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<big><big><span style="font-weight: bold;">
LAPORAN UNIVERSAL PUSTU WONOCOYO<br>
BULAN 02-01-2023 - 24-01-2023 </span></big></big>
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<td>Total</td>
<td>:</td>
<td>288</td>
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<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>
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<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>
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<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>
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J00 </td>
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<font color='red'>Acute nasopharyngitis [common cold]</font>
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<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>
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<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>
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<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>
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<font color='red'>Essential (primary) hypertension</font> </td>
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<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>
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<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>
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<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>
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<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>
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Z27.1 </td>
<td align='center'>
<font color='red'>Need for immunization against diphtheria-tetanus-
pertussis, combined [DTP]</font> </td>
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<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>
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