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PRAKTEK DOKTER MANDIRI Dr.

Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
JlPulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 TRI UTAMI 50 NAMPIREJO ISPA
2 ISKANDAR 55 NAMPIREJO DM TIPE 2 GDS 278
3 RARAS 27 BANARJOYO GASTRITIS
4 WIDI 33 REJOAGUNG ISPA
5 KOMANG 34 SRIBASUKI GASTRITIS
6 RIA FAJRIN 40 BUANASAKTI HIPERTENSI
7 SRI LESTARI 33 SELOREJO GASTRITIS
8 YULIA 35 BALEKENCONO ISPA
9 LARAS SRI EKA 48 TELOGOREJO HT
10 NANDA 25 PM ISPA
11 SUJIEM 55 SRIBASUKI DM TIPE 2 GDS 245
12 APIP RAMDAN 12 ADIWARNO ISPA
13 MEI 27 SUMBEREJO ISPA
14 IRA RANIA 17 BANARJOYO CEPALGIA
15 ERVA NOVA 12 REJOAGUNG ISPA
16 DWI LESTARI 24 MARGAMULYA ISPA
17 ADI SUCIPTO 55 BENARJOYO HT
18 DEDEN 65 ADIWARNO HT
19 DANI RAMLI 48 SUMBEREJO HT
20 GIMIN 55 ADIWARNO PPOK
21 FENTIKA 12 SUMBERREJO ISPA
22 SUPARMAN 67 NAMPIREJO HT
23 SUMARI 55 BANARJOYO HT
24 SANTORI 60 SUMBERREJO HT
25 MAHFUL 47 NAMPIREJO MIALGIA
26 EDDI TENTI 50 BALEKONCONO ASMA
27 RIWAYATI 43 SEKAMPUNG HT
28 EMA RISDIANAN 41 BALEKENCONO ISPA
29 RIYADI 51 BALEKENCONO HT
30 SAEFUDIN 21 PM ISPA
31 NGATEMI 66 BALEKENCONO M06.9
32 SRI SUMARTI 69 BANARJOYO H25
33 LASMINAH SUBITI 59 ADIWARNO SUMBERREJO N18
34 FAHRI AFANDI 11 SRIBASUKI L21
35 MURSINI 80 SELOREJO H40
36 ADILA DIVA 15 ADIWARNO G40
37 TUMINAH 66 TELOGOREJO D21
38 SAPON 68 BS 151.7
39 CIPTO 70 PM H11
40 RUSMINI 74 SUMBERREJO 110
41 MUNARWATI 50 NAMPIREJO M19
42 TUMIJEM 66 REJOAGUNG S52.11
43 M.ZAINI 63 BALEKENCONO H52.6
44 NGATINAH 62 ADIWARNO L21
45 APSAHATI 55 BALEKENCONO H52.6
46 ANAM SUGITO 67 ADIWARNO F20
47 UMMU KAHER 55 BALEKENCONO 121
48 ZAINUDIN 59 ADIWARNO E.11
49 ABDULLAH 38 ADIWARNO 111
50 MAREN 58 NAMPIREJO D56.9

Bandar Lampung Maret 2019


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 SUTARNO 56 BD 43 ISPA
2 TINA 22 BD 46 DISPEPSIA
3 MADE 27 BD 47 GASTRITIS
4 NATASYA 4,5 BD 48 ISPA
5 DEVITA 5,5 BD 38 ISPA
6 ROHAYATI 40 BD 41 SNH
7 RAIHAN 13 BD 39 ISPA
8 MARDIYAH 35 BD 45 DISPEPSIA
9 BAMBANG 38 BD 48 SNH
10 HT AU:6.O MG/DL
SUWARTI 50 BD 40 CHOL:205 MG/DL
11 WARJIEM 55 BD 42 HT
12 KESTA 9 BD 43 ISPA
13 LIA 27 BD 46 DISPEPSIA
14 OKTAVIA 16 BD 47 ISPA
15 HABIB 12 BD 48 ISPA
16 ELFATAH 17 BLN BD 38 ISPA
17 SAMIYEM 55 BD 41 HT
18 SUYATI 89 BD 39 DM
19 WAYAN MISTRI 65 BD 45 HT
20 RADITYA 9 BD 48 ISPA
21 SATINO 51 BD 40 HT
22 EDI 15 BD 42 ISPA
23 TUKINEM 47 BD 43 ISPA
24 WAKTO 50 BD 46 HT
25 TIKA 29 BD 47 DISPEPSIA
26 SUGIEM 78 BD 37 DM GDS:445 MG/DL
27 SUPRIONO 41 BD 38 SNH
28 TARIADI 60 BD 41 CEPALGIA
29 SASA 63 BD 39 SNH
30 RASINEM 46 BD 45 MIGRAIN
31 SALSA 8 BD 48 GASTRITIS
32 OMINI 73 BD 40 HT
33 SIWI 73 BD 42 HT
34 MADE SULASTRA 34 BD 43 DM GDS:521 MG/DL
35 KEVIN 6 BD 46 ISPA
36 PUTRI 18 BD 47 ISPA
37 DEVAN 9 BD 48 GASTRITIS
38 SIS 52 BD 38 DISPEPSIA
39 DAVA 9 BD 41 ISPA
40 SINTA 26 BD 39 SNH
41 RONDI 35 BD 45 ISPA
42 FERDI 13 BD 48 ISPA
43 MUHAMAD DANIS 10 BLN BD 40 ISPA
44 AGGITA 17 BD 42 ISPA
45 SHIINTA 16 BD 43 GASTRITIS
46 KETUT DEVIANTI 17 BD 46 SNH
47 RAFA 3 BD 47 ISPA
48 FAHRON 24 BD 48 ISPA
49 HENDRA 32 BD 38 HT
50 GDS:325 MG/DL
NENGGAH RENDEM 60 BD 41 DM CHOL :134 MG/DL

Bandar Lampung, April 2019


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 RAMPED 75 BD 39 DM GDS:456 MG/DL
2 KETUT RANI 55 BD 45 MIGRAIN
3 ABDIL 15 BLN BD 48 ISPA
4 SADI 52 BD 40 ANOREKSIA
5 WASIRAH 66 BD 42 ISPA
6 NOVIANTO 28 BD 43 ISPA
7 DEA 29 BLN BD 46 ISPA
8 UNI 25 BD 47 ISPA
9 NURSIAH 70 BD 43 GASTRITIS
10 DAVINA 3TH BD 38 DISPEPSIA
11 FAREL ADITYA 13T BD 41 ISPA
12 DANUARTA 18 BD 39 SNH
13 DWI HARYONO 34 BD 45 ISPA
14 ANDREAS 10 BD 48 ISPA
15 UNTUNG 53 BD 40 ISPA
16 ANNA 11 BLN BD 42 ISPA
17 UNTUNG 35 BD 43 GASTRITIS
18 MUSRIFAN 40 BD 46 SNH
19 SURYANTO 41 BD 47 ISPA
20 SARMAN 57 BD 48 ISPA
21 GEDE 35 BD 38 HT
22 ZIDANE 16 BD 41 DM
23 GEDE MAS 11 BD 39 DM
24 SITI AMNAH 58 BD 45 MIGRAIN
25 SUGIATI 45 BD 41 ISPA
26 SRI WAHYU NNGSIH 30 BD 40 ANOREKSIA
27 KIANO 18 BLN BD 42 ISPA
28 MUHAMMAD SABIT 7 BD 43 ISPA
29 ARISKA 25 BD 46 ISPA
30 SITI 40 BD 47 ISPA
31 SURYA 46 BD 48 GASTRITIS
32 ZAIDAN 3 BD 38 DISPEPSIA
33 ARKA WINANDA 1,2 BD 41 ISPA
34 ARDA 6 BD 39 SNH
35 PUTRI AQILA 18 BL BD 45 ISPA
36 NISA 15TH BD 48 ISPA
37 NEPA 4 BD 40 ISPA
38 ARDILA 2 BD 42 ISPA
39 PUJO 70 BD 43 GASTRITIS
40 ERNI WATI 63 BD 46 SNH
41 SUNARTO 54 BD 47 ISPA
42 SUYONO 53 BD 48 ISPA
43 ANGGA 11 BD 38 HT
44 WARID 47 BD 41 DM GDS:265 MG/DL
45 SUTYANI 36 BD 39 DM GDS:357 MG/DL
46 MADE RUMIATI 32 BD 45 MIGRAIN
47 DARSONAH 60 BD 48 ISPA
48 AMIRUL 29 BD 37 ANOREKSIA
49 PARTIAH 55 BD 42 ISPA
50 SUWARNI 66 BD 43 ISPA

Bandar Lampung, Mei 2019


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 MUHAMMAD IRHASAN 13 BD 46 ISPA
2 SUPARDI 80 BD 47 ISPA
3 ZENA 4,5 BD 48 GASTRITIS
4 SELVIN 7,5 BD 38 DISPEPSIA
5 REFINO 5,5 BD 41 ISPA
6 SAWAM 49 BD 39 SNH
7 SAPIRAN 40 BD 43 ISPA
8 YUDI 20 BD 48 ISPA
9 BASIYEM 60 BD 40 ISPA
10 TUPI 55 BD 42 ISPA
11 ATAR 13 BD 43 GASTRITIS
12 SULASTRI 62 BD 46 SNH
13 ANGGA 4 BD 47 ISPA
14 KHOLIK 8 BD 48 ISPA
15 MIRZA 2 BD 38 HT
16 KOMANG ENDRAWAN 55 BD 41 DM GDS:457MG/DL
17 TURMI 36 BD 39 DM GDS:377 MG/DL
18 ANGGUN 10 BD 45 MIGRAIN
19 KADEK GITA 8 BD 48 ISPA
20 GUNO 58 BD 40 ANOREKSIA
21 YATI 43 BD 42 ISPA
22 SINEM BD 46 ISPA
23 SURISO 60 BD 47 ISPA
24 ANDI NUR CAHYA 60 BD 48 ISPA
25 DARMANTO 62 BD 38 GASTRITIS
26 MISNAH 48 BD 41 DISPEPSIA
27 MUHAMMAD 12 BD 39 ISPA
28 SAMSUL 39 BD 45 SNH
29 IKBAL 4,5 BD 48 ISPA
30 WULAN 23 BD 40 ISPA
31 PUJI 27 BD 43 GASTRITIS
32 KOMANG SIMPEN 80 BD 46 DISPEPSIA
33 SUJIATI 61 BD 47 CEFALGIA
34 NATASYA 18 BD 48 GASTRITIS
35 TUMIN 64 BD 38 GASTRITIS
36 FEBRI 4 BD 41 ISPA
37 PANDRI 38 BD 39 MILAGIA
38 I KOMANG NESEN 9 BD 45 ISPA
39 DARSIH 46 BD 48 DISPEPSIA
40 SEMI 70 BD 40 HT
41 INDAMA ZULFA 15 BD 42 ISPA
42 PAIJEM 62 BD 43 DM GDS:453 MG/DL
43 NISA 14 BD 46 ANOREXIA
44 SAIROH 52 BD 47 MIGREN
45 SUHERMAN 60 BD 48 DM GDS:345 MG/DL
46 AYU 13 BD 38 ISPA
47 AL ZIDAN 9 BD 41 ISPA
48 PAIJEM 60 BD 39 HT
49 SUWARTI 44 BD 45 MIALGIA
50 ALISTA 35 BD 48 GASTRITIS

Bandar Lampung, Juni 2019


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 FAUZAN 6 BD 40 ISPA
2 TATANG 72 BD 42 MIGREN
3 ENDANG 23 BD 43 MIGREN
4 NAILA 8 BD 46 ISPA
5 NAZWA 9 BD 47 DIPEPSIA
6 RANI 76 BD 48 SNH
7 CHOL:205 MG/DL
WENTY 57 BD 38 HT AU:6,4 MG/DL
8 FARHAN 14 BD 41 CEFALGIA
9 ALINA 3,5 BD 39 ISPA
10 NYOMAN SIBUK 62 BD 45 GASTRITIS
11 VINA 22 BD 48 ISPA
12 HANAN 30 BLN BD 40 ISPA
13 IIS SUGIARTI 30 BD 42 ISPA
14 APRILIA 28 BD 43 GASTRITIS
15 IMAM ALFIANSAH 1 BD 46 ISPA
16 JARIYAH 60 BD 47 DIPEPSIA
17 SABDA 66 BD 48 ISPA
18 PUTRA 10 BD 38 CEFALGIA
19 REFAN 6 BD 41 ISPA
20 NYOMAN SUKENTA 47 BD 39 DISPEPSIA
21 SURATMI 70 BD 45 DIPEPSIA
22 MUTMAINAH 12 BD 48 ISPA
23 SUKIRAN 55 BD 40 GASTRITIS
24 WAYAN KARSINI 50 BD 42 HT CHOL:234 MG/DL
25 TEGO 57 BD 43 HT CHOL:123 MG/DL
26 JAMARI 53 BD 46 DM
27 MAULANA 9 BD 47 ISPA
28 NOVITA 9 BD 48 ISPA
29 ALFIN 19 BLN BD 38 ISPA
30 DIDIK 65 BD 41 HT
31 ARKA 11 BLN BD 39 ISPA
32 SIWI 70 BD 45 SNH
33 MARNO 40 BD 48 MIGREN
34 WARTI 45 BD 40 MIGREN
35 SAROFAH 23 BD 42 CEFALGIA
36 CAHYO 31 BD 43 GASTRITIS
37 SINTA 42 BD 46 GASTRITIS
38 RIO 33 BD 47 ANOREXIA
39 FAHRI 7 BD 48 ANOREXIA
40 NENGAH SUTI 5,5 BD 38 ISPA
41 SITI BADRIAH 59 BD 41 MIGREN
42 WAYAN 79 BD 39 GASTRITIS
43 NURAINI 60 BD 45 ISPA
44 MUJIONO 58 BD 48 GASTRITIS
45 GUSTI BAGUS 32 BD 40 CEFALGIA
46 MAYSAROH 75 BD 42 HT
47 SATINO 51 BD 43 DM
48 HASANUDINE 42 BD 46 NIALGIA
49 HASANAH 13 BD 47 ANOREXIA
50 GIFRAN 2 BD 48 CEFALGIA

Bandar Lampung Juli 2019


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 KARTI 44 BD 38 GASTRITIS
2 KOMANG KONDRA 60 BD 41 GASTRITIS
3 RINI 48 BD 39 GERD
4 YUSANTI 36 BD 45 MIGREN
5 SARTUN 60 BD 48 MIGREN
6 ZIKRI 6,5 BD 40 ISPA
7 HARTINI 60 BD 42 HT
8 RANGGA 35 BD 43 GASTRITIS
9 SYAFIQ 9 BD 46 ANOREXIA
10 SUKARNO 54 BD 47 HT
11 TRI ANDAYANI 27 BD 48 MIGREN
12 WASDIANTO 40 BD 38 DISPEPSIA
13 ANDIKA 16 BD 41 GASTRITIS
14 AZAHRA 35 BD 39 ANOREXIA
15 SUKIEM 70 BD 45 HT
16 M ALFAN 4,5 BD 48 ISPA
17 HAFIA 65 BLN BD 40 ISPA
18 NYOMAN SUMIANI 48 BD 42 GASTRITIS
19 DEVANO 2 BD 43 ISPA
20 AMEL 17 BD 46 CEFALGIA
21 ARIF 40 BD 47 GASTRITIS
22 ANDREAN 29 BD 48 CEFALGIA
23 GDS:234 MG/DL
GIRAH 80 BD 38 DM CHOL :123 MG/DL
24 IGO NOVI 14 BD 41 NIGREN
25 ZAKI 9 BD 39 ANOREXIA
26 HARIS 20 BD 45 DIARE
27 HANI 14 BD 48 ISPA
28 FATMA 14 BD 40 ISPA
29 IMDAH 22 BD 42 GASTRITIS
30 TASLIM 29 BD 43 MIALGIA
31 SARINEM 50 BD 46 GASTRITIS
32 IVAN 22 BD 47 GASTRITIS
33 JUNA 2 BD 48 ISPA
34 RUSNIA 27 BD 38 GASTRITIS
35 SUTARNO 57 BD 41 DISPEPSIA
36 PAIJEM 60 BD 39 DISPEPSIA
37 ABEL 9 BD 45 ANOREXIA
38 AHMADI 38 BD 48 GASTRITIS
39 SUNARYO 76 BD 40 HT
40 UNTUNG 35 BD 42 GASTRITIS
41 WANTI 46 BD 43 GASTRITIS
42 WAHYU 10 BD 46 GASTRITIS
43 WAHYU 28 BD 47 ISPA
44 RADITIYA 11 BD 48 ISPA
45 RENO 5 BD 38 ISPA
46 RUDU 70 BD 41 GASTRITIS
47 SAYU 45 BD 39 ISPA
48 SURYANI 27 BD 45 DIPEPSIA
49 MUHAMAD SOLIKIN 24 BD 48 ISPA
50 IRZIANTO 45 BD 40 CEFALGIA

Bandar Lampung Agustus 2019


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 HAMINAH 63 BD 46 ISPA
2 RINA 6 BD 47 CEFALGIA
3 WARTI 55 BD 48 ISPA
4 SUWIAH 45 BD 38 DISPEPSIA
5 WAJIEM 70 BD 41 DIPEPSIA
6 BD 39 ISPA
7 WARSO 60 BD 45 GASTRITIS
8 NGATNO 56 BD 48 HT CHOL : 187MG/DL
9 RISKI 11 BD 40 HT
10 SIEM 70 BD 42 DM GDS : 402MG/DL
11 SUPARDI 30 BD 43 ISPA
12 SOIMAN 35 BD 46 ISPA
13 NAVIS 18 BLN BD 47 ISPA
14 SADINAH 50 BD 48 HT
15 HUSNI KARIM 31 BD 38 ISPA
16 ADI 12 BD 41 SNH
17 KOMANG AGUS 18 BD 39 MIGREN
18 YEZA 8 BD 45 MIGREN
19 SARGINI 60 BD 48 CEFALGIA
20 LIKA 19BL BD 40 GASTRITIS
21 SUKAT 57 BD 42 GASTRITIS
22 ARIF 50 BD 43 ANOREXIA
23 JINAH 40 BD 46 ANOREXIA
24 IRVAN 16 BD 47 ISPA
25 EKA 40 BD 48 MIGREN
26 YONO 45 BD 38 GASTRITIS
27 PUNGUT 57 BD 41 ISPA
28 NGATIMIN 85 BD 39 GASTRITIS
29 WAGIEM 60 BD 45 CEFALGIA
30 BIBIT 55 BD 48 HT AU: 6,5 MG/DL
31 YUNIA AGUSTINA 7 BD 40 ISPA
32 BD 42 NIALGIA
33 MADE SUPRI 35 BD 43 ANOREXIA
34 EVAN 3 BD 46 CEFALGIA
35 PARJI 50 BD 47 GASTRITIS
36 ANGGUN 2 BD 48 GASTRITIS
37 ANUGRAH 13 BD 38 GERD
38 ASRONI 50 BD 41 GASTRITIS
39 ALIA 15 BLN BD 39 GASTRITIS
40 HAMDAN 46 BD 45 ISPA
41 SULASTRI 31 BD 41 ISPA
42 SARMAN 50 BD 39 DM GDS:356MG/DL
43 DARMO 75 BD 45 GASTRITIS
44 KATIRAN 84 BD 48 ISPA
45 RANI 8 BD 40 DIPEPSIA
46 AGUS 37 BD 42 ISPA
47 KETUT PURDITA 6 BD 39 GASTRITIS
48 WAYAN ADE 20 BD 45 GASTRITIS
49 DEWI 24 BD 48 ISPA
50 PAINEM 45 BD 40 ISPA

Bandar Lampung Sept 2019


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 MERLA 5 BD 42 ISPA
2 SUKIR 35 BD 43 GASTRITIS
3 SURI 60 BD 46 ISPA
4 SULAR 35 BD 47 DIPEPSIA
5 KARNO 29 BD 48 ISPA
6 KIRUN 65 BD 38 CEFALGIA
7 PUJI 23 BD 41 ISPA
8 LAWIYEM 50 BD 39 DISPEPSIA
9 NGATINEM 60 BD 45 DIPEPSIA
10 NARTI 30 BD 48 ISPA
11 TUMILAH 55 BD 40 GASTRITIS
12 IKA LESTARI 9 BD 42 ISPA
13 JIKO 100 BD 43 HT CHOL : 167MG/DL
14 MARIANI 37 BD 46 DM GDS : 378MG/DL
15 SAGIMAN 58 BD 47 ISPA
16 ANDRI 30 BD 48 ISPA
17 SULAR 40 BD 38 ISPA
18 SUKIRMAN 48 BD 41 HT CHOL : 187MG/DL
19 PURWATI 50 BD 39 ISPA
20 SIFA 2 BD 45 SNH
21 ADI PUTRA 29 BD 41 MIGREN
22 VITA 33 BD 39 THIPOID
23 DEBITA 64 BD 45 CEFALGIA
24 INAYAH 2,5 BD 48 GASTRITIS
25 BRIAN 4 BD 40 GASTRITIS
26 TUTIK 28 BD 42 ANOREXIA
27 REDI 9 BD 43 ANOREXIA
28 IKA SUGIANTI 21 BD 46 ISPA
29 LENI 33 BD 47 MIGREN
30 SUKIMIN 63 BD 48 GASTRITIS
31 KETUT SUATI 45 BD 38 ISPA
32 ANA 20 BD 41 GASTRITIS
33 WAYAN SUDARTE 7 BD 39 CEFALGIA
34 SALWA 1,5 BD 45 ISPA
35 TRI ARDI HANDOKO 16 BD 41 ISPA
36 MARJO 64 BD 39 NIALGIA
37 SAMSYAH 44 BD 45 ANOREXIA
38 DAVA 5 BD 48 ISPA
39 SARTI 47 BD 40 GASTRITIS
40 FADIL 31 BD 42 GASTRITIS
41 SUMARNO 55 BD 38 GERD
42 GEMI 49 BD 41 GASTRITIS
43 TRI PURWATI 17 BD 39 GASTRITIS
44 WAYAN KASIYG 70 BD 45 ISPA
45 ISKANDAR 47 BD 48 ISPA
46 FOTA 21 BD 40 ISPA
47 SUPIEM 50 BD 42 GASTRITIS
48 PUTU SASKIA AYU PUTRI 8 BD 43 ISPA
49 ANZIL 4,5 BD 46 DIPEPSIA
50 MINO 45 BD 47 ISPA

Bandar Lampung, Okt 2019


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 AFIFAH 15 BD 38 ISPA
2 SAMSUL B 42 BD 41 DISPEPSIA
3 PUJI 50 BD 39 DIPEPSIA
4 RENO 4 BD 45 ISPA
5 SUMARYATI 30 BD 41 GASTRITIS
6 GIMIN 54 BD 39 HT CHOL : 231MG/DL
7 BASIRUN 32 BD 45 HT
8 WIARNI 39 BD 48 DM GDS : 290 MG/DL
9 SAMINEM 50 BD 40 ISPA
10 SUNANDAR 63 BD 42 ISPA
11 ALFIANTO 4,1 BD 43 ISPA
12 DEWI LESTARI 5,1 BD 46 ISPA
13 ANA 3,5 BD 47 ISPA
14 WASIDI 60 BD 48 SNH
15 SUKERMAN 48 BD 38 MIGREN
16 NYOMAN TANTRI 40 BD 41 MIGREN
17 NOVA 2,2 BD 39 CEFALGIA
18 BD 45 GASTRITIS
19 MUAZAM 2,5 BLN BD 41 ISPA
20 SARILAH 50 BD 39 ANOREXIA
21 MUHRI 61 BD 45 ANOREXIA
22 ANGGI BUDI 5 BD 48 ISPA
23 WIDIA 28 BD 40 MIGREN
24 ADI PUTRA 29 BD 42 GASTRITIS
25 GEMUH 60 BD 43 ISPA
26 YUNI 19 BD 46 GASTRITIS
27 KETUT NADI 70 BD 47 CEFALGIA
28 NASIB 45 BD 48 DM GDS: 302 MG/DL
29 DIANTO 27 BD 38 HT CHOL : 187MG/DL
30 KEMAN 51 BD 41 NIALGIA
31 MUHYAR 50 BD 39 ANOREXIA
32 DEMES 0 BD 45 CEFALGIA
33 RISKI 18 BD 41 GASTRITIS
34 JUMILAH 50 BD 39 GASTRITIS
35 BAIM 2 BD 43 GERD
36 EKSA 8 BD 46 GASTRITIS
37 PARDI 25 BD 47 GASTRITIS
38 ANGGUN 1,5 BD 48 ISPA
39 M. ABI 1,5 BD 38 ISPA
40 M. NABIL 5 BD 41 ISPA
41 SAITUN 35 BD 39 GASTRITIS
42 GANES 8 BD 45 ISPA
43 KASIH 3 BD 41 DIPEPSIA
44 SIAH 11 BD 48 ISPA
45 WIDIAH 29 BD 39 GASTRITIS
46 MADE SUWENA 36 BD 45 GASTRITIS
47 SRI NINGSIH 42 BD 48 ISPA
48 SUCI 49 BD 40 ISPA
49 SUGIARTI 36 BD 42 ISPA
50 ARI 35 BD 43 GASTRITIS

Bandar LAmpung Nov 2019


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 AFRUDIN 38 BD 46 ISPA
2 GIYAH 47 BD 47 DIPEPSIA
3 SUOI 63 BD 48 ISPA
4 ZIKNA 4 BD 38 CEFALGIA
5 TANEM 53 BD 41 ISPA
6 DERA 19BL BD 39 DISPEPSIA
7 ROSMIATI 49 BD 45 DIPEPSIA
8 KINZA 2,5 BD 48 ISPA
9 HAMID 63 BD 40 GASTRITIS
10 AU :
5,6MG/DL
LISTIYONO 37 BD 42 HT CHOL : 156MG/DL
11 NYOMAN KONDRE 67 BD 43 HT
12 JONES 26 BD 46 DM
13 WASINEM 50 BD 47 ISPA
14 AZAM 7 BD 48 ISPA
15 MUHLISIN 25 BD 38 ISPA
16 HUSNO 42 BD 41 HT
17 SUNARDI 55 BD 39 ISPA
18 DILA 14 BD 45 SNH
19 MARSUJI 48 BD 41 MIGREN
20 TAJEM 65 BD 39 MIGREN
21 LUTVIA 27 BD 45 CEFALGIA
22 NGATINI 55 BD 48 GASTRITIS
23 SRILESTARI 35 BD 40 GASTRITIS
24 SRIONO 70 BD 42 ANOREXIA
25 SADINEM 50 BD 43 ANOREXIA
26 WIRYA 44 BD 46 ISPA
27 TEGUH 53 BD 47 MIGREN
28 DARIS 55 BD 48 GASTRITIS
29 ZIT'A NASUTION 55 BD 38 ISPA
30 NURUL ANISA 18 BD 41 GASTRITIS
31 AHRUDIN 52 BD 39 CEFALGIA
32 SUYATI 44 BD 45 HT CHOL: 189MG/DL
33 PAINO 67 BD 41 DM GDS : 387MG/DL
34 MADE NESE 11 BD 39 NIALGIA
35 SUPRIANTO 70 BD 45 ANOREXIA
36 BD 48 CEFALGIA
37 NOVI 27 BD 40 GASTRITIS
38 WTIFATUL JANAH 15 BD 42 GASTRITIS
39 ELVIONA 1,5 BD 38 GERD
40 ARQIA 6,5 BD 41 GASTRITIS
41 SUSI 50 BD 39 GASTRITIS
42 MADE ANGGRAINI 36 BD 45 ISPA
43 SHELA 22 BD 48 ISPA
44 ANGGRAINI 27 BD 40 ISPA
45 AAN 48 BD 42 GASTRITIS
46 KHASANUL MUSTAKIM 10 BD 43 ISPA
47 AGUS SAMSUDIN 38 BD 46 DIPEPSIA
48 ELA 51 BD 47 ISPA
49 SULASTRI 40 BD 48 CEFALGIA
50 ANGGI 27 BD 38 ISPA

Bandar Lampung, Des 2019


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 AROHMAH 23 BD 39 DIPEPSIA
2 MISRI 58 BD 45 ISPA
3 ROHIMAH 54 BD 41 GASTRITIS
4 TEGUH 47 BD 39 HT CHOL: 200MG/DL
5 ADEK 55 BD 45 HT
6 TURMINI 36 BD 48 DM GDS : 280MG/DL
7 EKA MARLINA 26 BD 40 ISPA
8 GRASELA 5 BLN BD 38 ISPA
9 IDA 55 BD 41 GASTRITIS
10 TUKIYEM 53 BD 39 ISPA
11 KETUT PURNASIH 42 BD 45 ISPA
12 INDRI 25 BD 48 THIPOID
13 KOMANG 2,5 BD 40 GASTRITIS
14 YUNITA 24 BD 42 ISPA
15 SUYOTO 55 BD 43 DIPEPSIA
16 SUKARI 62 BD 46 ISPA
17 JUNITA 5 BD 47 CEFALGIA
18 NATAN 8 BD 48 ISPA
19 JUMIAN 34 BD 38 DISPEPSIA
20 RAIS 69 BD 41 DIPEPSIA
21 HETI 26 BD 39 ISPA
22 SUMARNO 66 BD 45 GASTRITIS
23 FAHRI 4 BD 41 ISPA
24 NYOMAN SEPU 50 BD 39 HT
25 SRI LESTARI 31 BD 45 DM GDS:345MG/DL
26 CASMUNI 61 BD 48 ISPA
27 NYOMAN GIRIANA 52 BD 40 ISPA
28 FARDAN 8 BD 41 ISPA
29 NENGAH RANGEN 75 BD 39 HT
30 ISTI 45 BD 45 ISPA
31 AYU 3 BD 41 SNH
32 RANI 16 BD 39 MIGREN
33 SUGANTO 30 BD 45 MIGREN
34 WIYONO 30 BD 48 CEFALGIA
35 ASKA 8 BLN BD 40 GASTRITIS
36 LELE 49 BD 42 GASTRITIS
37 SURATMAN 65 BD 43 ANOREXIA
38 NUR BAITI 55 BD 46 ANOREXIA
39 SARIMAN 65 BD 47 ISPA
40 NENGAH SUPRI 45 BD 48 MIGREN
41 WATI 60 BD 38 HT
42 REZA 4,5 BD 41 ISPA
43 WINI 37 BD 39 GASTRITIS
44 RIAN 34 BD 45 CEFALGIA
45 ILHAM 5,5 BD 41 ISPA
46 KESYA 7 BD 39 ISPA
47 GEDE WIGUNA 19 BD 45 NIALGIA
48 ISMAN 45 BD 48 ANOREXIA
49 MURAMAH 50 BD 40 CEFALGIA CHOL:202MG/DL
50 KUNIRAN 57 BD 46 GASTRITIS

Bandar Lampung Jan 2020


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 AGUS 60 BD 47 GASTRITIS
2 DAMINI 45 BD 48 GERD AU:7,6MG/DL
3 SUPRAPTI 64 BD 38 GASTRITIS
4 NGATIEM 40 BD 41 GASTRITIS
5 WARDOYO 50 BD 39 ISPA
6 SUKATMI 51 BD 45 ISPA
7 AZARI 62 BD 41 ISPA
8 MIKEM 65 BD 43 GASTRITIS
9 KADEK AITI 21 BD 41 ANOREXIA
10 MANGKU WIYANI 68 BD 39 ANOREXIA
11 WAGI 40 BD 45 ISPA
12 SUNARTO 80 BD 48 DM GDS:345 MG/DL
13 IIN 45 BD 40 HT
14 ARIEF 36 BD 41 ISPA
15 VANDA 9 BD 39 GASTRITIS
16 TOTONG 45 BD 45 CEFALGIA
17 ILHAM 3,5 BD 41 ISPA
18 LASI 70 BD 39 ISPA
19 GEMI 80 BD 45 HT CHOL:367 MG/DL
20 DINA 45 BD 48 ANOREXIA
21 ANDRI 32 BD 40 CEFALGIA
22 AZAM 3,5 BD 42 GASTRITIS
23 RAMPED 90 BD 43 GASTRITIS
24 ICA 27 BD 46 GERD
25 ASIFA 4,5 BD 47 GASTRITIS
26 SALIKA 58 BD 48 GASTRITIS
27 SINDU 5,5 BD 38 ISPA
28 BENNYA 8,5 BD 41 ISPA
29 RIRI 30 BD 39 ISPA
30 ADI GAHYO 70 BD 45 GASTRITIS
31 RABIYEM 70 BD 41 DM GDS:213 MG/DL
32 SOHADI 60 BD 39 HT
33 SUPRAPTI 53 BD 45 ISPA
34 MAKRO 6 BD 48 ISPA
35 HAFIZ 8,5 BD 40 ISPA
36 WASMIATI 50 BD 46 ISPA
37 CHANDRA 36 BD 47 GASTRITIS
38 NYI SESWOPRANOTO 80 BD 48 CEFALGIA
39 USNA 4 BD 38 ISPA
40 ARKA 6 BD 41 ISPA
41 DADANG 58 BD 39 NIALGIA
42 EDI 38 BD 45 ANOREXIA
43 WAYAN ARDA 4,5 BD 41 ISPA
44 IKHSAN 26 BD 43 GASTRITIS
45 VILIA 38 BD 43 GASTRITIS
46 TRIAMAN 50 BD 46 GERD
47 EKA 23 BD 47 GASTRITIS
48 UMI ANI 45 BD 48 GASTRITIS
49 GATOT 56 BD 38 ISPA
50 WAYAN RANIS 50 BD 41 ISPA

Bandar Lampung, Feb 2020


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 MUSIRON 60 BD 39 ISPA
2 WILDA 22 BD 45 GASTRITIS
3 ROH 31 BD 41 ANOREXIA
4 SINAH 37 BD 39 ANOREXIA
5 SARMAN 54 BD 45 DM GDS:256MG/DL
6 RADA 34 BD 48 MIGREN
7 PUTRI 32 BD 40 TIPOID
8 SUWONO 50 BD 43 ISPA
9 HENDRI 17 BD 46 GASTRITIS
10 ANANDHI 12 BD 47 CEFALGIA
11 ALDO 8 BD 48 ISPA
12 UJANG 35 BD 38 ISPA
13 WAYAN BALI 49 BD 41 NIALGIA
14 RIRIS 20 BD 39 ANOREXIA
15 AL ZIKRI 4 BD 45 CEFALGIA
16 JUKIMIN 65 BD 41 GASTRITIS
17 KARTINI 65 BD 39 GASTRITIS
18 NGATIRAH 70 BD 45 DM GDS:478 MG/DL
19 ARDAN 2,7 BD 48 GASTRITIS
20 NGAIDI 65 BD 40 GASTRITIS
21 NYOMAN PUJIANI 33 BD 46 ISPA
22 TUJI 50 BD 47 ISPA
23 WARTONO 70 BD 48 ISPA
24 SIGIT 50 BD 38 GASTRITIS
25 SITI 32 BD 41 ANOREXIA
26 FARIDA 44 BD 39 ANOREXIA
27 NYOMAN SUMIANI 35 BD 45 ISPA
28 TUMI 80 BD 41 MIGREN
29 RIANA 52 BD 43 HT AU:7 ,0MG/DL
30 RIZKI 4,5 BD 48 ISPA
31 ANDIKA 17 BD 46 GASTRITIS
32 SUYATMI 40 BD 47 CEFALGIA
33 MUHAMAD HARIS 30 BD 48 ISPA
34 PANDE KOMANG 60 BD 38 ISPA
35 TABARI 60 BD 41 NIALGIA
36 ADI WIDODO 27 BD 39 ANOREXIA
37 RAFA 4,5 BD 45 CEFALGIA
38 SUTAR 50 BD 41 GASTRITIS
39 HADI MULYONO 24 BD 39 GASTRITIS
40 SUTIEM 60 BD 40 GERD
41 SUYATI 50 BD 46 GASTRITIS
42 KOMANG MELI 15 BD 47 GASTRITIS
43 MUKINEM 80 BD 48 ISPA
44 WONOKERTO 80 BD 38 ISPA
45 KASIM 45 BD 41 ISPA
46 NYOMAN 40 BD 43 GASTRITIS
47 SOLASTRI 57 BD 43 ISPA
48 SUJIATI 60 BD 46 DISPEPSIA
49 MARTONO 73 BD 47 GASTRITIS
50 NYOMAN 42 BD 48 THIPOID

Bandar Lampung, Maret 2020


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 NENGAH 20 BD 38 ISPA
2 SITI PEBRI 4 BD 41 ISPA
3 KETUT SARI 40 BD 39 ISPA
4 ALFAN 17 BD 45 DISPEPSIA
5 DEN 21 BD 48 SNH
6 JOKO MARGONO 38 BD 40 DM GDS:267MG/DL
7 SAMUDI 70 BD 42 HT
8 WAYAN SEMPANE 60 BD 43 ISPA
9 MULYADI 18 BD 46 DISPEPSIA
10 KETUT SIADI 37 BD 47 ISPA
11 WIJIATI 50 BD 48 ISPA
12 BUDI 55 BD 38 ISPA
13 SIWI 70 BD 41 HT CHOL:276MG/DL
14 EKO WAHYUDI 32 BD 39 DM GDS:367MG/DL
15 KETUTARSANA 40 BD 45 HT
16 SURYATI 68 BD 48 ISPA
17 KETUT MANDAK 63 BD 40 HT
18 DWI 28 BD 42 ISPA
19 WARIS 50 BD 43 ISPA
20 GIBRAN 2 BD 46 ISPA
21 TATA 18 BD 47 DISPEPSIA
22 VANIA 4,2 BD 48 ISPA
23 RIANA 24 BD 38 SNH
24 SITI SOLEHA 54 BD 41 CEPALGIA
25 KOMANG ROSTITIH 32 BD 39 SNH
26 SUPARDI 70 BD 45 DM GDS:333MG/DL
27 GASTRITIS
SEMI 56 BD 48
28 JINI 37 BD 40 HT
29 SUTIO 70 BD 42 HT
30 KETUT ADI 14 BD 43 DM
31 MIKAYLA 20 BD 46 ISPA
32 JANAR 1 BD 47 ISPA
33 SALDA 13 BD 48 GASTRITIS
34 WAYAN RIE 70 BD 38 DISPEPSIA
35 SRIWINARSIH 32 BD 41 ISPA
36 KETUT KASIG 70 BD 39 SNH
37 RODIAH 52 BD 45 ISPA
38 MAYSAROH 50 BD 48 ISPA
39 WAYAN BUDIANA 47 BD 40 ISPA
40 MADE SRINADI 46 BD 42 ISPA
41 NOVITA 4,5 BD 43 GASTRITIS
42 RAFA 6,5 BD 46 SNH
43 NAKULA 10 BD 47 ISPA
44 NGATEMEN 51 BD 48 ISPA
45 ARIF 3 BD 38 ISPA
46 PAINEM 45 BD 41 DM GDS:234MG/DL
47 RUSIDAH 45 BD 39 DM GDS:355MG/DL
48 WAYAN CITA 47 BD 45 MIGRAIN
49 DADA 58 BD 48 ISPA
50 WAHYUDI 46 BD 40 ANOREKSIA

Bandar LAmpung, April 2020


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 DIANA 28 BD 42 ISPA
2 WAYAN RAI 37 BD 43 ISPA
3 AAN 18 BD 46 ISPA
4 MUHADI 80 BD 47 ISPA
5 IRA 16 BD 48 GASTRITIS
6 MAKNO 62 BD 38 DISPEPSIA
7 SAPUTRA 15 BD 41 ISPA
8 SUNENDAR 26 BD 39 SNH
9 JUPRI 50 BD 45 ISPA
10 ADIVA 17 BD 48 ISPA
11 WIWK 21 BD 40 ISPA
12 YUYUN 18 BD 42 ISPA
13 SURATIN 58 BD 43 GASTRITIS
14 DARWIS 30 BD 46 SNH
15 BURHAN 24 BD 47 ISPA
16 SUMARNI 63 BD 43 ISPA
17 NENGAH RUMADI 40 BD 46 DISPEPSIA
18 IRFAN 3 BD 47 GASTRITIS
19 SUNARNO 54 BD 48 ISPA
20 KARTI 41 BD 38 ISPA
21 KARMI 40 BD 41 SNH
22 TUMI 80 BD 39 ISPA
23 SULASTRI 40 BD 45 DISPEPSIA
24 KENZI 5 BD 48 ISPA
25 BAMBANG 30 BD 40 GASTRITIS
26 WARIS 50 BD 42 HT CHOL:209MG/DL
27 SAHROTUL 15 BD 43 ISPA
28 RAHMADANI 10 BD 46 DISPEPSIA
29 KATMINI 50 BD 47 ISPA
30 RISKI 10 BD 48 ISPA
31 TAWIKEM 80 BD 38 DM
32 SUMADI 45 BD 41 MIGREN
33 WIRATA 45 BD 39 SNH
34 WASIH 44 BD 45 HT CHOL:259MG/DL
35 ARI SAPUTRA 6 BD 48 ISPA
36 ENEH 75 BD 40 HT
37 MADE ARIAJA 52 BD 42 ISPA
38 PUJI WALUYO 50 BD 43 ISPA
39 HERI 18 BD 46 HT
40 DAVIN 2,5 BD 47 DISPEPSIA
41 JUMINI 34 BD 48 SNH
42 KETUT SUKARTE 70 BD 38 DM GDS:478MG/DL
43 EKO HERMAN 36 BD 41 CEPALGIA
44 SUANDI 56 BD 39 SNH
45 NGATIO 55 BD 45 MIGRAIN
46 ARINA 14 BD 48 GASTRITIS
47 SUHAR 69 BD 40 HT
48 TUKIMAN 41 BD 42 HT
49 DARI 42 BD 43 DM
50 PREDI 22 BD 46 ISPA

Bandar Lampung, Mei 2020


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 PARLIN 44 BD 47 ISPA
2 MARYAMAH 42 BD 48 GASTRITIS
3 AFIF 2 BD 38 DISPEPSIA
4 JUNAIDI 62 BD 41 ISPA
5 WISMO TARUMO 72 BD 39 SNH
6 NUR 21 BD 45 ISPA
7 MADE 59 BD 48 ISPA
8 ERIADI 14 BD 40 ISPA
9 M.ASKA 21 BD 42 ISPA
10 HKHANAYA 20 BD 43 GASTRITIS
11 WAYAN ARTE 46 BD 46 SNH
12 TINO 22 BD 47 ISPA
13 SINTIA 23 BD 43 ISPA
14 NISA 12 BD 46 SNH
15 DIAN 75 BD 47 DM GDS:444 MG/DL
16 DEWA TIANG 65 BD 48 DM
17 KETUT VITRA 21 BD 38 MIGRAIN
18 WAYAN SARI BD 41 ISPA
19 EDI IRAWAN 25 BD 39 ANOREKSIA
20 RARA 6,5 BD 45 ISPA
21 AUDI 16 BD 48 ISPA
22 FITRI 10 BD 40 ISPA
23 NGADINAH 80 BD 42 ISPA
24 ZIDAN 10 BD 48 GASTRITIS
25 HOSEN 65 BD 38 DISPEPSIA
26 SUTARMINI 42 BD 41 ISPA
27 MIKI 11 BD 39 SNH
28 ARIF 3 BD 45 ISPA
29 BAYU SAPUTRA 9 BD 48 ISPA
30 SURTI 50 BD 40 ISPA
31 SARMI 52 BD 42 ISPA
32 KETUT SUWITRO 60 BD 43 GASTRITIS
33 TUMIYEM 80 BD 46 SNH
34 SENO 57 BD 47 ISPA
35 SUMAR 60 BD 48 ISPA
36 WAYAN KARNA 62 BD 38 HT
37 MIRNA 14 BD 41 DM
38 NAYLA 3,5 BD 39 DM
39 MADE WIRIYA 11 BD 45 MIGRAIN
40 NGATIMIN 60 BD 48 ISPA
41 TUMINAH 50 BD 40 ANOREKSIA
42 PIEM 90 BD 42 ISPA
43 SARI 70 BD 43 ISPA
44 RUSIDAH 45 BD 47 ISPA
45 YAHMI 50 BD 48 ISPA
46 UMAR 52 BD 38 GASTRITIS
47 NYOMAN 45 BD 41 DISPEPSIA
48 NYOMAN SUMANTRI 50 BD 48 ISPA
49 RAYEN 5 BD 40 DISPEPSIA
50 BALQIS 3 BD 42 GASTRITIS

Bandar Lampungi, Juni 2020


Pembuat Daftar

Dr Anisa Putri
PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 SITI SANGADAH 40 BD 43 ISPA
2 RDOI 14 BD 46 ISPA
3 NURWATI 42 BD 47 SNH
4 NILUH SUMARTINI 24 BD 48 ISPA
5 PAKDE SISIRI 53 BD 38 DISPEPSIA
6 ANDI 33 BD 41 SNH
7 PARIYEM 45 BD 39 HT AU:7,7 MG/DL
8 SULARNO 50 BD 45 HT GDS:345MG/DL
9 OKOM 43 BD 48 ISPA
10 DEWA GEDE 19 BD 40 DISPEPSIA
11 YUNITA 15 BD 42 ISPA
12 KIRUN 70 BD 43 DM GDS:234MG/DL
13 ADIMAS RAYA 7 BD 46 ISPA
14 WAGIRAN 70 BD 47 HT CHOL:345MG/DL
15 PURWANTO 39 BD 43 DISPEPSIA
16 DESTI 17 BD 46 MIGREN
17 SIKEM 50 BD 47 ISPA
18 NGADIEM 70 BD 48 HT
19 SUPARNO 70 BD 38 ISPA
20 UJANG 45 BD 41 ISPA
21 TIARA 6 BD 39 ISPA
22 SUPRAYOGI 24 BD 45 DISPEPSIA
23 CIKA 18 BD 48 MIGREN
24 NENGAH HENDRA 11 BD 40 SNH
25 UJANG 35 BD 42 CEPALGIA
26 WAUJAN 47 BD 48 SNH
27 KOMANG SUDIARTA 35 BD 38 MIGRAIN
28 SUKARNO 60 BD 41 GASTRITIS
29 SILVIA 22 BD 39 SNH
30 DARNIAH 40 BD 45 HT
31 JOKO 56 BD 48 DM GDS:234MG/DL
32 WASTO 90 BD 40 ISPA
33 WAYAN RENIK 65 BD 42 ISPA
34 KASIN 65 BD 43 GASTRITIS
35 IDA BAGUS 58 BD 46 DISPEPSIA
36 NYOMAN SUBUH 60 BD 47 ISPA
37 AGUNG 2 BD 48 ISPA
38 PUTU JEPN 4 BD 38 ISPA
39 RANDI 5 BD 41 ISPA
40 ARFANI 16 BD 39 ISPA
41 BAMBANG 58 BD 45 ISPA
42 ANDIKA 17 BD 48 GASTRITIS
43 PARIYEM 44 BD 40 SNH
44 MADE 36 BD 42 ISPA
45 TENTREM 50 BD 43 HT
46 NAZWA 9 BD 47 ISPA
47 RAMPED 90 BD 48 DM GDS:351MG/DL
48 NYOMAN SUPRAMAN 62 BD 38 DM GDS:368MG/DL
49 DARMA 70 BD 41 MIGRAIN
50 SAHHIN 25 BD 43 ISPA

Bandar Lampungi, Juli 2020


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 RIRIS 20 BD 47 ISPA
2 NUR HAYANI 55 BD 48 ISPA
3 SUHENDRI 30 BD 38 ISPA
4 MULYADI 35 BD 41 ISPA
5 RINGGIT 48 BD 39 GASTRITIS
6 JOKO 47 BD 45 DISPEPSIA
7 SARJONO 40 BD 48 ISPA
8 YOWARIAH 65 BD 40 SNH
9 MUHIDIR 65 BD 42 ISPA
10 NENGAH WARTINI 60 BD 48 ISPA
11 BUDI 40 BD 38 ISPA
12 GILANG 4,5 BD 41 ISPA
13 PADI 17 BD 39 GASTRITIS
14 MADE NASA 7 BD 45 SNH
15 ERNA 23 BD 48 ISPA
16 NGAIDI 68 BD 42 ISPA
17 WIJI 35 BD 43 HT
18 TRIONO 50 BD 46 DM GDS:421MG/DL
19 SAGIO 75 BD 47 DM GDS:125MG/DL
20 WIDI 2 BD 38 MIGRAIN
21 SAMILAH 55 BD 42 DM GDS:324MG/DL
22 DAKLIM 25 BD 43 DISPEPSIA
23 SUTENG 42 BD 46 GASTRITIS
24 SAKIN0O 60 BD 47 ISPA
25 MUSTOQIM 25 BD 43 ISPA
26 KARTINI 42 BD 46 SNH
27 TOGIMIN 60 BD 47 ISPA
28 WAYAN RUGEG 65 BD 48 DISPEPSIA
29 SARDI 25 BD 38 SNH
30 TUKIRAN 53 BD 41 HT
31 SAMADI 73 BD 39 HT CHOL:217MG/DL
32 ALAN 15 BD 45 ISPA
33 WIWIK 50 BD 48 DISPEPSIA
34 HARTOMO 31 BD 40 ISPA
35 NAING DULAN 72 BD 42 ISPA
36 NYOMAN MUJANA 60 BD 48 ISPA
37 ERNI 54 BD 38 HT
38 MADE BUDIATUN 42 BD 41 DM GDS:40MG/DL
39 TUKIMAN 41 BD 39 HT
40 ILHAM 7 BD 45 ISPA
41 AKMAL 3 BD 48 ISPA
42 NILUH DILIA WATI 1,5 BD 40 ISPA
43 JUMINAH 45 BD 42 GASTRITIS
44 CAESAR 2 BD 43 ISPA
45 ALIEF 3,5 BD 46 DISPEPSIA
46 SAKIJEM 64 BD 47 DM GDS:245MG/DL
47 MADE 50 BD 48 SNH
48 CAINEM 60 BD 38 CEPALGIA
49 WAYAN POSPA 60 BD 41 SNH
50 RIA 13 BD 39 MIGRAIN

Bandar Lampungi, Agst 2020


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 NGATIRAH 70 BD 45 GASTRITIS
2 SAPIATUN 50 BD 48 HT
3 RAFA 7 BD 40 ISPA
4 SELPI 6,5 BD 42 ISPA
5 RATU 10 BD 43 ISPA
6 KOMARIAH 37 BD 47 ISPA
7 RAIDAH 70 BD 48 GASTRITIS
8 DEWA GEDE 19 BD 38 DISPEPSIA
9 UJANG 35 BD 41 ISPA
10 PARDI 70 BD 43 SNH
11 SUTARMINI 41 BD 46 ISPA
12 MUJIEM 35 BD 47 ISPA
13 SARJONO 56 BD 48 ISPA
14 SOLEH 44 BD 38 ISPA
15 ARIYATI 42 BD 41 GASTRITIS
16 NIMAS AIFA 6 BD 39 SNH
17 YANI 62 BD 45 ISPA
18 KETUT JATI 40 BD 48 ISPA
19 AMINAH 61 BD 40 HT
20 SUGENG 45 BD 42 DM GDS:203MG/DL
21 ALBI 3 BD 48 ISPA
22 SIDIK ANSORI 22 BD 38 MIGRAIN
23 TEDI S 20 BD 41 ISPA
24 UMAR 52 BD 39 ANOREKSIA
25 MADE WILIA 11 BD 45 ISPA
26 ADITIA 7 BD 48 ISPA
27 GIMIN 60 BD 42 ISPA
28 PAIJO 80 BD 43 HT
29 SURATI 20 BD 46 GASTRITIS
30 SITI MUKAROMAH 26 BD 47 DISPEPSIA
31 KOMANG KONDRA 63 BD 39 ISPA
32 ROMI 29 BD 45 SNH
33 SYHRI 49 BD 48 ISPA
34 MAIMUNAH 55 BD 40 ISPA
35 ALEXA 4 BD 42 ISPA
36 UUM 51 BD 46 DM GDS:256MG/DL
37 ATU AGUNG 6 BD 43 GASTRITIS
38 WARTATI 46 BD 38 ISPA
39 SUGIMAN 40 BD 41 DISPEPSIA
40 FARID 15 BD 39 GASTRITIS
41 TUTI 27 BD 45 ISPA
42 DEVINA 8 BD 48 ISPA
43 TRI PURWATI 28 BD 40 SNH
44 M ZUL KAMAIN 6 BD 42 ISPA
45 SYAHRUL 7 BD 48 DISPEPSIA
46 KHOIRIAH 40 BD 38 SNH
47 KIRUN 70 BD 41 HT CHOL:456MG/DL
48 ISTILAH 50 BD 39 HT
49 AULIA 1 BD 45 ISPA
50 UJANG 35 BD 48 DISPEPSIA

Bandar Lampungi, Sept 2020


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 SUKRE 60 BD 40 ISPA
2 SUMARNO 65 BD 42 ISPA
3 AHMAD 55 BD 43 ISPA
4 ROYANI 50 BD 46 HT
5 KIRAN 64 BD 47 DM GDS:9MG/DL
6 SADIMAN 45 BD 48 HT
7 DEVAN 45 BD 38 ISPA
8 YANI 81 BD 41 HT
9 LILI 10 BD 39 ISPA
10 MISNO 65 BD 45 ISPA
11 SITI 49 BD 48 HT
12 SARTUN 60 BD 40 DISPEPSIA
13 SONIB 47 BD 42 DM
14 TOIMIN 50 BD 43 SNH
15 IFAN 10 BD 47 CEPALGIA
16 RANGGA 9 BD 48 SNH
17 ARSDIAN 13 BD 38 MIGRAIN
18 DESTA 33 BD 41 GASTRITIS
19 DARWIN 56 BD 43 HT
20 WASINO 56 BD 46 HT
21 LINDA ROYANI 47 BD 47 DM
22 IRMANTO 26 BD 48 ISPA
23 RIZAL 23 BD 38 ISPA
24 KADEX DENI 44 BD 41 GASTRITIS
25 ALDI 37 BD 39 DISPEPSIA
26 HILDAFITRIANA 25 BD 45 ISPA
27 TENTREM 43 BD 48 SNH
28 NI GUSTIAYU 12 BD 40 ISPA
29 SAMI 27 BD 42 ISPA
30 MADE RUGEG 67 BD 48 ISPA
31 ARDIPA 43 BD 38 ISPA
32 BAGAS 42 BD 41 GASTRITIS
33 SITI 25 BD 39 SNH
34 SUTAMI 21 BD 45 ISPA
35 YUNITA 23 BD 48 ISPA
36 KARJONO 50 BD 42 HT
37 AMINAH 65 BD 43 DM GDS:234MG/DL
38 MADE 67 BD 46 DM GDS:367MG/DL
39 SUGIUAN 76 BD 47 MIGRAIN
40 DINA 33 BD 43 ISPA
41 CAINEM 23 BD 46 ANOREKSIA
42 SUGIANTO 31 BD 47 ISPA
43 SUTRIANA 31 BD 48 ISPA
44 SUWARNI 32 BD 38 ISPA
45 NYOMAN S 54 BD 41 ISPA
46 ANDIKA 43 BD 39 GASTRITIS
47 WAYAN MEGAWATI 45 BD 45 DISPEPSIA
48 MULYADI 27 BD 48 ISPA
49 SUMIKEM 36 BD 46 SNH
50 SITI 50 BD 41 ISPA

Bandar Lampung, Okt 2020

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 SUANDI 56 BD 39 DISPEPSIA
2 ALI 24 BD 45 GASTRITIS
3 SUTIEM 40 BD 48 ISPA
4 PUJIONO 54 BD 40 ISPA
5 NURMA 27 BD 42 SNH
6 ANDRIANA 2 BD 48 ISPA
7 SURATMAN 64 BD 38 DM GDS:351MG/DL
8 PONIO 50 BD 41 SNH
9 RANA 22 BD 39 HT
10 NGAIDI 68 BD 45 HT
11 SALWA AULIA 3 BD 48 ISPA
12 ZAHRA 15 BD 40 DISPEPSIA
13 SUSI 20 BD 42 ISPA
14 SUKARTI 42 BD 43 ISPA
15 WAYAN CENEK 75 BD 46 ISPA
16 SITI AMINAH 70 BD 47 HT
17 WARSONO 40 BD 48 DM GS:439MG/DL
18 WAYAN 35 BD 38 HT
19 BOGIMAN 63 BD 41 ISPA
20 SUPRIANTO 21 BD 39 GASTRITIS
21 WAYAN ADI 31 BD 45 ISPA
22 SITI MUNAWAROH 48 BD 48 ISPA
23 ALIF 62 BD 40 HT
24 WARIS 50 BD 42 DISPEPSIA
25 WARTINI 30 BD 43 DM GDS:219MG/DL
26 PUSPA 70 BD 47 SNH
27 ANISA 16 BD 48 CEPALGIA
28 WATI 51 BD 38 SNH
29 LUKI 9 BD 41 ISPA
30 MULYONO 60 BD 43 GASTRITIS
31 BASYARUDIN 53 BD 46 HT
32 AJI ANI 29 BD 47 HT
33 ,MADE ADI 45 BD 48 DM GDS:267MG/DL
34 RIFKA 2,4 BD 38 ISPA
35 AGUS 22 BD 41 ISPA
36 KOMANG DANU 14 BD 39 GASTRITIS
37 RUDI 23 BD 45 DISPEPSIA
38 KOMANG RIWAYANI 3 BD 48 ISPA
39 KADEX SITA 5 BD 40 SNH
40 KOMANG INDRAWAN 23 BD 42 ISPA
41 WAYAN 15 BD 48 ISPA
42 SOPANUDIN 25 BD 38 ISPA
43 MADE EVAN 6 BD 41 ISPA
44 MUJIONO 40 BD 39 GASTRITIS
45 INDRASWATI 45 BD 45 SNH
46 HANAN 11 BD 48 ISPA
47 TATA 6 BD 42 ISPA
48 KARNI 55 BD 43 HT
49 KALISA 3 BD 46 DISPEPSIA
50 SUROSO 40 BD 47 DM GDS:235M/DL

Bandar Lampung, Nov 2020

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 SOLIKIN 27 BD 43 MIGRAIN
2 AKIVA 4 BD 46 ISPA
3 RIKI 5 BD 47 ISPA
4 LENI 70 BD 48 HT
5 ADI WIYONO 57 BD 38 ISPA
6 NENGAH SABANA 80 BD 41 ISPA
7 TOTO 46 BD 39 ISPA
8 SAIUDIN 23 BD 45 GASTRITIS
9 PONIEM 75 BD 48 DM GDS:356MG/DL
10 MUHAMAD NUR N 2,5 BD 46 ISPA
11 REZA 19 BD 38 SNH
12 REVI 14 BD 47 ISPA
13 MARDI 70 BD 43 ISPA
14 NYAMAN SWANA 50 BD 46 ISPA
15 SUKMANANLA 8,5 BD 48 ISPA
16 OKI 5,5 BD 38 GASTRITIS
17 SEMI 65 BD 41 SNH
18 RAFI 7 BD 39 ISPA
19 SUMIRAH 51 BD 43 ISPA
20 RAHMAT 18 BD 47 DISPEPSIA
21 MUHDIR 65 BD 48 GASTRITIS
22 WAYAN SUMANTRI 47 BD 38 ISPA
23 MADE KARYANI 41 BD 41 ISPA
24 GEDE GUNA 7 BD 43 ISPA
25 DIKI SETIAWAN 3 BD 46 ISPA
26 DIRLY 4 BD 47 DISPEPSIA
27 SUPAERTEN 48 BD 48 SNH
28 SUPRIH 65 BD 38 HT
29 TRIONO 30 BD 41 HT
30 NANIK ROSIDAH 35 BD 39 ISPA
31 SUKASIH 44 BD 45 DISPEPSIA
32 JUANAH 65 BD 48 ISPA
33 INDRA 22 BD 40 ISPA
34 ANA 16 BD 42 ISPA
35 JAFAR 13 BD 48 GASTRITIS
36 SUBIRTO 50 BD 38 DM GDS:256MG/DL
37 ELISKA 70 BD 41 HT
38 TIRTA 6 BD 39 ISPA
39 MANGKU 70 BD 45 HT HOL:237MG/DL
40 SUHAN 46 BD 48 ISPA
41 KETUT MUPU 31 BD 42 ISPA
42 SAMAK 80 BD 43 HT AU:5,7MG/DL
43 I MADE SURATA 49 BD 46 DISPEPSIA
44 DANANG 27 BD 47 DM
45 TAYIP 60 BD 43 SNH
46 MADE RATNA 24 BD 46 CEPALGIA
47 AHMAD TEGAL 2,5 BD 47 SNH
48 KADEX AYU 61 BD 48 MIGRAIN
49 NYOMANOKTIANA 12 BD 38 GASTRITIS
50 NYOMAN SUMANTRI 51 BD 41 HT

Bandar Lampung, Des 2020

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 SELSI MELANI 12 BD 47 ISPA
2 NURSALIM 45 BD 48 DISPEPSIA
3 WAYAN M,AHESA 16 BD 38 GASTRITIS
4 SUKARNO 46 BD 41 ISPA
5 SUMIATON 60 BD 43 ISPA
6 PAIJO 86 BD 46 SNH
7 AZAHRA 5 BD 47 ISPA
8 SUDASIH 40 BD 48 DISPEPSIA
9 NGATIRAH 70 BD 38 SNH
10 AZKA 68 BD 41 HT CHOL:245MG/DL
11 TUMIKEM 80 BD 39 HT
12 AGNEZ 16 BD 45 ISPA
13 SUMEDI 37 BD 48 DISPEPSIA
14 KOMANG NATALIANA 17 BD 40 ISPA
15 RATNO 17 BD 42 ISPA
16 ARIS 25 BD 48 ISPA
17 BUDI 31 BD 38 HT
18 DWI 18 BD 41 GASTRITIS
19 NURBAITI 67 BD 39 HT
20 JUNA 21 BD 45 ISPA
21 SEPTI YULIANA 30 BD 48 HT
22 WALUYO 40 BD 42 ISPA
23 RATNEM 50 BD 43 DM GDS:256MG/DL
24 KANAYA 45 BD 46 HT
25 IBNU 13 BD 47 DISPEPSIA
26 MAULANA 3 BD 43 ISPA
27 WAYAN 6 BD 46 ISPA
28 IMAM 50 BD 47 CEPALGIA
29 KOIDUM 42 BD 48 SNH
30 NYOMAN SUARTI 50 BD 38 MIGRAIN
31 ADE 33 BD 41 GASTRITIS
32 ALPA SALSABILA 11 BLN BD 39 ISPA
33 DARMA 31 BD 45 SNH
34 NENGAH WARTINI 60 BD 48 DM GDS:267MG/DL
35 ALIF 3 BD 46 ISPA
36 GILEM 54 BD 38 ISPA
37 WAYAN BARUWATI 5 BD 47 GASTRITIS
38 WILDAN 4 BD 43 DISPEPSIA
39 SALSA 5 BD 46 ISPA
40 JUMIRAH 53 BD 48 SNH
41 PARINO 41 BD 38 ISPA
42 FAUSI 38 BD 41 ISPA
43 TEKAT 55 BD 39 ISPA
44 ZUDAN 11 BD 43 ISPA
45 PADI TUNAS 44 BD 46 GASTRITIS
46 KARMIO 70 BD 47 SNH
47 JAMIN 70 BD 48 ISPA
48 MUKISO 78 BD 38 ISPA
49 ENDANG 35 BD 41 HT
50 TIO FABIAN 13 BD 39 ISPA

Bandar Lampung, Jan 2021

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 DATAN 80 BD 37 ISPA
2 ARKIA 3 BD 43 DISPEPSIA
3 KETUT 50 BD 41 DM GDS:356MG/DL
4 RAYEN DIMAS 9 BD 46 ISPA
5 RAMADHAN ARSYA 7 BD 43 ISPA
6 NYOMAN ARTA 31 BD 45 SNH
7 TUKIRAH 50 BD 48 ISPA
8 RAFA 7 BD 40 DISPEPSIA
9 NYOMAN 47 BD 47 SNH
10 SUJIATI 60 BD 42 HT
11 KIKA 7 BD 39 ISPA
12 OLAN 4 BD 48 ISPA
13 MARYAGUN 38 BD 43 DISPEPSIA
14 WADIYEM 70 BD 46 ISPA
15 SAIPUDIN 40 BD 38 ISPA
16 SARNO 50 BD 37 ISPA
17 DEVITA 2 BD 43 ISPA
18 ALIA 4,5 BD 41 ISPA
19 ENO 40 BD 46 HT
20 NENGAH RONDI 45 BD 43 ISPA
21 TEGAAAR 13 BD 45 HT
22 IDA AYU 22 BD 48 ISPA
23 KUATONO 54 BD 40 ISPA
24 KOMANG DANU 14 BD 47 HT
25 TENTREM 45 BD 42 DISPEPSIA
26 SUWARNO 62 BD 39 DM GDS:256MG/DL
27 MADE SRI 39 BD 48 SNH
28 SANEM 45 BD 43 CEPALGIA
29 KADEX SUCI 2,5 BD 46 SNH
30 RASYA 3,5 BD 38 MIGRAIN
31 KADEX AGUS 11 BD 39 GASTRITIS
32 GITA 15 BD 43 HT
33 VIKA 6,5 BD 46 HT
34 KATIO 60 BD 47 DM GDS:369MG/DL
35 ENTUS 24 BD 48 ISPA
36 EKA 23 BD 38 ISPA
37 WARIS 50 BD 41 GASTRITIS
38 PARDI 40 BD 39 DISPEPSIA
39 ADI 20 BD 45 ISPA
40 SUKARI 60 BD 48 SNH
41 RAFA 7 BD 46 ISPA
42 AULIA 2 BD 38 ISPA
43 MUJIATI 40 BD 47 ISPA
44 YURI 30 BD 39 ISPA
45 KADEK 38 BD 43 GASTRITIS
46 ROHMAN 40 BD 46 SNH
47 MUJIONO 35 BD 47 ISPA
48 SANIKEM 80 BD 48 ISPA
49 TOPIK 25 BD 47 HT
50 NGASIAH 50 BD 43 DM GDS:256MG/DL

Bandar Lampung, Feb 2021

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 WAYAN DEVI 18 BD 46 ISPA
2 LUFINSKA 4,5 BD 43 DISPEPSIA
3 NIA 36 BD 45 GASTRITIS
4 EDI 65 BD 48 ISPA
5 FITRI DEWI 18 BD 40 ISPA
6 KADEX 18 BD 47 SNH
7 NILUH SUTRI 40 BD 42 ISPA
8 RIKO 7 BD 39 DISPEPSIA
9 REJENDRA 2,5 BD 48 SNH
10 AKMAL 56 BD 43 HT
11 SUKARDI 50 BD 46 HT
12 SUPIANI 50 BD 38 ISPA
13 NUASIH 40 BD 37 DISPEPSIA
14 PARTINAM 49 BD 43 ISPA
15 SAMSUDIN 70 BD 41 ISPA
16 YASNI 35 BD 46 ISPA
17 SUWARNI 50 BD 43 HT
18 YANI 45 BD 45 DM GDS:234MG/DL
19 SUGINI 58 BD 48 HT
20 WAGIEM 65 BD 40 ISPA
21 UCOK 42 BD 47 HT
22 WAHYONO 55 BD 42 ISPA
23 RASIT 7 BD 39 ISPA
24 RIKI 28 BD 48 HT
25 JONI 27 BD 43 DISPEPSIA
26 WAWAN 45 BD 46 DM GDS:345MG/DL
27 SUTARIM 100 BD 38 SNH
28 SITI 40 BD 39 CEPALGIA
29 SUTARMI 41 BD 43 SNH
30 SUSIARNI 75 BD 46 MIGRAIN
31 WAYAN GAPRUK 60 BD 47 GASTRITIS
32 GEDE GUNA 70 BD 48 HT
33 HERLINA 40 BD 38 HT
34 ERNA WATI 76 BD 41 DM GDS:234MG/DL
35 ROSILAH 45 BD 39 ISPA
36 REHAN 6,5 BD 45 ISPA
37 TAUFIK 34 BD 48 GASTRITIS
38 MADE 38 BD 46 DISPEPSIA
39 WAYAN SUNARTO 36 BD 38 ISPA
40 TURASMINI 33 BD 47 SNH
41 NOVITA SARI 15 BD 39 ISPA
42 MADE KANYAR 52 BD 43 ISPA
43 NAFIA 3 BD 46 ISPA
44 RUMINI 30 BD 47 ISPA
45 SUPARNO 45 BD 48 GASTRITIS
46 NGADIEM 70 BD 47 SNH
47 WAYAN BUDI 35 BD 43 ISPA
48 ARI 22 BD 46 ISPA
49 ALPAN 18 BD 48 HT
50 RANI 93 BD 38 DM GDS:267MG/DL

Bandar Lampung, Maret 2021

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 SITI 65 BD 40 ISPA
2 ALIFA 5 BD 47 DISPEPSIA
3 RIKO 7 BD 42 GASTRITIS
4 AYU 18 BD 39 ISPA
5 MADE GUNA 7 BD 48 ISPA
6 SUSANTI 28 BD 43 SNH
7 SUTARMI 60 BD 46 ISPA
8 AFWAN 42 BD 38 DISPEPSIA
9 ANA 38 BD 37 SNH
10 FATIH 56 BD 43 HT CHOL:345MG/DL
11 ROZI 70 BD 41 HT AU:7.0MG/DL
12 SUYATNO 35 BD 46 ISPA
13 SARTI 55 BD 43 DISPEPSIA
14 FITRI 18 BD 45 ISPA
15 HADI RIBOWO 9 BD 48 ISPA
16 TABRI 60 BD 40 ISPA
17 MANGKU 60 BD 47 HT
18 ARI 43 BD 42 DM GDS:234MG/DL
19 MADE SAKA 9 BD 39 HT
20 MUSLIM 33 BD 48 ISPA
21 MADE UMIASIH 42 BD 43 HT
22 KHOIR 38 BD 46 ISPA
23 SAWAL 50 BD 38 ISPA
24 SUWARDI 41 BD 39 HT
25 RAFDAN 14 BD 43 DISPEPSIA
26 ABDUL WAHID 72 BD 46 DM GD:358MG/DL
27 AQILA 4,2 BD 47 SNH
28 PADLI 41 BD 48 CEPALGIA
29 WAHYU MISI 80 BD 38 SNH
30 WAYAN 80 BD 41 MIGRAIN
31 MUJIRAH 35 BD 39 GASTRITIS
32 SULASTRI 62 BD 45 HT
33 RAMAN 51 BD 48 HT
34 MADE ASIH 65 BD 46 DM
35 HABIB 1,5 BD 38 ISPA
36 RIO 22 BD 47 ISPA
37 TUTWURI HANDAYANI 49 BD 39 GASTRITIS
38 MULYONO 57 BD 43 DISPEPSIA
39 ZIDAN 9 BD 46 ISPA
40 KAYUN 85 BD 47 SNH
41 SURATNO 48 BD 48 ISPA
42 MUADI 80 BD 47 ISPA
43 BIMA 4 BD 43 ISPA
44 ANGLE 4,5 BD 46 ISPA
45 BD 48 GASTRITIS
46 INDRA 35 BD 38 SNH
47 NI MADE RATNA WATI 18 BD 41 ISPA
48 PUTU AYU SINTA 16 BD 39 ISPA
49 SONOMEJJO 95 BD 43 HT
50 PARMI 30 BD 46 DM

Bandar Lampung, April 2021

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 TUMIYEM 80 BD 41 ISPA
2 CANIK 75 BD 46 DISPEPSIA
3 NGATINEM 67 BD 43 GASTRITIS
4 KETUT RANI 55 BD 45 ISPA
5 JULIYAH 11 BD 48 ISPA
6 WINDI 23 BD 40 SNH
7 ENDANG 44 BD 47 ISPA
8 WAYAN RASE 43 BD 42 DISPEPSIA
9 KETUT LINDA 16 BD 39 SNH
10 DARGO 32 BD 48 HT
11 KOMANG SUHENDRA 42 BD 43 HT
12 SURYATI 40 BD 46 ISPA
13 WAYAN PURNAMI 43 BD 38 DISPEPSIA
14 SUHARDI 40 BD 39 ISPA
15 VENI 30 BD 43 ISPA
16 ISMIATI 33 BD 46 ISPA
17 ISINAH 55 BD 47 HT
18 MADE RUMIASIH 36 BD 48 DM GDS:333MG/DL
19 NENGAH SURTI 55 BD 38 HT
20 ROBI 15 BD 41 ISPA
21 REFI 14 BLN BD 39 ISPA
22 AZMI 12 BD 45 ISPA
23 WATIMIN 52 BD 48 ISPA
24 ANDIKA SAPUTRA 5,5 BD 46 ISPA
25 IRTA 50 BD 38 DISPEPSIA
26 WADIYEM 80 BD 47 DM GDS:245MG/DL
27 NENGAH KENDRI 60 BD 39 SNH
28 SITI 23 BD 43 CEPALGIA
29 KARTIYAH 63 BD 46 SNH
30 RAJA 35 BD 47 MIGRAIN
31 LAELA 11 BD 48 GASTRITIS
32 PUTU SESA 14 BD 47 ISPA
33 IDA AYU 26 BD 43 GASTITS
34 EKA 45 BD 46 DM GDS:231MG/DL
35 MULYONO 85 BD 48 ISPA
36 MUTOHIR 37 BD 38 ISPA
37 NATAN 8 BD 41 GASTRITIS
38 NELA 17 BD 39 DISPEPSIA
39 MANGGIH SABAR 30 BD 43 ISPA
40 SYARIF 21 BD 46 SNH
41 ROSIDAH 45 BD 47 ISPA
42 SINTAWATI 68 BD 48 ISPA
43 NYOMAN RATNA 36 BD 40 ISPA
44 TEDI 30 BD 47 ISPA
45 WAYAN SUSI 24 BD 42 GASTRITIS
46 PUJO 68 BD 39 SNH
47 CANTIKA 17 BD 48 ISPA
48 SYAFA 4 BD 46 ISPA
49 TULUS 40 BD 45 HT
50 ANGGUN ISWARA 6,5 BD 48 ISPA

Bandar Lampung, Mei 2021

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 NGATIRAN 63 BD 47 ISPA
2 KHOIRUL 17 BD 42 DISPEPSIA
3 KADEK SUASTIKA 28 BD 39 GASTRITIS
4 SUKOCO 56 BD 48 ISPA
5 NYOMA, SATE 65 BD 43 ISPA
6 LASIA 50 BD 46 SNH
7 WINDARI 26 BD 38 ISPA
8 SUKOCO 56 BD 39 DISPEPSIA
9 JUMITRI 55 BD 43 SNH
10 SUKO 48 BD 46 HT
11 ETI 55 BD 47 HT
12 BASUKI 68 BD 48 ISPA
13 SUMIAN 34 BD 38 DISPEPSIA
14 PUTU ALFAN 56 BLN BD 41 ISPA
15 TASLIM 58 BD 39 ISPA
16 SAIMAH 75 BD 45 ISPA
17 WALDEN 35 BD 48 HT
18 AL KHOILFI 73 BD 46 DM GDS:456MG/DL
19 TEKAD 55 BD 38 HT
20 KETUT BADUNG 70 BD 47 ISPA
21 ADITYA PRATAMA 7 BD 39 HT
22 VITA 5 BD 43 ISPA
23 SLAMET 45 BD 46 ISPA
24 TAMAN 55 BD 47 HT
25 TUGIMIN 60 BD 48 DISPEPSIA
26 WASIRIN 64 BD 47 DM GDS:245MG/DL
27 SARMAN 50 BD 43 SNH
28 TARMIDI 45 BD 46 CEPALGIA
29 NGADINEM 100 BD 48 SNH
30 TABARI 60 BD 38 MIGRAIN
31 MUNIR 60 BD 41 GASTRITIS
32 SAKEM 65 BD 39 HT
33 KASDAN 55 BD 43 HT
34 GUSTI 30 BD 46 ISPA
35 SUPARMI 47 BD 47 ISPA
36 RELI INDARWATI 43 BD 48 ISPA
37 MADE NEKOWATI 36 BD 40 GASTRITIS
38 SYAHRI 5,5 BD 47 DISPEPSIA
39 MARSITI 62 BD 42 ISPA
40 GITO 40 BD 39 SNH
41 MADE RADAN 24 BD 48 ISPA
42 FATIMAH 50 BD 46 ISPA
43 KANZA 7 BD 45 ISPA
44 ANDIKA 5 BD 48 ISPA
45 NILUH 23 BD 40 GASTRITIS
46 GUSTI AYU DEA 2,5 BD 47 SNH
47 ATIKA 25 BD 42 ISPA
48 NURULIA 52 BD 39 ISPA
49 SUJILAH 60 BD 48 HT
50 JARI 60 BD 43 DM GDS:345MG/DL

Bandar Lampung, Juni 2021

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 MAHER 5,5 BD 42 ISPA
2 FARIZ 8 BD 39 DISPEPSIA
3 KASMINAN 55 BD 48 GASTRITIS
4 WARTINI 36 BD 43 ISPA
5 MUHYAR 60 BD 46 ISPA
6 KIRUN 70 BD 38 SNH
7 SUPARDI 70 BD 39 ISPA
8 KADEK WIRATAMA 6 BD 43 ISPA
9 KADEK ITA 21 BD 46 SNH
10 WAYAN ARYA 79 BD 47 HT
11 TEKAD 55 BD 48 HT
12 BILQIS 8 BD 38 ISPA
13 NANANG 31 BD 41 DISPEPSIA
14 GILANG 14 BD 39 ISPA
15 MADE 32 BD 45 ISPA
16 TUMINAH 65 BD 48 ISPA
17 NAFISIATUN 19 BD 46 HT
18 SALAMUN 70 BD 38 DM GDS:345MG/DL
19 ROSILAH 45 BD 47 HT
20 KADIK 11 BLN BD 39 ISPA
21 HENGKI 35 BD 43 HT
22 RUKINEM 75 BD 46 ISPA
23 RINI 20 BD 47 ISPA
24 WARIO 67 BD 48 HT
25 SURADI 50 BD 47 DISPEPSIA
26 SITI 58 BD 43 DM GDS:321MG/DL
27 JAPUNG 30 BD 46 SNH
28 NENGAH TARKE 60 BD 48 CEPALGIA
29 KARSINAH 58 BD 38 SNH
30 DIMAS 4 BD 41 MIGRAIN
31 MILA 17 BD 39 GASTRITIS
32 NYOMAN SUKRE 75 BD 43 HT
33 ENI HIDAYATI 16 BD 46 HT
34 JUMIRAN 67 BD 47 DM GDS:235MG/DL
35 WAYAN SUDARMI 35 BD 48 ISPA
36 WIDI 13 BD 40 ISPA
37 SUKARMAN 60 BD 47 GASTRITIS
38 NGADIRAN 48 BD 42 DISPEPSIA
39 RAFA 2,5 BD 39 ISPA
40 ENDANG 30 BD 48 SNH
41 RAIS 70 BD 46 ISPA
42 RISA 26 BD 45 ISPA
43 AYU INDRIANI 14 BD 48 ISPA
44 YEGI 29 BD 40 ISPA
45 SARIPAH 50 BD 47 GASTRITIS
46 AZAM 4 BD 42 SNH
47 NGAIDI 68 BD 39 ISPA
48 TUMINAH 50 BD 48 ISPA
49 SUKASMI 57 BD 43 HT
50 SUARNO 52 BD 46 DM GDS:234MG/DL

Bandar Lampung, Juli 2021

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 ROYANI 50 BD 41 ISPA
2 KOMALA SARI 45 BD 42 DISPEPSIA
3 LUDI 25 BD 39 GASTRITIS
4 RUSMIATI 40 BD 48 ISPA
5 M KHOIRI 18 BD 43 ISPA
6 NYOMAN SUKARTIA 45 BD 46 SNH
7 RUTMI 43 BD 38 ISPA
8 WAGE 35 BD 39 DISPEPSIA
9 KETUT SAUDI 50 BD 43 SNH
10 NANG CATRI 60 BD 46 HT
11 WARTO 60 BD 47 HT
12 KOMANG BISMA 3 BD 48 ISPA
13 NENGAH RUPE 65 BD 38 DISPEPSIA
14 WAYAN SUWARI 32 BD 41 ISPA
15 SEPTIANA HANDAYANI 38 BD 39 ISPA
16 ILUH SUGIANI 59 BD 45 ISPA
17 FAUZI EKA PRATAMA 75 BD 48 HT
18 SALAMUN 70 BD 46 DM GDS:321MG/DL
19 SARTINI 55 BD 38 HT
20 KASTIAH 52 BD 47 ISPA
21 NYOMAN S 35 BD 39 HT
22 RIKI 29 BD 43 ISPA
23 MAELA 21 BD 46 ISPA
24 NGAIDI 60 BD 47 HT
25 SISWANTI 26 BD 48 DISPEPSIA
26 AZKA 11 BLN BD 47 ISPA
27 IDA BAGUS 43 BD 43 SNH
28 NGADIEM 70 BD 46 CEPALGIA
29 KOMANG SUARSANA 40 BD 48 SNH
30 ELEN BELA PUTRIANA 17 BD 38 MIGRAIN
31 NUASE 65 BD 41 GASTRITIS
32 KASDAN 55 BD 39 HT
33 SISWANTI 33 BD 43 HT
34 KADEK SRI 38 BD 46 DM GDS:213MG/DL
35 KOMANG INDIANA 3 BD 47 ISPA
36 MELINDA SARI 11 BD 48 ISPA
37 MADE ANDRE 18 BD 40 GASTRITIS
38 MADE WIDYANA 32 BD 47 DISPEPSIA
39 NILUH AYU 7 BD 42 ISPA
40 CRISTIN 18 BD 39 SNH
41 ERENDRA 9BLN BD 48 ISPA
42 WAYAN ARDA 5 BD 46 ISPA
43 CANDRA 2,5 BD 45 ISPA
44 WAYAN KATMI 43 BD 48 ISPA
45 ISMADI 34 BD 40 GASTRITIS
46 WARTONO 70 BD 47 SNH
47 YENI YATINI 25 BD 42 ISPA
48 SOLEHUDIN 40 BD 39 ISPA
49 NARSIH 39 BD 48 HT
50 SITI MARYAN 33 BD 43 DM GDS:333MG/DL

Bandar Lampung, Agst 2021

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 SUMIRAH 67 BD 39 ISPA
2 NILUH SUTRIANI 45 BD 48 DISPEPSIA
3 RARA SALSABILA 5,5 BD 43 GASTRITIS
4 RINA 6 BD 46 ISPA
5 GEDE WARDA KUSUMA 7,5 BD 38 ISPA
6 ALIF 49 BD 39 SNH
7 DIO 14 BD 43 ISPA
8 KOMANG WISMA 33 BD 46 DISPEPSIA
9 NENGAH SUDARME 60 BD 47 SNH
10 IKWAN 50 BD 48 HT
11 JAYA 45 BD 38 HT
12 YATINAH 55 BD 41 ISPA
13 SUJATMIKO 29 BD 39 DISPEPSIA
14 WARI 40 BD 45 ISPA
15 I MADE PUTRA 54 BD 48 ISPA
16 KETUT PURNASIH 45 BD 46 ISPA
17 DENI ISYANI 30 BD 38 HT
18 NOVITA 44 BD 47 DM GDS:245MG/DL
19 DARSIN 50 BD 39 HT
20 FAIZATUL INAROH 14 BD 43 ISPA
21 MUNADI 37 BD 46 HT
22 SURIP 60 BD 47 ISPA
23 PUTU ADITYA 23 BD 48 ISPA
24 IRA 27 BD 47 HT
25 NUN SIHA 60 BD 43 DISPEPSIA
26 AQILA 49 BD 46 DM GDS:245MG/DL
27 ELRANDRA 15 BLN BD 48 ISPA
28 SUJONO 45 BD 38 CEPALGIA
29 ALVI 17 BD 41 SNH
30 AYU SINTA 52 BD 39 MIGRAIN
31 HARTATI 53 BD 43 GASTRITIS
32 KOMANG DANU 14 BD 46 HT
33 SUJIAH 36 BD 47 HT
34 KETUT MARIA 60 BD 48 DM GDS:444MG/DL
35 RAHAYU 37 BD 40 ISPA
36 AQILA WIKI SIMUANA 26 BLN BD 47 ISPA
37 MAULANA 10 BD 42 GASTRITIS
38 PONIAH 50 BD 39 DISPEPSIA
39 FANEESA 4 BD 48 ISPA
40 YUSUP 54 BD 46 SNH
41 TEKAD 55 BD 45 ISPA
42 WAYAN RIANTE 60 BD 48 ISPA
43 KETUT SUKRESA 30 BD 40 ISPA
44 MADE KERTI 56 BD 47 ISPA
45 PRILI 10 BLN BD 42 GASTRITIS
46 SUMIATI 43 BD 39 SNH
47 SAUDAH 42 BD 48 ISPA
48 REYHAN 6 BD 43 ISPA
49 ALFIDON 3 BD 46 HT
50 YATINI 54 BD 38 DM GDS:167MG/DL

Bandar Lampung, Sept 2021

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 RODOTUL ULYA 12 BD 43 ISPA
2 SOREJI 70 BD 46 DISPEPSIA
3 MEMET 58 BD 38 GASTRITIS
4 AHMAD RIADI 31 BD 39 ISPA
5 MADE RUDI 2,5 BD 43 ISPA
6 GANDI 55 BD 46 SNH
7 BASUKI 50 BD 47 ISPA
8 MUJIATI 62 BD 48 DISPEPSIA
9 AQILA 26 BLN BD 38 ISPA
10 SITI MUTMAINAH 60 BD 41 HT
11 GILANG 20 BD 39 ISPA
12 IBNU 12 BD 45 ISPA
13 SOLIM 55 BD 48 DISPEPSIA
14 NYOMAN 31 BD 46 ISPA
15 SUJATMIKO 29 BD 38 ISPA
16 DWI 24 BD 47 ISPA
17 HERA 72 BD 39 HT
18 KARTINI 45 BD 43 DM GDS:123MG/DL
19 SUMA 65 BD 46 ISPA
20 TUKIRAN 70 BD 47 ISPA
21 ANTON 24 BD 48 GASTRITIS
22 PUTU ADE 17 BD 47 ISPA
23 MITA 22 BD 43 ISPA
24 VANIA 4 BD 46 HT
25 WIJAYATI 52 BD 48 DISPEPSIA
26 SUTIAMI 30 BD 38 DM GDS:345MG/DL
27 SAKEM 75 BD 41 SNH
28 MANDUNG 65 BD 39 CEPALGIA
29 KETUT SETIA 31 BD 43 SNH
30 DEWA AJI 66 BD 46 MIGRAIN
31 RISKI 17 BD 47 GASTRITIS
32 MADE S 65 BD 48 HT \
33 BANDIAH 60 BD 40 HT
34 SUYANTI 36 BD 47 DM GDS:367MG/DL
35 FAISAL SAFARU 3 BD 42 ISPA
36 KIDRAN 20 BLN BD 39 ISPA
37 AHMAD RIADI 33 BD 48 GASTRITIS
38 NURSANAH 45 BD 46 DISPEPSIA
39 SABAR 40 BD 45 ISPA
40 NILUH KOMANG 10 BD 48 SNH
41 WASINAH 60 BD 40 ISPA
42 RENDI 11 BD 47 ISPA
43 REBO 70 BD 42 ISPA
44 RONI 26 BD 39 ISPA
45 SURYA SIREGAR 36 BD 48 GASTRITIS
46 MANGKU BRATE 61 BD 43 SNH
47 NING 45 BD 46 ISPA
48 TOMI 18 BD 38 ISPA
49 NAUFAL 2,5 BD 37 HT
50 ALDI 4 BD 43 ISPA

Bandar Lampung, Okt 2021

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 HAPIS 3 BD 43 ISPA
2 IMAM 21 BD 46 DISPEPSIA
3 TAMAN 85 BD 38 GASTRITIS
4 SUMARNI 65 BD 39 ISPA
5 TATA 5 BD 43 ISPA
6 MANDA MELINDA 3 BD 46 SNH
7 WAJI 70 BD 47 ISPA
8 KATMI 56 BD 48 DISPEPSIA
9 KASMUNI 80 BD 38 ISPA
10 TAHIR RIPANGI 70 BD 41 HT
11 NEVO SARI 2 BD 39 ISPA
12 SIYAMI 50 BD 45 ISPA
13 TOPO MARGONO 45 BD 48 DISPEPSIA
14 DIDIK 31 BD 46 ISPA
15 TATIK 31 BD 38 ISPA
16 SITI 26 BD 47 ISPA
17 YUDI 27 BD 39 HT
18 AHMAD DAHLAN 50 BD 43 DM GDS:444MG/DL
19 RENATA 5 BD 46 ISPA
20 WAYAN 72 BD 47 ISPA
21 TANTRI 5 BD 48 GASTRITIS
22 KOMANG YUNIASIH 7 BD 47 ISPA
23 KIBRAN 20 BLN BD 43 ISPA
24 IRAWAN 27 BD 46 HT
25 MARINO 37 BD 48 DISPEPSIA
26 DM GDS:145MG/DL
NGAIDI 68 BD 38 AU:4,5MG/DL
27 TUKIYEM 80 BD 41 SNH
28 MADE SUKARMAN 39 BD 39 CEPALGIA
29 AZRA 52 BD 43 SNH
30 DIDIN 34 BD 46 MIGRAIN
31 KETUT SUITRA 60 BD 47 GASTRITIS
32 NENGAH SASIH 60 BD 48 HT
33 SUYATI 36 BD 40 HT
34 SAGIO 44 BD 47 DM GDS:333MG/DL
35 KETUT JAWI 47 BD 42 ISPA
36 BAIDI 47 BD 39 ISPA
37 SUPRIADI 54 BD 48 GASTRITIS
38 SARJONO 60 BD 46 DISPEPSIA
39 SODIM 50 BD 45 ISPA
40 NYOMAN SARI 50 BD 48 SNH
41 IFAN 10 BD 40 ISPA
42 DARWATI 30 BD 47 ISPA
43 NENGAH WAGE 70 BD 42 ISPA
44 SENEM 50 BD 39 ISPA
45 WASTO 65 BD 48 GASTRITIS
46 LUKAS SETIONO 40 BD 43 SNH
47 WAYAN 52 BD 46 ISPA
48 NGATINAH 57 BD 38 ISPA
49 HALIMAH 50 BD 37 HT
50 WARNO 30 BD 43 ISPA

Bandar Lampung, Nov 2021

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 KASIYEM 50 BD 41 ISPA
2 HANAFI 56 BD 39 DISPEPSIA
3 SARIONO 27 BD 45 GASTRITIS
4 NAZWA 1,5 BD 48 ISPA
5 MIARTO 64 BD 46 ISPA
6 KARNITI 57 BD 38 SNH
7 BEJO 35 BD 47 ISPA
8 SUKINI 40 BD 39 DISPEPSIA
9 GIATI 55 BD 43 ISPA
10 SUBROTO 42 BD 46 HT
11 HAMIDAH 43 BD 47 ISPA
12 TOMI 55 BD 48 ISPA
13 NITO 55 BD 47 DISPEPSIA
14 SUJIATI 60 BD 43 ISPA
15 AZKA 2,3 BD 46 ISPA
16 MASINI 45 BD 48 ISPA
17 REHAN 6,5 BD 38 HT CHOL:222MG/DL
18 NGADIEM 70 BD 41 DM GDS:456MG/DL
19 TOHAR 63 BD 39 ISPA
20 MADE MUATINI 38 BD 43 ISPA
21 WIDI 13 BD 46 GASTRITIS
22 TATA 5, 5 BD 47 ISPA
23 RIANA 34 BD 48 ISPA
24 MARWADI 28 BD 40 HT
25 JAINUDIN 28 BD 47 DISPEPSIA
26 MADE SUARDANA 65 BD 42 DM GDS:234MG/DL
27 ROHMIYATI 21 BD 39 SNH
28 SUCIPTO 45 BD 48 CEPALGIA
29 HARI 27 BD 46 SNH
30 YOGI 11 BD 45 MIGRAIN
31 KOMANG NATALIANI 12 BD 48 GASTRITIS
32 AN. ASNA 73 BD 40 HT
33 AN. MADE SURYA 66 BD 47 HT
34 AN. ALAN 64 BD 42 DM GDS:234MG/DL
35 AN. RAJA 4 BD 39 ISPA
36 AN. MADE ASTUTI 20 BD 48 ISPA
37 AN. ALFARO 2,5 BD 43 GASTRITIS
38 SAIDAH 45 BD 46 DISPEPSIA
39 HALIMAH 50 BD 38 ISPA
40 DARIYATI 50 BD 37 SNH
41 ANANG 42 BD 43 ISPA
42 DAULANI 30 BD 41 ISPA
43 ROMADI 17 BD 46 ISPA
44 MEYKA 6 BD 43 ISPA
45 BUDI 38 BD 45 GASTRITIS
46 DENIS 21 BD 48 SNH
47 SAYUTI 42 BD 40 ISPA
48 DEVA SAFITRI 14 BD 46 ISPA
49 KETUT NGAYO 33 BD 43 HT
50 SOLEHUDIN 42 BD 45 ISPA

Bandar Lampung, Des 2021


Pembuat Daftar

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 USWATUN 28 BD 46 ISPA
2 WALUYO 58 BD 38 DISPEPSIA
3 CANDRA 7,5 BD 47 GASTRITIS
4 SUWIRYE 75 BD 39 ISPA
5 ABIZAR 22 BD 43 ISPA
6 JUMIATI 36 BD 46 SNH
7 RAGIL 35 BD 47 ISPA
8 AGUS MAHENDRA 11BLN BD 48 DISPEPSIA
9 HASAN BASRI 70 BD 47 ISPA
10 NARMI 50 BD 43 HT
11 ANDRIAN I BD 46 ISPA
12 ARUDIN 50 BD 48 ISPA
13 ALIF 3 BD 38 DISPEPSIA
14 NYOMAN 45 BD 41 ISPA
15 WAHABI 49 BD 39 ISPA
16 SUKADI 60 BD 43 ISPA
17 ENDANG 45 BD 46 HT
18 MEUCA 63 BD 47 DM GDS:345MG/DL
19 NILUH YUNI 20 BD 48 ISPA
20 SUHARTINI 48 BD 40 ISPA
21 LUCKY 19 BD 47 GASTRITIS
22 DAWI PRAMONG 22 BD 42 ISPA
23 SANMURI 97 BD 39 ISPA
24 SATIYEM 75 BD 48 HT
25 DARIATMI 55 BD 46 DISPEPSIA
26 TUGIYEM 70 BD 45 DM GDS:444MG/DL
27 ABDULAH 57 BD 48 SNH
28 NYOMAN PURWATI 41 BD 40 CEPALGIA
29 PRILA 19 BD 47 SNH
30 ANITA 25 BD 42 MIGRAIN
31 KIKI 32 BD 39 GASTRITIS
32 KAMIEM 50 BD 48 HT
33 MARSAD PAWAKA 24 BD 43 HT
34 INDAH 55 BD 46 DM GDS:345MG/DL
35 SANIEM 60 BD 38 ISPA
36 FENDI 11 BD 37 ISPA
37 KALIYAH 80 BD 43 GASTRITIS
38 SURANTI 50 BD 41 DISPEPSIA
39 SHAKA 34 BD 46 ISPA
40 NENGAH YASINI 43 BD 43 SNH
41 ANA 13 BD 45 ISPA
42 KETUT SUE 65 BD 48 ISPA
43 MANGKU DWI JAYANI 68 BD 40 ISPA
44 FAUZAN 2,5 BD 46 ISPA
45 SUMINI 45 BD 43 GASTRITIS
46 SUPANDI 44 BD 45 SNH
47 ENIK 38 BD 37 ISPA
48 GUNARJO 75 BD 48 ISPA
49 BIMA 4,5 BD 42 HT
50 ANATANG 83 BD 39 ISPA

Pembuat Daftar
Bandar Lampung, Jan 2022

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 MAYA 28 BD 46 ISPA
2 AZKA 2 BD 38 DISPEPSIA
3 GILANG 18 BLN BD 47 GASTRITIS
4 KOMARIAH 36 BD 39 ISPA
5 NGAIDI 68 BD 43 ISPA
6 SENEM 50 BD 46 SNH
7 NATAN 8 BD 47 ISPA
8 KETUT PITRA 4 BD 48 DISPEPSIA
9 RANO 5 BD 47 ISPA
10 KAYLA 65 BD 43 HT
11 GIATI 55 BD 46 ISPA
12 KETUT KARYE 57 BD 48 ISPA
13 MADE SUGIARTI 45 BD 38 DISPEPSIA
14 TARCAN 55 BD 41 ISPA
15 KADEK SRI 38 BD 39 ISPA
16 TASLIM 58 BD 43 ISPA
17 WARNO 60 BD 46 HT
18 NENGAH SUTI 55 BD 47 DM GDS:367MG/DL
19 DALIL 2 BD 48 ISPA
20 HARNI 45 BD 40 ISPA
21 JUARI 47 BD 47 GASTRITIS
22 WAYAN MERDANI 70 BD 42 ISPA
23 SURATMAN 40 BD 39 ISPA
24 SITI RAHMA 33 BD 48 HT CHOL:321MG/DL
25 PUTU SULINGIH 50 BD 46 DISPEPSIA
26 HAFIT 44 BD 45 DM GDS:345MG/DL
27 TRI VALENTIN 12 BD 48 SNH
28 TIO 15 BD 40 CEPALGIA
29 SUYANTO 23 BD 47 SNH
30 SUTINAH 40 BD 42 MIGRAIN
31 SANTI 5 BD 39 GASTRITIS
32 YAHNI 50 BD 48 HT
33 HANA 8 BULAN BD 43 ISPA
34 IBNU 56 BD 46 DM GDS:333MG/DL
35 SRI RUBIM 34 BD 38 ISPA
36 JUAT 51 BD 37 ISPA
37 WAJIEM 50 BD 43 GASTRITIS
38 WAYAN RAYI 60 BD 41 DISPEPSIA
39 ETI 28 BD 46 ISPA
40 EKO 26 BD 43 SNH
41 ADAM 1, 5 BD 45 ISPA
42 SUKARJO 50 BD 48 ISPA
43 BARI 45 BD 40 ISPA
44 RESA 26 BD 46 ISPA
45 SARI 28 BD 43 GASTRITIS
46 RIDHO 7 BD 45 SNH
47 WAGIMIN 70 BD 37 ISPA
48 JIMAN 88 BD 48 ISPA
49 SITI SOLEHA 55 BD 42 HT
50 NI KETUT PUTRI 14 BD 39 ISPA

Pembuat Daftar
Bandar Lampung, Feb 2022

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 ARDIFA 11 BD 47 ISPA
2 REFI 15 BD 48 DISPEPSIA
3 SENEN 65 BD 40 GASTRITIS
4 ISMIATI 33 BD 47 ISPA
5 MESIEM 55 BD 42 ISPA
6 YUNI 25 BD 39 SNH
7 YANTI 51 BD 48 ISPA
8 NGAIDI 42 BD 46 DISPEPSIA
9 TATI 23 BD 45 ISPA
10 ASKA 58 BD 48 HT
11 SURATIN 38 BD 40 ISPA
12 SUGIATMI 50 BD 47 ISPA
13 JA'AH 50 BD 42 DISPEPSIA
14 WAYAN KAWI 60 BD 39 ISPA
15 SUTINAH 40 BD 48 ISPA
16 SAKIYEM 65 BD 43 ISPA
17 MUJI JATNO 53 BD 46 HT
18 TIMI 45 BD 38 DM GDS:345MG/DL
19 REZA 5 BD 37 ISPA
20 SABAR 75 BD 43 ISPA
21 FAHRI 5 BD 41 GASTRITIS
22 JUBAIDAH 45 BD 46 ISPA
23 NUUN SEHA 60 BD 43 ISPA
24 NUROHMAH 76 BD 45 HT
25 EKO 26 BD 48 DISPEPSIA
26 KASIEM 50 BD 40 DM GDS:321MG/DL
27 MARNO 50 BD 46 SNH
28 MARTA TRI WIBOWO 35 BD 43 CEPALGIA
29 WARTI 50 BD 45 SNH
30 KETUT MUDASTE 45 BD 37 MIGRAIN
31 RENDI 11 BD 48 GASTRITIS
32 YATI 32 BD 42 HT
33 TOMI 55 BD 39 HT
34 EDI 50 BD 48 DM GDS:213MG/DL
35 ARKA 18 BLN BD 46 ISPA
36 SUKARI 60 BD 45 ISPA
37 GEDE MULYA 5 BD 48 GASTRITIS
38 MARFEL 5 BD 40 DISPEPSIA
39 KARISA 13 BD 47 ISPA
40 TASKIA 9 BD 42 SNH
41 TUBIANTO 55 BD 46 ISPA
42 SAIFUL 18 BD 43 ISPA
43 BARDIH 39 BD 45 ISPA
44 SUNTINO 47 BD 37 ISPA
45 KETUT DARME 52 BD 48 GASTRITIS
46 ROHANI 50 BD 42 SNH
47 YEDI 29 BD 39 ISPA
48 DARKONAH 60 BD 43 ISPA
49 SISWOYO 39 BD 41 HT
50 SUJIATI 60 BD 46 ISPA

PembuatMaret
Bandar Lampung, Daftar 2022

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 KARSIEM 55 BD 42 DISPEPSIA
2 RAKA 5 BD 46 ISPA
3 RIDHO 8 BD 43 ISPA
4 ANDRI 35 BD 45 MIGRAIN
5 PALIEM 60 HT AU :6,0 MG/DL
BD 37 CHOL:184 MG/DL
6 RIKA 45 BD 48 SNH
7 RAMA 4 BD 42 ISPA
8 NISA 7 BD 39 GASTRITIS
9 CIKA 24 BD 43 ISPA
10 ANGGA 12 BD 41 ISPA
11 DARA 26 BD 46 GASTRITIS
12 RINI 35 BD 42 SNH
13 JOKO 30 BD 39 ANOREKSIA
14 KARSONO 56 BD 48 HT
15 RAKA 11 BD 39 ISPA
16 DIKA 36 BD 48 ISPA
17 KOMARUDIN 35 BD 46 ISPA
18 KIKI 2 BD 45 ISPA
19 BINTI 50 BD 48 DM GDS:245 MG/DL
20 KERUR 44 BD 40 HT
21 WARO 33 BD 47 SNH
22 ALI 44 BD 42 CEPALGHIA
23 YASIN 50 BD 46 HT
24 INA 2 BD 43 ISPA
25 UNA 3 BD 45 ISPA
26 JAYA 62 BD 37 HT
27 DUKI 72 BD 48 DM TP II
28 IMAS 33 BD 42 GASTRITIS
29 RIKI 44 BD 39 ISPA
30 DEVI 23 BD 43 ISPA
31 ANJAS 33 BD 41 GASTRITIS
32 RIANA 55 BD 46 SNH
33 SUYATI 44 BD 42 ANOREKSIA
34 SUPRIHATIN 56 BD 39 HT
35 ASEP 34 BD 39 ISPA
36 MARGARETA 32 BD 48 ISPA
37 WAYAN RAKA 21 BD 39 ISPA
38 MADE MERTA 45 BD 48 ISPA
39 SAMYUL 41 BD 46 DM
40 ARIFIN 43 BD 45 HT
41 FIKA 2 BD 48 SNH
42 ASUMA 23 BD 42 CEPALGHIA
43 RIRIN 33 BD 39 HT
44 SAMIEM 23 BD 48 ISPA
45 SUSANTI 22 BD 39 ISPA
46 AYU DELTA 65 BD 48 HT
47 SAMUIN 53 BD 46 DM TP II GDS:345MG/DL
48 DAYAT 43 BD 45 GASTRITIS
49 ARDI 33 BD 48 ISPA
50 RADA 22 BD 40 ISPA

Bandar Lampung, April 2022

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 YENI 29 BD 43 GASTRITIS
2 MARITA 27 BD 46 ISPA
3 DEVITA 22 BD 38 ISPA
4 AYU 23 BD 39 GASTRITIS
5 SANDA 34 BD 43 SNH
6 AYUSUSANTI 40 BD 46 ANOREKSIA
7 PURNOMO 13 BD 47 HT
8 TOHAR 35 BD 48 ISPA
9 AINI 38 BD 38 ISPA
10 FITA 50 BD 41 ISPA
11 SHAKA 55 BD 39 ISPA
12 IMAM 59 BD 45 DM
13 USEP 27 BD 48 HT
14 SEPTIKA 16 BD 46 SNH
15 RIZKA 65 BD 38 DM TP II
16 ASEP 45 BD 47 GASTRITIS
17 BAMBANG 34 BD 39 ISPA
18 PUTRI 37 BD 43 ISPA
19 NINDA 67 BD 46 GASTRITIS
20 LEVIA 34 BD 47 SNH
21 OKTORA 50 BD 48 ANOREKSIA
22 HERI 55 BD 47 HT CHOL : 189MG/DL
23 LIANA 17 BD 43 ISPA
24 LINDA 40 BD 46 ISPA
25 MASITOH 10 BD 48 ISPA
26 LINA 33 BD 38 ISPA
27 AKTARA 45 BD 41 DM GDS : 289 MG/DL
28 HERLI 45 BD 39 HT
29 INTAN 23 BD 43 SNH
30 DARA 34 BD 46 CEPALGHIA
31 KOMANG MOKOH 65 BD 47 GASTRITIS
32 NYMAN WIDIA 40 BD 48 ISPA
33 DARYATI 50 BD 40 ISPA
34 SUPONO 65 BD 47 GASTRITIS
35 RINI 48 BD 42 SNH
36 GIRAH 80 BD 39 ANOREKSIA
37 SUTOPA 56 BD 48 HT
38 JUMIRAN 50 BD 46 ISPA
39 MADE RIMTE 60 BD 45 ISPA
40 AMINAH 80 BD 48 ISPA
41 TUAMAH 4 BD 40 ISPA
42 MADE ARYA 60 BD 47 DM GDS: 301MG/DL
43 KETUT SUYA 70 BD 42 HT AU : 8,2MG/DL
44 GILANG 2.5 BD 39 SNH
45 TUPI 55 BD 48 DM TP II
46 ARSY 3 BLN BD 43 GASTRITIS
47 SINTA 8 BLN BD 46 ISPA
48 MARTIAS 53 BD 38 ISPA
49 MUAMALAH 43 BD 37 GASTRITIS
50 YENI 32 BD 43 SNH

Pembuat
Bandar Lampung, Daftar
Mei 2022

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 ANGRAINI 45 BD 41 ANOREKSIA
2 ANGGIT 53 BD 46 HT CHOL : 201MG/DL
3 SAKA 3 BD 43 ISPA
4 MADE 34 BD 45 ISPA
5 KOMANG SITA 44 BD 48 ISPA
6 SULASTRI 44 BD 40 ISPA
7 ANGGA 65 BD 46 DM GDS : 380MG/DL
8 KHOLIK 54 BD 43 HT
9 MIRZA 23 BD 45 SNH
10 TURMI 43 BD 37 CEPALGHIA
11 ANGGUN 33 BD 47 GASTRITIS
12 GUNO 22 BD 48 ISPA
13 YATI 34 BD 47 ISPA
14 ANDI 47 BD 43 GASTRITIS
15 NUR 21 BD 46 SNH
16 DARMANTO 34 BD 48 ANOREKSIA
17 CAHYA 34 BD 38 HT AU : 5,4MG/DL
18 MISINAH 45 BD 41 ISPA
19 MUHAMMAD 2 BD 39 ISPA
20 ERNI 34 BD 43 ISPA
21 SUNARTO 34 BD 46 ISPA
22 SUYOTO 56 BD 47 DM
23 DARSINAH 70 BD 48 HT
24 AMIRUL 34 BD 40 SNH
25 MUKMININ 60 BD 47 DM TP II
26 SUPARDI 32 BD 42 GASTRITIS
27 ZENA 60 BD 39 ISPA
28 SELVIN 66 BD 48 DM GDS : 376MG/DL
29 AGUS 43 BD 46 GASTRITIS
30 SITI 42 BD 45 SNH
31 PUTRI 22 BD 48 ANOREKSIA
32 MULYA 16 BD 40 ISPA
33 RANI 33 BD 47 ISPA
34 IKA RESTU 42 BD 42 ISPA
35 ERVINA 47 BD 39 ISPA
36 SILVIA 22 BD 48 ISPA
37 LARA 33 BD 43 ISPA
38 EKA 44 BD 46 HT
39 JUWITA 2 BD 38 SNH
40 MARDHATIAH 23 BD 37 CEPALGHIA
41 HANAFI 23 BD 43 THIPOID
42 HAMBALI 29 BD 41 MIGRAIN
43 KAMIM 18 BD 48 ANOREKSIA
44 IYAN 70 BD 40 ISPA
45 WULAN 55 BD 47 VERTIGO
46 TIKA 65 BD 42 HT
47 SAYUTI 34 BD 39 ISPA
48 SUTARNO 44 BD 48 GASTRITIS
49 TINA 23 BD 46 DISPEPSIA
50 MADE 43 BD 45 MIOLGIA

Pembuat Daftar
Bandar Lampung, Juni 2022

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 KODIRON 72 BD 48 ISPA
2 RUKAYAH 45 BD 38 DISPEPSIA
3 WAYAN GANDI 42 BD 41 GASTRITIS
4 ENDANG 30 BD 39 ISPA
5 TARMI 50 BD 45 ISPA
6 KASIM 60 BD 48 SNH
7 MADE LENDRI 50 BD 46 ISPA
8 IMAM 20 BD 38 DISPEPSIA
9 SUKIRAH 50 BD 47 ISPA
10 NENGA WISTRA 53 BD 39 HT
11 MISINAH 38 BD 43 ISPA
12 MOHADI 80 BD 46 ISPA
13 SANTEM 57 BD 47 DISPEPSIA
14 KATEMEN 50 BD 48 ISPA
15 ILA 60 BD 47 ISPA
16 MADE AYU 32 BD 43 ISPA
17 WAYAN SUATI 60 BD 46 HT
18 MUNARSIH 40 BD 48 DM GDS:234MG/DL
19 CARSIA 75 BD 38 ISPA
20 AHMAD KHOIRUDIN 17 BD 41 ISPA
21 SUPRIHATIN 40 BD 39 GASTRITIS
22 KLUMPUK 70 BD 43 ISPA
23 MADE NARENDRA 7 BD 46 ISPA
24 DEVITA 2,5 BD 47 HT
25 WAYEM 50 BD 48 DISPEPSIA
26 SESI 49 BD 40 DM GDS:234MG/DL
27 AUDI 18 BD 47 SNH
28 FATAN 5 BD 42 CEPALGIA
29 FIRHAN 8 BD 39 SNH
30 RESTU 5 BD 48 MIGRAIN
31 GILANG 11 BLN BD 46 GASTRITIS
32 SAINAH 60 BD 45 HT
33 MADE RUPE 21 BD 48 HT
34 I KETUT SUWIRTA 59 BD 40 DM GS:234MG/DL
35 SUPRIANTO 40 BD 47 ISPA
36 KARIN 35 BD 42 ISPA
37 MANGKU SAMAH 70 BD 39 GASTRITIS
38 ARIFIN 49 BD 48 DISPEPSIA
39 NILUH YUNI 20 BD 43 ISPA
40 NGAIDI 68 BD 46 SNH
41 MAMAN 57 BD 38 ISPA
42 RIYATIN 29 BD 37 ISPA
43 SHINTA 20 BD 43 ISPA
44 SAGIMIN 50 BD 41 ISPA
45 WIWIK 31 BD 46 GASTRITIS
46 KETUT 76 BD 43 SNH
47 RIYADI 19 BD 45 ISPA
48 SUSI 35 BD 48 ISPA
49 DULAH 70 BD 40 HT
50 SHOLEK IRAWAN 24 BD 46 ISPA

Bandar Lampung, JuliDaftar


Pembuat 2022

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 OTOY 72 BD 38 ISPA
2 MARYANI 17 BD 37 DISPEPSIA
3 RUKAYAH 50 BD 43 GASTRITIS
4 MASIRI 33 BD 41 ISPA
5 TRI MURTI 28 BD 46 ISPA
6 WAIDI 42 BD 43 SNH
7 RAHMAT PRATAMA 4 BD 45 ISPA
8 ENDRAWATI 51 BD 48 DISPEPSIA
9 FITRI 17 BD 40 ISPA
10 PUTRI 22 BD 46 HT
11 VANIA 4, 5 BD 43 ISPA
12 MARIYANI 37 BD 45 ISPA
13 JUMINATUN 50 BD 37 DISPEPSIA
14 KARTINI 50 BD 47 ISPA
15 SURATI 38 BD 48 ISPA
16 RUMINI 50 BD 47 ISPA
17 SARI 35 BD 43 HT
18 SUMARNI 55 BD 46 DM
19 WIAM 3 BD 48 ISPA
20 MANGKU SUDARME 50 BD 38 ISPA
21 ADITYA 17 BLN BD 41 GASTRITIS
22 BUDI 40 BD 39 ISPA
23 WAYAN BUDIANA 47 BD 43 ISPA
24 HALIMAH 50 BD 46 HT
25 ZAKI 14 BD 47 DISPEPSIA
26 ALBI 3, 5 BD 48 DM
27 SRI LESTARI 30 BD 40 SNH
28 IBNU 8,5 BD 47 CEPALGIA
29 LEGIRAH 60 BD 42 SNH
30 RATU 15 BLN BD 39 MIGRAIN
31 SALWA 9 BD 48 GASTRITIS
32 SUKATI 40 BD 46 HT
33 CIKO 20 BD 45 HT
34 NUROHMAN 47 BD 48 DM
35 SUMIATUN 53 BD 40 ISPA
36 SAINAH 60 BD 47 ISPA
37 YAYAH 35 BD 42 GASTRITIS
38 ZIKRI 4, 5 BD 39 DISPEPSIA
39 SAIMAN 67 BD 48 ISPA
40 MUKIYEM 75 BD 37 SNH
41 SAHRUL 7 BD 48 ISPA
42 CANDRA 21 BD 41 ISPA
43 JAMANI 51 BD 43 ISPA
44 SRI 68 BD 45 ISPA
45 TUMADI 48 BD 37 GASTRITIS
46 KETUT SETIYA 32 BD 47 SNH
47 TAJUDIN 52 BD 48 ISPA
48 SANIKEM 70 BD 47 ISPA
49 SUSANTI 27 BD 43 HT
50 SUMIAN 34 BD 46 ISPA

Bandar Lampung, Agst 2022

dr. Anisa Putri


PRAKTEK DOKTER MANDIRI Dr. Anisa Putri
SIP :1871/503/00229/446-SIP.M/III.16/IX/2020
Jl. PulauSingkep, Gg Rajawali, Sukarame, Bandar Lampung-35131

NAMA UMUR ALAMAT DIAGNOSA KET


NO
1 WAYAN SUARDIKA 5 BD 46 ISPA
2 RENDI 11 BD 43 DISPEPSIA
3 BIMA 15 BLN BD 45 GASTRITIS
4 YANI 29 BD 37 ISPA
5 SUNANTA 60 BD 47 ISPA
6 ZIDAN 13 BD 48 SNH
7 DESI 13 BD 47 ISPA
8 KUSNUDIN 45 BD 43 DISPEPSIA
9 ANDI EKA SAPUTRA 29 BD 46 ISPA
10 NILUH SELIA NINGSIH 34 BD 48 HT
11 KADE SRI 38 BD 38 ISPA
12 NYOMAN REMI 75 BD 41 ISPA
13 FANI ERAWATI 40 BD 39 DISPEPSIA
14 SOYO 60 BD 43 ISPA
15 NAILI 9 BLN BD 46 ISPA
16 ISMAWATI 38 BD 47 ISPA
17 YANI 46 BD 48 HT
18 REZA 3 BD 40 DM
19 MUHSIN 3 BD 47 ISPA
20 EDO 2 BD 42 ISPA
21 TALITA 15 BLN BD 39 GASTRITIS
22 ALIFA 5 BLN BD 48 ISPA
23 M KHOLIFI 22 BD 46 ISPA
24 JANIRIN 50 BD 45 HT
25 SALAMUN 70 BD 48 DISPEPSIA
26 SIDANA 40 BD 40 DM GDS:234/DL
27 KETUT SUMITRA 50 BD 47 SNH
28 LUMPUK 70 BD 42 CEPALGIA
29 PARJI 53 BD 39 SNH
30 SARIPAH 40 BD 48 MIGRAIN
31 SITI MUAWANAH 23 BD 37 GASTRITIS
32 AYU 27 BD 48 HT
33 ILHAM 63 BD 41 HT
34 AMI 80 BD 43 DM GDS:234MG/DL
35 SATINAH 50 BD 45 ISPA
36 RASYA 2 BD 37 ISPA
37 AFIKA 5 ,5 BD 47 GASTRITIS
38 YENI YATINI 25 BD 48 DISPEPSIA
39 UMI SALAMAH 37 BD 47 ISPA
40 SUTIKNO 58 BD 43 SNH
41 WAGIMAN 30 BD 46 ISPA
42 HARUN 100 BD 48 ISPA
43 PURNOMO 56 BD 38 ISPA
44 YATIMAN 23 BD 41 ISPA
45 NOVITA SARI 18 BD 39 GASTRITIS
46 KETUT BUDIASE 35 BD 43 SNH
47 DEVINO 2 BD 46 ISPA
48 DESWANTARA 3,1 BD 47 ISPA
49 ALIF 33 BD 48 HT
50 WAYAN JAYA 7 BD 40 ISPA

BandarPembuat
Lampung, Sept 2022
Daftar

dr. Anisa Putri

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