PONKESDES SUKOREJO</td>
<td>21-09-2022</td>
<td></td>
<td>SUMARTI BIBIT</td>
<td>`003216</td>
<td></td>
<td>`0000665768261</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1940</td>
<td>81 Th</td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001537</td>
<td>pusing</td>
<td>pamol,antasida,amlo</td>
<td>139/86</td>
<td>75</td>
<td>36</td>
<td>24</td>
<td>150</td>
<td>37</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4536</td>
<td>PONKESDES SUKOREJO</td>
<td>21-09-2022</td>
<td></td>
<td>ZIDAN AMAR ZUHRI</td>
<td>`012313</td>
<td></td>
<td>`0002802745124</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-05-2016</td>
<td>6 Th</td>
<td>SUKOREJO</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001536</td>
<td>batuk pilek</td>
<td>demacolin sy,gg</td>
<td>90/60</td>
<td>100</td>
<td>36</td>
<td>24</td>
<td>104</td>
<td>16</td>
<td>56</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Siti Istiqomah S, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4537</td>
<td>RAWAT INAP</td>
<td>21-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>CHOIRUL ANAM</td>
<td>`020598</td>
<td></td>
<td>`0001978461909</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-09-1995</td>
<td>27 Th</td>
<td>BANARAN RT7 RW 4</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>swasta</td>
<td>Lama</td>
<td></td>
<td>LEMES, MUAL, DREDEK,PUSING, KURANG NAFSU MAKAN</td>
<td>INFUS NACL 20 TPM,INJ.RANIT 2 TPM,INJ. METAMIZOLE 3X1 AMP,OMEPERAZOLE
2X1</td>
<td>130/90</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pemasangan infuse<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Biaya rawat inap pasien umum
per hari<br>Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum
per hari<br>Rawat Inap pasien BPJS<br>Konsultasi<br>Tindakan medis ringan
lainnya<br> </td>
</tr>
<tr align='left' valign="top">
<td>4538</td>
<td>PUSTU NGEPEH</td>
<td>21-09-2022</td>
<td></td>
<td>TUMILAH</td>
<td>`001033</td>
<td>04/5858</td>
<td>`0000665912406</td>
<td>`3503055008540001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-1956</td>
<td>66 Th</td>
<td>RT 03 RW 01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001406</td>
 <td>BATUK CENGENG</td>
<td>GG PAMOL ANTASID</td>
<td>133/77</td>
<td>86</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4539</td>
<td>PUSTU NGEPEH</td>
<td>21-09-2022</td>
<td></td>
<td>HANNIFA FRANSISKA RAMADHANI</td>
<td>`013713</td>
<td>04/2101</td>
<td>`0002867872847</td>
<td>`3503055507140001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-07-2014</td>
<td>8 Th</td>
<td>RT 023 RW 010</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001407</td>
<td>NYERI PERUT MUAL</td>
<td>ANTASID SYR PAMOL</td>
<td>90/60</td>
<td>112</td>
<td>35</td>
<td>20</td>
<td>90</td>
<td>27</td>
<td>46</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4540</td>
<td>PUSTU NGEPEH</td>
<td>21-09-2022</td>
<td></td>
<td>TUSIYEM</td>
<td>`007022</td>
<td></td>
<td>`0000665713348</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1957</td>
<td>65 Th</td>
<td>RT 15 RW 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001408</td>
<td>KEJU</td>
<td>NADIK</td>
<td>125/64</td>
<td>74</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4541</td>
<td>POLINDES NGEPEH</td>
<td>21-09-2022</td>
<td></td>
<td>RAISYA AMEERA MISHEL</td>
<td>`005386</td>
<td></td>
<td>`0002778023248</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-07-2019</td>
<td>3 Th</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001896</td>
<td>BATUK</td>
<td>GG, PRED</td>
<td>67/35</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>99</td>
<td>16</td>
<td>34</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4542</td>
<td>POLINDES NGEPEH</td>
<td>21-09-2022</td>
<td></td>
 <td>SUMINTEN</td>
<td>`002905</td>
<td></td>
<td>`0000666092002</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-03-1971</td>
<td>51 Th</td>
<td>RT 21 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001897</td>
<td>PUSING</td>
<td>AMLODIPIN</td>
<td>204/99</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>165</td>
<td>68</td>
<td>83</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4543</td>
<td>POLINDES PRAMBON 1</td>
<td>22-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>SARMINI</td>
<td>`002070</td>
<td></td>
<td>`0000665939013</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1977</td>
 <td>44 Th</td>
<td>PRAMBON RT 23/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4544</td>
<td>POLINDES PRAMBON 1</td>
<td>22-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>SHALUM</td>
<td>`021680</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-11-2019</td>
<td>2 Th</td>
<td>PAKEL</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
 <td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4545</td>
<td>POLINDES PRAMBON 1</td>
<td>22-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>SINTIANA DEWI</td>
<td>`000954</td>
<td>06/5776</td>
<td>`0000665520636</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1999</td>
<td>22 Th</td>
<td>RT 17 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4546</td>
<td>POLI LANSIA</td>
<td>22-09-2022</td>
<td></td>
<td>GUNTUR</td>
<td>`001342</td>
<td>06/3558</td>
<td>`0000106536216</td>
<td>`3503050306580002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-06-1958</td>
<td>64 Th</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y001218</td>
<td>kontrol</td>
<td>-</td>
<td>130/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4547</td>
<td>POLI LANSIA</td>
<td>22-09-2022</td>
<td></td>
<td>SUTARMI</td>
<td>`011676</td>
<td>02/880</td>
<td>`0000665581432</td>
<td>`3503057112530029</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1953</td>
<td>68 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001228</td>
<td>kontrol dm</td>
<td>glibenclamid,nadic,bc,</td>
<td>95/62</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>148</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4548</td>
<td>UGD</td>
<td>22-09-2022</td>
<td></td>
 <td>MELLIA SEYSELIS</td>
<td>`021473</td>
<td>01/2756</td>
<td>`</td>
<td>`3503056709990001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-09-1999</td>
<td>23 Th</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Baru</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Layanan Unit Gawat Darurat (UGD)<br> </td>
</tr>
<tr align='left' valign="top">
<td>4549</td>
<td>POLI REMAJA</td>
<td>22-09-2022</td>
<td></td>
<td>HIBRIZ JAKSYAN HAQ</td>
<td>`007850</td>
<td>07/9075</td>
<td>`0001978435282</td>
<td>`3503052803080001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-03-2008</td>
 <td>14 Th</td>
<td>RT 9 RW 5</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001230</td>
<td>nyeri di pinggul kanan</td>
<td>-</td>
<td>121/66</td>
<td>65</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>49.2</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M51.9</td>
<td>
Intervertebral disc disorder, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4550</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>MUHTAROM</td>
<td>`005203</td>
<td>02/3191</td>
<td>`0000665665121</td>
<td>`3503050310730001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-10-1973</td>
<td>48 Th</td>
<td>DUSUN KRAJAN, RT : 9,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y001232</td>
<td>batuk, sesak, dredeg, berdahak</td>
 <td>pamol, ambroxol, prednison, vit d</td>
<td>138/82</td>
<td>81</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>72.1</td>
<td>91</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4551</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>FIKRI ADITYA SAHDAN</td>
<td>`021474</td>
<td>05/4225</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-12-2016</td>
<td>5 Th</td>
<td>RT 01 RW 01</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>panas, nyeri tenggorokan</td>
<td>pamol sy, gg, ctm, vit bc</td>
<td>1/1</td>
<td>97</td>
<td>37</td>
<td>20</td>
<td>115</td>
<td>18.6</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
 <td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4552</td>
<td>POLI MTBS</td>
<td>22-09-2022</td>
<td></td>
<td>NARENDRA KENZY ADIKA</td>
<td>`021475</td>
<td>05/4225</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-01-2022</td>
<td>0 Th</td>
<td>RT 01 RW 01</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>panas sejak tadi malam, batuk</td>
<td>amok, gg, pamol sy</td>
<td>1/1</td>
<td>88</td>
<td>37</td>
<td>32</td>
<td>60</td>
<td>7.1</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4553</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>TUMI</td>
<td>`021476</td>
<td>01/565</td>
<td>`0002802764452</td>
<td>`3503054807710001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-07-1971</td>
<td>51 Th</td>
<td>DUSUN KALIPINGGIR, RT : 19,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Baru</td>
<td>131506010922Y001239</td>
<td>keju linu</td>
<td>allopurinol, nadif, ctm, </td>
<td>142/87</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>73.5</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M10.9</td>
<td>
Gout, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4554</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>FARENDRA SEPTIAN DWI CAHYA</td>
 <td>`021477</td>
<td>03/7134</td>
<td>`0003068068803</td>
<td>`3503052509120001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-09-2012</td>
<td>10 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y001233</td>
<td>panas sejak tadi malam, muntah 1x</td>
<td>amox, pamol, vit bc</td>
<td>1/1</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>125</td>
<td>24.8</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J03.9</td>
<td>
Acute tonsillitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4555</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>KATIRIN</td>
<td>`003914</td>
<td>03/3896</td>
<td>`0002802753426</td>
<td>`3503051204680008</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1968</td>
<td>54 Th</td>
 <td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001300</td>
<td>KONTROL RAWAT LUKA</td>
<td>RAWAT LUKA, OBAT TERUSKAN</td>
<td>115/60</td>
<td>71</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>50</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4556</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>DIDIN RETNO</td>
<td>`001816</td>
<td>05/4521</td>
<td>`0000665489709</td>
<td>`3503056006840003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-06-1984</td>
<td>38 Th</td>
<td>DESA BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001235</td>
<td>batuk, pilek sejak tadi malam, nyeri telan, panas, sakit gigi</td>
<td>ambroxol, ibuprofen</td>
 <td>123/55</td>
<td>70</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>48.3</td>
<td>76</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4557</td>
<td>POLI GIGI</td>
<td>22-09-2022</td>
<td></td>
<td>ALISA AZAHRA</td>
<td>`019195</td>
<td>06/1232</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-01-2019</td>
<td>3 Th</td>
<td>RT 10 RW02</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi barwah kanan sakit</td>
<td>obat</td>
<td>90/60</td>
<td>87</td>
<td>36</td>
<td>25</td>
<td>121</td>
<td>25</td>
<td>56</td>
<td></td>
<td>KASUS LAMA</td>
<td>K04.5</td>
 <td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4558</td>
<td>POLI LANSIA</td>
<td>22-09-2022</td>
<td></td>
<td>MISKUN</td>
<td>`002248</td>
<td>06/3014</td>
<td>`0003068425348</td>
<td>`3503053112590031</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1959</td>
<td>62 Th</td>
<td>PAKEL, RT : 40,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001229</td>
<td>kontrol</td>
<td>-</td>
<td>130/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>52</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>J44</td>
<td>
Other chronic obstructive pulmonary disease </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
 <td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4559</td>
<td>POLI LANSIA</td>
<td>22-09-2022</td>
<td></td>
<td>SUINAH</td>
<td>`002106</td>
<td>01/2588</td>
<td>`0001799326754</td>
<td>`3503055212580001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-12-1958</td>
<td>63 Th</td>
<td>RT 05 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001252</td>
<td>kontrol dm+ht kaki terasa tebal,keju linu</td>
<td>gliben,bc,metformin,simvastatin</td>
<td>153/72</td>
<td>81</td>
<td>36</td>
<td>22</td>
<td>148</td>
<td>44</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4560</td>
<td>POLI K.B</td>
<td>22-09-2022</td>
<td></td>
<td>DEVI ROHMAWATI</td>
<td>`021478</td>
 <td>01/947</td>
<td>`</td>
<td>`3503055012990001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1999</td>
<td>22 Th</td>
<td>RT 016/ RW 004</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>CPW</td>
<td>-</td>
<td>128/68</td>
<td>94</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>57</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4561</td>
<td>POLI K.B</td>
<td>22-09-2022</td>
<td></td>
<td>MUHAMMAD MUHLIS ISNAINI TAUFIQILLAH</td>
<td>`021479</td>
<td></td>
<td>`</td>
<td>`3503050505970001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-05-1997</td>
<td>25 Th</td>
<td>RT 008/ RW 004</td>
 <td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>CPP</td>
<td>-</td>
<td>128/75</td>
<td>103</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>67</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4562</td>
<td>POLI LANSIA</td>
<td>22-09-2022</td>
<td></td>
<td>TUMINI</td>
<td>`001511</td>
<td>01/3716</td>
<td>`</td>
<td>`3503054404570001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-04-1957</td>
<td>65 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>kaki berat,leher cengeng</td>
<td>simvastatin,amlodipin,paracetamil,bc</td>
<td>140/68</td>
 <td>82</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>66</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4563</td>
<td>POLI GIGI</td>
<td>22-09-2022</td>
<td></td>
<td>NADIRA PUTRI AGUSTIN</td>
<td>`021480</td>
<td>06/5899</td>
<td>`</td>
<td>`3503056808140001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-08-2014</td>
<td>8 Th</td>
<td>DUSUN PAKEL, RT : 28,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi bawah kiri goyang</td>
<td>cabut gigi 82</td>
<td>90/70</td>
<td>86</td>
<td>36</td>
<td>25</td>
<td>138</td>
<td>28</td>
<td>56</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.1</td>
<td>
 Supernumerary teeth </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>4564</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>SAKRI</td>
<td>`000810</td>
<td>04/1922</td>
<td>`0000666146586</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-11-1970</td>
<td>51 Th</td>
<td>RT 08 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001301</td>
<td>KONTROL MENGAMBIL OBAT</td>
<td>HALDOL, CPZ, THD</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>F20.9</td>
<td>
Schizophrenia, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4565</td>
<td>POLI GIZI</td>
<td>22-09-2022</td>
<td></td>
<td>DEVI ROHMAWATI</td>
<td>`021478</td>
<td>01/947</td>
<td>`</td>
<td>`3503055012990001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-12-1999</td>
<td>22 Th</td>
<td>RT 016/ RW 004</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>CPW</td>
<td>-</td>
<td>128/68</td>
<td>94</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>57</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4566</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>ARIP TEGUH SANTOSO</td>
<td>`021481</td>
<td>08/8385</td>
 <td>`</td>
<td>`3503051305930003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-05-1993</td>
<td>29 Th</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>sks</td>
<td>-</td>
<td>122/69</td>
<td>73</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>49.8</td>
<td>85</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4567</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>JOKO SUSANTO</td>
<td>`001693</td>
<td>02/8741</td>
<td>`</td>
<td>`3503051008710004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-08-1971</td>
<td>51 Th</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
 <td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>-</td>
<td>clozapin,tfr</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>57</td>
<td>67</td>
<td></td>
<td>KASUS BARU</td>
<td>F20</td>
<td>
Schizophrenia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4568</td>
<td>POLI LANSIA</td>
<td>22-09-2022</td>
<td></td>
<td>MUJALAL</td>
<td>`000716</td>
<td>01/2642</td>
<td>`0000665546308</td>
<td>`3503051004500002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-04-1950</td>
<td>72 Th</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001242</td>
<td>kontrol keju linu</td>
<td>amlodipin,bc,gg,nadic</td>
<td>123/65</td>
 <td>69</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>40</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4569</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>DASRI</td>
<td>`014508</td>
<td>04/4746</td>
<td>`0001707126412</td>
<td>`3503055007850004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-07-1985</td>
<td>37 Th</td>
<td>RT 009 RW 003</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001237</td>
<td>nyeri perut kanan</td>
<td>-</td>
<td>116/82</td>
<td>93</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>52.2</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K35</td>
<td>
 Acute appendicitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4570</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>JAINI</td>
<td>`019088</td>
<td>04/3578</td>
<td>`0000666232795</td>
<td>`3503050609660001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-09-1966</td>
<td>56 Th</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001275</td>
<td>nyeri perut tembus belakang</td>
<td>cipro asmef prednison</td>
<td>192/114</td>
<td>107</td>
<td>36</td>
<td>24</td>
<td>156</td>
<td>52</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N23</td>
<td>
Unspecified renal colic </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4571</td>
<td>POLI LANSIA</td>
<td>22-09-2022</td>
<td></td>
<td>MA`SUM</td>
<td>`021252</td>
<td>08/6092B</td>
<td>`0001978461246</td>
<td>`3503050406620003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-06-1962</td>
<td>60 Th</td>
<td>DUSUN SANGGRAHAN, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001245</td>
<td>kontrol luka post jahit di tangan</td>
<td>rawat luka</td>
<td>154/75</td>
<td>72</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4572</td>
<td>POLI GIGI</td>
<td>22-09-2022</td>
<td></td>
<td>HAIDZAR NIZHOM JAMALUDDIN</td>
<td>`010895</td>
<td>02/3944</td>
 <td>`0001978460649</td>
<td>`3503050304130002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-04-2013</td>
<td>9 Th</td>
<td>RT 12RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001266</td>
<td>GIGI BAWAH KANAN KESUNDULAN</td>
<td>CABUT GIGI BAWAH </td>
<td>90/60</td>
<td>87</td>
<td>36</td>
<td>24</td>
<td>132</td>
<td>24</td>
<td>64</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br> </td>
</tr>
<tr align='left' valign="top">
<td>4573</td>
<td>POLI LANSIA</td>
<td>22-09-2022</td>
<td></td>
<td>MISIJAN</td>
<td>`000288</td>
<td>03/1936</td>
<td>`0001432052458</td>
<td>`3503051404540003</td>
<td>`152872</td>
<td></td>
<td></td>
<td>L</td>
<td>14-04-1954</td>
<td>68 Th</td>
<td>DSN KRAJAN, RT : 003,RW :001 </td>
<td>TUMPUK</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>BURUH TANI/PERKEBUNAN</td>
<td>Lama</td>
<td>131506010922Y001236</td>
<td>rujukan</td>
<td>-</td>
<td>150/70</td>
<td>80</td>
<td>36</td>
<td>70</td>
<td>160</td>
<td>70</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4574</td>
<td>POLI GIGI</td>
<td>22-09-2022</td>
<td></td>
<td>BINTANG BAGUS SETIARI</td>
<td>`020148</td>
<td>01/2870</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-12-2009</td>
<td>12 Th</td>
<td>RT 22 RW 06</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>GERAHAMI SAKIT</td>
<td>OBAT</td>
<td>90/70</td>
<td>89</td>
 <td>36</td>
<td>27</td>
<td>158</td>
<td>45</td>
<td>67</td>
<td></td>
<td>KASUS LAMA</td>
<td>K04.5</td>
<td>
Chronic apical periodontitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4575</td>
<td>POLI GIGI</td>
<td>22-09-2022</td>
<td></td>
<td>ARI ANIK FITRIANA</td>
<td>`006668</td>
<td>01/2870</td>
<td>`0000106517204</td>
<td>`3503054402720003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-02-1972</td>
<td>50 Th</td>
<td>DUSUN KEBON, RT : 22,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001264</td>
<td>GIGI BAWAH KANAN SAKIT</td>
<td>0BAT</td>
<td>130/80</td>
<td>87</td>
<td>36</td>
<td>25</td>
<td>157</td>
<td>65</td>
<td>78</td>
<td>Klinik Aba Husada</td>
<td>KASUS BARU</td>
<td>K04.0</td>
<td>
Pulpitis </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4576</td>
<td>POLI LANSIA</td>
<td>22-09-2022</td>
<td></td>
<td>TUKINI</td>
<td>`012898</td>
<td>04/897</td>
<td>`0001036999765</td>
<td>`3503054701410001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-01-1941</td>
<td>81 Th</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001234</td>
<td>kontrol</td>
<td>-</td>
<td>130/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>50</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.5</td>
<td>
Non-insulin-dependent diabetes mellitus with peripheral circulatory
complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
 Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4577</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>TITIN HIDAYATI</td>
<td>`021482</td>
<td>04/4857</td>
<td>`0001707126467</td>
<td>`3503055310870003</td>
<td>`</td>
<td></td>
<td>085940692619</td>
<td>P</td>
<td>13-10-1987</td>
<td>34 Th</td>
<td>KRAJAN, RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td>131506010922Y001267</td>
<td>kesemutantangan dan telapak kaki</td>
<td>prednison,nadik</td>
<td>130/71</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>168</td>
<td>73</td>
<td>67</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4578</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td></td>
<td>SUTRISNI</td>
<td>`001148</td>
<td></td>
 <td>`0002802765903</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-10-1963</td>
<td>58 Th</td>
<td>PRAMBON RT 17/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001321</td>
<td>PUSING</td>
<td>PAMOL BC</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4579</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td></td>
<td>YUNUS</td>
<td>`003778</td>
<td></td>
<td>`0002681898478</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1958</td>
<td>63 Th</td>
<td>RT 17</td>
<td>PRAMBON</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y001322</td>
<td>BATUK</td>
<td>IBU 400 CTM AMBOROXOL</td>
<td>120/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>67</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4580</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td></td>
<td>SRI WINARNI</td>
<td>`011176</td>
<td>06/7175</td>
<td>`0003067664152</td>
<td>`3503054401810001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-01-1981</td>
<td>41 Th</td>
<td>PRAMBON, RT : 31,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001320</td>
<td>BATUK</td>
<td>PAMOL AMBOROXOL CTM</td>
<td>120/70</td>
<td>76</td>
 <td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4581</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td></td>
<td>MESERAN</td>
<td>`001849</td>
<td></td>
<td>`0000666261775</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-06-1956</td>
<td>66 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001318</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4582</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td></td>
<td>UTARI</td>
<td>`001848</td>
<td></td>
<td>`0000666262629</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-05-1960</td>
<td>62 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001319</td>
<td>BATUK</td>
<td>PAMOL AMBOROXOL DEXA</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4583</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td>KONSULTASI</td>
<td>AMILUDIN BUDI PRASUTIYO</td>
<td>`004280</td>
<td></td>
<td>`0000666263766</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-01-1995</td>
<td>27 Th</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4584</td>
<td>POLI REMAJA</td>
<td>22-09-2022</td>
<td></td>
<td>TARFAH PUTRI WIKALINTANG RAHAYU</td>
<td>`021484</td>
<td>04/6229</td>
<td>`0002307755351</td>
 <td>`9109096511120002</td>
<td>`</td>
<td></td>
<td>082147008810</td>
<td>P</td>
<td>25-11-2012</td>
<td>9 Th</td>
<td>RT 16 RW 07</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td>131506010922Y001299</td>
<td>BATUK BERDAHAK, PUSING</td>
<td>AMOK, PAMOL, CTM, GG, DEXA, VIT C</td>
<td>98/65</td>
<td>117</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>62</td>
<td>57</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4585</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>SURATMAN</td>
<td>`000482</td>
<td>08/4658</td>
<td>`0001978467164</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-06-1969</td>
<td>53 Th</td>
<td>RT 03 RW 01</td>
<td>WINONG</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001302</td>
<td>KONTROL MENGAMBIL OBAT</td>
<td>HALOPERIDOL, CPZ</td>
<td>130/83</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>62</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>F20.9</td>
<td>
Schizophrenia, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4586</td>
<td>POLI LANSIA</td>
<td>22-09-2022</td>
<td></td>
<td>KASMIATUN</td>
<td>`008003</td>
<td>07/32</td>
<td>`0000106636127</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1932</td>
<td>89 Th</td>
<td>RT 6 RW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001261</td>
<td>gatal</td>
<td>hydrocortoson,loratadin</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
 <td>22</td>
<td>150</td>
<td>45</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4587</td>
<td>POLI LANSIA</td>
<td>22-09-2022</td>
<td></td>
<td>SUCIATI</td>
<td>`001028</td>
<td>07/115</td>
<td>`0000106816026</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-06-1961</td>
<td>61 Th</td>
<td>RT 06 RW 03 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001260</td>
<td>pusing,keju linu</td>
<td>demenhidrinat,ibuprofen,bc</td>
<td>118/68</td>
<td>75</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>59</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4588</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td></td>
<td>SUDARMI</td>
<td>`004488</td>
<td></td>
<td>`0001037004502</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-11-1964</td>
<td>57 Th</td>
<td>BANARAN RT 6/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001317</td>
<td>BATUK KONTROL TENSI</td>
<td>AMBOROXOL CTM AMLO 5 MG</td>
<td>180/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4589</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>SILVIA NOFA ANGGRAINI</td>
<td>`003918</td>
<td></td>
<td>`</td>
<td>`3503056611890001</td>
<td>`36195</td>
<td></td>
<td></td>
<td>P</td>
<td>26-11-1989</td>
<td>32 Th</td>
<td>DSN KRAJAN, RT : 010,RW :003 </td>
<td>NGLINGGIS</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>sks </td>
<td>-</td>
<td>117/73</td>
<td>111</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60.4</td>
<td>81</td>
<td>dr. Ida Roslena</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4590</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>SOIMIN</td>
<td>`021485</td>
<td>90/778</td>
<td>`0000660610787</td>
 <td>`3502053006670001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-06-1967</td>
<td>55 Th</td>
<td>RT 01 RW 02</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td>131506010922Y001308</td>
<td>BATUK, PUSING, PILEK, PANAS</td>
<td>CIPRO, GG, CTM, PAMOL, DEXA, VIT C</td>
<td>107/66</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>48.5</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4591</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td></td>
<td>SUYATIN</td>
<td>`000778</td>
<td></td>
<td>`0003068090177</td>
<td>`3503054812690001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-12-1969</td>
<td>52 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001316</td>
<td>PUSING</td>
<td>NATDIK BC</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4592</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td></td>
<td>KARTINI</td>
<td>`005205</td>
<td></td>
<td>`0002802772146</td>
<td>`3503054503730003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-09-1973</td>
<td>49 Th</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001247</td>
<td>KONTROLTENSI</td>
<td>NATDIK AMLO 5MG</td>
<td>140/80</td>
<td>76</td>
<td>37</td>
 <td>22</td>
<td>160</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4593</td>
<td>POLI LANSIA</td>
<td>22-09-2022</td>
<td></td>
<td>SUMIATIN</td>
<td>`010147</td>
<td>01/584</td>
<td>`0000666072617</td>
<td>`3503057112570037</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1957</td>
<td>64 Th</td>
<td>RT 15/04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001258</td>
<td>batuk,pusing,nyeri epigastrik,boyok nyeri</td>
<td>obh,ciprofloxaxin,ambroxol,dexa,omz,pct,bc</td>
<td>143/66</td>
<td>100</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>48</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>J06.9</td>
 <td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4594</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>RENI USFIANA</td>
<td>`021486</td>
<td>01/1118</td>
<td>`</td>
<td>`3503054101880002</td>
<td>`</td>
<td></td>
<td>08113711195</td>
<td>P</td>
<td>01-01-1988</td>
<td>34 Th</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td></td>
<td>sks</td>
<td>-</td>
<td>126/74</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>62.6</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4595</td>
<td>POLI MTBS</td>
<td>22-09-2022</td>
<td></td>
<td>NABILA QUEENA DEIRAWAN</td>
<td>`021487</td>
<td>90/1865</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-06-2019</td>
<td>3 Th</td>
<td>RT 22 RW 08</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS, BATUK, PILEK, KONTROL POST OPNAME, KAKI BENGKAK, NYERI</td>
<td>CTM, DEXA, VIT BC, GENTA SALEP, BETAMETASON SALEP</td>
<td>1/1</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>100</td>
<td>11</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>L02.9</td>
<td>
Cutaneous abscess, furuncle and carbuncle, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4596</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td></td>
<td>VIVI OKTAVIANI</td>
<td>`021488</td>
<td></td>
<td>`0000666519276</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-10-1995</td>
<td>26 Th</td>
<td>PRAMBON RT 19/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001324</td>
<td>PAMAS PILEK</td>
<td>PAMOL DEXA</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4597</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>SITI MUAWANAH</td>
<td>`000373</td>
<td>02/7801</td>
<td>`0001978438533</td>
<td>`3503055710910002</td>
<td>`</td>
<td></td>
<td>082234866236</td>
<td>P</td>
<td>17-10-1991</td>
<td>30 Th</td>
<td>RT 13 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>KONSULTASI</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>665</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4598</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td></td>
<td>ANIS SETYAWAN</td>
<td>`004320</td>
<td></td>
<td>`0002802745585</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-08-1982</td>
<td>40 Th</td>
<td>PRAMBON RT5/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001281</td>
<td>BATUK</td>
<td>PAMOL DEXA AMBOROXOL</td>
<td>120/70</td>
<td>76</td>
 <td>37</td>
<td>22</td>
<td>160</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4599</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>RIFKA NURBAITI ANGGUNINGTYAS</td>
<td>`021489</td>
<td>02/6734</td>
<td>`</td>
<td>`3503055601000002</td>
<td>`</td>
<td></td>
<td>085336218487</td>
<td>P</td>
<td>16-01-2000</td>
<td>22 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>GATAL DI SELURUH TUBUH</td>
<td>AMOK, CTM, DEXA, VIT C, HIDRO SALEP</td>
<td>129/63</td>
<td>94</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>53.7</td>
<td>77</td>
<td></td>
<td>KASUS BARU</td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4600</td>
<td>POLI LANSIA</td>
<td>22-09-2022</td>
<td></td>
<td>LEMU</td>
<td>`020640</td>
<td>07/9364</td>
<td>`0001963863742</td>
<td>`5207080911590001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-11-1959</td>
<td>62 Th</td>
<td>RT 12 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>kontrol lepas dc</td>
<td>-</td>
<td>120/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>52</td>
<td>85</td>
<td>LAMONGAN</td>
<td>KASUS LAMA</td>
<td>R33</td>
<td>
Retention of urine </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4601</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>JUASRI</td>
<td>`010332</td>
<td>02/64</td>
<td>`0000665633171</td>
<td>`3503057112650090</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1965</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001304</td>
<td>KONTROL JAHITAN , NYERI KEPALA</td>
<td>CIPRO, PAMOL, AMLODIPIN 10 MG, ANTASID, OMZ, </td>
<td>139/79</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>50</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4602</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td></td>
<td>KENAN TSAQIF</td>
<td>`021490</td>
<td></td>
<td>`</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-01-1970</td>
<td>52 Th</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>PANAS</td>
<td>PAMOL SIRUP KOTRI SIRUP</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>24</td>
<td>70</td>
<td>8</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4603</td>
<td>POLI MTBS</td>
<td>22-09-2022</td>
<td></td>
<td>ELFATHAN IRSYAD ATHARRAYHAN</td>
<td>`021491</td>
<td>06/8334</td>
<td>`</td>
<td>`3503052507200001</td>
<td>`</td>
<td></td>
<td>082228786388</td>
<td>L</td>
<td>25-07-2020</td>
<td>2 Th</td>
<td>RT 59 RW 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>DIARE</td>
<td>ATTALPUGIT, FDOMP SY, ZINC, ORALIT</td>
<td>1/1</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>85</td>
<td>11.7</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4604</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td></td>
<td>LINDA ARISANTI</td>
<td>`001876</td>
<td>06/2010</td>
<td>`0002802766443</td>
<td>`3503056208950005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-08-1995</td>
<td>27 Th</td>
<td>TENGGAR, RT : 3,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001272</td>
<td>BATUK</td>
<td>PAMOL AMBOROXOL DEXA</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
 <td>22</td>
<td>160</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4605</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td></td>
<td>ANIS SETIAWATI</td>
<td>`002682</td>
<td></td>
<td>`0002681898557</td>
<td>`3503056709890002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-09-1989</td>
<td>33 Th</td>
<td>DUSUN KRAJAN, RT : 19,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001274</td>
<td>GREGES PILEK</td>
<td>PAMOL CTM GG</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4606</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td>KONSULTASI</td>
<td>SURYANTO</td>
<td>`015789</td>
<td></td>
<td>`0002802772326</td>
<td>`3503051808710005</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-08-1971</td>
<td>51 Th</td>
<td>DUSUN KRAJAN, RT : 19,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4607</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>RAFELINO RELIAN KARSELAN</td>
<td>`021394</td>
<td>01/10</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-01-2003</td>
<td>19 Th</td>
<td>RT 000 RW 000</td>
<td>PARAMARIBO</td>
<td>PARAMARIBO</td>
<td>SURINAME</td>
<td></td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>BATUK</td>
<td>AMLODIPIN 10 MG, GG, CTM,</td>
<td>169/90</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>185</td>
<td>112</td>
<td>110</td>
<td></td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4608</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td>KONSULTASI</td>
<td>SUKAR</td>
<td>`005644</td>
<td>06/6399</td>
<td>`0001037013939</td>
<td>`3503052705450004</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-05-1945</td>
<td>77 Th</td>
<td>DUSUN KRAJAN, RT : 19,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4609</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>KHAMID RIDWAN</td>
<td>`021492</td>
<td>01/10</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-10-1965</td>
<td>56 Th</td>
<td>RT -</td>
<td>PARAMARIBO</td>
<td>PARAMARIBO</td>
<td>SURINAME</td>
 <td></td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>TIDAK ADA KELUHAN</td>
<td>-</td>
<td>146/84</td>
<td>81</td>
<td>36</td>
<td>20</td>
<td>166</td>
<td>68.6</td>
<td>89</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00</td>
<td>
General examination and investigation of persons without complaint and
reported diagnosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4610</td>
<td>PUSTU NGEPEH</td>
<td>22-09-2022</td>
<td></td>
<td>TUMILAH</td>
<td>`001033</td>
<td>04/5858</td>
<td>`0000665912406</td>
<td>`3503055008540001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-08-1956</td>
<td>66 Th</td>
<td>RT 03 RW 01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001836</td>
<td>BATUK CENGENG</td>
<td>PAMOL GG ANTASIDA</td>
<td>133/77</td>
<td>86</td>
<td>36</td>
 <td>20</td>
<td>154</td>
<td>58</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
SULISTI HANDAYANI,Amd.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4611</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>FINA NURIL AIMAH RIDWAN</td>
<td>`021493</td>
<td>01/10</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-09-2004</td>
<td>18 Th</td>
<td>RT</td>
<td>PARAMARIBO</td>
<td>PARAMARIBO</td>
<td>SURINAME</td>
<td></td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>BATUK, MUAL</td>
<td>AMOK, GG, DEXA, </td>
<td>109/61</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>147.5</td>
<td>40.9</td>
<td>75</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4612</td>
<td>PUSTU NGEPEH</td>
<td>22-09-2022</td>
<td></td>
<td>TUSIYEM</td>
<td>`007022</td>
<td></td>
<td>`0000665713348</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1957</td>
<td>65 Th</td>
<td>RT 15 RW 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001837</td>
<td>KEJU</td>
<td>NADIK BCOM</td>
<td>125/64</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>47</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
SULISTI HANDAYANI,Amd.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4613</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td>KONSULTASI</td>
<td>AZKA HARIS PRAYOGI</td>
<td>`004551</td>
<td></td>
<td>`0002802772337</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-06-2013</td>
<td>9 Th</td>
<td>PRAMBON RT 19</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>80/60</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>90</td>
<td>21</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4614</td>
<td>PUSTU NGEPEH</td>
<td>22-09-2022</td>
<td></td>
<td>HANNIFA FRANSISKA RAMADHANI</td>
<td>`013713</td>
<td>04/2101</td>
<td>`0002867872847</td>
<td>`3503055507140001</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-07-2014</td>
<td>8 Th</td>
<td>RT 023 RW 010</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>mual</td>
<td>pamol antasid</td>
<td>90/50</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>112</td>
<td>27</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
SULISTI HANDAYANI,Amd.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4615</td>
<td>POLI LANSIA</td>
<td>22-09-2022</td>
<td></td>
<td>TUMINEM</td>
<td>`002836</td>
<td>08/1826</td>
<td>`0001037005446</td>
<td>`3503057012400009</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1940</td>
<td>81 Th</td>
<td>RT 4 RW 2</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001285</td>
<td>kontrol</td>
<td>-</td>
<td>120/70</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>52</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>C50.9</td>
<td>
Malignant neoplasm of breast, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4616</td>
<td>POLI UMUM</td>
<td>22-09-2022</td>
<td></td>
<td>AHMAD MUJIB M.</td>
<td>`019677</td>
<td>01/1370</td>
<td>`0002860463766</td>
<td>`3503051604990001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-07-1999</td>
<td>23 Th</td>
<td>DUSUN KALIPINGGIR, RT : 18,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001295</td>
<td>BATUK, PILEK, SESAK, NYERI TENGGOROKAN, PANAS</td>
<td>CIPRO, PAMOL, CTM, GG, DEXA, VIT C</td>
<td>139/65</td>
<td>86</td>
<td>36</td>
<td>20</td>
 <td>170</td>
<td>66.7</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4617</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td></td>
<td>SUJIATI</td>
<td>`007346</td>
<td></td>
<td>`0003067661215</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-07-1983</td>
<td>39 Th</td>
<td>PRAMBON RT 5/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001286</td>
<td>BATUK</td>
<td>PAMOL AMBOROXOL DEXA</td>
<td>110/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4618</td>
<td>POLI K.B</td>
<td>22-09-2022</td>
<td></td>
<td>WAHYUNI SETYANINGSIH</td>
<td>`021494</td>
<td>04/2834</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-01-2006</td>
<td>16 Th</td>
<td>RT 01 RW 01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>CPW</td>
<td>-</td>
<td>115/74</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>4619</td>
<td>POLI K.B</td>
<td>22-09-2022</td>
<td></td>
<td>DEO RICO PRASETYO</td>
<td>`021495</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td>081905668631</td>
<td>L</td>
<td>22-10-2001</td>
<td>20 Th</td>
<td>RT 01 RW 01</td>
<td>NGLINGGIS</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td>CPP</td>
<td>-</td>
<td>115/78</td>
<td>94</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>51</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z23.5</td>
<td>
Need for immunization against tetanus alone </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4620</td>
<td>POLI KIA</td>
<td>22-09-2022</td>
<td></td>
<td>LAILI RAHMAWATI</td>
<td>`017709</td>
<td>07/4381</td>
<td>`0001036983328</td>
<td>`3503114406980002</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>04-06-1998</td>
<td>24 Th</td>
<td>RT 04 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>BELUM/TIDAK BEKERJA</td>
<td>Lama</td>
<td>131506010922Y001325</td>
<td>PERUT KENCENG-KENCENG</td>
<td>-</td>
<td>128/68</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>57</td>
<td>1</td>
<td>Trenggalek </td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4621</td>
<td>RAWAT INAP</td>
<td>22-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>DANANG SAIFULLAH</td>
<td>`003362</td>
<td>05/5830</td>
<td>`0001917634983</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-10-2013</td>
<td>8 Th</td>
<td>BANARAN RT1</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>batuk pilek mual muntah</td>
<td>infus rl 1500/24 jam
inj. metamizole 3x1/2
inj.ranit 2x1/2
inj.metoclop 3x1/2
pamol sy</td>
<td>90/60</td>
<td>88</td>
<td>38</td>
<td>22</td>
<td>130</td>
<td>35</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Biaya rawat inap pasien umum per hari<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Pemasangan infuse<br>Rawat
Inap pasien BPJS<br>Tindakan medis ringan lainnya<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4622</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td>KONSULTASI</td>
<td>NOVITA NORLITASARI</td>
<td>`004505</td>
<td></td>
<td>`0001037004535</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-04-1996</td>
<td>26 Th</td>
<td>BANARAN RT 6/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
 <td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4623</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td></td>
<td>EVY YULIANA</td>
<td>`010313</td>
<td></td>
<td>`0001707122801</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-07-1979</td>
<td>43 Th</td>
<td>RT 06</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001323</td>
<td>KEJU LINU</td>
<td>NATDIK KALK</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4624</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td>KONSULTASI</td>
<td>CANDRA RISKI WARDANA</td>
<td>`021496</td>
<td></td>
<td>`0002241124661</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-2017</td>
<td>5 Th</td>
<td>PRAMBON RT 19/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>80/50</td>
<td>70</td>
<td>37</td>
<td>22</td>
<td>90</td>
<td>15</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4625</td>
<td>PUSTU PRAMBON</td>
<td>22-09-2022</td>
<td>KONSULTASI</td>
<td>JARNO</td>
<td>`015132</td>
<td></td>
<td>`0002158255629</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-03-1975</td>
<td>47 Th</td>
<td>BANARAN RT 6/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4626</td>
<td>POLINDES PRAMBON 2</td>
<td>22-09-2022</td>
<td></td>
<td>ADZRIL PRADIPTA PURNIANTO</td>
 <td>`016608</td>
<td></td>
<td>`0003081250236</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-04-2021</td>
<td>1 Th</td>
<td>RT 57</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001328</td>
<td>DIARE</td>
<td>DIAFORM,ZINC,CTM,ORALIT</td>
<td>80/60</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>69</td>
<td>9</td>
<td>49</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09.9</td>
<td>
Gastroenteritis and colitis of unspecified origin </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4627</td>
<td>POLINDES NGEPEH</td>
<td>22-09-2022</td>
<td></td>
<td>MARIS EKO ARDIANTO</td>
<td>`021659</td>
<td></td>
<td>`0002802750006</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-03-1985</td>
<td>37 Th</td>
 <td>RT. 18 RW. 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>131506010922Y001898</td>
<td>KONSULTASI</td>
<td>-</td>
<td>118/67</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>168</td>
<td>62</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4628</td>
<td>POLINDES NGEPEH</td>
<td>22-09-2022</td>
<td></td>
<td>MUHDI</td>
<td>`000299</td>
<td></td>
<td>`0001270609558</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>29-12-1945</td>
<td>76 Th</td>
<td>RT 02 RW 01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001899</td>
<td>PUSING</td>
<td>AMLODIPIN</td>
 <td>167/89</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>67</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4629</td>
<td>POLINDES NGEPEH</td>
<td>22-09-2022</td>
<td></td>
<td>MARSILAH</td>
<td>`007069</td>
<td></td>
<td>`0001270608658</td>
<td>`3503054305570001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-05-1946</td>
<td>76 Th</td>
<td>KRAJAN, RT : 2,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001900</td>
<td>KEPALA TERASA BERAT</td>
<td>AMLODIPIN</td>
<td>165/98</td>
<td>88</td>
<td>36</td>
<td>18</td>
<td>157</td>
<td>62</td>
<td>81</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
 <td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4630</td>
<td>RAWAT INAP</td>
<td>22-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>ALFINO PRADANA PUTRA</td>
<td>`021500</td>
<td></td>
<td>`0000665926492</td>
<td>`</td>
<td>`</td>
<td>WIJIATI</td>
<td></td>
<td>L</td>
<td>22-04-2008</td>
<td>14 Th</td>
<td>RT 53 RW 11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>bapilnas 5 hari, nyeri tenggorokan</td>
<td>infus nacl 20 tpm,.inj.ampi 3x1
inj. metamizole 3x1
ambroxol 3x1, ctm 3x1, deksa 3x1</td>
<td>110/70</td>
<td>80</td>
<td>38</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
 <td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Pemasangan infuse<br>Tindakan medis
ringan lainnya<br>Konsultasi<br>Rawat Inap pasien BPJS<br>Rawat Inap pasien
BPJS<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Biaya rawat inap pasien umum
per hari<br>Biaya rawat inap pasien umum per hari<br>Biaya rawat inap pasien umum
per hari<br>Biaya rawat inap pasien umum per hari<br>Tindakan medis ringan
lainnya<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4631</td>
<td>POLI REMAJA</td>
<td>23-09-2022</td>
<td></td>
<td>VARENDRA ARFA SEKTIYA PUTRA</td>
<td>`002360</td>
<td>90/1353</td>
<td>`0001109932312</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-12-2012</td>
<td>9 Th</td>
<td>RT 23 RW 10</td>
<td>NGULANWETAN</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001411</td>
<td>batuk pilek nyeri telan</td>
<td>amok asmef ambroksol</td>
<td>90/60</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>136</td>
<td>52</td>
<td>56</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02</td>
<td>
Acute pharyngitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4632</td>
<td>POLI REMAJA</td>
<td>23-09-2022</td>
<td></td>
<td>ALISYA NUR`AINI</td>
<td>`021501</td>
<td>01/3384</td>
<td>`0002802762268</td>
<td>`3503055002090001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-02-2009</td>
<td>13 Th</td>
<td>DUSUN KEBONSARI, RT : 26,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001356</td>
<td>mata kiri cenut2 mblobok</td>
<td>pamol erlamicetin salep mata</td>
<td>117/73</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>41.8</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H10</td>
<td>
Conjunctivitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4633</td>
<td>POLI LANSIA</td>
<td>23-09-2022</td>
<td></td>
<td>TUMINEM</td>
<td>`002836</td>
<td>08/1826</td>
<td>`0001037005446</td>
<td>`3503057012400009</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1940</td>
<td>81 Th</td>
<td>RT 4 RW 2</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001355</td>
<td>pusing ada cacing di dubur</td>
<td>pct,albendazol</td>
<td>120/70</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>43</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4634</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>MUKALIN</td>
<td>`021502</td>
<td>01/213</td>
<td>`0001978459121</td>
<td>`350305511820001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-10-1982</td>
<td>39 Th</td>
<td>RT 20 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td>131506010922Y001352</td>
<td>benjolan pada payudara kanan</td>
<td>rujukan</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>N60.2</td>
<td>
Fibroadenosis of breast </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4635</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>DWI MEI RIYANTO</td>
<td>`021503</td>
<td></td>
<td>`</td>
<td>`3578270805800007</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-05-1980</td>
<td>42 Th</td>
<td>DUSUN KAUMAN, RT 01 RW 02, SUKOMULYO, PAJARAKAN</td>
<td>SUKOMULYO</td>
<td>PAJARAKAN</td>
<td>PROBOLINGGO</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td>cek kolesterol dan asam urat</td>
<td>-</td>
<td>130/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
 <td>160</td>
<td>60</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4636</td>
<td>POLI LANSIA</td>
<td>23-09-2022</td>
<td></td>
<td>PURWATINI</td>
<td>`003614</td>
<td>07/863</td>
<td>`0000106769698</td>
<td>`350305 </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1960</td>
<td>61 Th</td>
<td>RT 7 RW 4</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001347</td>
<td>rujukan</td>
<td>-</td>
<td>130/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>51</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4637</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>JUARIYAH</td>
<td>`002732</td>
<td>01/3107</td>
<td>`0000666192756</td>
<td>`3503054602700001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-02-1970</td>
<td>52 Th</td>
<td>DUSUN KALIPINGGIR, RT : 18,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>131506010922Y001380</td>
<td>kontrol dm dan ht</td>
<td>amlo hct metfoemin gliben aspilet</td>
<td>165/90</td>
<td>94</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>65</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4638</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>NOFIA DWI PRATIWI</td>
<td>`021504</td>
<td>01/3107</td>
<td>`0000666193544</td>
<td>`3503055511060001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-11-2008</td>
<td>13 Th</td>
<td>RT 018 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001377</td>
<td>pusing mual</td>
<td>pamol betahistin domperidon antasida</td>
<td>100/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>21.3</td>
<td>25</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H81.3</td>
<td>
Other peripheral vertigo </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4639</td>
<td>POLI LANSIA</td>
<td>23-09-2022</td>
<td></td>
<td>SAIFUDIN</td>
<td>`021505</td>
<td>01/9376</td>
<td>`</td>
<td>`3503053112550069</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1955</td>
<td>66 Th</td>
<td>DESA GONDANG, RT : 15,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>telingga tidak mendengat mata kabur</td>
<td>gliseril phenol,ctm,amlodipin</td>
<td>166/67</td>
<td>72</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>69</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>H61.2</td>
<td>
Impacted cerumen </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4640</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>ANANG MA`RUF HARDYANSYAH</td>
<td>`002058</td>
<td>03/5219</td>
<td>`0000665119247</td>
<td>`3503050510960001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-10-1996</td>
<td>25 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001351</td>
<td>kontrol </td>
<td>rujukan</td>
<td>161/98</td>
<td>109</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>80.6</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>F25.1</td>
<td>
Schizoaffective disorder, depressive type </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4641</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>NATAN DESTRA YUWALINGGA</td>
<td>`009738</td>
<td>01/09</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-12-2017</td>
<td>4 Th</td>
<td>RT 20/05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>panas batuk pilek</td>
<td>amok pamol ctm gg dexa vit c</td>
<td>1/1</td>
<td>88</td>
<td>371</td>
<td>20</td>
 <td>130</td>
<td>31.2</td>
<td>35</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4642</td>
<td>POLI REMAJA</td>
<td>23-09-2022</td>
<td></td>
<td>MUHAMMAD RAFA RISKUNA RAMADHAN</td>
<td>`021506</td>
<td>01/6397</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>25-08-2009</td>
<td>13 Th</td>
<td>RT 08 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>gatal</td>
<td>amok ctm dexa gentamisin zalp</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>41.5</td>
<td>50</td>
<td></td>
<td>KASUS BARU</td>
<td>L30.9</td>
<td>
Dermatitis, unspecified </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4643</td>
<td>POLI K.B</td>
<td>23-09-2022</td>
<td></td>
<td>RIYATIN</td>
<td>`005349</td>
<td>08/2715</td>
<td>`0000665663297</td>
<td>`3503055311770001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-11-1977</td>
<td>44 Th</td>
<td>WINONGRT2</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>4644</td>
<td>POLI K.B</td>
<td>23-09-2022</td>
<td></td>
<td>LENY SUTIYAH</td>
<td>`021507</td>
<td>08/5701</td>
<td>`0000666872954</td>
<td>`3503055207870008</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-07-1987</td>
<td>35 Th</td>
<td>RT 02 RW 01</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4645</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>SUPINI</td>
<td>`006206</td>
<td>01/2763</td>
<td>`0002802749477</td>
<td>`3503055611650001</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>16-11-1965</td>
<td>56 Th</td>
<td>RT 5 RW 3</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001359</td>
<td>cekot2 kontrol ht</td>
<td>amlodipin furosemid aspilet pamol</td>
<td>197/92</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>49</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4646</td>
<td>POLI MTBS</td>
<td>23-09-2022</td>
<td></td>
<td>TSABITA FATIMA AZ ZAHRA</td>
<td>`015805</td>
<td>01/6903</td>
<td>`0002481110313</td>
<td>`3503055407180001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-07-2018</td>
<td>4 Th</td>
<td>RT 20 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001358</td>
<td>panas batuk pilek</td>
<td>amok ctm gg dexa bc pamol</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>15.9</td>
<td>20</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4647</td>
<td>POLI KIA</td>
<td>23-09-2022</td>
<td></td>
<td>YULIATI</td>
<td>`021508</td>
<td>03/1426</td>
<td>`</td>
<td>`3503055302790002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-02-1979</td>
<td>43 Th</td>
<td>RT 03 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>nyeri haid</td>
<td>-</td>
<td>106/68</td>
<td>98</td>
<td>36</td>
<td>20</td>
<td>154</td>
 <td>56</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>N94.6</td>
<td>
Dysmenorrhoea, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4648</td>
<td>POLI KIA</td>
<td>23-09-2022</td>
<td></td>
<td>IDA NURHAYATI</td>
<td>`020352</td>
<td>90/840</td>
<td>`0002893645394</td>
<td>`3503065509860002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-09-1986</td>
<td>36 Th</td>
<td>RT 06 RW 01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>taa</td>
<td>-</td>
<td>124/78</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4649</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>WAHYU DIAN SUNARTO</td>
<td>`010297</td>
<td>06/5499</td>
<td>`0001037014569</td>
<td>`3503050303790002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-03-1979</td>
<td>43 Th</td>
<td>DUSUN KRAJAN, RT : 13,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001353</td>
<td>kontrol</td>
<td>rujukan</td>
<td>140/90</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>70</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>S92.50</td>
<td>
Fracture of other toe, closed </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4650</td>
 <td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>MARSYA NABILA PUTRI</td>
<td>`003097</td>
<td>03/7715</td>
<td>`</td>
<td>`3503056110140001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-10-2014</td>
<td>7 Th</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>panas batuk pilek</td>
<td>pamol ctm gg dexa vit c</td>
<td>1/1</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>120</td>
<td>17.8</td>
<td>20</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4651</td>
<td>POLI KIA</td>
<td>23-09-2022</td>
<td></td>
<td>FEPTIKA YUNA PERLINDA </td>
<td>`010387</td>
<td>01/824</td>
<td>`</td>
<td>`3503055804910002</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>18-04-1991</td>
<td>31 Th</td>
<td>RT 014 RW 004</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>mual</td>
<td>-</td>
<td>115/74</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4652</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>SRI LESTARI</td>
<td>`004946</td>
<td>01/311</td>
<td>`0001181377822</td>
<td>`3503055702660001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-02-1966</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
 <td>Lama</td>
<td>131506010922Y001372</td>
<td>meriang batuk pilek</td>
<td>cipro pamol ctm gg dexa</td>
<td>147/77</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>61</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4653</td>
<td>POLI REMAJA</td>
<td>23-09-2022</td>
<td></td>
<td>ANDI ALIF FATZAKY</td>
<td>`003476</td>
<td>01/16</td>
<td>`0002867872858</td>
<td>`3503051902070002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-02-2007</td>
<td>15 Th</td>
<td>RT 33 RW 8</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001371</td>
<td>batuk panas sesak</td>
<td>amok gg pamol dexa</td>
<td>132/65</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>66.5</td>
 <td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4654</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>SOFIYA FITRI RAMADHANI</td>
<td>`001588</td>
<td>01/1831</td>
<td>`0002069585921</td>
<td>`3503054307160001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-07-2016</td>
<td>6 Th</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001370</td>
<td>pusing batuk pilek</td>
<td>amok pamol ctm gg dexa</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>17.5</td>
<td>20</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
 <td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4655</td>
<td>POLI REMAJA</td>
<td>23-09-2022</td>
<td></td>
<td>HAYA MUNA AZIZAH</td>
<td>`021509</td>
<td>05/1855</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-01-2012</td>
<td>10 Th</td>
<td>RT 01 RW 01</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Baru</td>
<td></td>
<td>bintik2 berisis cairan pada badan</td>
<td>acyklovir tablet acyclovir salep ctm dexa pamol</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>135</td>
<td>33.7</td>
<td>35</td>
<td></td>
<td>KASUS BARU</td>
<td>B01.9</td>
<td>
Varicella without complication </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4656</td>
<td>POLI LANSIA</td>
 <td>23-09-2022</td>
<td></td>
<td>PARTINI</td>
<td>`000043</td>
<td>01/852</td>
<td>`0000664933342</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-11-1956</td>
<td>65 Th</td>
<td>RT 19 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001357</td>
<td>nyeri epigastrik</td>
<td>meto,antasida,omeprazol,pct bc</td>
<td>130/66</td>
<td>89</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>49</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4657</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>YANUAR RIZQI KURNIAWAN</td>
<td>`010697</td>
<td>02/1321</td>
<td>`0000106886891</td>
<td>`3503051101030001</td>
<td>`</td>
<td></td>
 <td></td>
<td>L</td>
<td>11-01-2003</td>
<td>19 Th</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001464</td>
<td>cek golda</td>
<td>-</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4658</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>MUJIATI</td>
<td>`009175</td>
<td>07/1631</td>
<td>`0003101238077</td>
<td>`3503054612710002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-12-1971</td>
<td>50 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
 <td>Lama</td>
<td>131506010922Y001354</td>
<td>kontrol</td>
<td>rujukan</td>
<td>134/63</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>54</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H36.0</td>
<td>
Diabetic retinopathy </td>
<td>H59.9</td>
<td>
Postprocedural disorder of eye and adnexa, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4659</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>AMINATUL FUAD</td>
<td>`020906</td>
<td>01/421</td>
<td>`0000664917197</td>
<td>`3503056404930001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-04-1993</td>
<td>29 Th</td>
<td>DUSUN KEBONSARI, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001376</td>
<td>panas batuk pusing nyeri ulu hati</td>
<td>amok pamol ctm gg domperidon antasida</td>
<td>110/71</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46.1</td>
 <td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.0</td>
<td>
Acute laryngopharyngitis </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4660</td>
<td>PUSTU PRAMBON</td>
<td>23-09-2022</td>
<td></td>
<td>NAFIA A NURHIDAYAH</td>
<td>`001644</td>
<td>06/8003</td>
<td>`0002867872601</td>
<td>`3503054803940004</td>
<td>`</td>
<td></td>
<td>085231181227</td>
<td>P</td>
<td>08-03-1994</td>
<td>28 Th</td>
<td>PRAMBON RT37/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001409</td>
<td>NYERI ULU HATI</td>
<td>PAMOL BCOMEPRAZOLE</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4661</td>
<td>PUSTU PRAMBON</td>
<td>23-09-2022</td>
<td></td>
<td>IMAM HANAFI</td>
<td>`001643</td>
<td></td>
<td>`0002802766059</td>
<td>`3503050703570001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-03-1957</td>
<td>65 Th</td>
<td>DUSUN PAKEL, RT : 37,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001410</td>
<td>KEMBUNG</td>
<td>PAMOL OMEPRAZOLE GG</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4662</td>
<td>POLI UMUM</td>
 <td>23-09-2022</td>
<td></td>
<td>AHMAD FAUZAN LAMANDIKA</td>
<td>`001071</td>
<td>01/421</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-06-2017</td>
<td>5 Th</td>
<td>RT 23 RW 06</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>batuk pilek</td>
<td>amok ctm dexa obh syr</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>15</td>
<td>20</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4663</td>
<td>POLI GIZI</td>
<td>23-09-2022</td>
<td></td>
<td>FEPTIKA YUNA PERLINDA </td>
<td>`010387</td>
<td>01/824</td>
<td>`</td>
<td>`3503055804910002</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>18-04-1991</td>
<td>31 Th</td>
<td>RT 014 RW 004</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>mual</td>
<td>-</td>
<td>115/74</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4664</td>
<td>PUSTU PRAMBON</td>
<td>23-09-2022</td>
<td></td>
<td>TEGUH MUNANTO</td>
<td>`021510</td>
<td></td>
<td>`0001707022539</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-04-1998</td>
<td>24 Th</td>
<td>PRAMBN RT 39/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
 <td>131506010922Y001457</td>
<td>BATUK</td>
<td>IBU 400 GG</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>55</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4665</td>
<td>POLI KIA</td>
<td>23-09-2022</td>
<td></td>
<td>FAIZATUL MUNA</td>
<td>`017914</td>
<td>01/299</td>
<td>`0000666649855</td>
<td>`3503054905970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-05-1997</td>
<td>25 Th</td>
<td>DUSUN KEBONSARI, RT : 26,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>taa</td>
<td>-</td>
<td>120/84</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>64</td>
<td>1</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4666</td>
<td>POLI REMAJA</td>
<td>23-09-2022</td>
<td></td>
<td>MARSYA DIAN WULANDARI</td>
<td>`009038</td>
<td>02/2430</td>
<td>`0001978460032</td>
<td>`3503055203050001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-03-2005</td>
<td>17 Th</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001373</td>
<td>panas batuk pilek</td>
<td>pamol ctm gg vit c</td>
<td>1/1</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>120</td>
<td>17.8</td>
<td>25</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4667</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>ISNA HAYUN NURUSSAFA</td>
<td>`010537</td>
<td>02/1337</td>
<td>`0002161669511</td>
<td>`3503055410160001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-10-2016</td>
<td>5 Th</td>
<td>DSN ETAN KALI, RT : 19,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001375</td>
<td>mual munbtah</td>
<td>antasida si=yr domperidon syr pamol</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>17.7</td>
<td>20</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4668</td>
<td>POLI MTBS</td>
<td>23-09-2022</td>
 <td></td>
<td>MUHAMMAD THORIQUL HUDA</td>
<td>`013121</td>
<td>04/7539</td>
<td>`0003079617805</td>
<td>`3503050511200001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-11-2020</td>
<td>1 Th</td>
<td>RT 018 RW 008</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001374</td>
<td>panas mual mblobok</td>
<td>kloram salep mata pamol syr ctm dexa bc</td>
<td>1/1</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>70</td>
<td>9.8</td>
<td>15</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>H10</td>
<td>
Conjunctivitis </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4669</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>ANINDA PUTRI ARYANI</td>
<td>`002686</td>
<td>07/147</td>
<td>`</td>
<td>`3503054503960001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>05-03-1996</td>
<td>26 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>sks</td>
<td>-</td>
<td>112/76</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>45</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4670</td>
<td>PUSTU PRAMBON</td>
<td>23-09-2022</td>
<td></td>
<td>YUNIARSIH</td>
<td>`007729</td>
<td>06/6127</td>
<td>`0002842486402</td>
<td>`3503086006810005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-06-1981</td>
<td>41 Th</td>
<td>RT 8 RW 2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001458</td>
 <td>PUSING MUAL</td>
<td>PAMOL BC ANTASID</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>62</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4671</td>
<td>POLI KIA</td>
<td>23-09-2022</td>
<td></td>
<td>FATIMAH</td>
<td>`020219</td>
<td>06/9349</td>
<td>`0001442558384</td>
<td>`9105016702970002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-02-1997</td>
<td>25 Th</td>
<td>RT 20 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>taa</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>56</td>
<td>1</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4672</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>PAITO</td>
<td>`020974</td>
<td>06/9349</td>
<td>`0001103796178</td>
<td>`9105010409630002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-09-1963</td>
<td>59 Th</td>
<td>RT 20 RW 04</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>131506010922Y001360</td>
<td>kontrol</td>
<td>rujukan</td>
<td>157/83</td>
<td>93</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>68.7</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K40.9</td>
<td>
Unilateral or unspecified inguinal hernia, without obstruction or
gangrene </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4673</td>
<td>PONKESDES BANARAN</td>
<td>23-09-2022</td>
<td></td>
<td>SAIPUDIN ZULIRI</td>
<td>`018306</td>
<td></td>
<td>`0001037005132</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-10-1994</td>
<td>27 Th</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>131506010922Y001426</td>
<td>terkilir</td>
<td>nadic,bc</td>
<td>120/70</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>175</td>
<td>70</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4674</td>
<td>PUSTU PRAMBON</td>
<td>23-09-2022</td>
 <td></td>
<td>KOLIDAH</td>
<td>`021511</td>
<td></td>
<td>`0002502622045</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-09-1958</td>
<td>64 Th</td>
<td>PRAMBON RT 39/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>PUSING MUAL</td>
<td>PAMOL ANTASID SIRUP</td>
<td>120/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>165</td>
<td>65</td>
<td>0</td>
<td>Klinik Ammar Medika Center</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4675</td>
<td>PUSTU PRAMBON</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>HABIB SLAMET ALKHOIRI</td>
<td>`004314</td>
<td></td>
<td>`0002502620458</td>
<td>`3503051606930001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
 <td>16-06-1993</td>
<td>29 Th</td>
<td>DUSUN PAKEL, RT : 39,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4676</td>
<td>PUSTU PRAMBON</td>
<td>23-09-2022</td>
<td></td>
<td>WIJIATI</td>
<td>`000840</td>
<td>06/3537</td>
<td>`0000666075609</td>
<td>`3503054502780001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-02-1978</td>
<td>44 Th</td>
<td>PRAMBON RT 5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001459</td>
 <td>PUSING</td>
<td>NATDIK AMLO 10 MG</td>
<td>170/80</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>45</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4677</td>
<td>POLI MTBS</td>
<td>23-09-2022</td>
<td></td>
<td>NIZAM ALBY ALFARISKI</td>
<td>`012321</td>
<td>04/2488</td>
<td>`0003105427138</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>18-10-2020</td>
<td>1 Th</td>
<td>RT 51 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001369</td>
<td>batuk penis digigit serangga</td>
<td>amok ctm gg dr=exa </td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>110</td>
<td>11</td>
<td>15</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>T63.4</td>
<td>
Toxic effect of venom of other arthropods </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4678</td>
<td>PUSTU PRAMBON</td>
<td>23-09-2022</td>
<td></td>
<td>SARINAH</td>
<td>`001132</td>
<td></td>
<td>`0000666075519</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1951</td>
<td>71 Th</td>
<td>PRAMBON RT 5/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001460</td>
<td>PUSING</td>
<td>IBU 400 AMLO 10 MG</td>
<td>150/70</td>
<td>80</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4679</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>LINA ASTUTI</td>
<td>`006050</td>
<td>04/2488</td>
<td>`0002014055739</td>
<td>`3503056103980003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-03-1998</td>
<td>24 Th</td>
<td>RT 50 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001385</td>
<td>batuk </td>
<td>amok obh</td>
<td>121/64</td>
<td>97</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>38.6</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4680</td>
<td>PONKESDES BANARAN</td>
<td>23-09-2022</td>
<td></td>
 <td>IDA FITRIANA</td>
<td>`014148</td>
<td></td>
<td>`0000665455173</td>
<td>`3503056210930001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>22-10-1993</td>
<td>28 Th</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001427</td>
<td>nyeri telan</td>
<td>deksa,ctm</td>
<td>110/70</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.0</td>
<td>
Streptococcal pharyngitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4681</td>
<td>POLI MTBS</td>
<td>23-09-2022</td>
<td></td>
<td>SYAKINA AULIA NUGROHO</td>
<td>`021512</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-12-2017</td>
 <td>4 Th</td>
<td>RT 15 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td></td>
<td>BELUM BEKERJA</td>
<td>Lama</td>
<td></td>
<td>panas batuk pilek</td>
<td>pamol syr gg ctm dexa domperidon</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>115</td>
<td>15</td>
<td>15</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4682</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>SALSABIL ABDILLAH</td>
<td>`005341</td>
<td>01/4543</td>
<td>`</td>
<td>`3503056608020001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-08-2002</td>
<td>20 Th</td>
<td>RT 02 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>lemes pusing mual</td>
 <td>pamol antasida domperidon omz</td>
<td>125/80</td>
<td>124</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>76.3</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
Fever with chills </td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4683</td>
<td>PUSTU PRAMBON</td>
<td>23-09-2022</td>
<td></td>
<td>AGIL SAHIT DWI SAPUTRA</td>
<td>`012691</td>
<td></td>
<td>`0002802772135</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-07-1998</td>
<td>24 Th</td>
<td>BANARAN RT 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001462</td>
<td>PUSING</td>
<td>IBU 400 BC</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>60</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4684</td>
<td>PONKESDES BANARAN</td>
<td>23-09-2022</td>
<td></td>
<td>JUMINI</td>
<td>`012179</td>
<td>05/5970</td>
<td>`0000666301094</td>
<td>`3503057101750001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-10-1975</td>
<td>46 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001432</td>
<td>flu 4 hari,greges</td>
<td>amox,bc,pct</td>
<td>120/70</td>
<td>90</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4685</td>
<td>PUSTU PRAMBON</td>
<td>23-09-2022</td>
<td></td>
<td>M. TEGAR NOVIAN FAHRIZA</td>
<td>`011941</td>
<td></td>
<td>`0002802758646</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-11-2009</td>
<td>12 Th</td>
<td>PRAMBON RT 41</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001461</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4686</td>
<td>POLI GIGI</td>
<td>23-09-2022</td>
<td></td>
<td>LEILA AMBARWATI SAHWAHITA</td>
 <td>`021513</td>
<td>03/8079</td>
<td>`0003068068421</td>
<td>`3503056602160001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-02-2016</td>
<td>6 Th</td>
<td>RT 06 RW 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4687</td>
<td>PUSTU PRAMBON</td>
<td>23-09-2022</td>
<td></td>
<td>KHOLIFAH</td>
<td>`004335</td>
<td>06/282</td>
<td>`0001037015111</td>
<td>`3503056109800001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-09-1980</td>
<td>42 Th</td>
 <td>DUSUN PAKEL, RT : 154,RW :8 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>131506010922Y001463</td>
<td>BATUK MUAL</td>
<td>GG ANTASID</td>
<td>110/70</td>
<td>76</td>
<td>37</td>
<td>22</td>
<td>160</td>
<td>65</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Ns. Toto Priyanto, S.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4688</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>PUJIANTO</td>
<td>`018504</td>
<td>08/1876</td>
<td>`0000666538593</td>
<td>`3503051901010001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-01-2001</td>
<td>21 Th</td>
<td>DESA WINONG, RT : 1,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001361</td>
<td>kontrol</td>
<td>rujukan</td>
 <td>114/78</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>55.6</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>B20</td>
<td>
Human immunodeficiency virus [HIV] disease resulting in infectious and
parasitic diseases </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4689</td>
<td>POLI UMUM</td>
<td>23-09-2022</td>
<td></td>
<td>DWI SUSANTI</td>
<td>`000393</td>
<td>90/3186</td>
<td>`0001808667933</td>
<td>`3503114712790002</td>
<td>`90/3186</td>
<td></td>
<td></td>
<td>P</td>
<td>07-12-1979</td>
<td>42 Th</td>
<td>JL SUTAN SYAHRIR, RT : 014,RW :005 </td>
<td>SUMBERGEDONG</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001363</td>
<td>nyeri telan batuk pilek nyeri ulu hati</td>
<td>cipro pamol deksa antasida omz</td>
<td>109/63</td>
<td>81</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>47.9</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4690</td>
<td>PUSTU NGEPEH</td>
<td>23-09-2022</td>
<td></td>
<td>K.ASRI</td>
<td>`002874</td>
<td></td>
<td>`0000665940306</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-03-1935</td>
<td>87 Th</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 SULISTI HANDAYANI,Amd.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4691</td>
<td>PUSTU NGEPEH</td>
<td>23-09-2022</td>
<td></td>
<td>PARMI</td>
<td>`000049</td>
<td>04/3761</td>
<td>`0002867872724</td>
<td>`3503056701530001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-01-1953</td>
<td>69 Th</td>
<td>RT 19 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4692</td>
<td>POLI KIA</td>
<td>23-09-2022</td>
<td></td>
<td>LAILI RAHMAWATI</td>
 <td>`017709</td>
<td>07/4381</td>
<td>`0001036983328</td>
<td>`3503114406980002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1998</td>
<td>24 Th</td>
<td>RT 04 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>BELUM/TIDAK BEKERJA</td>
<td>Lama</td>
<td></td>
<td>taa</td>
<td>-</td>
<td>110/74</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>1</td>
<td>Trenggalek </td>
<td>KASUS BARU</td>
<td>O80.9</td>
<td>
Single spontaneous delivery, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4693</td>
<td>RAWAT INAP</td>
<td>23-09-2022</td>
<td></td>
<td>AHMAD NURAHMAN</td>
<td>`014625</td>
<td></td>
<td>`0001684150299</td>
<td>`1506052603070001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-03-2007</td>
<td>15 Th</td>
 <td>RT</td>
<td>TANJUNG SARI</td>
<td>JABUNG</td>
<td>LAMPUNG TIMUR</td>
<td>LAMPUNG</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>batuk, sesak, lemas</td>
<td>inf rl, inj ampi, dexa 1a, PO gg, salbu</td>
<td>110/70</td>
<td>98</td>
<td>36</td>
<td>22</td>
<td>137</td>
<td>35</td>
<td>0</td>
<td>LUBUK KAMBING</td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Layanan Unit Gawat Darurat (UGD)<br>Konsultasi<br>Pemasangan
infuse<br>Pemasangan oksigen/jam<br>Rujukan Ke RS di Trenggalek PKM Tugu<br> </td>
</tr>
<tr align='left' valign="top">
<td>4694</td>
<td>RAWAT INAP</td>
<td>23-09-2022</td>
<td>Rawat Inap (UMUM)</td>
<td>SALWA NOVITA PUTRI AGUSTINA</td>
<td>`021518</td>
<td>05/1388</td>
<td>`</td>
<td>`3503032402051315</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-04-2021</td>
<td>1 Th</td>
<td>RT 9 RW 5</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td></td>
<td>ibu px mengatakan anaknya panas 1 hari, muntah 2x, batuk, pilek dan nafsu
makan menurun</td>
<td>inf NS 800 cc/24 jam, inj. ampicillin 3x250 mg, inj. santagesik 3x1/4
amp, inj. meto 3x1/4 amp, puyer 3x1</td>
<td>1/1</td>
<td>100</td>
<td>37</td>
<td>22</td>
<td>100</td>
<td>8</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R50</td>
<td>
Fever of other and unknown origin </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pemasangan infuse<br>Konsultasi<br>Tindakan medis ringan
lainnya<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Konsultasi<br>Tindakan
medis ringan lainnya<br>Konsultasi<br>Tindakan medis ringan lainnya<br>Biaya rawat
inap pasien umum per hari<br>Biaya rawat inap pasien umum per hari<br>Biaya rawat
inap pasien umum per hari<br>Biaya rawat inap pasien umum per hari<br>Biaya rawat
inap pasien umum per hari<br> </td>
</tr>
<tr align='left' valign="top">
<td>4695</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>TRIO ADI SAPUTRA</td>
<td>`021519</td>
<td></td>
<td>`0002126916101</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-01-2014</td>
<td>8 Th</td>
<td> RT 13 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>1/1</td>
<td>100</td>
 <td>36</td>
<td>22</td>
<td>110</td>
<td>17</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4696</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>SIGIT HADI NUGROHO</td>
<td>`021520</td>
<td></td>
<td>`0000665460044</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>24-04-1986</td>
<td>36 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/700</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>170</td>
<td>60</td>
<td>96</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4697</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>MAUNAH</td>
<td>`009653</td>
<td></td>
<td>`0000665466232</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-04-1948</td>
<td>74 Th</td>
<td>RT 016 RW 000</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>89</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>61</td>
<td>95</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4698</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>RIO PUTRA ADIANSYAH</td>
<td>`021521</td>
<td></td>
<td>`0000665469674</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-10-1998</td>
<td>23 Th</td>
<td>RT16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>170</td>
<td>56</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4699</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>SLAMET</td>
<td>`021522</td>
<td></td>
<td>`0000665475006</td>
 <td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1951</td>
<td>70 Th</td>
<td>RT16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>35</td>
<td>22</td>
<td>165</td>
<td>58</td>
<td>96</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A02.2</td>
<td>
Localized salmonella infections </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4700</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>SULASTRI</td>
<td>`019155</td>
<td></td>
<td>`0000665475478</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1955</td>
<td>66 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perdagangan</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4701</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>UMARDANI</td>
<td>`021223</td>
<td>02/1439</td>
<td>`0000665598914</td>
<td>`3503050101570002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-01-1957</td>
<td>65 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>90</td>
<td>35</td>
 <td>22</td>
<td>168</td>
<td>60</td>
<td>97</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4702</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>ISTIQOMAH</td>
<td>`012270</td>
<td></td>
<td>`0000665599083</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-05-1968</td>
<td>54 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Peternak</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>35</td>
<td>22</td>
<td>154</td>
<td>62</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4703</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>MUHAMMAD NGUBAIDILLAH</td>
<td>`021523</td>
<td></td>
<td>`0000665600242</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>23-09-1997</td>
<td>25 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Tentara Nasional Indonesia</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/70</td>
<td>90</td>
<td>36</td>
<td>22</td>
<td>170</td>
<td>60</td>
<td>95</td>
<td>KLINIK DENKESYAH 02.04.04 PLG</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4704</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>MULYONO</td>
<td>`008368</td>
<td>02/3083</td>
<td>`0000665611929</td>
<td>`3503050203660002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-03-1966</td>
<td>56 Th</td>
<td>RT 16 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>98</td>
<td>36</td>
<td>22</td>
<td>168</td>
<td>65</td>
<td>97</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4705</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>FITRIYAH</td>
<td>`021524</td>
<td></td>
<td>`0000665612515</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-05-1975</td>
<td>47 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4706</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>HIMATUS ZAKIYAH</td>
<td>`021525</td>
<td></td>
<td>`0000665613415</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-03-1998</td>
<td>24 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>89</td>
<td>35</td>
<td>22</td>
<td>155</td>
<td>55</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4707</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>NOVI NUR AZIZAH</td>
<td>`021526</td>
<td></td>
<td>`0000665613832</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-2000</td>
<td>22 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
 <td>156</td>
<td>51</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4708</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>KUSERI</td>
<td>`021527</td>
<td></td>
<td>`0000665632541</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1960</td>
<td>61 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Tani / Perkebunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>90</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>62</td>
<td>96</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4709</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>JUASRI</td>
<td>`010332</td>
<td>02/64</td>
<td>`0000665633171</td>
<td>`3503057112650090</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1965</td>
<td>56 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>52</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>4710</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>DEWI MASROKAH</td>
<td>`011124</td>
<td>02/64</td>
<td>`0000665634172</td>
<td>`3503056505950002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>25-05-1995</td>
<td>27 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>56</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4711</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>SAIM</td>
<td>`021528</td>
<td></td>
<td>`0000665676764</td>
<td>`</td>
<td>`</td>
 <td></td>
<td></td>
<td>L</td>
<td>31-12-1959</td>
<td>62 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Tani / Perkebunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>90</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>65</td>
<td>97</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4712</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>NURUL HIDAYAH</td>
<td>`021529</td>
<td></td>
<td>`0000665677078</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-12-1993</td>
<td>28 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>78</td>
<td>35</td>
<td>22</td>
<td>155</td>
<td>52</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4713</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>KUSNAN</td>
<td>`021530</td>
<td></td>
<td>`0000665800953</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-10-1942</td>
<td>79 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>165</td>
 <td>66</td>
<td>97</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4714</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>ASIAH</td>
<td>`010636</td>
<td></td>
<td>`0000665801403</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-02-1955</td>
<td>67 Th</td>
<td>RT 016 RW 003</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>90</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>56</td>
<td>94</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4715</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>SENEN</td>
<td>`021531</td>
<td></td>
<td>`0000665856527</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-07-1952</td>
<td>70 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>98</td>
<td>36</td>
<td>22</td>
<td>167</td>
<td>68</td>
<td>96</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4716</td>
 <td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>WIJI</td>
<td>`009652</td>
<td></td>
<td>`0000665856562</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-03-1961</td>
<td>61 Th</td>
<td>RT 016 RW 000</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>35</td>
<td>22</td>
<td>155</td>
<td>65</td>
<td>95</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4717</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>LASMINI</td>
<td>`000685</td>
<td>02/1328</td>
<td>`0000665856718</td>
<td>`</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>01-09-1988</td>
<td>34 Th</td>
<td>RT 16 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>61</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4718</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>AHMAD JALIL</td>
<td>`002304</td>
<td>02/1367</td>
<td>`0000665856999</td>
<td>`3503050404900001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-04-1990</td>
<td>32 Th</td>
<td>RT 20 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
 <td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>97</td>
<td>36</td>
<td>22</td>
<td>169</td>
<td>63</td>
<td>97</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4719</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>AMIR MA`RUF</td>
<td>`021532</td>
<td></td>
<td>`0000665856641</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-02-1983</td>
<td>39 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>170</td>
<td>62</td>
 <td>95</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4720</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>AHMAD ZUBAIRI</td>
<td>`012319</td>
<td></td>
<td>`0000665868712</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>03-12-1938</td>
<td>83 Th</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>100</td>
<td>35</td>
<td>22</td>
<td>165</td>
<td>60</td>
<td>97</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
 <td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4721</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>SUPARMI</td>
<td>`009641</td>
<td></td>
<td>`0000665868879</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>18-11-1948</td>
<td>73 Th</td>
<td>RT 16</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>89</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>65</td>
<td>96</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4722</td>
<td>POLINDES NGLONGSOR</td>
 <td>23-09-2022</td>
<td>KONSULTASI</td>
<td>SADALI</td>
<td>`010988</td>
<td>02/606</td>
<td>`0000665875833</td>
<td>`3503053112620042</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1962</td>
<td>59 Th</td>
<td>RT 16 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>120/80</td>
<td>98</td>
<td>36</td>
<td>22</td>
<td>167</td>
<td>65</td>
<td>96</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4723</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>SITI MAHMUDAH</td>
<td>`019909</td>
<td>02/606</td>
<td>`0000665877317</td>
<td>`3503054511750005</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>01-11-1975</td>
<td>46 Th</td>
<td>16/04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>90</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>48</td>
<td>92</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4724</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>RISKA NIHAYATUL MUFIDAH</td>
<td>`021533</td>
<td></td>
<td>`0000665878342</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-04-2001</td>
<td>21 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
 <td>Konseling</td>
<td>-</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>35</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>93</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4725</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>AHMAD MUHIBUDIN</td>
<td>`021534</td>
<td></td>
<td>`0000665877475</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-01-1999</td>
<td>23 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>168</td>
<td>55</td>
<td>95</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4726</td>
<td>POLINDES NGLONGSOR</td>
<td>23-09-2022</td>
<td>KONSULTASI</td>
<td>RISQI NUR KHAMIDAH</td>
<td>`021535</td>
<td></td>
<td>`0000665877431</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-07-1995</td>
<td>27 Th</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>-</td>
<td>-</td>
<td>110/60</td>
<td>89</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>61</td>
<td>93</td>
<td>Trenggalek </td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
Sri Nurhidayati,A.Md.Kep. </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4727</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td></td>
<td>ISMIRAH</td>
<td>`000126</td>
<td>01/2838</td>
<td>`0001266022877</td>
<td>`3503055207600008</td>
<td>`118041</td>
<td></td>
<td></td>
<td>P</td>
<td>12-07-1960</td>
<td>62 Th</td>
<td>DUSUN KEBONSARI, RT : 032,RW :008 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001415</td>
<td>kontrol tensi</td>
<td>amlodipin 10</td>
<td>129/77</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4728</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
 <td></td>
<td>MURAH</td>
<td>`021464</td>
<td>06/4777</td>
<td>`</td>
<td>`3503056610710001</td>
<td>`</td>
<td>sukardi</td>
<td></td>
<td>P</td>
<td>26-10-1971</td>
<td>50 Th</td>
<td>RT 34 RW 6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>pusing perut perih batuk</td>
<td>omeprazole antasida pct</td>
<td>148/72</td>
<td>120</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>58.7</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td>F41</td>
<td>
Other anxiety disorders </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4729</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td></td>
<td>MUYATI</td>
<td>`019435</td>
<td>02/1568</td>
<td>`0000666152605</td>
<td>`3503055206620002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>12-06-1962</td>
<td>60 Th</td>
<td>RT 05 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001412</td>
<td>mata berair sakit kadang2 kabur</td>
<td>-</td>
<td>130/70</td>
<td>90</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H52.5</td>
<td>
Disorders of accommodation </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4730</td>
<td>POLI REMAJA</td>
<td>24-09-2022</td>
<td></td>
<td>MAKMUR BIRRUSSALIM</td>
<td>`021543</td>
<td>01/622</td>
<td>`</td>
<td>`3503050203090001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-03-2009</td>
<td>13 Th</td>
<td>DUSUN KEBON, RT : 22,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
 <td>panas batuk pilek</td>
<td>ambroksol pct</td>
<td>100/62</td>
<td>102</td>
<td>36</td>
<td>20</td>
<td>141</td>
<td>39</td>
<td>40</td>
<td></td>
<td>KASUS BARU</td>
<td>J06</td>
<td>
Acute upper respiratory infections of multiple and unspecified sites
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4731</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td></td>
<td>SUPARLAN</td>
<td>`017342</td>
<td>90/1876</td>
<td>`</td>
<td>`3503060112520002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-12-1952</td>
<td>69 Th</td>
<td>RT 013 RW 003</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td>telinga berair,pusing </td>
<td>amox asmef ctm dexa</td>
<td>126/61</td>
<td>103</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>52</td>
<td>80</td>
 <td>UMBULSARI</td>
<td>KASUS BARU</td>
<td>H66.9</td>
<td>
Otitis media, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4732</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>ANIS FATIMATUS ZAHRO</td>
<td>`020441</td>
<td>01/2991</td>
<td>`0001438973853</td>
<td>`3503055404900002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-04-1990</td>
<td>32 Th</td>
<td>RT 8 RW 3</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001413</td>
<td>nyeri bak</td>
<td>rujukan</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>N20.1</td>
<td>
Calculus of ureter </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4733</td>
<td>POLINDES PRAMBON 2</td>
<td>24-09-2022</td>
<td></td>
<td>PURYATI</td>
<td>`019009</td>
<td></td>
<td>`0000666225865</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-05-1982</td>
<td>40 Th</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001566</td>
<td>PERIKSA HAMIL</td>
<td>ASPOL,FE,CALK</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>154</td>
<td>60</td>
<td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34</td>
<td>
Supervision of normal pregnancy </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4734</td>
<td>POLI MTBS</td>
<td>24-09-2022</td>
 <td></td>
<td>ATTALARIC ZAKARIA CAHYANA</td>
<td>`020432</td>
<td>05/5721</td>
<td>`0003284262314</td>
<td>`3503050601220002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-01-2022</td>
<td>0 Th</td>
<td>RT 005 RW 003</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001439</td>
<td>batuk pilek</td>
<td>pct syr ctm bc</td>
<td>1/1</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>62</td>
<td>6.9</td>
<td>10</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K12.0</td>
<td>
Recurrent oral aphthae </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4735</td>
<td>POLINDES PRAMBON 2</td>
<td>24-09-2022</td>
<td></td>
<td>LISTIANA</td>
<td>`000317</td>
<td>06/3321</td>
<td>`0000666278932</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>12-06-1991</td>
<td>31 Th</td>
<td>RT 49 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001567</td>
<td>Panas,bapil</td>
<td>pct,ambrox,antas,ctm,b.c</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>156</td>
<td>54</td>
<td>84</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4736</td>
<td>POLI REMAJA</td>
<td>24-09-2022</td>
<td></td>
<td>NAFISA BASTIATU SALAMAH</td>
<td>`021544</td>
<td>04/2796</td>
<td>`0000666123074</td>
<td>`3503054511080001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-11-2008</td>
<td>13 Th</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001441</td>
 <td>pusing</td>
<td>pct ctm vit c</td>
<td>101/64</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4737</td>
<td>POLINDES PRAMBON 2</td>
<td>24-09-2022</td>
<td></td>
<td>INAWATI</td>
<td>`003808</td>
<td>06/5856B</td>
<td>`</td>
<td>`3503054803820001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-03-1982</td>
<td>40 Th</td>
<td>DUSUN PAKEL, RT : 33,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>meriang,mual</td>
<td>pct,antas,ctm,b.c</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>84</td>
<td></td>
 <td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4738</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>NANING ESTI</td>
<td>`001397</td>
<td>06/6255</td>
<td>`0002419756119</td>
<td>`3503055911760001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-11-1979</td>
<td>42 Th</td>
<td>RT : 042,RW :008</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001419</td>
<td>KONTROL</td>
<td>RUJUKAN</td>
<td>162/94</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>62.2</td>
<td>65</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4739</td>
<td>POLINDES PRAMBON 2</td>
<td>24-09-2022</td>
<td></td>
<td>FITO ASKA RAMADHAN</td>
<td>`014219</td>
<td></td>
<td>`0002459455986</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-05-2018</td>
<td>4 Th</td>
<td>RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001568</td>
<td>diare</td>
<td>diaform,zinc,pct,oralit</td>
<td>80/60</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>101</td>
<td>12</td>
<td>45</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4740</td>
<td>POLI GIGI</td>
<td>24-09-2022</td>
<td></td>
 <td>NABELA AYUDIA PRAMESWARI</td>
<td>`011721</td>
<td>01/9182</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-11-2015</td>
<td>6 Th</td>
<td>RT 03 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi bawah kanan kiri kesundulan</td>
<td>extractie 81 71</td>
<td>100/60</td>
<td>87</td>
<td>36</td>
<td>25</td>
<td>129</td>
<td>21</td>
<td>63</td>
<td></td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4741</td>
<td>POLI K.B</td>
<td>24-09-2022</td>
<td></td>
<td>YENI KARTIKASARI</td>
<td>`018828</td>
<td>01/9182</td>
<td>`</td>
<td>`3503066005750006</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
 <td>20-05-1975</td>
<td>47 Th</td>
<td>DUSUN TALUN, RT : 3,RW :1 </td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4742</td>
<td>POLINDES PRAMBON 2</td>
<td>24-09-2022</td>
<td></td>
<td>PAIKEM</td>
<td>`001532</td>
<td></td>
<td>`0000666210273</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1963</td>
<td>59 Th</td>
<td>PRAMBON RT48/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001569</td>
 <td>perut perih</td>
<td>antas</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>157</td>
<td>54</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
FERA DANIATI,Amd.Keb </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4743</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td></td>
<td>AHMAD RIYADI</td>
<td>`000269</td>
<td>90/55</td>
<td>`0001318095268</td>
<td>`9171031009490001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-09-1949</td>
<td>73 Th</td>
<td>RT 03 RW 01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001416</td>
<td>kontrol bahu nyeri</td>
<td>nadic,ibuprofen ambroxol b1</td>
<td>130/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>52</td>
<td>88</td>
<td>Tugu</td>
 <td>KASUS LAMA</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4744</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>RUBIAH</td>
<td>`000513</td>
<td>01/614</td>
<td>`0000665547704</td>
<td>`3503057112660013</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1966</td>
<td>55 Th</td>
<td>DUSUN KEBON, RT : 34,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001417</td>
<td>KONTROL PRB</td>
<td>AMLODIPIN 10 MG 1X1 NO XXX,BISOPROLOL 5 MG 1X1 NO XXX CPG 75 MG 1X1 NO
XXX</td>
<td>179/100</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>49.8</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4745</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td></td>
<td>KARMINTEN</td>
<td>`015000</td>
<td>07/9377</td>
<td>`0001978436125</td>
<td>`3503057112300041</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1930</td>
<td>91 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001414</td>
<td>mata kabur</td>
<td>-</td>
<td>130/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>150</td>
<td>52</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H25</td>
<td>
Senile cataract </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4746</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
 <td></td>
<td>MONICA MARCHELIA</td>
<td>`021546</td>
<td>90/01</td>
<td>`</td>
<td>`6473036703030002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-03-2003</td>
<td>19 Th</td>
<td>RT 13 RW 02</td>
<td>GAMPING</td>
<td>SURUH</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td></td>
<td>nyeri perut atas</td>
<td>omeprazole antasida</td>
<td>125/73</td>
<td>75</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>50</td>
<td></td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4747</td>
<td>POLI GIGI</td>
<td>24-09-2022</td>
<td></td>
<td>SEFUON BREGIS ADINOVA</td>
<td>`021547</td>
<td>06/7443</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>DESI FALISTYORINI</td>
<td></td>
<td>L</td>
 <td>23-02-2013</td>
<td>9 Th</td>
<td>RT 034 RW 006</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>gigi bawah kanan lubang</td>
<td>tumpatan tetap glassioner cemen</td>
<td>100/60</td>
<td>90</td>
<td>36</td>
<td>24</td>
<td>132</td>
<td>29</td>
<td>57</td>
<td></td>
<td>KASUS BARU</td>
<td>K02.0</td>
<td>
Caries limited to enamel </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4748</td>
<td>POLI REMAJA</td>
<td>24-09-2022</td>
<td></td>
<td>RIKHO FATKUL JINAN</td>
<td>`004529</td>
<td>01/4274</td>
<td>`0001978458805</td>
<td>`3503050705060002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-05-2006</td>
<td>16 Th</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001442</td>
 <td>nyeri tenggorokan batuk pilek</td>
<td>amok pct gg</td>
<td>118/60</td>
<td>109</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>54.9</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J03.9</td>
<td>
Acute tonsillitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4749</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td></td>
<td>SUWARNI</td>
<td>`001743</td>
<td>08/639</td>
<td>`0000665945695</td>
<td>`3503055307610001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-07-1961</td>
<td>61 Th</td>
<td>DUSUN SANGGRAHAN, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001418</td>
<td>rujuk balik</td>
<td>amlodipin 5 1x1 30 biji
captropil12.5 2x1 60 biji
hct 1x1/2 15 biji
metformin 2x1 60 biji
</td>
<td>130/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
 <td>155</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td>I15</td>
<td>
Secondary hypertension </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4750</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td></td>
<td>KARSINI</td>
<td>`009627</td>
<td>01/3641</td>
<td>`0000666086455</td>
<td>`3503054509540001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-09-1954</td>
<td>68 Th</td>
<td>RT 023 RW 006</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001424</td>
<td>kontrol tensi cengeng ,perut perih kadang2</td>
<td>-</td>
<td>130/75</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>152</td>
<td>65</td>
<td>82</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>E11.9</td>
<td>
 Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4751</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SRI MUJI ASTUTI</td>
<td>`002428</td>
<td>07/5850</td>
<td>`0000196742057</td>
<td>`3275025706630001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-06-1963</td>
<td>59 Th</td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>PAMOL.OMZ, B.COMPLEK</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>66</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
 <td>4752</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>JUMINI</td>
<td>`008947</td>
<td></td>
<td>`0000665779421</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-08-1964</td>
<td>58 Th</td>
<td>RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>SIMVASTATIN,AMLODIPINE CTM</td>
<td>145/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4753</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>SISKA YULLIANNAWATI</td>
<td>`018006</td>
<td>08/4913</td>
<td>`</td>
<td>` 3503055203920005</td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>12-03-1992</td>
<td>30 Th</td>
<td>DESA WINONG, RT : 8,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>perut nyeri</td>
<td>ranitidin antasida pct</td>
<td>123/78</td>
<td>74</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4754</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MISNI SANTOSO</td>
<td>`002430</td>
<td></td>
<td>`0000106636959</td>
<td>`350305 </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-08-1946</td>
<td>76 Th</td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>BATUK</td>
<td>GG, AMLO,CTM</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4755</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>SALIK SUFYAN JAZAK</td>
<td>`021548</td>
<td>01/248</td>
<td>`</td>
<td>`3503051606880001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>16-06-1988</td>
<td>34 Th</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>SKS</td>
<td>-</td>
<td>111/64</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>165</td>
 <td>59.8</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4756</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MURTINI</td>
<td>`002617</td>
<td></td>
<td>`0000665820685</td>
<td>`3503055706510001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-06-1951</td>
<td>71 Th</td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>AMLODIPINE, PAMOL</td>
<td>156/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4757</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>KATIRIN</td>
<td>`003914</td>
<td>03/3896</td>
<td>`0002802753426</td>
<td>`3503051204680008</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-04-1968</td>
<td>54 Th</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001443</td>
<td>kontrol rawat luka</td>
<td>metformin glimepirid amlodipin aspilet pamol</td>
<td>146/80</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>58</td>
<td>58</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>R51</td>
<td>
Headache </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>4758</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>AMPRIYONO</td>
<td>`008964</td>
<td></td>
<td>`0000665779252</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>21-01-1963</td>
<td>59 Th</td>
<td>RT 03 RW 03 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4759</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KARTIKA</td>
<td>`002444</td>
<td></td>
<td>`0000665809738</td>
<td>` </td>
<td>`</td>
 <td></td>
<td></td>
<td>P</td>
<td>27-02-1972</td>
<td>50 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING , KEMBUNG</td>
<td>AMLODIPINE , B.COMPLEK , PAMOL , ANTASIDA</td>
<td>150/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4760</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>SITI AMANAH</td>
<td>`021467</td>
<td>90/1541</td>
<td>`0001622552275</td>
<td>`3503054803780003</td>
<td>`</td>
<td>rusdiono</td>
<td></td>
<td>P</td>
<td>08-03-1978</td>
<td>44 Th</td>
<td>RT 6 RW 2</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001447</td>
<td>pusing mual muntah perut perih</td>
<td>cipro pamol ctm antasida domperidon</td>
<td>156/76</td>
<td>104</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>58</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4761</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td></td>
<td>KAJUNI</td>
<td>`020144</td>
<td>02/1172</td>
<td>`0000106564274</td>
<td>`3503021904540001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-04-1954</td>
<td>68 Th</td>
<td>DSN KAJANG, RT : 32,RW :7 </td>
<td>MASARAN</td>
<td>MUNJUNGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001430</td>
<td>kontrol</td>
<td>metformin,glimepirid,aspilet,amlodipin,</td>
<td>130/70</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>156</td>
 <td>50</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4762</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SITI AMINATUN</td>
<td>`021574</td>
<td></td>
<td>`0000665751328</td>
<td>`3503055007730002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-07-1973</td>
<td>49 Th</td>
<td>DESA SUKOREJO, RT : 11,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>MUAL</td>
<td>PAMOL, DOMP</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>2</td>
<td>154</td>
<td>55</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4763</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUMILAH</td>
<td>`011698</td>
<td></td>
<td>`0001978436092</td>
<td>`3503054107690021</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1969</td>
<td>53 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Buruh Harian Lepas</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC , VIT.C</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4764</td>
 <td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUSNI</td>
<td>`000658</td>
<td>07/4203</td>
<td>`0000665758091</td>
<td>`3503050710420003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-10-1942</td>
<td>79 Th</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>BATUK</td>
<td>AMLO. AMBROXOL</td>
<td>160/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4765</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUMARSIH</td>
<td>`000058</td>
<td>07/2050</td>
<td>`0001978436711</td>
<td>`3503056104510001</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>21-04-1951</td>
<td>71 Th</td>
<td>RT 6 RW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4766</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td></td>
<td>SAMSUL HADI</td>
<td>`000042</td>
<td>02/3507</td>
<td>`0002518640201</td>
<td>`3503053012450008</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-12-1945</td>
<td>76 Th</td>
<td>RT 5 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
 <td>Lama</td>
<td>131506010922Y001428</td>
<td>kontrol tensi perut perih keju linu</td>
<td>amlodipin 10,antasid,b1 pct</td>
<td>128/70</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>62</td>
<td>85</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4767</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KAMARI</td>
<td>`001066</td>
<td>07/4121</td>
<td>`0002328113812</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-10-1945</td>
<td>76 Th</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk , pilek</td>
<td>gg, pamol , b.complek</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>60</td>
 <td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4768</td>
<td>POLI REMAJA</td>
<td>24-09-2022</td>
<td></td>
<td>ADILLAH HAWA RAMADHINI</td>
<td>`021549</td>
<td>01/2631</td>
<td>`0000665024433</td>
<td>`3503056710040002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-10-2004</td>
<td>17 Th</td>
<td>DUSUN KEBONSARI, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y001446</td>
<td>batuik pilek pusing panas</td>
<td>amok pamol ctm gg dexa salbutamol</td>
<td>102/67</td>
<td>108</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>37.7</td>
<td>38</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J45</td>
<td>
Asthma </td>
<td></td>
 <td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4769</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUPARMI</td>
<td>`006654</td>
<td></td>
<td>`0001037008236</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1955</td>
<td>66 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>pamol ,omz</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4770</td>
<td>POLI REMAJA</td>
 <td>24-09-2022</td>
<td></td>
<td>BERYL YUGO NADHIF BURAIRAH</td>
<td>`010917</td>
<td>05/4920</td>
<td>`0001978462809</td>
<td>`3503050603090001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-03-2009</td>
<td>13 Th</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001445</td>
<td>panas pusing batuk pilek</td>
<td>pamol ctm gg domperidon</td>
<td>98/60</td>
<td>114</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>45</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4771</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MARJI</td>
<td>`017695</td>
<td></td>
<td>`0001978440478</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>L</td>
<td>30-12-1955</td>
<td>66 Th</td>
<td>RT 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic,b.complek</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>60</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4772</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>ASYARI</td>
<td>`006717</td>
<td>07/115</td>
<td>`0000106827928</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>02-07-1958</td>
<td>64 Th</td>
<td>RT 06 RW 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
 <td>Konseling</td>
<td>keju linu</td>
<td>nadic , b.complek</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>66</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4773</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>MUDASARIYANTO</td>
<td>`000140</td>
<td>04/4245</td>
<td>`0000666370517</td>
<td>`3503050405730001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-05-1973</td>
<td>49 Th</td>
<td>RT 8 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001444</td>
<td>lemas badan semakin kurus batuk</td>
<td>cipro gg </td>
<td>131/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>42</td>
<td>45</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z03.0</td>
<td>
Observation for suspected tuberculosis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4774</td>
<td>POLI REMAJA</td>
<td>24-09-2022</td>
<td></td>
<td>WINDOW HARNANTA PRASETIA PUTRA</td>
<td>`021445</td>
<td>02/1366</td>
<td>`0001301974964</td>
<td>`3503050812060001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-12-2006</td>
<td>15 Th</td>
<td>RT 19 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001450</td>
<td>kontrol luka pada dagu</td>
<td>rawat luka</td>
<td>105/69</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>45</td>
<td>49</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z48.0</td>
<td>
Attention to surgical dressings and sutures </td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4775</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>SUMIATI</td>
<td>`000599</td>
<td>01/1176</td>
<td>`0000666680984</td>
<td>`3503054107690003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1969</td>
<td>53 Th</td>
<td>DUSUN GONDANG, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001453</td>
<td>kontrol h6tv dan dm pusing</td>
<td>metformin amlodipin aspilet pamol glimepirit</td>
<td>146/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>53</td>
<td>55</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>R51</td>
<td>
Headache </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4776</td>
<td>POLI KIA</td>
 <td>24-09-2022</td>
<td></td>
<td>FARRIDATUL MUHAROMAH</td>
<td>`017910</td>
<td>03/3997</td>
<td>`0002494479892</td>
<td>`3503065304900001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-04-1990</td>
<td>32 Th</td>
<td>DUSUN JUMOK, RT : 6,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001670</td>
<td>MUAL</td>
<td>-</td>
<td>117/78</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>56</td>
<td>1</td>
<td>dr. Tatik Sukaryati</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4777</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUTRI</td>
<td>`004692</td>
<td></td>
<td>`0001978440502</td>
<td>`3503057112420025</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>21-12-1942</td>
<td>79 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic , b.complek</td>
<td>120/80</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>66</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4778</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>FATIMAH</td>
<td>`008935</td>
<td></td>
<td>`0000665927458</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-03-1979</td>
<td>43 Th</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>Konseling</td>
<td>kembung</td>
<td>pamol , antasida</td>
<td>120/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4779</td>
<td>POLI KIA</td>
<td>24-09-2022</td>
<td></td>
<td>SITI MUSAROFAH</td>
<td>`003897</td>
<td>08/5588</td>
<td>`0000665941274</td>
<td>`3503055702930002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-02-1993</td>
<td>29 Th</td>
<td>RT 6 RW 2</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922P001478</td>
<td>taa</td>
<td>-</td>
<td>120/85</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>65</td>
<td>1</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4780</td>
<td>POLI K.B</td>
<td>24-09-2022</td>
<td></td>
<td>NENENG LIN FARLINA</td>
<td>`001296</td>
<td>06/5915</td>
<td>`0002802770831</td>
<td>`3503057006910002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-06-1991</td>
<td>31 Th</td>
<td>DUSUN TENGGAR, RT : 11,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
 </td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4781</td>
<td>POLI GIGI</td>
<td>24-09-2022</td>
<td></td>
<td>ALIVA KHOIRU NISA</td>
<td>`002640</td>
<td>06/5915</td>
<td>`0002802770842</td>
<td>`3503054805130003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-05-2013</td>
<td>9 Th</td>
<td>RT 11 RW 2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001488</td>
<td>gigi taring bawah kiri kesundulan</td>
<td>anasthesi topikal cabut gigi 73</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>135</td>
<td>31</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4782</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
 <td>POSYANDU LANSIA</td>
<td>KASRIANI</td>
<td>`011682</td>
<td></td>
<td>`0001978440759</td>
<td>`3503055210640001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-10-1964</td>
<td>57 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4783</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>ROBINGATUN</td>
<td>`008936</td>
<td></td>
<td>`0001978440906</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>21-11-1971</td>
<td>50 Th</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic,b.complek</td>
<td>110/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4784</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SRIYATI</td>
<td>`008939</td>
<td></td>
<td>`0001978442346</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1952</td>
<td>69 Th</td>
<td>RT 04 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
 <td>pusinhg</td>
<td>amlo,pamol</td>
<td>150/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4785</td>
<td>POLI REMAJA</td>
<td>24-09-2022</td>
<td></td>
<td>ALDO FIKAR WIJAYA</td>
<td>`006305</td>
<td>01/3643</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-03-2004</td>
<td>18 Th</td>
<td>RT 18 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>panas pusing batuk pilek nyeri telan</td>
<td>amok pamol gg ctm dexa domperidon antasida</td>
<td>147/67</td>
<td>99</td>
<td>36</td>
<td>20</td>
<td>173</td>
<td>64</td>
<td>65</td>
<td></td>
 <td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4786</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TARIMAH</td>
<td>`008966</td>
<td></td>
<td>`0001037007832</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1942</td>
<td>79 Th</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4787</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KANTHI</td>
<td>`010775</td>
<td></td>
<td>`0003067835771</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1964</td>
<td>57 Th</td>
<td>RT 008 RW -</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC, B.COMPLEK</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4788</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
 <td>DAMINI</td>
<td>`009807</td>
<td>07/3950</td>
<td>`0003067666389</td>
<td>`3503057112620040</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1962</td>
<td>59 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUISNG</td>
<td>ANTASIDA,AMLO</td>
<td>145/56</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4789</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUPINGATUN</td>
<td>`004891</td>
<td>07/4923</td>
<td>`0001978438498</td>
<td>`3503057012370001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1937</td>
 <td>84 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>amlo, nadic</td>
<td>145/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4790</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUBADI</td>
<td>`002429</td>
<td>07/5850</td>
<td>`0000196741991</td>
<td>`3275020104540001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-1954</td>
<td>68 Th</td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
 <td>nadic, b.complek, fe</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4791</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>WAHYI BA`DAL FITRI</td>
<td>`004132</td>
<td>90/3205</td>
<td>`</td>
<td>`35251560405910001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-05-1992</td>
<td>30 Th</td>
<td>RT 03 RW 01</td>
<td>KERJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td>SKS</td>
<td>-</td>
<td>117/66</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>64</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
 <td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4792</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUTIKNO</td>
<td>`002449</td>
<td></td>
<td>`0000106632336</td>
<td>`3503051910580002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-10-1958</td>
<td>63 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic,b.complek</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4793</td>
<td>POLI REMAJA</td>
<td>24-09-2022</td>
<td></td>
<td>JESTINA AYU FITRIANI</td>
<td>`021550</td>
<td>06/5865</td>
<td>`0002591823194</td>
<td>`3503054410080001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-10-2008</td>
<td>13 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Baru</td>
<td>131506010922Y001448</td>
<td>panas pusing muntah</td>
<td>amok pamol gg antasida domperidon</td>
<td>100/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>37</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4794</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUYATI</td>
 <td>`008954</td>
<td></td>
<td>`0001309550207</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-01-1964</td>
<td>58 Th</td>
<td>RT 05 RW 02 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PERUT TERASA PERIH</td>
<td>ANTASIDA OMZ FE</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4795</td>
<td>POLI GIZI</td>
<td>24-09-2022</td>
<td></td>
<td>FARRIDATUL MUHAROMAH</td>
<td>`017910</td>
<td>03/3997</td>
<td>`0002494479892</td>
<td>`3503065304900001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>13-04-1990</td>
<td>32 Th</td>
 <td>DUSUN JUMOK, RT : 6,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>MUAL</td>
<td>-</td>
<td>117/78</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>56</td>
<td>1</td>
<td>dr. Tatik Sukaryati</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4796</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>PARTINI</td>
<td>`001608</td>
<td>06/5865</td>
<td>`0000106585187</td>
<td>`3503054910730001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-10-1973</td>
<td>48 Th</td>
<td>DUSUN KRAJAN, RT : 15,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001449</td>
<td>payudara cenut 2</td>
<td>amlodipin asam mefenamat aspilet</td>
 <td>168/93</td>
<td>65</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>51.2</td>
<td>55</td>
<td>Rejowinangun</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4797</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KATIRAH</td>
<td>`021579</td>
<td></td>
<td>`0002611113682</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-01-1959</td>
<td>63 Th</td>
<td>RT 003 RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju keju</td>
<td>glibenclamide,b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Klinik Gondo Mulyo</td>
<td>KASUS BARU</td>
<td>E11.9</td>
 <td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4798</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MISWADI</td>
<td>`011733</td>
<td></td>
<td>`0001978440524</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-02-1956</td>
<td>66 Th</td>
<td>RT RW</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>pamol,omz</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>4799</td>
<td>POLI GIZI</td>
<td>24-09-2022</td>
<td></td>
<td>SITI MUSAROFAH</td>
<td>`003897</td>
<td>08/5588</td>
<td>`0000665941274</td>
<td>`3503055702930002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-02-1993</td>
<td>29 Th</td>
<td>RT 6 RW 2</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>taa</td>
<td>-</td>
<td>120/85</td>
<td>86</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>65</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4800</td>
<td>POLI KIA</td>
<td>24-09-2022</td>
<td></td>
<td>NIKEN EKA MEILIA</td>
<td>`021551</td>
 <td>03/5950</td>
<td>`0002865198892</td>
<td>`3503115205040003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-05-2004</td>
<td>18 Th</td>
<td>RT 03 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td>131506010922P001477</td>
<td>mual</td>
<td>-</td>
<td>110/70</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>1</td>
<td>Trenggalek </td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4801</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td></td>
<td>SUPARDI</td>
<td>`010827</td>
<td>01/3405</td>
<td>`0001474485625</td>
<td>`3503050608540001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-08-1954</td>
<td>68 Th</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
 <td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001431</td>
<td>konsul hasil sekrining</td>
<td>amlodipin 5,b1</td>
<td>150/100</td>
<td>85</td>
<td>36</td>
<td>22</td>
<td>170</td>
<td>68</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4802</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SALINEM</td>
<td>`008961</td>
<td></td>
<td>`0001037008269</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1948</td>
<td>73 Th</td>
<td>RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic, omz</td>
<td>120/80</td>
 <td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4803</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUKARTI</td>
<td>`008978</td>
<td></td>
<td>`0001978441716</td>
<td>`3503054908740002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-08-1974</td>
<td>48 Th</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk, pusing</td>
<td>pamol,ambroxol,ctm, amlodipine</td>
<td>140/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
 Acute pharyngitis, unspecified </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4804</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUPRIANIK</td>
<td>`008949</td>
<td></td>
<td>`0001978442572</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1958</td>
<td>63 Th</td>
<td>RT 04 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic, b.complek</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>100</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
 </td>
</tr>
<tr align='left' valign="top">
<td>4805</td>
<td>POLI GIGI</td>
<td>24-09-2022</td>
<td></td>
<td>DAFFA ALFARIZKI PUTRATAMA</td>
<td>`004932</td>
<td>04/600</td>
<td>`0002233907032</td>
<td>`3503051509150002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-09-2015</td>
<td>7 Th</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001489</td>
<td>gigi depan bawah kanan kesundulan</td>
<td>anasthesi topikal cabut gigi 72</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>123</td>
<td>24</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4806</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUSIMIN</td>
<td>`006719</td>
<td></td>
 <td>`0001978436349</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1954</td>
<td>67 Th</td>
<td>RT-</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU KEJU</td>
<td>AMLO, GLIBEN</td>
<td>130/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4807</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SITI TUMISAH</td>
<td>`006862</td>
<td></td>
<td>`0001978438893</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-02-1958</td>
<td>64 Th</td>
<td>RT-</td>
<td>SUKOREJO</td>
 <td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>pamol,b.complek</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4808</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SULASIH</td>
<td>`002479</td>
<td>07/5432</td>
<td>`0001978441064</td>
<td>`3503055505570003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-05-1957</td>
<td>65 Th</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kembung</td>
<td>omz ctm</td>
<td>110/70</td>
<td>80</td>
 <td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4809</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MARINTEN</td>
<td>`008972</td>
<td></td>
<td>`0001978441007</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-03-1970</td>
<td>52 Th</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>OMZ.IBU PRPFEN,AMLODIPINE</td>
<td>140/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>67</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
 <td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4810</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td></td>
<td>MARSIDI</td>
<td>`005047</td>
<td>02/01</td>
<td>`0000665814104</td>
<td>`3503050705590001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>07-05-1959</td>
<td>63 Th</td>
<td>RT 11 RW 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001433</td>
<td>batuk,pilek,kontrol tensi</td>
<td>ambroxol,syirup obh,amlo5,allourinol</td>
<td>127/75</td>
<td>78</td>
<td>36</td>
<td>22</td>
<td>158</td>
<td>75</td>
<td>89</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4811</td>
<td>PONKESDES BANARAN</td>
<td>24-09-2022</td>
<td></td>
<td>KARWATI</td>
<td>`021004</td>
<td></td>
<td>`0003058814878</td>
<td>`3503055604710002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-04-1971</td>
<td>51 Th</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td>131506010922Y001421</td>
<td>batuk 2 hari</td>
<td>ambrox,bc</td>
<td>120/70</td>
<td>90</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>57</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.0</td>
<td>
Streptococcal pharyngitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4812</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>HARI SUDARWAJI</td>
<td>`008171</td>
<td>90/2708</td>
<td>`0002615831921</td>
 <td>`3503051712700002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>17-12-1970</td>
<td>51 Th</td>
<td>RT 13 RW 5</td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001490</td>
<td>kontrol plentingan pada tangan</td>
<td>aciclovir ibuprofen prednison vitamin c acyclovir zalp</td>
<td>119/75</td>
<td>93</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>59</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>B02.9</td>
<td>
Zoster without complication </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4813</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUSRIPAH</td>
<td>`003955</td>
<td>07/2545</td>
<td>`0001275494681</td>
<td>`3503054708690006</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-08-1969</td>
<td>53 Th</td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
 <td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4814</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>ULUL ALBAB</td>
<td>`021552</td>
<td>01/2120</td>
<td>`0000665874246</td>
<td>`3503050909840005</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>09-09-1984</td>
<td>38 Th</td>
<td>RT 27 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Baru</td>
<td>131506010922Y001436</td>
<td>kontrol cenut cenut pada kepala post lepas jahitan</td>
<td>cipro asmef rawat luka</td>
<td>120/70</td>
<td>88</td>
<td>36</td>
 <td>20</td>
<td>168</td>
<td>58</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>T14.0</td>
<td>
Superficial injury of unspecified body region </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4815</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TARINEM</td>
<td>`005284</td>
<td>07/2545</td>
<td>`0001286801177</td>
<td>`3503057012250001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1925</td>
<td>96 Th</td>
<td>RT 1 RW 1</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>PILEK</td>
<td>CTM,B.COMPLEK</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
 <td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4816</td>
<td>POLI K.B</td>
<td>24-09-2022</td>
<td></td>
<td>ANITA SRI WAHYUTI</td>
<td>`020880</td>
<td>06/6263</td>
<td>`0000661587693</td>
<td>`3502055201930001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-01-1993</td>
<td>29 Th</td>
<td>RT 43 RW 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4817</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUYOTO</td>
<td>`007402</td>
<td></td>
<td>`0001978440096</td>
<td>`3503053012480006</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-12-1948</td>
<td>73 Th</td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>CTM, PAMOL,B.COMPLEK</td>
<td>110/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4818</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>TARMINI</td>
<td>`000446</td>
<td>04/4824</td>
<td>`0000665622145</td>
<td>`</td>
 <td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-05-1967</td>
<td>55 Th</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001435</td>
<td>KONTROL</td>
<td>RUJUKAN</td>
<td>163/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>50</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>I69.3</td>
<td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4819</td>
<td>PONKESDES BANARAN</td>
<td>24-09-2022</td>
<td></td>
<td>SUJITO</td>
<td>`013335</td>
<td></td>
<td>`0001037004412</td>
<td>`3503051904690001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>19-04-1969</td>
<td>53 Th</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001420</td>
<td>keju linu</td>
<td>natrium</td>
<td>125/70</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>69</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4820</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>CHOLIPAH</td>
<td>`008948</td>
<td></td>
<td>`0001978441648</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-04-1971</td>
<td>51 Th</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>FE, PAMOL</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
 <td>156</td>
<td>66</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4821</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td></td>
<td>MUJIANTO</td>
<td>`000177</td>
<td>90/2221</td>
<td>`0002423081845</td>
<td>`3503050107570005</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-07-1957</td>
<td>65 Th</td>
<td>RT 8 RW 3</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td>131506010922Y001425</td>
<td>rujukan poli dalam</td>
<td>-</td>
<td>130/70</td>
<td>84</td>
<td>36</td>
<td>22</td>
<td>155</td>
<td>54</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>E11.6</td>
<td>
Non-insulin-dependent diabetes mellitus with other specified
complications </td>
<td>I69.3</td>
 <td>
Sequelae of cerebral infarction </td>
<td></td>
<td>
</td>
<td>
dr. Reza Suzana </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4822</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td>PEMERIKSAAN KESEHATAN</td>
<td>NURAINI HAJAR ROHMAH</td>
<td>`003459</td>
<td>90/3130</td>
<td>`</td>
<td>`6408045703940003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-03-1994</td>
<td>28 Th</td>
<td>RT 6 RW 3</td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>SKS</td>
<td>-</td>
<td>128/65</td>
<td>77</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>73.3</td>
<td>75</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z00.0</td>
<td>
General medical examination </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4823</td>
<td>POLI GIZI</td>
<td>24-09-2022</td>
<td></td>
<td>NIKEN EKA MEILIA</td>
<td>`021551</td>
<td>03/5950</td>
<td>`0002865198892</td>
<td>`3503115205040003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-05-2004</td>
<td>18 Th</td>
<td>RT 03 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>mual</td>
<td>-</td>
<td>110/70</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>1</td>
<td>Trenggalek </td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4824</td>
<td>PONKESDES BANARAN</td>
<td>24-09-2022</td>
<td></td>
<td>KASENUN</td>
<td>`002418</td>
<td></td>
<td>`0001978462372</td>
<td>`3503051509500001</td>
 <td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-09-1950</td>
<td>72 Th</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001422</td>
<td>batuk</td>
<td>gg,ctm</td>
<td>123/76</td>
<td>90</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.0</td>
<td>
Streptococcal pharyngitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4825</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>ABID DWI ANINDITO </td>
<td>`009663</td>
<td>05/5970</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-06-2014</td>
<td>8 Th</td>
<td>RT 11 RW 06</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
 <td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>panas nyeri perut</td>
<td>tiampenikol pamol gg antasida domperidon</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>36</td>
<td>40</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4826</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SULASMI</td>
<td>`008976</td>
<td></td>
<td>`0001978441097</td>
<td>`3503057112500029</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1950</td>
<td>71 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC,CTM,AMLO</td>
<td>150/88</td>
<td>78</td>
<td>36</td>
<td>20</td>
 <td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4827</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>JEMARI</td>
<td>`008943</td>
<td></td>
<td>`0000666382083</td>
<td>`3503053112570013</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1957</td>
<td>64 Th</td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>PILEK</td>
<td>PREDNISON,CTM</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>60</td>
<td>80</td>
<td>Pucanganak</td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
 </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4828</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>SUKADI</td>
<td>`010804</td>
<td>01/317</td>
<td>`0002802764924</td>
<td>`3503052002700003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>20-02-1970</td>
<td>52 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>131506010922Y001451</td>
<td>bintilan pada kelopak mata kanan bawah</td>
<td>cipro dexa pamol</td>
<td>132/92</td>
<td>87</td>
<td>36</td>
<td>20</td>
<td>170</td>
<td>76.9</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>H00</td>
<td>
Hordeolum and chalazion </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
 <td>4829</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>GIMAH</td>
<td>`008973</td>
<td></td>
<td>`0000665802505</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1952</td>
<td>70 Th</td>
<td>RT 01 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic,b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>66</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4830</td>
<td>PONKESDES BANARAN</td>
<td>24-09-2022</td>
<td></td>
<td>TRIWINARSIH</td>
<td>`000309</td>
<td>05/267</td>
<td>`0000170069545</td>
<td>`3503055410680001</td>
<td>`95086</td>
 <td></td>
<td></td>
<td>P</td>
<td>14-10-1968</td>
<td>53 Th</td>
<td>TAWANG, RT : 003,RW :002 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001423</td>
<td>batuk</td>
<td>ambrox,bc</td>
<td>110/70</td>
<td>90</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.0</td>
<td>
Streptococcal pharyngitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4831</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUYATI</td>
<td>`006700</td>
<td></td>
<td>`0001978437003</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-11-1957</td>
<td>64 Th</td>
<td>RT-</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
 <td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>kembung, nyeri ulu hati</td>
<td>omz antasida, b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4832</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>AMIRIYANI</td>
<td>`008945</td>
<td></td>
<td>`0000665727232</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-02-1979</td>
<td>43 Th</td>
<td>RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk</td>
<td>gg, nadic</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
 <td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4833</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TRI WINARNI</td>
<td>`004020</td>
<td>07/8724</td>
<td>`0000666928877</td>
<td>`3503055006740004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-06-1974</td>
<td>48 Th</td>
<td>RT 5 RW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4834</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUKARMINI</td>
<td>`008944</td>
<td></td>
<td>`0001978441244</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>28-12-1962</td>
<td>59 Th</td>
<td>RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU, BATUK</td>
<td>AMLO, NADIC,GG</td>
<td>140/88</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4835</td>
 <td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KASIH</td>
<td>`008969</td>
<td></td>
<td>`0001978440175</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1963</td>
<td>58 Th</td>
<td>RT 01 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4836</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUMIATUN</td>
<td>`009432</td>
<td></td>
<td>`0001962929777</td>
<td>`3503055407570002</td>
<td>`</td>
<td></td>
 <td></td>
<td>P</td>
<td>14-07-1957</td>
<td>65 Th</td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic, antasida,b.complek</td>
<td>120/80</td>
<td>87</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4837</td>
<td>POLI GIGI</td>
<td>24-09-2022</td>
<td></td>
<td>AQEELA IZZ ZARA NAJWA</td>
<td>`021554</td>
<td>90/2361</td>
<td>`0002449196774</td>
<td>`3503056712130002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>27-12-2013</td>
<td>8 Th</td>
<td>RT 10 RW 04</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
 <td>Lama</td>
<td>131506010922Y001491</td>
<td>gigi geraham bawah kiri kesundulan</td>
<td>anasthesi topikal cabut gigi 74</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>133</td>
<td>30</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4838</td>
<td>PONKESDES BANARAN</td>
<td>24-09-2022</td>
<td></td>
<td>SUJARMI</td>
<td>`012185</td>
<td></td>
<td>`0001481938119</td>
<td>`3503056610470002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-10-1947</td>
<td>74 Th</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001429</td>
<td>keju linu</td>
<td>nadic</td>
<td>110/70</td>
<td>90</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>58</td>
 <td>90</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M13.0</td>
<td>
Polyarthritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dian Argawati, A.Md.Kep </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4839</td>
<td>POLI MTBS</td>
<td>24-09-2022</td>
<td></td>
<td>NABILA QUEENA DEIRAWAN</td>
<td>`021487</td>
<td>90/1865</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-06-2019</td>
<td>3 Th</td>
<td>RT 22 RW 08</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>kontrol luka pada kaki</td>
<td>ctm gg dexa </td>
<td>1/1</td>
<td>89</td>
<td>46</td>
<td>20</td>
<td>80</td>
<td>11</td>
<td>16</td>
<td></td>
<td>KASUS BARU</td>
<td>L02</td>
<td>
Cutaneous abscess, furuncle and carbuncle </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
 <td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4840</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>LUTFI ARIYANI</td>
<td>`021553</td>
<td>06/2079</td>
<td>`0003004150397</td>
<td>`3503056003990002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-03-1999</td>
<td>23 Th</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001434</td>
<td>SULIT BAB,BAB BERDARAH</td>
<td>RUJUKAN</td>
<td>124/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>60.4</td>
<td>60</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K62.5</td>
<td>
Haemorrhage of anus and rectum </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4841</td>
<td>POLI GIGI</td>
 <td>24-09-2022</td>
<td></td>
<td>ZURKA AHMAD ZUR</td>
<td>`015840</td>
<td>04/7764</td>
<td>`0001978432097</td>
<td>`3503051102120001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-02-2012</td>
<td>10 Th</td>
<td>RT. 13 RW. 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td>131506010922Y001492</td>
<td>gigi geraham atas kanan kesundulan</td>
<td>anasthesi topikal cabut gigi 54</td>
<td>1/1</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>35</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K00.6</td>
<td>
Disturbances in tooth eruption </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
drg.ASTINIA WIDYASTUTI </td>
<td>
Pelayanan Rawat Jalan<br>Pencabutan gigi anak<br>Konsultasi<br> </td>
</tr>
<tr align='left' valign="top">
<td>4842</td>
<td>PONKESDES TUMPUK</td>
<td>24-09-2022</td>
<td></td>
<td>RISTA SYAHIRA CERELLIA</td>
<td>`013059</td>
<td></td>
<td>`0002452664845</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
 <td>P</td>
<td>23-04-2018</td>
<td>4 Th</td>
<td>RT 1RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001590</td>
<td>GATAL,PILEK</td>
<td>PAMOL,CTM,DEXA,VIT,C</td>
<td>78/55</td>
<td>108</td>
<td>36</td>
<td>20</td>
<td>110</td>
<td>14.7</td>
<td>24</td>
<td>Tugu</td>
<td>KASUS LAMA</td>
<td>L30.0</td>
<td>
Nummular dermatitis </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
Dian Eka Permana,A.Md.Kep. </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4843</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TRI KUSMINI</td>
<td>`008965</td>
<td></td>
<td>`0000665788713</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-07-1963</td>
<td>59 Th</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
 <td>Konseling</td>
<td>KEJU LINU</td>
<td>AMLO, NADIC,CTM</td>
<td>160/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>79</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4844</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TUKIMIN</td>
<td>`008518</td>
<td>07/91</td>
<td>`0001978440445</td>
<td>`3503050507500001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>05-07-1950</td>
<td>72 Th</td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>PAMOL,B.COMPLEK,OMZ</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>78</td>
 <td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4845</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SARINEM</td>
<td>`008950</td>
<td></td>
<td>`0001978440456</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1952</td>
<td>69 Th</td>
<td>RT 01 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu,pusing</td>
<td>amlo, nadic, b.complek</td>
<td>150/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>560</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
 </td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4846</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUMARSIH</td>
<td>`006716</td>
<td></td>
<td>`0001978436608</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1961</td>
<td>60 Th</td>
<td>RT-</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>AMLO , FE , PAMOL</td>
<td>156/78</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4847</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
 <td>POSYANDU LANSIA</td>
<td>NURIYAH</td>
<td>`000622</td>
<td>07/121</td>
<td>`0001037008203</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1969</td>
<td>53 Th</td>
<td>RT 2 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic,b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>47</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4848</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>ANINDITA KEISHA AZZAHRA</td>
<td>`019926</td>
<td>01/04</td>
<td>`0002224794025</td>
<td>`3503052402140002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
 <td>15-02-2017</td>
<td>5 Th</td>
<td>RT.15 RW.4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>BELOM BEKERJA</td>
<td>Lama</td>
<td>131506010922Y001437</td>
<td>batuk panas</td>
<td>amok ctm gg deksa</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>120</td>
<td>20</td>
<td>25</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4849</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>RIDHO AGUNG PRADANA</td>
<td>`002043</td>
<td>06/5333</td>
<td>`0002475544004</td>
<td>`3503050411110001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-11-2011</td>
<td>10 Th</td>
<td>TENGGAR, RT : 1,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
 <td>panas batuk pilek pusing muntah</td>
<td>pamol ctm gg antasida domperidon</td>
<td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>125</td>
<td>25</td>
<td>30</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4850</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>RUBANGI</td>
<td>`017696</td>
<td></td>
<td>`0001978441569</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1957</td>
<td>64 Th</td>
<td>RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>ibu profen</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>59</td>
<td>80</td>
<td>Tugu</td>
 <td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4851</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SRIWATI</td>
<td>`011707</td>
<td></td>
<td>`0001978440941</td>
<td>`3503056006750001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-06-1975</td>
<td>47 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
 <td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4852</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>DULGHONI</td>
<td>`009788</td>
<td></td>
<td>`0001978441571</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-03-1966</td>
<td>56 Th</td>
<td>RT 003 RW 000</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>fe,nadic</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4853</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
 <td>SUHARMINI</td>
<td>`005116</td>
<td>07/3448</td>
<td>`0000106881939</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>08-11-1965</td>
<td>56 Th</td>
<td>RT 5 RW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>batuk, pilek</td>
<td>gg, ctm</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>48</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4854</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SURATIN</td>
<td>`008967</td>
<td></td>
<td>`0001978440952</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1959</td>
 <td>62 Th</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>amlodipine,nadic</td>
<td>150/88</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4855</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>KATIYEM</td>
<td>`008937</td>
<td></td>
<td>`0001978441301</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1955</td>
<td>66 Th</td>
<td>RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu, batuk</td>
 <td>gg, nadic</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4856</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>BIBIT</td>
<td>`002648</td>
<td></td>
<td>`0000665742363</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-12-1948</td>
<td>73 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>gatal gatal</td>
<td>meconazole crim</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
 <td>L23.9</td>
<td>
Allergic contact dermatitis, unspecified cause </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4857</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MARYANI</td>
<td>`005955</td>
<td>07/1460</td>
<td>`0001976989634</td>
<td>`3503050503050363</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-10-1967</td>
<td>54 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju linu</td>
<td>nadic,b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4858</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUHARNO</td>
<td>`011765</td>
<td></td>
<td>`0001978440851</td>
<td>`3503051010540001</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-10-1954</td>
<td>67 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>antasida, pamol</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4859</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>NASUKAH</td>
 <td>`011752</td>
<td></td>
<td>`0001978440671</td>
<td>`3503055407710002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-07-1971</td>
<td>51 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>keju</td>
<td>gliben,b.complek</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>E11.9</td>
<td>
Non-insulin-dependent diabetes mellitus without complications </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4860</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUPRAPTINI</td>
<td>`011680</td>
<td></td>
<td>`0001171596216</td>
<td>`3503057005750002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-05-1975</td>
<td>47 Th</td>
 <td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perangkat Desa</td>
<td>Lama</td>
<td>Konseling</td>
<td>pusing</td>
<td>amlo</td>
<td>150/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Klinik Aba Husada</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4861</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>NYONO</td>
<td>`002445</td>
<td></td>
<td>`0001978440118</td>
<td>`3503051212590007</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-12-1959</td>
<td>62 Th</td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC ,VIT.C</td>
 <td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4862</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUDIYANTO</td>
<td>`019121</td>
<td>07/9075</td>
<td>`0001978435271</td>
<td>`3503051502690003</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-02-1969</td>
<td>53 Th</td>
<td>DUSUN GENDONG, RT : 9,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
 <td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4863</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>YATILAH</td>
<td>`008975</td>
<td></td>
<td>`0000666941826</td>
<td>`3503057112620011</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1962</td>
<td>59 Th</td>
<td>DUSUN KRAJAN, RT : 4,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC , B.COMPLEK</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>4864</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUMINI</td>
<td>`003073</td>
<td></td>
<td>`0001978441143</td>
<td>`3503055005540002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>10-05-1954</td>
<td>68 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU, BATUK</td>
<td>AMBROXOL,NADIC ,VIT.C</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4865</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>AMINAH</td>
<td>`008068</td>
 <td></td>
<td>`0000666930947</td>
<td>`3503054310690001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-10-1969</td>
<td>52 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC ,OMZ</td>
<td>110/70</td>
<td>70</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4866</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>WIJI ASTUTI</td>
<td>`008979</td>
<td></td>
<td>`0000090444971</td>
<td>`3503054304570003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-04-1957</td>
<td>65 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
 <td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC,VIT.C</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Klinik Aba Husada</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4867</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SUYADI</td>
<td>`009789</td>
<td></td>
<td>`0000666930879</td>
<td>`3503051507670004</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>15-07-1967</td>
<td>55 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC,AMLO</td>
<td>145/78</td>
 <td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4868</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUJIMAN</td>
<td>`011693</td>
<td></td>
<td>`0000665788601</td>
<td>`3503053112550039</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1955</td>
<td>66 Th</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEJU LINU</td>
<td>NADIC,B.COMPLEK</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>M79.1</td>
<td>
 Myalgia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4869</td>
<td>POLI K.B</td>
<td>24-09-2022</td>
<td></td>
<td>IKHSANUROHMAN</td>
<td>`021555</td>
<td>06/8117</td>
<td>`</td>
<td>`3503080904910001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>09-04-1991</td>
<td>31 Th</td>
<td>RT 27 RW 04 DESA TASIKMADU KEC. WATULIMO KAB. TRENGGALEK, RT : 27,RW :4
</td>
<td>TASIKMADU</td>
<td>WATULIMO</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
 dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4870</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>TUMISAH</td>
<td>`017388</td>
<td>07/6847</td>
<td>`0000665615575</td>
<td>`3503057012420005</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-12-1942</td>
<td>79 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUISNG</td>
<td>CTM, AMLO</td>
<td>158/80</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>46</td>
<td>78</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4871</td>
<td>POLI K.B</td>
<td>24-09-2022</td>
<td></td>
<td>IDA WAHYUNI</td>
 <td>`021556</td>
<td>06/8117</td>
<td>`0000665965877</td>
<td>`3503054406950003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>04-06-1995</td>
<td>27 Th</td>
<td>MLOKO, RT : 53,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4872</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>DAROJATUN</td>
<td>`009443</td>
<td>06/9114</td>
<td>`</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-07-1981</td>
<td>41 Th</td>
 <td>DUSUN PAKEL, RT : 33,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td></td>
<td>sesak nyeri telan dada kadang cenut 2</td>
<td>antasida omz pamol</td>
<td>127/71</td>
<td>96</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>67.9</td>
<td>70</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4873</td>
<td>POLI MTBS</td>
<td>24-09-2022</td>
<td></td>
<td>KHADIJAH ALYA AUNI HAFIZAH</td>
<td>`019951</td>
<td>90/3431</td>
<td>`0002742124522</td>
<td>`3578035501190001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-01-2019</td>
<td>3 Th</td>
<td>RT 004 RW 002</td>
<td>KALIRUNGKUT</td>
<td>RUNGKUT</td>
<td>KOTA SURABAYA</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td>131506010922Y001440</td>
<td>batuk pilek sulit makan</td>
<td>pamol syr amok ctm gg dexa bc</td>
 <td>1/1</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>80</td>
<td>11</td>
<td>15</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4874</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SAMURI</td>
<td>`011711</td>
<td></td>
<td>`0000666959916</td>
<td>` </td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-06-1936</td>
<td>86 Th</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>FE, IBU PROFEN</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>65</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
 <td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4875</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>ISMINI</td>
<td>`021598</td>
<td></td>
<td>`0000665762984</td>
<td>`3503057112430014</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1943</td>
<td>78 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>PUSING</td>
<td>FE, IBU PROFEN</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>60</td>
<td>88</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
 <td>
</td>
</tr>
<tr align='left' valign="top">
<td>4876</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>MUYATI</td>
<td>`010136</td>
<td>07/6976</td>
<td>`0001978441042</td>
<td>`3503055604580001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-04-1958</td>
<td>64 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td></td>
<td></td>
<td>/</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4877</td>
<td>POLI UMUM</td>
<td>24-09-2022</td>
<td></td>
<td>SUPATMI</td>
<td>`004645</td>
 <td>06/3558</td>
<td>`0000106536227</td>
<td>`3503055412710001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-12-1971</td>
<td>50 Th</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td>131506010922Y001452</td>
<td>batuk pilek</td>
<td>cipro gg ctm dexa vit c</td>
<td>110/62</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>38.6</td>
<td>40</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. Nonong Puspowicahyo </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4878</td>
<td>POLI KIA</td>
<td>24-09-2022</td>
<td></td>
<td>FATMAWATI</td>
<td>`021557</td>
<td>03/7341</td>
<td>`</td>
<td>`7305054107950174</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>21-09-1995</td>
<td>27 Th</td>
<td>RT 03 RW 01</td>
 <td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Baru</td>
<td></td>
<td>MUAL</td>
<td>-</td>
<td>110/74</td>
<td>89</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>54</td>
<td>1</td>
<td></td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4879</td>
<td>POLI KIA</td>
<td>24-09-2022</td>
<td></td>
<td>AURORA RAHMADHANI</td>
<td>`012826</td>
<td>03/9135</td>
<td>`0001978444214</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>19-12-1999</td>
<td>22 Th</td>
<td>RT 08 RW 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td>131506010922Y001671</td>
<td>keluar flek</td>
<td>-</td>
<td>106/84</td>
 <td>96</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>48</td>
<td>1</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>Z34.9</td>
<td>
Supervision of normal pregnancy, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. MUHAMMAD RIDWAN FAUZI </td>
<td>
Pelayanan Rawat Jalan<br>USG<br> </td>
</tr>
<tr align='left' valign="top">
<td>4880</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SENI</td>
<td>`021599</td>
<td></td>
<td>`</td>
<td>`3503053006490005</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-06-1949</td>
<td>73 Th</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>pusing</td>
<td>FE,B.COMPLEK</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>60</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
 Headache </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<td>
</td>
</tr>
<tr align='left' valign="top">
<td>4881</td>
<td>POLI LANSIA</td>
<td>24-09-2022</td>
<td>POSYANDU LANSIA</td>
<td>SULASIH</td>
<td>`009806</td>
<td></td>
<td>`0000106637253</td>
<td>`3503057112480026</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1948</td>
<td>73 Th</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td>Konseling</td>
<td>KEMBUG, PUSING</td>
<td>OMZ,PAMOL, B.COMPLEK</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>55</td>
<td>80</td>
<td>Tugu</td>
<td>KASUS BARU</td>
<td>K29.7</td>
<td>
Gastritis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Hamidah A.md, Kep </td>
<t