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<tr class="form">
<td align="center" colspan="9">
<big><big><span style="font-weight: bold;">
LAPORAN UNIVERSAL PUSTU WONOCOYO<br>
BULAN 02-01-2023 - 24-01-2023 </span></big></big>
</td>
</tr>
</table>
<table align='center'>
<tr>
<td>Total</td>
<td>:</td>
<td>288</td>
</tr>
</table>
<table align="center" width="98%" border="1">
<tr class="row1">
<td width='3%'>No</td>
<td width='6%'>Tanggal</td>
<td width='6%'>PKM</td>
<td width='6%'>No RM</td>
<td width='10%'>Nama</td>
<td width='10%'>NIK</td>
<td width='10%'>Alamat</td>
<td width='6%'>Desa</td>
<td width='5%'>Kecamatan</td>
<td width='5%'>Kabupaten</td>
<td width='6%'>Tgl Lahir</td>
<td width='6%'>Umur<br>Th</td>
<td width='2%'>L/P</td>
<td width='7%'>Pekerjaan</td>
<td width='7%'>Ruangan</td>
<td width='7%'>Petugas</td>
<td width='4%'>Status</td>
<td>Kasus</td>
<td>Cara Bayar</td>
<td>Jenis BPJS</td>
<td>No BPJS</td>
<td>Kode Bridging</td>
<td>ICD-10</td>
<td>Diagnosa</td>

</tr>

<tr align="left" valign="top">


<td>1</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002624</td>
<td>PONIMIN</td>
<td>' 3503123112570033</td>
<td>DUSUN BANDULAN RT.10 RW.05 WONOCOYO. POGALAN. TRENGGALEK, RT :
10,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1957</td>
<td>65</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665159376</td>
<td>131503010123Y000007</td>
<td align='center'>
M10.0 </td>
<td align='center'>
<font color='black'>Idiopathic gout</font> </td>

</tr>

<tr align="left" valign="top">


<td>2</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>000020</td>
<td>ARIS WAHYU UTAMI</td>
<td>'3503114308880001</td>
<td>RT.6/3 WONOCOYO</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-08-1988</td>
<td>34</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000205039315</td>
<td>131503010123Y000008</td>
<td align='center'>
K29 </td>
<td align='center'>
<font color='red'>Gastritis and duodenitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>3</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>005633</td>
<td>ARISTA FIRDIANA</td>
<td>'3503125203150001</td>
<td>WONOCOYO RT 14 RW 06</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-03-2015</td>
<td>7</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003064349878</td>
<td>131503010123Y000010</td>
<td align='center'>
J00 </td>
<td align='center'>
<font color='red'>Acute nasopharyngitis [common cold]</font>
</td>

</tr>

<tr align="left" valign="top">


<td>4</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>010886</td>
<td>ETIK YUNITA</td>
<td>'3503125906880003</td>
<td>DUSUN BLENGOK RT.025 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
25,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-06-1988</td>
<td>34</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002681619298</td>
<td>131503010123Y000012</td>
<td align='center'>
M10.0 </td>
<td align='center'>
<font color='black'>Idiopathic gout</font> </td>

</tr>

<tr align="left" valign="top">


<td>5</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>004855</td>
<td>WENTI YULI ASTUTI</td>
<td>'3503124607860002</td>
<td>DUSUN BANDULAN RT.012 RW.005 WONOCOYO. POGALAN. TRENGGALEK, RT :
12,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-07-1986</td>
<td>36</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665733914</td>
<td>131503010123Y000014</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>6</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018350</td>
<td>ANIK YULIAWATI</td>
<td>'3503125509790004</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-09-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z30.4 </td>
<td align='center'>
<font color='black'>Surveillance of contraceptive drugs</font>
</td>
</tr>

<tr align="left" valign="top">


<td>7</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003601</td>
<td>SUMIATUN</td>
<td>'3503124107620010</td>
<td>DUSUN BENDIL RT.021 RW.009 WONOCOYO. POGALAN. TRENGGALEK, RT :
21,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1962</td>
<td>60</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681619726</td>
<td>131503010123Y000024</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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<td>8</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>016671</td>
<td>SUMINI</td>
<td>'3503125005490001</td>
<td>DUSUN BENDI RT.018 RW.008 WONOCOYO. POGALAN. TRENGGALEK, RT : 18,RW
:8 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-05-1949</td>
<td>73</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665654589</td>
<td>131503010123Y000025</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>9</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>008851</td>
<td>MUZAYANAH</td>
<td>'3503125710690001</td>
<td>DUSUN BLENGOK RT.022 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
22,RW :10 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-10-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665182078</td>
<td>131503010123Y000029</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>10</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>016228</td>
<td>SUTIKNO</td>
<td>'3503121012550002</td>
<td>DUSUN BENDIL RT.018 RW.008 WONOCOYO. POGALAN. TRENGGALEK, RT :
18,RW :8 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-12-1955</td>
<td>67</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665266544</td>
<td>131503010123Y000033</td>
<td align='center'>
A01.0 </td>
<td align='center'>
<font color='red'>Typhoid fever</font> </td>

</tr>

<tr align="left" valign="top">


<td>11</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003575</td>
<td>MARYATUN</td>
<td>'3503127112650058</td>
<td>DUSUN BENDIL RT.018 RW.008 WONOCOYO. POGALAN. TRENGGALEK, RT :
18,RW :8 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665268546</td>
<td>131503010123Y000035</td>
<td align='center'>
L23.9 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis, unspecified
cause</font> </td>

</tr>

<tr align="left" valign="top">


<td>12</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>001743</td>
<td>NUR ROHMAN</td>
<td>'3503122103890001</td>
<td>DUSUN KARANG TENGAH RT.002 RW.001 WONOCOYO. POGALAN. TRENGGALEK, RT
: 2,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-03-1989</td>
<td>33</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665104588</td>
<td>131503010123Y000037</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>13</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>009577</td>
<td>MUHAMAD SYAFIQ ABDUR ROHMAN</td>
<td>'3503122204030001</td>
<td>WONOCOYO RT 02 RW 01</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-04-2003</td>
<td>19</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036970897</td>
<td>131503010123Y000040</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>14</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>017531</td>
<td>RAHMAD TRI WAHYUDI</td>
<td>'3503120610030001</td>
<td>DUSUN BENDIL RT.015 RW.007 WONOCOYO. POGALAN TRENGGALEK, RT : 15,RW
:7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-10-2003</td>
<td>19</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707085653</td>
<td>131503010123Y000042</td>
<td align='center'>
B02 </td>
<td align='center'>
<font color='red'>Zoster [herpes zoster]</font> </td>

</tr>

<tr align="left" valign="top">


<td>15</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>001978</td>
<td>SUYATI</td>
<td>'3503124207680001</td>
<td>DUSUN WONOCOYO RT.005 RW.003 WONOCOYO. POGALAN. TRENGGALEK, RT :
5,RW :3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-07-1969</td>
<td>53</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002887337946</td>
<td>131503010123Y000046</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>16</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>009902</td>
<td>MUSALAM</td>
<td>'3503120107450016</td>
<td>DUSUN BENDIL RT.019 RW.008 WONOCOYO. POGALAN. TRENGGALEK, RT :
19,RW :8 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1945</td>
<td>77</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003064349891</td>
<td>131503010123Y000048</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>17</td>
<td>02-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002017</td>
<td>AMINATUN</td>
<td>'3503126809690001</td>
<td>DUSUN BENDIL RT.017 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
17,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-09-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665070401</td>
<td>131503010123Y000052</td>
<td align='center'>
J03 </td>
<td align='center'>
<font color='red'>Acute tonsillitis</font> </td>
</tr>

<tr align="left" valign="top">


<td>18</td>
<td>03-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>012090</td>
<td>YAHMI</td>
<td>'3503116307670001</td>
<td>KELURAHAN KARANGSOKO, RT : 008,RW :002 </td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>23-07-1967</td>
<td>55</td>
<td>P</td>
<td>PEDAGANG</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002320128213</td>
<td>131503010123Y000061</td>
<td align='center'>
M06.0 </td>
<td align='center'>
<font color='black'>Seronegative rheumatoid arthritis</font>
</td>

</tr>

<tr align="left" valign="top">


<td>19</td>
<td>03-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>001223</td>
<td>ADITYA NAUFAL A P</td>
<td>'3503110304140005</td>
<td>DUSUN WONOCOYO RT.06 RW.03 WONOCOYO. POGALAN. TRENGGALEK, RT : 6,RW
:3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-04-2014</td>
<td>8</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0001449088716</td>
<td>131503010123Y000062</td>
<td align='center'>
J00 </td>
<td align='center'>
<font color='red'>Acute nasopharyngitis [common cold]</font>
</td>

</tr>

<tr align="left" valign="top">


<td>20</td>
<td>03-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018399</td>
<td>ARIN WIDAYATI</td>
<td>' </td>
<td>DUSUN BENDIL RT.016 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
16,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-05-1982</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665181112</td>
<td>131503010123Y000069</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>21</td>
<td>03-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018400</td>
<td>NAYLA GLADISTA CARISA PUTRI</td>
<td>'3503122706119999</td>
<td>DUSUN KARANGTENGAH RT.003 RW.002 WONOCOYO. POGALAN. TRENGGALEK,
RT : 3,RW :2 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-06-2011</td>
<td>11</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
A09 </td>
<td align='center'>
<font color='red'>Diarrhoea and gastroenteritis of presumed infectious
origin</font> </td>

</tr>

<tr align="left" valign="top">


<td>22</td>
<td>03-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>004736</td>
<td>SITI MAQRIPATUL</td>
<td>'3503126211900001</td>
<td>DUSUN WONOCOYO RT.008 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
8,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>22-11-1990</td>
<td>32</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0002853369911</td>
<td></td>
<td align='center'>
N94.6 </td>
<td align='center'>
<font color='black'>Dysmenorrhoea, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>23</td>
<td>03-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002437</td>
<td>DWI RATNA SARI</td>
<td>'3503064402900001</td>
<td>DUSUN KARANG TENGAH RT.004 RW.002 WONOCOYO. POGALAN. TRENGGALEK, RT
: 4,RW :2 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-02-1990</td>
<td>32</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665124028</td>
<td>131503010123Y000070</td>
<td align='center'>
N94.6 </td>
<td align='center'>
<font color='black'>Dysmenorrhoea, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>24</td>
<td>03-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003303</td>
<td>INSIYAH</td>
<td>'3503124502720004</td>
<td>DUSUN BANDULAN RT.14 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
14,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-02-1972</td>
<td>50</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0003059117403</td>
<td>131503010123Y000071</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

<tr align="left" valign="top">


<td>25</td>
<td>03-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002113</td>
<td>LAILATUL ROHMAH</td>
<td>'3503127006810001</td>
<td>DUSUN BANDULAN RT.13 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
13,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-06-1981</td>
<td>41</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665222062</td>
<td>131503010123Y000072</td>
<td align='center'>
M54.5 </td>
<td align='center'>
<font color='black'>Low back pain</font> </td>

</tr>

<tr align="left" valign="top">


<td>26</td>
<td>03-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002060</td>
<td>ZULFANIS WATI</td>
<td>'3503125104820001</td>
<td>DUSUN BENDIL RT.020 RW.009 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-04-1982</td>
<td>40</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0003059118279</td>
<td>131503010123Y000073</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>
<tr align="left" valign="top">
<td>27</td>
<td>03-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018402</td>
<td>MURJIYAH</td>
<td>'3503126802560002</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-02-1956</td>
<td>66</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003012976765</td>
<td>131503010123Y000074</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>28</td>
<td>03-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018403</td>
<td>SUSIAMI</td>
<td>'3503105210540001</td>
<td>DSN KEDEKAN, RT : 9,RW :4 </td>
<td>WONOANTI</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>12-10-1954</td>
<td>68</td>
<td>P</td>
<td>Pensiunan</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0000106829302</td>
<td></td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>
</tr>

<tr align="left" valign="top">


<td>29</td>
<td>03-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>004216</td>
<td>YUNARYATIN</td>
<td>'3503125308760001</td>
<td>DUSUN KARANGTENGAH RT.03 RW.002 WONOCOYO. POGALAN. TRENGGALEK, RT :
3,RW :2 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-08-1976</td>
<td>46</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002681619546</td>
<td>131503010123Y000075</td>
<td align='center'>
H81.4 </td>
<td align='center'>
<font color='red'>Vertigo of central origin</font> </td>

</tr>

<tr align="left" valign="top">


<td>30</td>
<td>03-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018412</td>
<td>ACHMAD ASRORI</td>
<td>'3503121801770001</td>
<td>DUSUN KARANGTENGAH RT.02 RW.01 WONOCOYO. POGALAN. TRENGGALEK, RT :
2,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-01-1977</td>
<td>46</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003278059615</td>
<td>131503010123Y000076</td>
<td align='center'>
L23.9 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis, unspecified
cause</font> </td>

</tr>

<tr align="left" valign="top">


<td>31</td>
<td>03-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>015750</td>
<td>NURIN ALFIYAH</td>
<td>'3503125201140001</td>
<td>DUSUN BENDIL RT.020 RW.009 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-01-2014</td>
<td>9</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002127314182</td>
<td>131503010123Y000077</td>
<td align='center'>
A09 </td>
<td align='center'>
<font color='red'>Diarrhoea and gastroenteritis of presumed infectious
origin</font> </td>

</tr>

<tr align="left" valign="top">


<td>32</td>
<td>04-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>009546</td>
<td>RUSMINI</td>
<td>'3503126609560002</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-09-1956</td>
<td>66</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802904266</td>
<td>131503010123Y000085</td>
<td align='center'>
G44.0 </td>
<td align='center'>
<font color='black'>Cluster headache syndrome</font> </td>

</tr>

<tr align="left" valign="top">


<td>33</td>
<td>04-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>001950</td>
<td>ISRINGATIN</td>
<td>'3503126412650001</td>
<td>DUSUN BENDIL RT.016 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
16,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-12-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002324623915</td>
<td>131503010123Y000086</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>34</td>
<td>04-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>011278</td>
<td>UZAYR HILMAN EL ZAIDAN</td>
<td>'</td>
<td>RT09/RW04 WONOCOYO POGALAN TRENGGALEK</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-01-2022</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0003129348431</td>
<td>131503010123Y000087</td>
<td align='center'>
A01.0 </td>
<td align='center'>
<font color='red'>Typhoid fever</font> </td>

</tr>

<tr align="left" valign="top">


<td>35</td>
<td>04-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002114</td>
<td>SUPARDI</td>
<td>'3503120107550023</td>
<td>DUSUN BENDIL RT.016 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
16,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1955</td>
<td>67</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681619996</td>
<td>131503010123Y000096</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>36</td>
<td>04-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002017</td>
<td>AMINATUN</td>
<td>'3503126809690001</td>
<td>DUSUN BENDIL RT.017 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
17,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-09-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665070401</td>
<td>131503010123Y000102</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>37</td>
<td>04-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>000047</td>
<td>MUJIANTO</td>
<td>'3503122803770003</td>
<td>DSN BANDULAN RT 14 RW 07 WONOCOYO</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-03-1977</td>
<td>45</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665229633</td>
<td>131503010123Y000103</td>
<td align='center'>
L23.9 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis, unspecified
cause</font> </td>

</tr>

<tr align="left" valign="top">


<td>38</td>
<td>04-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>007145</td>
<td>SUGIMAN</td>
<td>' </td>
<td>DUSUN WONOCOYO RT.009 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
9,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-12-1963</td>
<td>59</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665049104</td>
<td>131503010123Y000104</td>
<td align='center'>
K02 </td>
<td align='center'>
<font color='black'>Dental caries</font> </td>

</tr>

<tr align="left" valign="top">


<td>39</td>
<td>04-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>008965</td>
<td>SURIYAH</td>
<td>'3503124909660002</td>
<td>DUSUN BENDIL RT.021 RW.009 WONOCOYO. POGALAN. TRENGGALEK, RT :
21,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-09-1966</td>
<td>56</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001707085427</td>
<td>131503010123Y000105</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>
</tr>

<tr align="left" valign="top">


<td>40</td>
<td>04-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>009547</td>
<td>SUYUD</td>
<td>'3503120303450001</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-03-1945</td>
<td>77</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002857440161</td>
<td>131503010123Y000106</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>41</td>
<td>04-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>008972</td>
<td>TAMILAH</td>
<td>'3503124109660002</td>
<td>DUSUN BENDIL RT.021 RW.009 WONOCOYO. POGALAN. TRENGGALEK, RT :
21,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-09-1966</td>
<td>56</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665136718</td>
<td>131503010123Y000107</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>42</td>
<td>04-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002108</td>
<td>WINARTI</td>
<td>'3503124509820004</td>
<td>DUSUN BENDIL RT.018 RW.008 WONOCOYO. POGALAN. TRENGGALEK, RT :
18,RW :8 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-09-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681619221</td>
<td>131503010123Y000108</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>43</td>
<td>04-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018440</td>
<td>KHOIRUL ANWARIYAH</td>
<td>'3503126901820003</td>
<td>DUSUN BENDIL RT.021 RW.009 WONOCOYO. POGALAN. TRENGGALEK, RT :
21,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-01-1982</td>
<td>40</td>
<td>P</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106809377</td>
<td>131503010123Y000109</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>44</td>
<td>04-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002867</td>
<td>SITI KHALIMAH</td>
<td>'3503125804750001</td>
<td>WONOCOYO RT 13 RW 06</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-04-1975</td>
<td>47</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665088219</td>
<td>131503010123Y000110</td>
<td align='center'>
H66.0 </td>
<td align='center'>
<font color='red'>Acute suppurative otitis media</font> </td>

</tr>

<tr align="left" valign="top">


<td>45</td>
<td>04-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>010187</td>
<td>SAMINI</td>
<td>'3503126407740001</td>
<td>WONOCOYO RT 14 RW 06</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-07-1974</td>
<td>48</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003064349856</td>
<td>131503010123Y000112</td>
<td align='center'>
H81.4 </td>
<td align='center'>
<font color='red'>Vertigo of central origin</font> </td>

</tr>

<tr align="left" valign="top">


<td>46</td>
<td>04-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>017356</td>
<td>AZKA LINAILIL FADLILAH</td>
<td>'3503124608950003</td>
<td>DUSUN KARANGTENGAH RT.02 RW.01 WONOCOYO. POGALAN. TRENGGALEK, RT :
2,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-08-1995</td>
<td>27</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665731326</td>
<td>131503010123Y000113</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>47</td>
<td>04-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018441</td>
<td>UMI KASANAH</td>
<td>' </td>
<td>DUSUN KARANG TENGAH RT.002 RW.001 WONOCOYO. POGALAN. TRENGGALEK, RT
: 2,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-08-1975</td>
<td>47</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665140116</td>
<td>131503010123Y000114</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>48</td>
<td>05-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>013147</td>
<td>EKO SANTOSO</td>
<td>'3503112712800001</td>
<td>DUSUN BANDULAN RT.13 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
13,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-12-1980</td>
<td>42</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707084944</td>
<td>131503010123Y000289</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>49</td>
<td>05-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>005624</td>
<td>SRIANI</td>
<td>'3503114305820009</td>
<td>WONOCOYO RT 13 RW 06</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-05-1982</td>
<td>40</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707084966</td>
<td>131503010123Y000290</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>50</td>
<td>05-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014826</td>
<td>ARDHAN DHIYAULHAQ</td>
<td>'3503121705070004</td>
<td>DUSUN BANDULAN RT.13 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
13,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-05-2007</td>
<td>15</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707084988</td>
<td>131503010123Y000291</td>
<td align='center'>
A09 </td>
<td align='center'>
<font color='red'>Diarrhoea and gastroenteritis of presumed infectious
origin</font> </td>
</tr>

<tr align="left" valign="top">


<td>51</td>
<td>05-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014825</td>
<td>MUJIATI</td>
<td>' </td>
<td>DUSUN KARANG TENGAH RT.003 RW.002 WONOCOYO. POGALAN. TRENGGALEK, RT
: 3,RW :2 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-01-1971</td>
<td>52</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665132398</td>
<td>131503010123Y000292</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>52</td>
<td>05-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014823</td>
<td>UDIN SETYO WAHYUDI</td>
<td>' </td>
<td>DUSUN KARANG TENGAH RT.003 RW.002 WONOCOYO. POGALAN. TRENGGALEK, RT
: 3,RW :2 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-11-1996</td>
<td>26</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665132916</td>
<td>131503010123Y000293</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>53</td>
<td>05-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014824</td>
<td>RIYAN AGUS WIBAWA</td>
<td>' </td>
<td>DUSUN KARANG TENGAH RT.003 RW.002 WONOCOYO. POGALAN. TRENGGALEK, RT
: 3,RW :2 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-08-2005</td>
<td>17</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665132984</td>
<td>131503010123Y000294</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>54</td>
<td>05-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014829</td>
<td>SUPIYAH</td>
<td>' </td>
<td>DUSUN WONOCOYO RT.06 RW.03 WONOCOYO. POGALAN. TRENGGALEK, RT : 6,RW
:3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-05-1957</td>
<td>65</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664864929</td>
<td>131503010123Y000295</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>55</td>
<td>05-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014831</td>
<td>NOPI SUSANTO</td>
<td>'3503122708820003</td>
<td>DUSUN BENDIL RT.015 RW.007 WONOCOYO. POGALAN TRENGGALEK, RT : 15,RW
:7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-08-1982</td>
<td>40</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978414885</td>
<td>131503010123Y000296</td>
<td align='center'>
G44.0 </td>
<td align='center'>
<font color='black'>Cluster headache syndrome</font> </td>

</tr>

<tr align="left" valign="top">


<td>56</td>
<td>05-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014832</td>
<td>AKILA WAHYUNINGTYAS</td>
<td>'3504115604890002</td>
<td>DUSUN BENDIL RT.015 RW.007 WONOCOYO. POGALAN TRENGGALEK, RT : 15,RW
:7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>16-04-1989</td>
<td>33</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867884018</td>
<td>131503010123Y000297</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>57</td>
<td>05-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014834</td>
<td>AGUS PURWANTO</td>
<td>'3503121108850002</td>
<td>DUSUN BENDIL RT.020 RW.009 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-08-1985</td>
<td>37</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI BUMN</td>
<td>'0001373888013</td>
<td>131503010123Y000298</td>
<td align='center'>
M54.5 </td>
<td align='center'>
<font color='black'>Low back pain</font> </td>

</tr>

<tr align="left" valign="top">


<td>58</td>
<td>05-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014835</td>
<td>AMBAR KURNIAWATI</td>
<td>'3503124712810003</td>
<td>DUSUN BENDIL RT.020 RW.009 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-12-1981</td>
<td>41</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0001447136291</td>
<td>131503010123Y000299</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

<tr align="left" valign="top">


<td>59</td>
<td>05-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>013475</td>
<td>SUGIONO</td>
<td>'3503122407620001</td>
<td>DUSUN WONOCOYO RT.006 RW.003 WONOCOYO. POGALAN. TRENGGALEK, RT :
6,RW :3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-07-1962</td>
<td>60</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003064340553</td>
<td>131503010123Y000300</td>
<td align='center'>
L23 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>60</td>
<td>05-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>005663</td>
<td>ZULAEKAH</td>
<td>'3503125511790004</td>
<td>DUSUN BLENGOK RT.022 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
22,RW :10 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-11-1979</td>
<td>43</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001622570049</td>
<td>131503010123Y000301</td>
<td align='center'>
Z30.0 </td>
<td align='center'>
<font color='black'>General counselling and advice on
contraception</font> </td>

</tr>

<tr align="left" valign="top">


<td>61</td>
<td>05-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>005096</td>
<td>ARIEF DHARMAWAN</td>
<td>'3503122903020001</td>
<td>DUSUN BLENGOK RT.022 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
22,RW :10 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-03-2002</td>
<td>20</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001622570051</td>
<td>131503010123Y000302</td>
<td align='center'>
G44.0 </td>
<td align='center'>
<font color='black'>Cluster headache syndrome</font> </td>

</tr>

<tr align="left" valign="top">


<td>62</td>
<td>05-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>013477</td>
<td>DIAN SAFITRI</td>
<td>'350312 </td>
<td>DUSUN BLENGOK RT.026 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
26,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-01-1986</td>
<td>36</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z30.0 </td>
<td align='center'>
<font color='black'>General counselling and advice on
contraception</font> </td>

</tr>

<tr align="left" valign="top">


<td>63</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>006238</td>
<td>MURSIANI</td>
<td>'3503124109880005</td>
<td>DUSUN KARANGTENGAH RT.03 RW.02 WONOCOYO. POGALAN. TRENGGALEK, RT :
3,RW :2 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-09-1980</td>
<td>42</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>64</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003012</td>
<td>KHOLIL ARIFI</td>
<td>'3503122912810001</td>
<td>DUSUN BENDIL RT.020 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-12-1981</td>
<td>41</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0003279281499</td>
<td>131503010123Y000389</td>
<td align='center'>
T14.1 </td>
<td align='center'>
<font color='red'>Open wound of unspecified body region</font>
</td>

</tr>

<tr align="left" valign="top">


<td>65</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014873</td>
<td>DWI MUJI ASTUTI</td>
<td>'3503126712800001</td>
<td>DUSUN BENDIL RT.020 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-12-1980</td>
<td>42</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0003279282052</td>
<td>131503010123Y000390</td>
<td align='center'>
N94.6 </td>
<td align='center'>
<font color='black'>Dysmenorrhoea, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>66</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018537</td>
<td>KAFI MAULANA YUSUF</td>
<td>'3503120404070002</td>
<td>DUSUN BENDIL RT.020 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-04-2007</td>
<td>15</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0003279282985</td>
<td>131503010123Y000391</td>
<td align='center'>
L23.9 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis, unspecified
cause</font> </td>

</tr>

<tr align="left" valign="top">


<td>67</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003576</td>
<td>HASIM ASNGARI</td>
<td>'350312508740003</td>
<td>DUSUN WONOCOYO RT.008 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
8,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-08-1974</td>
<td>48</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001843679507</td>
<td></td>
<td align='center'>
H81.4 </td>
<td align='center'>
<font color='red'>Vertigo of central origin</font> </td>

</tr>

<tr align="left" valign="top">


<td>68</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>006233</td>
<td>ARISTA MARTANING TYAS</td>
<td>'3503125006970003</td>
<td>DUSUN WONOCOYO RT.007 RW.003 WONOCOYO. POGALAN. TRENGGALEK, RT :
7,RW :3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-06-1997</td>
<td>25</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0003106273893</td>
<td>131503010123Y000392</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>69</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>005180</td>
<td>MUJI SLAMET</td>
<td>'3503122205830002</td>
<td>DUSUN WONOCOYO RT.007 RW.003 WONOCOYO. POGALAN. TRENGGALEK, RT :
7,RW :3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>22-05-1983</td>
<td>39</td>
<td>L</td>
<td>Lainnya</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867884582</td>
<td>131503010123Y000393</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>70</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018538</td>
<td>DIDIK WAHONO</td>
<td>' </td>
<td>DUSUN BANDULAN RT.14 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
14,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-12-1981</td>
<td>41</td>
<td>L</td>
<td>Perdagangan</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665727513</td>
<td>131503010123Y000394</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>
</tr>

<tr align="left" valign="top">


<td>71</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>017428</td>
<td>NASRODIN</td>
<td>'3503122602750001</td>
<td>WONOCOYO RT 01 RW 01</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-02-1975</td>
<td>47</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001886231957</td>
<td>131503010123Y000395</td>
<td align='center'>
A09 </td>
<td align='center'>
<font color='red'>Diarrhoea and gastroenteritis of presumed infectious
origin</font> </td>

</tr>

<tr align="left" valign="top">


<td>72</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002421</td>
<td>SARIK WINDAYANI</td>
<td>'3503124105940004</td>
<td>DUSUN GROJOGAN RT.001 RW.001 NGADIRENGGO. POGALAN. TRENGGALEK,
</td>
<td>NGADIRENGGO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-05-1994</td>
<td>28</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867885122</td>
<td>131503010123Y000396</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>73</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>008235</td>
<td>NOFI KRISTANTI SUWARNO PUTRI</td>
<td>'3503124411040003</td>
<td>WONOCOYO RT 13 RW 06</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-11-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665677045</td>
<td>131503010123Y000397</td>
<td align='center'>
N94.6 </td>
<td align='center'>
<font color='black'>Dysmenorrhoea, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>74</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014878</td>
<td>LISTA KUSUMA WARDANI</td>
<td>'3503124704080001</td>
<td>DUSUN WONOCOYO RT.05 RW.03 WONOCOYO. POGALAN. TRENGGALEK, RT : 5,RW
:3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-04-2008</td>
<td>14</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665100044</td>
<td>131503010123Y000398</td>
<td align='center'>
N94.6 </td>
<td align='center'>
<font color='black'>Dysmenorrhoea, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>75</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>005038</td>
<td>SULIKAH</td>
<td>'3503126606720001</td>
<td>DUSUN KARANGTENGAH RT.01 RW.01 WONOCOYO. POGALAN. TRENGGALEK, RT :
1,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-06-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681619074</td>
<td>131503010123Y000399</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>76</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018539</td>
<td>LULUK TRIANA</td>
<td>'3503124307890001</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-07-1989</td>
<td>33</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664881412</td>
<td>131503010123Y000400</td>
<td align='center'>
Z30.0 </td>
<td align='center'>
<font color='black'>General counselling and advice on
contraception</font> </td>

</tr>

<tr align="left" valign="top">


<td>77</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018540</td>
<td>EDY CHANDRA OKTAVIDYANTO</td>
<td>'3503112910840010</td>
<td>DUSUN BLENGOK RT.025 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
25,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>22-10-1984</td>
<td>38</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003142889065</td>
<td>131503010123Y000401</td>
<td align='center'>
G44.0 </td>
<td align='center'>
<font color='black'>Cluster headache syndrome</font> </td>

</tr>

<tr align="left" valign="top">


<td>78</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>016560</td>
<td>MUKANI</td>
<td>'3503123010460001</td>
<td>WONOCOYO RT 20 RW 09</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-10-1946</td>
<td>76</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003064348282</td>
<td>131503010123Y000402</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>79</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>005776</td>
<td>SETIORINI</td>
<td>'3503125001920001</td>
<td>WONOCOYO RT 06 RW 03</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-01-1992</td>
<td>31</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665896116</td>
<td>131503010123Y000403</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>80</td>
<td>06-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018542</td>
<td>SULASTRI</td>
<td>'3503125408740001</td>
<td>DUSUN BANDULAN RT.011 RW.005 WONOCOYO. POGALAN. TRENGGALEK, RT :
11,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-08-1974</td>
<td>48</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665096771</td>
<td>131503010123Y000404</td>
<td align='center'>
K02 </td>
<td align='center'>
<font color='black'>Dental caries</font> </td>

</tr>

<tr align="left" valign="top">


<td>81</td>
<td>07-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002439</td>
<td>PUPUT PUTRI NUFITASARI</td>
<td>'3503125106960001</td>
<td>DUSUN WONOCOYO RT.009 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
9,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-06-1996</td>
<td>26</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802900385</td>
<td>131503010123Y000411</td>
<td align='center'>
J00 </td>
<td align='center'>
<font color='red'>Acute nasopharyngitis [common cold]</font>
</td>
</tr>

<tr align="left" valign="top">


<td>82</td>
<td>07-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002605</td>
<td>ERNA PRASETYANI</td>
<td>'3503124911890002</td>
<td>DUSUN BANDULAN RT.12 RW.05 WONOCOYO. POGALAN. TRENGGALEK, RT :
12,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-11-1989</td>
<td>33</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
N61 </td>
<td align='center'>
<font color='red'>Inflammatory disorders of breast</font> </td>

</tr>

<tr align="left" valign="top">


<td>83</td>
<td>07-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014433</td>
<td>FASTAMI`L</td>
<td>'3503126011920002</td>
<td>DUSUN BANDULAN RT.12 RW.05 WONOCOYO. POGALAN. TRENGGALEK, RT :
12,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-11-1992</td>
<td>30</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
N94.3 </td>
<td align='center'>
<font color='red'>Premenstrual tension syndrome</font> </td>

</tr>

<tr align="left" valign="top">


<td>84</td>
<td>07-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018545</td>
<td>RIKA ERLINA TATMAWATI</td>
<td>'3503126802020002</td>
<td>DUSUN BANDULAN RT.12 RW.05 WONOCOYO. POGALAN. TRENGGALEK, RT :
12,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-02-2002</td>
<td>20</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000664863748</td>
<td>131503010123Y000412</td>
<td align='center'>
N94.3 </td>
<td align='center'>
<font color='red'>Premenstrual tension syndrome</font> </td>

</tr>

<tr align="left" valign="top">


<td>85</td>
<td>07-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>006579</td>
<td>AYU SEKAR SARI</td>
<td>'3503126310030002</td>
<td>DUSUN BANDULAN RT.13 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
13,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-10-2003</td>
<td>19</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665725195</td>
<td>131503010123Y000413</td>
<td align='center'>
A08 </td>
<td align='center'>
<font color='red'>Viral and other specified intestinal
infections</font> </td>

</tr>

<tr align="left" valign="top">


<td>86</td>
<td>07-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018546</td>
<td>APRILIA K</td>
<td>'3503125504950001</td>
<td>DUSUN BANDULAN RT.13 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
13,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-04-1996</td>
<td>26</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001830400615</td>
<td>131503010123Y000414</td>
<td align='center'>
H10 </td>
<td align='center'>
<font color='red'>Conjunctivitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>87</td>
<td>07-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018547</td>
<td>KASIATI</td>
<td>'3503126410790001</td>
<td>DUSUN BANDULAN RT.14 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
14,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-10-1979</td>
<td>43</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0002970328397</td>
<td></td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>88</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002624</td>
<td>PONIMIN</td>
<td>' 3503123112570033</td>
<td>DUSUN BANDULAN RT.10 RW.05 WONOCOYO. POGALAN. TRENGGALEK, RT :
10,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1957</td>
<td>65</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665159376</td>
<td>131503010123Y000614</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>89</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003105</td>
<td>MARTINI</td>
<td>'35031271127200</td>
<td>DUSUN BANDULAN RT.10 RW.05 WONOCOYO. POGALAN. TRENGGALEK, RT :
10,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1972</td>
<td>50</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665159444</td>
<td>131503010123Y000616</td>
<td align='center'>
G43 </td>
<td align='center'>
<font color='red'>Migraine</font> </td>

</tr>

<tr align="left" valign="top">


<td>90</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>001368</td>
<td>NAJWA AGUSTINA FITRIA ANGGRAINI</td>
<td>'</td>
<td>WONOCOYO RT 22 RW 08</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-08-2014</td>
<td>8</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002768722841</td>
<td>131503010123Y000610</td>
<td align='center'>
A09 </td>
<td align='center'>
<font color='red'>Diarrhoea and gastroenteritis of presumed infectious
origin</font> </td>

</tr>

<tr align="left" valign="top">


<td>91</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>004030</td>
<td>LUTFIANI MASHUDAH</td>
<td>'3503125801900001</td>
<td>RT/RW04/02WONOCOYOPOGALANTRENGGALEK</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-01-1990</td>
<td>33</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001295108054</td>
<td>131503010123Y000617</td>
<td align='center'>
Z30.0 </td>
<td align='center'>
<font color='black'>General counselling and advice on
contraception</font> </td>

</tr>

<tr align="left" valign="top">


<td>92</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>004844</td>
<td>EL REAL ADHIPATI FEBRYAN</td>
<td>'3503122002180001</td>
<td>RT 4 RW 3</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-02-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002768722975</td>
<td>131503010123Y000619</td>
<td align='center'>
H00 </td>
<td align='center'>
<font color='red'>Hordeolum and chalazion</font> </td>
</tr>

<tr align="left" valign="top">


<td>93</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002907</td>
<td>NASRODIN</td>
<td>'3503123103860001 </td>
<td>DUSUN KARANG TENGAH RT.004 RW.002 WONOCOYO. POGALAN. TRENGGALEK, RT
: 4,RW :2 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-01-1981</td>
<td>42</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665915501</td>
<td>131503010123Y000620</td>
<td align='center'>
R53 </td>
<td align='center'>
<font color='black'>Malaise and fatigue</font> </td>

</tr>

<tr align="left" valign="top">


<td>94</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>013439</td>
<td>MARSINI</td>
<td>'3503127112590034</td>
<td>DUSUN BENDIL RT.021 RW.009 WONOCOYO. POGALAN. TRENGGALEK, RT :
21,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1959</td>
<td>63</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666251651</td>
<td>131503010123Y000623</td>
<td align='center'>
B37.0 </td>
<td align='center'>
<font color='red'>Candidal stomatitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>95</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>009616</td>
<td>PAIJAH</td>
<td>' </td>
<td>DUSUN BENDIL RT.016 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
16,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-09-1937</td>
<td>85</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665151377</td>
<td>131503010123Y000622</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>96</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>006716</td>
<td>KATIMAN</td>
<td>'3503121406520001</td>
<td>DUSUN WONOCOYO RT.05 RW.03 WONOCOYO. POGALAN. TRENGGALEK, RT : 5,RW
:3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-06-1952</td>
<td>70</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PEKERJA MANDIRI</td>
<td>'0001308921399</td>
<td></td>
<td align='center'>
H66.0 </td>
<td align='center'>
<font color='red'>Acute suppurative otitis media</font> </td>

</tr>

<tr align="left" valign="top">


<td>97</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018602</td>
<td>SUYANTO</td>
<td>' </td>
<td>DUSUN KARANGTENGAH RT.02 RW.01 WONOCOYO. POGALAN. TRENGGALEK, RT :
2,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1972</td>
<td>50</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665126471</td>
<td>131503010123Y000634</td>
<td align='center'>
B37.0 </td>
<td align='center'>
<font color='red'>Candidal stomatitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>98</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018603</td>
<td>GARUS</td>
<td>'3503120806540001</td>
<td>DUSUN BANDULAN RT.10 RW.05 WONOCOYO. POGALAN. TRENGGALEK, RT :
10,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-06-1954</td>
<td>68</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003110903943</td>
<td>131503010123Y000636</td>
<td align='center'>
L23.9 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis, unspecified
cause</font> </td>

</tr>

<tr align="left" valign="top">


<td>99</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014834</td>
<td>AGUS PURWANTO</td>
<td>'3503121108850002</td>
<td>DUSUN BENDIL RT.020 RW.009 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-08-1985</td>
<td>37</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI BUMN</td>
<td>'0001373888013</td>
<td>131503010123Y000641</td>
<td align='center'>
A09 </td>
<td align='center'>
<font color='red'>Diarrhoea and gastroenteritis of presumed infectious
origin</font> </td>

</tr>

<tr align="left" valign="top">


<td>100</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018604</td>
<td>YANTI PUSPITA SARI</td>
<td>'3503126701870001</td>
<td>DUSUN WONOCOYO RT.005 RW.003 WONOCOYO. POGALAN. TRENGGALEK, RT :
5,RW :3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-01-1987</td>
<td>36</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665268671</td>
<td>131503010123Y000643</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>101</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>012670</td>
<td>SUMILAH</td>
<td>'3503124509650001</td>
<td>DUSUN WONOCOYO RT.05 RW.03 WONOCOYO. POGALAN. TRENGGALEK, RT : 5,RW
:3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-09-1965</td>
<td>57</td>
<td>P</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106529422</td>
<td>131503010123Y000644</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>102</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018606</td>
<td>KHOIRI</td>
<td>' </td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-07-1967</td>
<td>55</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664856109</td>
<td>131503010123Y000646</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>103</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>011393</td>
<td>SUPATMI</td>
<td>'3503124412680001</td>
<td>DUSUN BENDIL RT.016 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
16,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-12-1963</td>
<td>59</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>'0000666292476</td>
<td></td>
<td align='center'>
N95 </td>
<td align='center'>
<font color='black'>Menopausal and other perimenopausal
disorders</font> </td>
</tr>

<tr align="left" valign="top">


<td>104</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>008587</td>
<td>DAMIS</td>
<td>'3503120107500035</td>
<td>DUSUN KARANGTENGAH RT.02 RW.01 WONOCOYO. POGALAN. TRENGGALEK, RT :
2,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1950</td>
<td>72</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003010536786</td>
<td>131503010123Y000647</td>
<td align='center'>
L23.9 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis, unspecified
cause</font> </td>

</tr>

<tr align="left" valign="top">


<td>105</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>012056</td>
<td>MUHYIDIN ZAKARIA</td>
<td>'3503120609620001</td>
<td>WONOCOYO RT 3 RW 2</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-09-1962</td>
<td>60</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665117605</td>
<td>131503010123Y000648</td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>106</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>012647</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>'3506101804920003</td>
<td>RT 04 RW 01</td>
<td>TAMBAKREJO</td>
<td>GURAH</td>
<td>KEDIRI</td>
<td>18-04-1992</td>
<td>30</td>
<td>L</td>
<td>Pegawai Negeri Sipil</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0002619440752</td>
<td>131503010123Y000650</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>107</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018618</td>
<td>PONIMIN</td>
<td>' </td>
<td>DUSUN BANDULAN RT.10 RW.05 WONOCOYO. POGALAN. TRENGGALEK, RT :
10,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1957</td>
<td>65</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0000665159376</td>
<td>131503010123Y000614</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>108</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>013327</td>
<td>WIDI ELI SANTI</td>
<td>'</td>
<td>RT 7 RW 04</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-01-1993</td>
<td>30</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0000665472655</td>
<td></td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>109</td>
<td>09-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>006956</td>
<td>AMANDA PUTRI ARDININGRUM</td>
<td>'</td>
<td>KARANGTENGAH RT 2 RW 1 WONOCOYO POGALAN</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-11-2020</td>
<td>2</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003068526104</td>
<td>131503010123Y000651</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>110</td>
<td>10-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002108</td>
<td>WINARTI</td>
<td>'3503124509820004</td>
<td>DUSUN BENDIL RT.018 RW.008 WONOCOYO. POGALAN. TRENGGALEK, RT :
18,RW :8 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-09-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681619221</td>
<td>131503010123Y000716</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>111</td>
<td>10-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002782</td>
<td>KAELANI</td>
<td>'3503120107630012</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1953</td>
<td>69</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002158251355</td>
<td>131503010123Y000717</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>112</td>
<td>10-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>007993</td>
<td>SUHADI</td>
<td>'3503122607570001</td>
<td>WONOCOYO RT 20 RW 09</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-07-1957</td>
<td>65</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003064349788</td>
<td>131503010123Y000718</td>
<td align='center'>
B37.0 </td>
<td align='center'>
<font color='red'>Candidal stomatitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>113</td>
<td>10-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002114</td>
<td>SUPARDI</td>
<td>'3503120107550023</td>
<td>DUSUN BENDIL RT.016 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
16,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1955</td>
<td>67</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681619996</td>
<td>131503010123Y000719</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>114</td>
<td>10-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>016323</td>
<td>KASTUR</td>
<td>'3503121507720006</td>
<td>DUSUN BLENGOK RT.026 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
26,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-07-1972</td>
<td>50</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002480560481</td>
<td>131503010123Y000720</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>
</tr>

<tr align="left" valign="top">


<td>115</td>
<td>10-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018652</td>
<td>SAKRI</td>
<td>' </td>
<td>DUSUN BENDIL RT.017 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
17,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-12-1972</td>
<td>50</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666305695</td>
<td>131503010123Y000721</td>
<td align='center'>
G44.0 </td>
<td align='center'>
<font color='black'>Cluster headache syndrome</font> </td>

</tr>

<tr align="left" valign="top">


<td>116</td>
<td>10-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018653</td>
<td>WIWIK WINDIARTI</td>
<td>'350312</td>
<td>RT 01 RW 01 GROJOGAN</td>
<td>NGADIRENGGO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-06-1965</td>
<td>57</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106778608</td>
<td>131503010123Y000722</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>117</td>
<td>10-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>000111</td>
<td>WIDJI ASRI</td>
<td>'3503125409530001</td>
<td>DSN BANDULAN RT 14 RW 06</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-09-1953</td>
<td>69</td>
<td>P</td>
<td>Pensiunan</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106674142</td>
<td>131503010123Y000723</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>118</td>
<td>10-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018654</td>
<td>MIKEM</td>
<td>'3503125212350002</td>
<td>DUSUN BENDIL RT.020 RW.009 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-12-1935</td>
<td>87</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011278522</td>
<td>131503010123Y000724</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>119</td>
<td>10-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>008730</td>
<td>SAMILAH</td>
<td>'3503125407530001</td>
<td>WONOCOYO RT 24 RW 11</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-07-1953</td>
<td>69</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036971516</td>
<td>131503010123Y000725</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>120</td>
<td>10-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>009547</td>
<td>SUYUD</td>
<td>'3503120303450001</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-03-1945</td>
<td>77</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002857440161</td>
<td>131503010123Y000726</td>
<td align='center'>
M13.00 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified, multiple sites</font>
</td>

</tr>

<tr align="left" valign="top">


<td>121</td>
<td>10-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>008317</td>
<td>PUTRI NIKEN MARDIANI</td>
<td>'3503126005050003</td>
<td>WONOCOYO RT 15 RW 07</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-05-2005</td>
<td>17</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665121925</td>
<td>131503010123Y000727</td>
<td align='center'>
Z30.0 </td>
<td align='center'>
<font color='black'>General counselling and advice on
contraception</font> </td>

</tr>

<tr align="left" valign="top">


<td>122</td>
<td>10-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002206</td>
<td>MUSLIMAH</td>
<td>'3503126707480001</td>
<td>DUSUN BANDULAN RT.14 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
14,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-07-1948</td>
<td>74</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036971022</td>
<td>131503010123Y000729</td>
<td align='center'>
L23.9 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis, unspecified
cause</font> </td>

</tr>

<tr align="left" valign="top">


<td>123</td>
<td>10-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002913</td>
<td>JUMINI</td>
<td>' 3503124109830002</td>
<td>DUSUN BANDULAN RT.14 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
14,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-09-1983</td>
<td>39</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665128822</td>
<td>131503010123Y000730</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>124</td>
<td>10-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>009278</td>
<td>SANYOTO</td>
<td>' </td>
<td>DUSUN BANDULAN RT.14 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
14,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-09-1965</td>
<td>57</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665128607</td>
<td>131503010123Y000731</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

<tr align="left" valign="top">


<td>125</td>
<td>10-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002247</td>
<td>SITI NGAISAH WARISAH</td>
<td>'3503124903530001</td>
<td>DUSUN WONOCOYO RT.05 RW.03 WONOCOYO. POGALAN. TRENGGALEK, RT : 5,RW
:3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-03-1953</td>
<td>69</td>
<td>P</td>
<td>Lainnya</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001792730968</td>
<td>131503010123Y000732</td>
<td align='center'>
H81.4 </td>
<td align='center'>
<font color='red'>Vertigo of central origin</font> </td>

</tr>
<tr align="left" valign="top">
<td>126</td>
<td>11-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>000789</td>
<td>WAHYU ASTUTI</td>
<td>'3503125901820001</td>
<td>WONOCOYO RT 13 RW 06</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-01-1982</td>
<td>41</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665724914</td>
<td>131503010123Y000870</td>
<td align='center'>
J00 </td>
<td align='center'>
<font color='red'>Acute nasopharyngitis [common cold]</font>
</td>

</tr>

<tr align="left" valign="top">


<td>127</td>
<td>11-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003303</td>
<td>INSIYAH</td>
<td>'3503124502720004</td>
<td>DUSUN BANDULAN RT.14 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
14,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-02-1972</td>
<td>50</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0003059117403</td>
<td>131503010123Y000871</td>
<td align='center'>
K29 </td>
<td align='center'>
<font color='red'>Gastritis and duodenitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>128</td>
<td>11-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>006610</td>
<td>CECILIA NOVI ANGGRAENI</td>
<td>'3503126811970001</td>
<td>DUSUN WONOCOYO RT.05 RW.03 WONOCOYO. POGALAN. TRENGGALEK, RT : 5,RW
:3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-11-1997</td>
<td>25</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002308437268</td>
<td>131503010123Y001054</td>
<td align='center'>
L70.0 </td>
<td align='center'>
<font color='red'>Acne vulgaris</font> </td>

</tr>

<tr align="left" valign="top">


<td>129</td>
<td>11-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>006270</td>
<td>MARWAN ANDI TAUFIQ</td>
<td>'3503122203860001</td>
<td>DUSUN BENDIL RT.019 RW.008 WONOCOYO. POGALAN. TRENGGALEK, RT :
19,RW :8 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>22-03-1986</td>
<td>36</td>
<td>L</td>
<td>Perangkat Desa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0003055464865</td>
<td>131503010123Y001055</td>
<td align='center'>
A09 </td>
<td align='center'>
<font color='red'>Diarrhoea and gastroenteritis of presumed infectious
origin</font> </td>

</tr>

<tr align="left" valign="top">


<td>130</td>
<td>11-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>005039</td>
<td>NININ TRIWAHYUNI</td>
<td>'3503124202860002</td>
<td>DUSUN WONOCOYO RT.05 RW.03 WONOCOYO. POGALAN. TRENGGALEK, RT : 5,RW
:3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-02-1986</td>
<td>36</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978415313</td>
<td>131503010123Y001056</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>131</td>
<td>11-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002121</td>
<td>KUNI MASROKAH</td>
<td>'3503125102740001</td>
<td>DUSUN WONOCOYO RT.06 RW.03 WONOCOYO. POGALAN. TRENGGALEK, RT : 6,RW
:3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-02-1974</td>
<td>48</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002454811716</td>
<td>131503010123Y001057</td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>132</td>
<td>11-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>008240</td>
<td>TUTIK</td>
<td>'3503124102840003</td>
<td>DUSUN WONOCOYO RT.007 RW.003 WONOCOYO. POGALAN. TRENGGALEK, RT :
7,RW :3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-02-1984</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665231769</td>
<td>131503010123Y001058</td>
<td align='center'>
G44.0 </td>
<td align='center'>
<font color='black'>Cluster headache syndrome</font> </td>

</tr>

<tr align="left" valign="top">


<td>133</td>
<td>11-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>008578</td>
<td>MESLANI</td>
<td>'3503121302790002</td>
<td>DUSUN WONOCOYO RT.007 RW.003 WONOCOYO. POGALAN. TRENGGALEK, RT :
7,RW :3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-02-1979</td>
<td>43</td>
<td>L</td>
<td>Buruh Harian Lepas</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665230781</td>
<td>131503010123Y001059</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>134</td>
<td>11-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>010753</td>
<td>RYAN CANDRA SAPUTRA</td>
<td>'3503121609060001</td>
<td>DUSUN WONOCOYO RT.007 RW.003 WONOCOYO. POGALAN. TRENGGALEK, RT :
7,RW :3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-09-2006</td>
<td>16</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665233075</td>
<td>131503010123Y001060</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>135</td>
<td>11-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>005101</td>
<td>ENDANG SETYOWATI</td>
<td>'3503124107860023</td>
<td>DUSUN KARANG TENGAH RT.002 RW.001 WONOCOYO. POGALAN. TRENGGALEK, RT
: 2,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1986</td>
<td>36</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666271585</td>
<td>131503010123Y001061</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>136</td>
<td>11-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018685</td>
<td>ALFIANA TAHTA AIDINA</td>
<td>'3503124403120001</td>
<td>DUSUN WONOCOYO RT.05 RW.03 WONOCOYO. POGALAN. TRENGGALEK, RT : 5,RW
:3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-03-2012</td>
<td>10</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
N94.3 </td>
<td align='center'>
<font color='red'>Premenstrual tension syndrome</font> </td>
</tr>

<tr align="left" valign="top">


<td>137</td>
<td>12-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>015615</td>
<td>ABRAHAM REYSHAKA SULAIMAN</td>
<td>'3503120208180001</td>
<td>RT 20 RW 09</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-08-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0003084190569</td>
<td>131503010123Y001052</td>
<td align='center'>
J00 </td>
<td align='center'>
<font color='red'>Acute nasopharyngitis [common cold]</font>
</td>

</tr>

<tr align="left" valign="top">


<td>138</td>
<td>12-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018700</td>
<td>NAVIDA NAURA AZZAHRA</td>
<td>'</td>
<td>KARANGTENGAH RT 2 RW 1</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-02-2020</td>
<td>2</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011278779</td>
<td>131503010123Y001053</td>
<td align='center'>
H00 </td>
<td align='center'>
<font color='red'>Hordeolum and chalazion</font> </td>

</tr>

<tr align="left" valign="top">


<td>139</td>
<td>12-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018701</td>
<td>HANIK SEPTIA RINI</td>
<td>'</td>
<td>RT 2 RW 1 KARANGTENGAH WONOCOYO</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-09-1990</td>
<td>32</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011278757</td>
<td>131503010123Y001062</td>
<td align='center'>
N94.6 </td>
<td align='center'>
<font color='black'>Dysmenorrhoea, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>140</td>
<td>12-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>004857</td>
<td>PUJIATUN</td>
<td>'3503127010760002</td>
<td>DUSUN BANDULAN RT.011 RW.005 WONOCOYO. POGALAN. TRENGGALEK, RT :
11,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-10-1976</td>
<td>46</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665681455</td>
<td>131503010123Y001063</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

<tr align="left" valign="top">


<td>141</td>
<td>12-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003344</td>
<td>SINTA IKA WINDARTI</td>
<td>'3503125805960001</td>
<td>DUSUN KARANG TENGAH RT.004 RW.002 WONOCOYO. POGALAN. TRENGGALEK, RT
: 4,RW :2 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-05-1996</td>
<td>26</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0003256992999</td>
<td>131503010123Y001064</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>142</td>
<td>12-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003434</td>
<td>SUPRIHATIN</td>
<td>' </td>
<td>DUSUN BENDIL RT.016 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
16,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-04-1962</td>
<td>60</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665922025</td>
<td>131503010123Y001065</td>
<td align='center'>
H00.0 </td>
<td align='center'>
<font color='red'>Hordeolum and other deep inflammation of
eyelid</font> </td>

</tr>

<tr align="left" valign="top">


<td>143</td>
<td>12-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>015095</td>
<td>ARJUNA SHANDY RIMAI MAHENDRA</td>
<td>'3503120302180001</td>
<td>WONOCOYO RT 20 RW 09</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-02-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002426757445</td>
<td>131503010123Y001069</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>144</td>
<td>12-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018705</td>
<td>MUHAMMAD ALI IMRON</td>
<td>'</td>
<td>RT 17 RW 7 BENDIL</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-12-1977</td>
<td>45</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665194364</td>
<td>131503010123Y001070</td>
<td align='center'>
T14.1 </td>
<td align='center'>
<font color='red'>Open wound of unspecified body region</font>
</td>

</tr>

<tr align="left" valign="top">


<td>145</td>
<td>12-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018706</td>
<td>PURWATI</td>
<td>'3503124706730002</td>
<td>DUSUN BANDULAN RT.12 RW.05 WONOCOYO. POGALAN. TRENGGALEK, RT :
12,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-06-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000664863153</td>
<td>131503010123Y001071</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>146</td>
<td>12-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018545</td>
<td>RIKA ERLINA TATMAWATI</td>
<td>'3503126802020002</td>
<td>DUSUN BANDULAN RT.12 RW.05 WONOCOYO. POGALAN. TRENGGALEK, RT :
12,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-02-2002</td>
<td>20</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000664863748</td>
<td>131503010123Y001072</td>
<td align='center'>
N94.6 </td>
<td align='center'>
<font color='black'>Dysmenorrhoea, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>147</td>
<td>12-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>017399</td>
<td>MUTIARA AYU MULAN RAMADHANI</td>
<td>'3503125109080001</td>
<td>DUSUN BANDULAN RT.12 RW.05 WONOCOYO. POGALAN. TRENGGALEK, RT :
12,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-09-2008</td>
<td>14</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000664864435</td>
<td>131503010123Y001073</td>
<td align='center'>
L23 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis</font> </td>

</tr>
<tr align="left" valign="top">
<td>148</td>
<td>12-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018708</td>
<td>TARYONO</td>
<td>'3503120407690003</td>
<td>DUSUN BENDIL RT.020 RW.009 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-07-1969</td>
<td>53</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665127314</td>
<td>131503010123Y001074</td>
<td align='center'>
E11 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus</font>
</td>

</tr>

<tr align="left" valign="top">


<td>149</td>
<td>12-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018709</td>
<td>SITI NURIYAH</td>
<td>' </td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-09-1973</td>
<td>49</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664857549</td>
<td>131503010123Y001075</td>
<td align='center'>
E78.0 </td>
<td align='center'>
<font color='red'>Pure hypercholesterolaemia</font> </td>

</tr>

<tr align="left" valign="top">


<td>150</td>
<td>12-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>016662</td>
<td>DWI ASNI INDRIANI</td>
<td>'350312</td>
<td>DUSUN BENDI RT.018 RW.008 WONOCOYO. POGALAN. TRENGGALEK, RT : 18,RW
:8 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>22-08-1982</td>
<td>40</td>
<td>P</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106519138</td>
<td>131503010123Y001076</td>
<td align='center'>
M10.0 </td>
<td align='center'>
<font color='black'>Idiopathic gout</font> </td>

</tr>

<tr align="left" valign="top">


<td>151</td>
<td>12-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018710</td>
<td>SOENARI</td>
<td>'350312 </td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-12-1967</td>
<td>55</td>
<td>L</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106757886</td>
<td></td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>152</td>
<td>13-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018717</td>
<td>MUJI BAROKAH</td>
<td>'</td>
<td>RT 2 RW 1 KARANGTENGAH</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-03-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003278059828</td>
<td>131503010123Y001141</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>153</td>
<td>13-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003575</td>
<td>MARYATUN</td>
<td>'3503127112650058</td>
<td>DUSUN BENDIL RT.018 RW.008 WONOCOYO. POGALAN. TRENGGALEK, RT :
18,RW :8 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665268546</td>
<td>131503010123Y001142</td>
<td align='center'>
M06.0 </td>
<td align='center'>
<font color='black'>Seronegative rheumatoid arthritis</font>
</td>

</tr>

<tr align="left" valign="top">


<td>154</td>
<td>13-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002017</td>
<td>AMINATUN</td>
<td>'3503126809690001</td>
<td>DUSUN BENDIL RT.017 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
17,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-09-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665070401</td>
<td>131503010123Y001143</td>
<td align='center'>
K29 </td>
<td align='center'>
<font color='red'>Gastritis and duodenitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>155</td>
<td>13-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002883</td>
<td>TRI PURNAMA SARI</td>
<td>'3503125805980001</td>
<td>DUSUN BENDIL RT.016 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
16,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-05-1998</td>
<td>24</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002324624343</td>
<td>131503010123Y001179</td>
<td align='center'>
G44.0 </td>
<td align='center'>
<font color='black'>Cluster headache syndrome</font> </td>

</tr>

<tr align="left" valign="top">


<td>156</td>
<td>13-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>001950</td>
<td>ISRINGATIN</td>
<td>'3503126412650001</td>
<td>DUSUN BENDIL RT.016 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
16,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-12-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002324623915</td>
<td>131503010123Y001181</td>
<td align='center'>
L23 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>157</td>
<td>13-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018727</td>
<td>FRENDI SETIAWAN</td>
<td>'3503121507920002</td>
<td>DUSUN BANDULAN RT.11 RW.05 WONOCOYO. POGALAN. TRENGGALEK, RT :
11,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-07-1992</td>
<td>30</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802893365</td>
<td>131503010123Y001182</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>158</td>
<td>14-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018542</td>
<td>SULASTRI</td>
<td>'3503125408740001</td>
<td>DUSUN BANDULAN RT.011 RW.005 WONOCOYO. POGALAN. TRENGGALEK, RT :
11,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-08-1974</td>
<td>48</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665096771</td>
<td>131503010123Y001425</td>
<td align='center'>
T14.1 </td>
<td align='center'>
<font color='red'>Open wound of unspecified body region</font>
</td>
</tr>

<tr align="left" valign="top">


<td>159</td>
<td>14-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002124</td>
<td>EKA WULANDARI</td>
<td>'3503125302910004</td>
<td>DUSUN KARANGTENGAH RT.01 RW.01 WONOCOYO. POGALAN. TRENGGALEK, RT :
1,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-07-1991</td>
<td>31</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665086364</td>
<td>131503010123Y001426</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>160</td>
<td>14-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002944</td>
<td>SAIFUL MA`RIFAT</td>
<td>'350312109050001</td>
<td>DUSUN WONOCOYO RT.008 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
8,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-09-2005</td>
<td>17</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665255079</td>
<td>131503010123Y001427</td>
<td align='center'>
B37.0 </td>
<td align='center'>
<font color='red'>Candidal stomatitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>161</td>
<td>14-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>008834</td>
<td>SUYOTO</td>
<td>'3503121604740006</td>
<td>DUSUN BANDULAN RT.011 RW.005 WONOCOYO. POGALAN. TRENGGALEK, RT :
11,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>16-04-1974</td>
<td>48</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0000665227653</td>
<td>131503010123Y001428</td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>162</td>
<td>14-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>006407</td>
<td>TRI ASTUTI</td>
<td>'3503126506730003</td>
<td>DUSUN BANDULAN RT.011 RW.005 WONOCOYO. POGALAN. TRENGGALEK, RT :
11,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-06-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0000665227934</td>
<td>131503010123Y001429</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>163</td>
<td>14-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018798</td>
<td>ANINDA PUTRI CAHYANI</td>
<td>' </td>
<td>DUSUN BANDULAN RT.13 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
13,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-04-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665702739</td>
<td>131503010123Y001430</td>
<td align='center'>
N94.6 </td>
<td align='center'>
<font color='black'>Dysmenorrhoea, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>164</td>
<td>14-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018799</td>
<td>AGUS SALIM</td>
<td>' </td>
<td>DUSUN BANDULAN RT.13 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
13,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-06-1976</td>
<td>46</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665734138</td>
<td>131503010123Y001431</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

<tr align="left" valign="top">


<td>165</td>
<td>14-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018800</td>
<td>DENI SETYONO</td>
<td>' </td>
<td>DUSUN BANDULAN RT.011 RW.005 WONOCOYO. POGALAN . TRENGGALEK, RT :
11,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-12-1992</td>
<td>30</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666319285</td>
<td>131503010123Y001432</td>
<td align='center'>
H66.0 </td>
<td align='center'>
<font color='red'>Acute suppurative otitis media</font> </td>

</tr>

<tr align="left" valign="top">


<td>166</td>
<td>14-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>001955</td>
<td>TITIK HARTI</td>
<td>'3503126311640001</td>
<td>DUSUN BENDI RT.018 RW.008 WONOCOYO. POGALAN. TRENGGALEK, RT : 18,RW
:8 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-11-1964</td>
<td>58</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0003059117627</td>
<td>131503010123Y001433</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>167</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>017711</td>
<td>KENZO BASTIA ALFARIZKI</td>
<td>'</td>
<td>RT 19 BENDIL</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-07-2022</td>
<td>0</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0003281749929</td>
<td></td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>168</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>005637</td>
<td>USWATUN HASANAH</td>
<td>'3503125010800007</td>
<td>DUSUN BENDIL RT.019 RW.008 WONOCOYO. POGALAN. TRENGGALEK, RT :
19,RW :8 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-10-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665157543</td>
<td>131503010123Y001400</td>
<td align='center'>
G44.0 </td>
<td align='center'>
<font color='black'>Cluster headache syndrome</font> </td>

</tr>

<tr align="left" valign="top">


<td>169</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>005134</td>
<td>SITI MUSHAROFAH</td>
<td>'3503124810810003</td>
<td>WONOCOYO RT 19 RW 08</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-10-1981</td>
<td>41</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665134042</td>
<td>131503010123Y001405</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>
<tr align="left" valign="top">
<td>170</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002353</td>
<td>PANIYEM</td>
<td>'3503125304560001</td>
<td>DUSUN WONOCOYO RT.010 RW.005 WONOCOYO. POGALAN. TRENGGALEK, RT :
10,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-04-1956</td>
<td>66</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665249398</td>
<td>131503010123Y001412</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>171</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>005134</td>
<td>SITI MUSHAROFAH</td>
<td>'3503124810810003</td>
<td>WONOCOYO RT 19 RW 08</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-10-1981</td>
<td>41</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665134042</td>
<td>131503010123Y001405</td>
<td align='center'>
E78.0 </td>
<td align='center'>
<font color='red'>Pure hypercholesterolaemia</font> </td>

</tr>

<tr align="left" valign="top">


<td>172</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>004639</td>
<td>MARYANI</td>
<td>' </td>
<td>DUSUN WONOCOYO RT.005 RW.003 WONOCOYO. POGALAN. TRENGGALEK, RT :
5,RW :3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1974</td>
<td>48</td>
<td>L</td>
<td>Lainnya</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665889928</td>
<td>131503010123Y001402</td>
<td align='center'>
B37.0 </td>
<td align='center'>
<font color='red'>Candidal stomatitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>173</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>000873</td>
<td>MASYUNI .</td>
<td>'3503122708670001</td>
<td>RT 26 RW 11 WONOCOYO</td>
<td>WONOCOYO</td>
<td>PANGGUL</td>
<td>TRENGGALEK</td>
<td>27-08-1967</td>
<td>55</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001383249115</td>
<td>131503010123Y001403</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>174</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>004871</td>
<td>LILIK YULIANA</td>
<td>'3503128702880001</td>
<td>DUSUN BENDIL RT.015 RW.007 WONOCOYO. POGALAN TRENGGALEK, RT : 15,RW
:7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-02-1988</td>
<td>34</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665084428</td>
<td>131503010123Y001406</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>175</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>007623</td>
<td>RITA SUTIMAH</td>
<td>'3503124112690003</td>
<td>DUSUN BENDIL RT.020 RW.009 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-12-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665720234</td>
<td>131503010123Y001404</td>
<td align='center'>
L23 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>176</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>012933</td>
<td>AHMAD TOHIR</td>
<td>' </td>
<td>DUSUN BENDIL RT.020 RW.009 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-04-1964</td>
<td>58</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665677697</td>
<td>131503010123Y001407</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>177</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018794</td>
<td>SUPARMAN</td>
<td>'3503120107530008</td>
<td>DUSUN KARANG TENGAH RT.003 RW.002 WONOCOYO. POGALAN. TRENGGALEK, RT
: 3,RW :2 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1953</td>
<td>69</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681619186</td>
<td>131503010123Y001408</td>
<td align='center'>
L23 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>178</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002441</td>
<td>DWI OKTAVIANI</td>
<td>'3503125910960001</td>
<td>DUSUN BENDIL RT.016 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
16,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-10-1996</td>
<td>26</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002324624174</td>
<td>131503010123Y001409</td>
<td align='center'>
N94.6 </td>
<td align='center'>
<font color='black'>Dysmenorrhoea, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>179</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>004116</td>
<td>SRI WAHYUNI</td>
<td>'3503124905800005</td>
<td>DUSUN BANDULAN RT.13 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
13,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-05-1988</td>
<td>34</td>
<td>P</td>
<td>Perdagangan</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978414828</td>
<td>131503010123Y001413</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>180</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>000415</td>
<td>MUJIYAH</td>
<td>'3503126609560003</td>
<td>WONOCOYO RT 24 RW 11</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-09-1956</td>
<td>66</td>
<td>P</td>
<td>Pensiunan</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106568998</td>
<td>131503010123Y001414</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>181</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003647</td>
<td>KARTIKA PUJI RAHAYU</td>
<td>'3503124910160001</td>
<td>DUSUN BANDULAN RT.13 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
13,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-10-2016</td>
<td>6</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002091429224</td>
<td>131503010123Y001411</td>
<td align='center'>
A09 </td>
<td align='center'>
<font color='red'>Diarrhoea and gastroenteritis of presumed infectious
origin</font> </td>

</tr>

<tr align="left" valign="top">


<td>182</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>016957</td>
<td>SOFIA QOIRUNNISA</td>
<td>'3503124910090002</td>
<td>WONOCOYO RT 07 RW 03</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-10-2009</td>
<td>13</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978415335</td>
<td>131503010123Y001422</td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>
</tr>

<tr align="left" valign="top">


<td>183</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>008776</td>
<td>SUJIWO</td>
<td>'3503123012590009</td>
<td>DUSUN WONOCOYO RT.05 RW.03 WONOCOYO. POGALAN. TRENGGALEK, RT : 5,RW
:3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-12-1959</td>
<td>63</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002158251322</td>
<td>131503010123Y001421</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

<tr align="left" valign="top">


<td>184</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018797</td>
<td>SAMIKEM</td>
<td>' </td>
<td>DUSUN BLENGOK RT.026 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
26,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1938</td>
<td>84</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665075553</td>
<td>131503010123Y001420</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>185</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>013579</td>
<td>JAENURI</td>
<td>'3503122101670001</td>
<td>DUSUN BENDIL RT.019 RW.008 WONOCOYO. POGALAN. TRENGGALEK, RT :
19,RW :8 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-01-1967</td>
<td>56</td>
<td>L</td>
<td>Lainnya</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802904751</td>
<td>131503010123Y001419</td>
<td align='center'>
A09 </td>
<td align='center'>
<font color='red'>Diarrhoea and gastroenteritis of presumed infectious
origin</font> </td>

</tr>

<tr align="left" valign="top">


<td>186</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003344</td>
<td>SINTA IKA WINDARTI</td>
<td>'3503125805960001</td>
<td>DUSUN KARANG TENGAH RT.004 RW.002 WONOCOYO. POGALAN. TRENGGALEK, RT
: 4,RW :2 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-05-1996</td>
<td>26</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0003256992999</td>
<td>131503010123Y001418</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>187</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002117</td>
<td>SAROFAH</td>
<td>'3503124208620001</td>
<td>DUSUN BLENGOK RT.022 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
22,RW :10 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-08-1962</td>
<td>60</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681619851</td>
<td>131503010123Y001415</td>
<td align='center'>
E11 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus</font>
</td>

</tr>

<tr align="left" valign="top">


<td>188</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014622</td>
<td>ABDUL MONGIN</td>
<td>' </td>
<td>DUSUN BLENGOK RT.022 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
22,RW :10 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-12-1967</td>
<td>55</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036971112</td>
<td>131503010123Y001416</td>
<td align='center'>
L23 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>189</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003665</td>
<td>AHMAD DWI MUSTOFA</td>
<td>'3503120303070002</td>
<td>DUSUN BLENGOK RT.023 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
23,RW :10 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-03-2007</td>
<td>15</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036971483</td>
<td>131503010123Y001417</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>190</td>
<td>16-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>007187</td>
<td>IRFAN</td>
<td>'3503120306020002</td>
<td>DUSUN WONOCOYO RT.007 RW.003 WONOCOYO. POGALAN. TRENGGALEK, RT :
7,RW :3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-06-2002</td>
<td>20</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665227473</td>
<td>131503010123Y001424</td>
<td align='center'>
J06.8 </td>
<td align='center'>
<font color='black'>Other acute upper respiratory infections of
multiple sites</font> </td>

</tr>

<tr align="left" valign="top">


<td>191</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>012270</td>
<td>SUTINI</td>
<td>'3503124303770002</td>
<td>DUSUN BENDIL RT.015 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
15,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-03-1979</td>
<td>43</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665148791</td>
<td>131503010123Y001492</td>
<td align='center'>
J06.0 </td>
<td align='center'>
<font color='black'>Acute laryngopharyngitis</font> </td>

</tr>
<tr align="left" valign="top">
<td>192</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018804</td>
<td>TAMAH</td>
<td>' </td>
<td>DUSUN WONOCOYO RT.009 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
9,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-06-1948</td>
<td>74</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665730663</td>
<td>131503010123Y001493</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>193</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018805</td>
<td>KATEMI</td>
<td>' </td>
<td>DUSUN WONOCOYO RT.009 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
9,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-12-1953</td>
<td>69</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665160557</td>
<td>131503010123Y001494</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>194</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018806</td>
<td>BAGUS EKO SAPUTRO</td>
<td>'3503122308030001</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-08-2003</td>
<td>19</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003174717508</td>
<td>131503010123Y001495</td>
<td align='center'>
A01.0 </td>
<td align='center'>
<font color='red'>Typhoid fever</font> </td>

</tr>

<tr align="left" valign="top">


<td>195</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>004309</td>
<td>PAHAM</td>
<td>' </td>
<td>DUSUN WONOCOYO RT.009 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
9,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1969</td>
<td>53</td>
<td>L</td>
<td>Perdagangan</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036971167</td>
<td>131503010123Y001496</td>
<td align='center'>
G44.0 </td>
<td align='center'>
<font color='black'>Cluster headache syndrome</font> </td>

</tr>

<tr align="left" valign="top">


<td>196</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003970</td>
<td>SRIYOSO</td>
<td>'3503122010650002</td>
<td>DUSUN WONOCOYO RT.009 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
9,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-10-1965</td>
<td>57</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665216008</td>
<td>131503010123Y001497</td>
<td align='center'>
J06.0 </td>
<td align='center'>
<font color='black'>Acute laryngopharyngitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>197</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002855</td>
<td>ELUH FITRIA ALIBI</td>
<td>'3503125001000004</td>
<td>DUSUN WONOCOYO RT.009 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
9,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-01-2000</td>
<td>23</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665217461</td>
<td>131503010123Y001499</td>
<td align='center'>
N94.6 </td>
<td align='center'>
<font color='black'>Dysmenorrhoea, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>198</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>005548</td>
<td>MURSAT</td>
<td>'3503121407660001</td>
<td>DUSUN WONOCOYO RT.009 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
9,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-07-1966</td>
<td>56</td>
<td>L</td>
<td>Perdagangan</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003064337043</td>
<td>131503010123Y001500</td>
<td align='center'>
M54.5 </td>
<td align='center'>
<font color='black'>Low back pain</font> </td>

</tr>

<tr align="left" valign="top">


<td>199</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>006879</td>
<td>SUMIATI</td>
<td>'3503125808610001</td>
<td>DUSUN WONOCOYO RT.009 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
9,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-09-1961</td>
<td>61</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003064337087</td>
<td>131503010123Y001501</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>200</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>013640</td>
<td>MAHFUD</td>
<td>'3503120705670001</td>
<td>DUSUN WONOCOYO RT.009 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
9,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-05-1967</td>
<td>55</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665912913</td>
<td>131503010123Y001502</td>
<td align='center'>
A01.0 </td>
<td align='center'>
<font color='red'>Typhoid fever</font> </td>

</tr>

<tr align="left" valign="top">


<td>201</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003179</td>
<td>SULASMI</td>
<td>'3503126503680001-698865</td>
<td>DUSUN BENDIL RT.015 RW.007 WONOCOYO. POGALAN TRENGGALEK, RT : 15,RW
:7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-03-1966</td>
<td>56</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707084628</td>
<td>131503010123Y001503</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>202</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>010776</td>
<td>ERNI MURNIASIH</td>
<td>' </td>
<td>DUSUN BENDIL RT.016 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
16,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-06-1980</td>
<td>42</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665669193</td>
<td>131503010123Y001504</td>
<td align='center'>
M10.0 </td>
<td align='center'>
<font color='black'>Idiopathic gout</font> </td>

</tr>

<tr align="left" valign="top">


<td>203</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018807</td>
<td>NABILA ISYA PRADANA</td>
<td>'3503126710060003</td>
<td>DUSUN BENDIL RT.016 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
16,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-10-2006</td>
<td>16</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665669777</td>
<td>131503010123Y001518</td>
<td align='center'>
N94.6 </td>
<td align='center'>
<font color='black'>Dysmenorrhoea, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>204</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018808</td>
<td>LAILI AISYIYAH</td>
<td>'3503124103140002</td>
<td>DUSUN BENDIL RT.016 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
16,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-03-2014</td>
<td>8</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003012975966</td>
<td>131503010123Y001519</td>
<td align='center'>
B02 </td>
<td align='center'>
<font color='red'>Zoster [herpes zoster]</font> </td>
</tr>

<tr align="left" valign="top">


<td>205</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018809</td>
<td>SUNAWAN</td>
<td>'3503120608780002</td>
<td>BENDIL RT 16/07</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-08-1978</td>
<td>44</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665668091</td>
<td>131503010123Y001520</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>206</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>016099</td>
<td>YASIN</td>
<td>'3503120409630001</td>
<td>DUSUN BANDULAN RT.010 RW.005 WONOCOYO. POGALAN. TRENGGALEK, RT :
10,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-09-1963</td>
<td>59</td>
<td>L</td>
<td>Perdagangan</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664781962</td>
<td>131503010123Y001521</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>207</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018810</td>
<td>KADAR</td>
<td>' </td>
<td>DUSUN BANDULAN RT.010 RW.005 WONOCOYO. POGALAN. TRENGGALEK, RT :
10,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-03-1945</td>
<td>77</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036971033</td>
<td>131503010123Y001522</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>208</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>015468</td>
<td>WAKIDI</td>
<td>'3503120107410011</td>
<td>WONOCOYO RT 02 RW 01</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1941</td>
<td>81</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681619636</td>
<td>131503010123Y001524</td>
<td align='center'>
R53 </td>
<td align='center'>
<font color='black'>Malaise and fatigue</font> </td>

</tr>

<tr align="left" valign="top">


<td>209</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>006745</td>
<td>SUDARWATI</td>
<td>'3503124407880001-702772</td>
<td>DUSUN KARANG TENGAH RT.004 RW.002 WONOCOYO. POGALAN. TRENGGALEK, RT
: 4,RW :2 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-07-1968</td>
<td>54</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002894320934</td>
<td>131503010123Y001525</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>210</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014202</td>
<td>RUSLAN ALI ROSIT</td>
<td>'3503121306970002</td>
<td>DUSUN BANDULAN RT.012 RW.005 WONOCOYO. POGALAN. TRENGGALEK, RT :
12,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-06-1997</td>
<td>25</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002014007883</td>
<td>131503010123Y001526</td>
<td align='center'>
J06.0 </td>
<td align='center'>
<font color='black'>Acute laryngopharyngitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>211</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018811</td>
<td>RIYAN HADI SUSANTO</td>
<td>'3503120103940001</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-03-1994</td>
<td>28</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802903941</td>
<td>131503010123Y001527</td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>212</td>
<td>17-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018815</td>
<td>TUKIRAN</td>
<td>' </td>
<td>DUSUN BANDULAN RT.012 RW.005 WONOCOYO. POGALAN. TRENGGALEK, RT :
12,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-04-1959</td>
<td>63</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665166598</td>
<td>131503010123Y001528</td>
<td align='center'>
L23 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>213</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018847</td>
<td>KATIYAH</td>
<td>' </td>
<td>DUSUN KARANGTENGAH RT.02 RW.01 WONOCOYO. POGALAN. TRENGGALEK, RT :
2,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-07-1949</td>
<td>73</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666263338</td>
<td>131503010123Y001689</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>214</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>004418</td>
<td>SITI KOMARIYAH</td>
<td>'3503126805520001</td>
<td>DUSUN WONOCOYO RT.007 RW.003 WONOCOYO. POGALAN. TRENGGALEK, RT :
7,RW :3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-05-1952</td>
<td>70</td>
<td>P</td>
<td>Perdagangan</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665226257</td>
<td>131503010123Y001690</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>215</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002353</td>
<td>PANIYEM</td>
<td>'3503125304560001</td>
<td>DUSUN WONOCOYO RT.010 RW.005 WONOCOYO. POGALAN. TRENGGALEK, RT :
10,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-04-1956</td>
<td>66</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665249398</td>
<td>131503010123Y001691</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>
<tr align="left" valign="top">
<td>216</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003012</td>
<td>KHOLIL ARIFI</td>
<td>'3503122912810001</td>
<td>DUSUN BENDIL RT.020 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-12-1981</td>
<td>41</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0003279281499</td>
<td>131503010123Y001692</td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>217</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014873</td>
<td>DWI MUJI ASTUTI</td>
<td>'3503126712800001</td>
<td>DUSUN BENDIL RT.020 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-12-1980</td>
<td>42</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0003279282052</td>
<td>131503010123Y001693</td>
<td align='center'>
L23 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>218</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018848</td>
<td>FAIZATUR RAHMATUL HASANAH</td>
<td>'3503124810100001</td>
<td>DUSUN BENDIL RT.020 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-10-2010</td>
<td>12</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0003279283266</td>
<td>131503010123Y001694</td>
<td align='center'>
L70.0 </td>
<td align='center'>
<font color='red'>Acne vulgaris</font> </td>

</tr>

<tr align="left" valign="top">


<td>219</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>010562</td>
<td>MASRURI</td>
<td>'3503122709480001</td>
<td>DUSUN BENDIL RT.018 RW.008 WONOCOYO. POGALAN. TRENGGALEK, RT :
18,RW :8 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-09-1948</td>
<td>74</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001385242301</td>
<td>131503010123Y001695</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>220</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018849</td>
<td>SUJIATI</td>
<td>'3503124202720002</td>
<td>DUSUN BLENGOK RT.025 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
25,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-02-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802903895</td>
<td>131503010123Y001696</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>221</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018850</td>
<td>DWI ASTUTIK</td>
<td>'3503124208930005</td>
<td>DUSUN BANDULAN RT.13 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
13,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-08-1993</td>
<td>29</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665215468</td>
<td>131503010123Y001697</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>222</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>017428</td>
<td>NASRODIN</td>
<td>'3503122602750001</td>
<td>WONOCOYO RT 01 RW 01</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-02-1975</td>
<td>47</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001886231957</td>
<td>131503010123Y001698</td>
<td align='center'>
G44.0 </td>
<td align='center'>
<font color='black'>Cluster headache syndrome</font> </td>

</tr>

<tr align="left" valign="top">


<td>223</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>013864</td>
<td>INDAYANI</td>
<td>'3503125407830002</td>
<td>DUSUN KARANG TENGAH RT.001 RW.001 WONOCOYO. POGALAN. TRENGGALEK, RT
: 1,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-07-1983</td>
<td>39</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001886232554</td>
<td>131503010123Y001699</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>224</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>014878</td>
<td>LISTA KUSUMA WARDANI</td>
<td>'3503124704080001</td>
<td>DUSUN WONOCOYO RT.05 RW.03 WONOCOYO. POGALAN. TRENGGALEK, RT : 5,RW
:3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-04-2008</td>
<td>14</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665100044</td>
<td>131503010123Y001700</td>
<td align='center'>
N94.6 </td>
<td align='center'>
<font color='black'>Dysmenorrhoea, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>225</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>004853</td>
<td>YULIK AMRI SULIKAH</td>
<td>'3503126007710001</td>
<td>DUSUN KARANGTENGAH RT.02 RW.01 WONOCOYO. POGALAN. TRENGGALEK, RT :
2,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-07-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003075862195</td>
<td>131503010123Y001701</td>
<td align='center'>
B37.0 </td>
<td align='center'>
<font color='red'>Candidal stomatitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>226</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018539</td>
<td>LULUK TRIANA</td>
<td>'3503124307890001</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-07-1989</td>
<td>33</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664881412</td>
<td>131503010123Y001702</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>
<tr align="left" valign="top">
<td>227</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>016560</td>
<td>MUKANI</td>
<td>'3503123010460001</td>
<td>WONOCOYO RT 20 RW 09</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-10-1946</td>
<td>76</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003064348282</td>
<td>131503010123Y001703</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>228</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018851</td>
<td>NANANG RIZQI FAUZI</td>
<td>' </td>
<td>DUSUN BENDIL RT.020 RW.009 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-01-2005</td>
<td>18</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666331367</td>
<td>131503010123Y001704</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>229</td>
<td>18-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>015574</td>
<td>SATRIA YUSUF BISYANI</td>
<td>'3503120408080001</td>
<td>WONOCOYO RT 25 RW 11</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-08-2008</td>
<td>14</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001977199277</td>
<td>131503010123Y001705</td>
<td align='center'>
A09 </td>
<td align='center'>
<font color='red'>Diarrhoea and gastroenteritis of presumed infectious
origin</font> </td>

</tr>

<tr align="left" valign="top">


<td>230</td>
<td>19-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>001676</td>
<td>SANUSI</td>
<td>'3503121701540001</td>
<td>DUSUN WONOCOYO RT.05 RW.03 WONOCOYO. POGALAN. TRENGGALEK, RT : 5,RW
:3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-01-1954</td>
<td>69</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106709117</td>
<td>131503010123Y001632</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>231</td>
<td>19-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>000020</td>
<td>ARIS WAHYU UTAMI</td>
<td>'3503114308880001</td>
<td>RT.6/3 WONOCOYO</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-08-1988</td>
<td>34</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000205039315</td>
<td>131503010123Y001633</td>
<td align='center'>
J00 </td>
<td align='center'>
<font color='red'>Acute nasopharyngitis [common cold]</font>
</td>

</tr>

<tr align="left" valign="top">


<td>232</td>
<td>19-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>017074</td>
<td>UMAY WILDAN ALFARIZQI</td>
<td>'3503122601130001</td>
<td>RT 09 RW 04</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-01-2013</td>
<td>9</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001585542802</td>
<td>131503010123Y001634</td>
<td align='center'>
J06 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infections of multiple and
unspecified sites</font> </td>

</tr>

<tr align="left" valign="top">


<td>233</td>
<td>19-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>013437</td>
<td>SUTRISNO</td>
<td>'</td>
<td>RT 8 RW 2</td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>05-11-1960</td>
<td>62</td>
<td>L</td>
<td>Pedagang</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002320128055</td>
<td>131503010123Y001635</td>
<td align='center'>
M10.0 </td>
<td align='center'>
<font color='black'>Idiopathic gout</font> </td>

</tr>

<tr align="left" valign="top">


<td>234</td>
<td>19-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018653</td>
<td>WIWIK WINDIARTI</td>
<td>'350312</td>
<td>RT 01 RW 01 GROJOGAN</td>
<td>NGADIRENGGO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-06-1965</td>
<td>57</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106778608</td>
<td>131503010123Y001636</td>
<td align='center'>
K29 </td>
<td align='center'>
<font color='red'>Gastritis and duodenitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>235</td>
<td>19-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018898</td>
<td>PAIMAN</td>
<td>'3503063112550013</td>
<td>DUSUN WONOCOYO RT.008 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
8,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1955</td>
<td>67</td>
<td>L</td>
<td>Tukang Kayu</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
<font color='red'>Acute nasopharyngitis [common cold]</font>
</td>

</tr>

<tr align="left" valign="top">


<td>236</td>
<td>19-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>012610</td>
<td>ISWANTO</td>
<td>'3503121803680008</td>
<td>DUSUN WONOCOYO RT.06 RW.03 WONOCOYO. POGALAN. TRENGGALEK, RT : 6,RW
:3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-03-1968</td>
<td>54</td>
<td>L</td>
<td>Lainnya</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PEKERJA MANDIRI</td>
<td>'0001326542681</td>
<td></td>
<td align='center'>
V20 </td>
<td align='center'>
<font color='black'>Motorcycle rider injured in collision with
pedestrian or animal</font> </td>

</tr>

<tr align="left" valign="top">


<td>237</td>
<td>19-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>007500</td>
<td>NIKMATUL KHOEROH</td>
<td>' </td>
<td>DUSUN KARANGTENGAH RT.02 RW.01 WONOCOYO. POGALAN. TRENGGALEK, RT :
2,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-12-1976</td>
<td>46</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036970886</td>
<td>131503010123Y001637</td>
<td align='center'>
J06 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infections of multiple and
unspecified sites</font> </td>

</tr>
<tr align="left" valign="top">
<td>238</td>
<td>19-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>017537</td>
<td>ERNI SUSIANA</td>
<td>'3503124508820001</td>
<td>DUSUN KARANGTENGAH RT.03 RW.02 WONOCOYO. POGALAN. TRENGGALEK, RT :
3,RW :2 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-08-1982</td>
<td>40</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802900712</td>
<td>131503010123Y001721</td>
<td align='center'>
N94.6 </td>
<td align='center'>
<font color='black'>Dysmenorrhoea, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>239</td>
<td>19-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>007214</td>
<td>WINOTO</td>
<td>'3503121008610003</td>
<td>DUSUN BENDIL RT.020 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-08-1961</td>
<td>61</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002209879181</td>
<td>131503010123Y001722</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>240</td>
<td>19-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003701</td>
<td>SUDARMAJI</td>
<td>'3503120606880009</td>
<td>DUSUN WONOCOYO RT.009 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
9,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-06-1988</td>
<td>34</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665877611</td>
<td>131503010123Y001723</td>
<td align='center'>
T14.1 </td>
<td align='center'>
<font color='red'>Open wound of unspecified body region</font>
</td>

</tr>

<tr align="left" valign="top">


<td>241</td>
<td>19-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002202</td>
<td>DIDIK ANDIKA</td>
<td>'3503120709810005</td>
<td>DUSUN BANDULAN RT.011 RW.005 WONOCOYO. POGALAN. TRENGGALEK, RT :
11,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-09-1981</td>
<td>41</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666322659</td>
<td>131503010123Y001724</td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>242</td>
<td>19-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>008539</td>
<td>DESTA ROMIATI ANISTYAS</td>
<td>'3503124312070001</td>
<td>DUSUN BANDULAN RT.011 RW.005 WONOCOYO. POGALAN. TRENGGALEK, RT :
11,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-12-2007</td>
<td>15</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666323335</td>
<td>131503010123Y001725</td>
<td align='center'>
L23 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>243</td>
<td>19-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002382</td>
<td>NURUL AZIZAH</td>
<td>'3503124210980004</td>
<td>DUSUN BANDULAN RT.14 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
14,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-10-1998</td>
<td>24</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001799919382</td>
<td>131503010123Y001726</td>
<td align='center'>
N94.6 </td>
<td align='center'>
<font color='black'>Dysmenorrhoea, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>244</td>
<td>19-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002421</td>
<td>SARIK WINDAYANI</td>
<td>'3503124105940004</td>
<td>DUSUN GROJOGAN RT.001 RW.001 NGADIRENGGO. POGALAN. TRENGGALEK,
</td>
<td>NGADIRENGGO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-05-1994</td>
<td>28</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867885122</td>
<td>131503010123Y001727</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>245</td>
<td>19-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018923</td>
<td>LAILI AGUSTINA</td>
<td>' </td>
<td>DUSUN KARANGTENGAH RT.01 RW.01 WONOCOYO. POGALAN. TRENGGALEK, RT :
1,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-08-2003</td>
<td>19</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665657379</td>
<td>131503010123Y001728</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>246</td>
<td>20-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018887</td>
<td>GHISKA GHEA </td>
<td>'</td>
<td>BENDIL RT 21</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-11-2022</td>
<td>0</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z23.2 </td>
<td align='center'>
<font color='black'>Need for immunization against tuberculosis
[BCG]</font> </td>

</tr>

<tr align="left" valign="top">


<td>247</td>
<td>20-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018888</td>
<td>SAFWA JENNAIRA</td>
<td>'</td>
<td>BENDIL</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-10-2022</td>
<td>0</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z27.1 </td>
<td align='center'>
<font color='red'>Need for immunization against diphtheria-tetanus-
pertussis, combined [DTP]</font> </td>

</tr>

<tr align="left" valign="top">


<td>248</td>
<td>20-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018889</td>
<td>AFIYA</td>
<td>'</td>
<td>BENDIL RT 21</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-09-2021</td>
<td>1</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z24.0 </td>
<td align='center'>
<font color='black'>Need for immunization against poliomyelitis</font>
</td>

</tr>
<tr align="left" valign="top">
<td>249</td>
<td>20-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018890</td>
<td>SAMBARA</td>
<td>'</td>
<td>BLENGOK RT 25</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-07-2021</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z27.1 </td>
<td align='center'>
<font color='red'>Need for immunization against diphtheria-tetanus-
pertussis, combined [DTP]</font> </td>

</tr>

<tr align="left" valign="top">


<td>250</td>
<td>20-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018921</td>
<td>NGUDIONO</td>
<td>'3503121606720006</td>
<td>DUSUN BLENGOK RT.025 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
25,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>16-06-1972</td>
<td>50</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802906707</td>
<td>131503010123Y001716</td>
<td align='center'>
M10.0 </td>
<td align='center'>
<font color='black'>Idiopathic gout</font> </td>

</tr>

<tr align="left" valign="top">


<td>251</td>
<td>20-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>013443</td>
<td>ZEVANYA BELVA FAUZAN</td>
<td>'3503121706060003</td>
<td>DUSUN BENDIL RT.015 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
15,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-06-2006</td>
<td>16</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001636125917</td>
<td>131503010123Y001717</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

<tr align="left" valign="top">


<td>252</td>
<td>20-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>009816</td>
<td>EVI LUTFIANI</td>
<td>'3503126003930001</td>
<td>DUSUN BLENGOK RT.023 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
23,RW :10 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-03-1993</td>
<td>29</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001540527401</td>
<td>131503010123Y001718</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>253</td>
<td>20-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>000753</td>
<td>PONIYEM</td>
<td>'3503126812550001</td>
<td>DUSUN WONOCOYO RT.008 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
8,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-12-1955</td>
<td>67</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001725348418</td>
<td>131503010123Y001719</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>254</td>
<td>20-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003647</td>
<td>KARTIKA PUJI RAHAYU</td>
<td>'3503124910160001</td>
<td>DUSUN BANDULAN RT.13 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
13,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-10-2016</td>
<td>6</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002091429224</td>
<td>131503010123Y001720</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>255</td>
<td>20-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>016421</td>
<td>ISTATIK</td>
<td>'3503124107530088</td>
<td>DUSUN BENDIL RT.019 RW.008 WONOCOYO. POGALAN. TRENGGALEK, RT :
19,RW :8 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1953</td>
<td>69</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003064348045</td>
<td>131503010123Y001730</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>256</td>
<td>20-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>010776</td>
<td>ERNI MURNIASIH</td>
<td>' </td>
<td>DUSUN BENDIL RT.016 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
16,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-06-1980</td>
<td>42</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665669193</td>
<td>131503010123Y001731</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>257</td>
<td>21-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>017829</td>
<td>ALI NGIMRON</td>
<td>' </td>
<td>DUSUN KARANGTENGAH RT.02 RW.01 WONOCOYO. POGALAN. TRENGGALEK, RT :
2,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-07-1971</td>
<td>51</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036970875</td>
<td>131503010123Y001707</td>
<td align='center'>
G44.0 </td>
<td align='center'>
<font color='black'>Cluster headache syndrome</font> </td>

</tr>

<tr align="left" valign="top">


<td>258</td>
<td>21-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>016220</td>
<td>ASNGATIN</td>
<td>'</td>
<td>RT 2 RW 1 WONOCOYO</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-02-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665731269</td>
<td>131503010123Y001708</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>259</td>
<td>21-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>017356</td>
<td>AZKA LINAILIL FADLILAH</td>
<td>'3503124608950003</td>
<td>DUSUN KARANGTENGAH RT.02 RW.01 WONOCOYO. POGALAN. TRENGGALEK, RT :
2,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-08-1995</td>
<td>27</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665731326</td>
<td>131503010123Y001709</td>
<td align='center'>
G44.0 </td>
<td align='center'>
<font color='black'>Cluster headache syndrome</font> </td>

</tr>
<tr align="left" valign="top">
<td>260</td>
<td>21-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>017532</td>
<td>NURKHOZIN</td>
<td>'3503122912600003</td>
<td>DUSUN KARANGTENGAH RT.02 RW.01 WONOCOYO. POGALAN. TRENGGALEK, RT :
2,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-12-1960</td>
<td>62</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665731078</td>
<td>131503010123Y001710</td>
<td align='center'>
E11 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus</font>
</td>

</tr>

<tr align="left" valign="top">


<td>261</td>
<td>21-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018919</td>
<td>ULUL`AZMI AL HABIB</td>
<td>'3503120512150001</td>
<td>DUSUN KARANGTENGAH RT.02 RW.01 WONOCOYO. POGALAN. TRENGGALEK, RT :
2,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-12-2015</td>
<td>7</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003064349935</td>
<td>131503010123Y001711</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>262</td>
<td>21-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018920</td>
<td>AHMAD MUKHLISH ABRORI</td>
<td>'3503121706040001</td>
<td>DUSUN KARANGTENGAH RT.02 RW.01 WONOCOYO. POGALAN. TRENGGALEK, RT :
2,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-06-2004</td>
<td>18</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665731787</td>
<td>131503010123Y001712</td>
<td align='center'>
K02 </td>
<td align='center'>
<font color='black'>Dental caries</font> </td>

</tr>

<tr align="left" valign="top">


<td>263</td>
<td>21-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018922</td>
<td>RUSLAN</td>
<td>'3528011410810002</td>
<td>DUSUN BENDIL RT.017 RW.008 WONOCOYO. POGALAN. TRENGGALEK, RT :
17,RW :8 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-10-1981</td>
<td>41</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000774233695</td>
<td>131503010123Y001714</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>264</td>
<td>21-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002994</td>
<td>IMAM MAHDI</td>
<td>'3503122707860002</td>
<td>DUSUN BLENGOK RT.023 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
23,RW :10 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-07-1966</td>
<td>56</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036971459</td>
<td>131503010123Y002002</td>
<td align='center'>
G44.0 </td>
<td align='center'>
<font color='black'>Cluster headache syndrome</font> </td>

</tr>

<tr align="left" valign="top">


<td>265</td>
<td>21-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>003810</td>
<td>SRIANA</td>
<td>'3503124511690001</td>
<td>DUSUN BLENGOK RT.023 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
23,RW :10 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-11-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036971461</td>
<td>131503010123Y002003</td>
<td align='center'>
N94.9 </td>
<td align='center'>
<font color='black'>Unspecified condition associated with female
genital organs and menstrual cycle</font> </td>

</tr>

<tr align="left" valign="top">


<td>266</td>
<td>21-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>015750</td>
<td>NURIN ALFIYAH</td>
<td>'3503125201140001</td>
<td>DUSUN BENDIL RT.020 RW.009 WONOCOYO. POGALAN. TRENGGALEK, RT :
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-01-2014</td>
<td>9</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002127314182</td>
<td>131503010123Y002004</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>267</td>
<td>21-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018412</td>
<td>ACHMAD ASRORI</td>
<td>'3503121801770001</td>
<td>DUSUN KARANGTENGAH RT.02 RW.01 WONOCOYO. POGALAN. TRENGGALEK, RT :
2,RW :1 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-01-1977</td>
<td>46</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003278059615</td>
<td>131503010123Y002005</td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>268</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>004397</td>
<td>TOYIBAN</td>
<td>'3503121505600001</td>
<td>WONOCOYO RT 25 RW 11</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-05-1960</td>
<td>62</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802903884</td>
<td>131503010123Y001947</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>269</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018850</td>
<td>DWI ASTUTIK</td>
<td>'3503124208930005</td>
<td>DUSUN BANDULAN RT.13 RW.06 WONOCOYO. POGALAN. TRENGGALEK, RT :
13,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-08-1993</td>
<td>29</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665215468</td>
<td>131503010123Y001950</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>270</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>009544</td>
<td>SUHUD</td>
<td>' </td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-09-1941</td>
<td>81</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036971505</td>
<td>131503010123Y001956</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>
</tr>

<tr align="left" valign="top">


<td>271</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>009547</td>
<td>SUYUD</td>
<td>'3503120303450001</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-03-1945</td>
<td>77</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002857440161</td>
<td>131503010123Y001960</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>272</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>009546</td>
<td>RUSMINI</td>
<td>'3503126609560002</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-09-1956</td>
<td>66</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802904266</td>
<td>131503010123Y001962</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>273</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018990</td>
<td>SURIJAH</td>
<td>' </td>
<td>DUSUN BLENGOK RT.025 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
25,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1936</td>
<td>86</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036970965</td>
<td>131503010123Y001966</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>274</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>012212</td>
<td>SAMIRAH</td>
<td>'3503124406580001</td>
<td>DUSUN KARANG TENGAH RT.004 RW.002 WONOCOYO. POGALAN. TRENGGALEK, RT
: 4,RW :2 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-06-1958</td>
<td>64</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665121971</td>
<td>131503010123Y001969</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>275</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>007952</td>
<td>SITI HABIBAH</td>
<td>'3503126003750001</td>
<td>DUSUN BLENGOK RT.023 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
23,RW :10 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-03-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001319417831</td>
<td>131503010123Y001971</td>
<td align='center'>
E11 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus</font>
</td>

</tr>

<tr align="left" valign="top">


<td>276</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>008907</td>
<td>MARYATIN</td>
<td>'3503126903730001</td>
<td>WONOCOYO RT 01 RW 01</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-03-1973</td>
<td>49</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707084821</td>
<td>131503010123Y001973</td>
<td align='center'>
L23.9 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis, unspecified
cause</font> </td>

</tr>

<tr align="left" valign="top">


<td>277</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>018991</td>
<td>MUJIRAN</td>
<td>' </td>
<td>DUSUN BLENGOK RT.022 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
22,RW :10 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-06-1956</td>
<td>66</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036971797</td>
<td>131503010123Y001977</td>
<td align='center'>
G44.0 </td>
<td align='center'>
<font color='black'>Cluster headache syndrome</font> </td>

</tr>

<tr align="left" valign="top">


<td>278</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002150</td>
<td>ROMLAH</td>
<td>'3503124305860001</td>
<td>DUSUN BANDULAN RT.011 RW.005 WONOCOYO. POGALAN. TRENGGALEK, RT :
11,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-05-1986</td>
<td>36</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>Aris wahyu utami,A.M D.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666322929</td>
<td>131503010123Y001978</td>
<td align='center'>
Z30.5 </td>
<td align='center'>
<font color='black'>Surveillance of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>279</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>004689</td>
<td>KOMSATUN</td>
<td>'3503125310780001</td>
<td>DUSUN WONOCOYO RT.06 RW.03 WONOCOYO. POGALAN. TRENGGALEK, RT : 6,RW
:3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-10-1978</td>
<td>44</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665706813</td>
<td>131503010123Y001979</td>
<td align='center'>
E11 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus</font>
</td>

</tr>

<tr align="left" valign="top">


<td>280</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>008730</td>
<td>SAMILAH</td>
<td>'3503125407530001</td>
<td>WONOCOYO RT 24 RW 11</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-07-1953</td>
<td>69</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036971516</td>
<td>131503010123Y001980</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>281</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002252</td>
<td>MISTIN</td>
<td>'3503125504600001</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-04-1960</td>
<td>62</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001707085451</td>
<td>131503010123Y001981</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>
</tr>

<tr align="left" valign="top">


<td>282</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>016189</td>
<td>MARKANAH</td>
<td>'3503124107400029</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1946</td>
<td>76</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666336835</td>
<td>131503010123Y001982</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>283</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>009545</td>
<td>MUSRINGAH</td>
<td>'3503125505660001</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-05-1966</td>
<td>56</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707085495</td>
<td>131503010123Y001983</td>
<td align='center'>
J06.0 </td>
<td align='center'>
<font color='black'>Acute laryngopharyngitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>284</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>009482</td>
<td>KARYANTI</td>
<td>'3503124107650012-721970</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1966</td>
<td>56</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002681619805</td>
<td>131503010123Y001991</td>
<td align='center'>
J06.9 </td>
<td align='center'>
<font color='black'>Acute upper respiratory infection,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>285</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>002204</td>
<td>NGALIYAH</td>
<td>'3503126910520001</td>
<td>DUSUN BLENGOK RT.023 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
23,RW :10 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-10-1952</td>
<td>70</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802904288</td>
<td>131503010123Y001994</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>286</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>001805</td>
<td>MURTINI</td>
<td>'3503127112600055</td>
<td>DUSUN BLENGOK RT.024 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
24,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1960</td>
<td>62</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665144087</td>
<td>131503010123Y001999</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>287</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>001976</td>
<td>MASKUR</td>
<td>'3503122809650001</td>
<td>DUSUN BLENGOK RT.023 RW.010 WONOCOYO. POGALAN. TRENGGALEK, RT :
23,RW :10 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-09-1965</td>
<td>57</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002236845003</td>
<td>131503010123Y002000</td>
<td align='center'>
G44.0 </td>
<td align='center'>
<font color='black'>Cluster headache syndrome</font> </td>

</tr>

<tr align="left" valign="top">


<td>288</td>
<td>24-01-2023</td>
<td>PUSKESMAS POGALAN</td>
<td>008644</td>
<td>SITI MUNAWAROH</td>
<td>'3503125104870006</td>
<td>DUSUN BENDIL RT.017 RW.008 WONOCOYO. POGALAN. TRENGGALEK, RT :
17,RW :8 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-04-1987</td>
<td>35</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WONOCOYO</td>
<td>DEDY ACHMAT WIJAYA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665192261</td>
<td>131503010123Y002001</td>
<td align='center'>
N94.6 </td>
<td align='center'>
<font color='black'>Dysmenorrhoea, unspecified</font> </td>

</tr>
</table>

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