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<big><big><span style="font-weight: bold;">
LAPORAN UNIVERSAL <br>
BULAN 01-01-2023 - 24-01-2023 </span></big></big>
</td>
</tr>
</table>
<table align='center'>
<tr>
<td>Total</td>
<td>:</td>
<td>3,010</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>01-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017635</td>
<td>SUJADI</td>
<td>' </td>
<td>DUSUN TENGGAR, RT : 11,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1964</td>
<td>58</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665353967</td>
<td></td>
<td align='center'>
A01.0 </td>
<td align='center'>
<font color='red'>Typhoid fever</font> </td>

</tr>

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


<td>2</td>
<td>01-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004410</td>
<td>SITI FATIMAH</td>
<td>'3503055011890001</td>
<td>KRAJAN, RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-11-1989</td>
<td>33</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003000876186</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>3</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024037</td>
<td>MESIJO</td>
<td>'</td>
<td>RT 01 RW 02</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>26-04-1959</td>
<td>63</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000661277351</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>4</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013689</td>
<td>SALSABILA AZIZAH</td>
<td>'</td>
<td>RT 008 RW 003</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-07-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002880676541</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>5</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024023</td>
<td>MISTUN</td>
<td>'3503057112540016</td>
<td>DSN KRAJAN, RT : 001,RW :001 </td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1954</td>
<td>68</td>
<td>P</td>
<td>PETANI/PEKEBUN</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0001978483882</td>
<td></td>
<td align='center'>
I69 </td>
<td align='center'>
<font color='black'>Sequelae of cerebrovascular disease</font>
</td>

</tr>

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


<td>6</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002655</td>
<td>SARBINI</td>
<td>'3503051212540002</td>
<td>DUSUN GONDANG, RT : 7,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-12-1954</td>
<td>68</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665384411</td>
<td></td>
<td align='center'>
N18.9 </td>
<td align='center'>
<font color='black'>Chronic renal failure, unspecified</font>
</td>

</tr>

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


<td>7</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024107</td>
<td>MUGITO</td>
<td>'3503053112570015</td>
<td>DUSUN CORAH MULYO, RT : 4,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1957</td>
<td>65</td>
<td>L</td>
<td>Perdagangan</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
I50.0 </td>
<td align='center'>
<font color='black'>Congestive heart failure</font> </td>

</tr>

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


<td>8</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024043</td>
<td>SUPINAH</td>
<td>'6472034608700001</td>
<td>SAMARINDA</td>
<td>GUNUNGSAMARINDA BARU</td>
<td>BALIKPAPAN UTARA</td>
<td>KOTA BALIKPAPAN</td>
<td>06-08-1970</td>
<td>52</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001473713166</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>9</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024093</td>
<td>KANAYA</td>
<td>'</td>
<td>RT 21 RW 8</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-01-2020</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</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>10</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003063</td>
<td>TREDA LUBY SADEWA</td>
<td>'</td>
<td>RT 11 RW 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-2018</td>
<td>4</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002619814792</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>11</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024095</td>
<td>WATIMAN</td>
<td>'3503053112550029</td>
<td>DUSUN PAKEL, RT : 28,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1955</td>
<td>67</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011258744</td>
<td></td>
<td align='center'>
I50.0 </td>
<td align='center'>
<font color='black'>Congestive heart failure</font> </td>

</tr>

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


<td>12</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024193</td>
<td>DELISHA SOFIA</td>
<td>'</td>
<td>RT 15 RW 4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-05-2014</td>
<td>8</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R50.0 </td>
<td align='center'>
<font color='black'>Fever with chills</font> </td>

</tr>

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


<td>13</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005476</td>
<td>ISNA HAYUN NURUSSAFA</td>
<td>'</td>
<td>RT 19 RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-10-2016</td>
<td>6</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002161669511</td>
<td></td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

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


<td>14</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013466</td>
<td>MARYOTO</td>
<td>'</td>
<td>RT 01 RW 06</td>
<td>SAWOO</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>18-09-1986</td>
<td>36</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000662251072</td>
<td></td>
<td align='center'>
R10.4 </td>
<td align='center'>
<font color='black'>Other and unspecified abdominal pain</font>
</td>

</tr>

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


<td>15</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024227</td>
<td>FAREZA HASBI TAUFIQI</td>
<td>'</td>
<td>RT 18 RW 7</td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-04-2015</td>
<td>7</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0002867871295</td>
<td></td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>16</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013380</td>
<td>PRADIGTA ARDHANA SANTOSO</td>
<td>'3503051005160001</td>
<td>DUSUN KARAJN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-05-2016</td>
<td>6</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002196182946</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>17</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024504</td>
<td>SUJUD</td>
<td>'3503053112380027</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1938</td>
<td>84</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R10.4 </td>
<td align='center'>
<font color='black'>Other and unspecified abdominal pain</font>
</td>

</tr>

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


<td>18</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024471</td>
<td>ARI FRAMADY K</td>
<td>'3503052002770002</td>
<td>DUSUN PACAR, RT : 006,RW :002 </td>
<td>NGLINGGIS</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-02-1977</td>
<td>45</td>
<td>L</td>
<td>PETANI/PEKEBUN</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0002190269733</td>
<td></td>
<td align='center'>
S42.0 </td>
<td align='center'>
<font color='black'>Fracture of clavicle</font> </td>

</tr>

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


<td>19</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024389</td>
<td>ANNISA RATIFA</td>
<td>'3503057005150001</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-05-2015</td>
<td>7</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0001967571764</td>
<td></td>
<td align='center'>
A15.9 </td>
<td align='center'>
<font color='red'>Respiratory tuberculosis unspecified, confirmed
bacteriologically and histologically</font> </td>

</tr>

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


<td>20</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022476</td>
<td>MUNTIYAH</td>
<td>'3503055212780001</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-12-1978</td>
<td>44</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
I24.9 </td>
<td align='center'>
<font color='black'>Acute ischaemic heart disease, unspecified</font>
</td>

</tr>

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


<td>21</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024363</td>
<td>ADEEFA ZIANISA R</td>
<td>'</td>
<td>RT 1 RW 6</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>17-05-2019</td>
<td>3</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
A01.0 </td>
<td align='center'>
<font color='red'>Typhoid fever</font> </td>

</tr>
<tr align="left" valign="top">
<td>22</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024393</td>
<td>PARNO</td>
<td>'3503051003680002</td>
<td>DUSUN MLOKO, RT : 55,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-03-1968</td>
<td>54</td>
<td>L</td>
<td>Wiraswasta</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R50.0 </td>
<td align='center'>
<font color='black'>Fever with chills</font> </td>

</tr>

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


<td>23</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024369</td>
<td>NASYITA</td>
<td>'</td>
<td>RT 8 RT 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-01-2019</td>
<td>4</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
A01.0 </td>
<td align='center'>
<font color='red'>Typhoid fever</font> </td>
</tr>

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


<td>24</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015442</td>
<td>SUMINI</td>
<td>'3503055907590001</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-07-1959</td>
<td>63</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666083013</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>25</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001090</td>
<td>SUYONO</td>
<td>'</td>
<td>BANARAN RT 5/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-02-1984</td>
<td>38</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000756969096</td>
<td></td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

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


<td>26</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011242</td>
<td>AGIL AHMAT KHOIRUL</td>
<td>'</td>
<td>RT 24</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-10-2016</td>
<td>6</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002089965554</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>27</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024435</td>
<td>BENI MARDIANSYAH</td>
<td>'</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-2005</td>
<td>17</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
B34.2 </td>
<td align='center'>
<font color='black'>Coronavirus infection, unspecified</font>
</td>

</tr>

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


<td>28</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008691</td>
<td>SULASMI</td>
<td>'3503064808790003</td>
<td>DUSUN JAMPI, RT : 5,RW :1 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>08-08-1979</td>
<td>43</td>
<td>P</td>
<td>Wiraswasta</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</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>29</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001681</td>
<td>MEDINA AISYAH MAULANA</td>
<td>'3503056008190001</td>
<td>RT 18 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-08-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002887022709</td>
<td></td>
<td align='center'>
J18.0 </td>
<td align='center'>
<font color='red'>Bronchopneumonia, unspecified</font> </td>

</tr>

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


<td>30</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024531</td>
<td>AUDI RIZENIA HAWANDA PUTRI</td>
<td>'</td>
<td>RT 16 RW 4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-05-2012</td>
<td>10</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0001978458423</td>
<td></td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>31</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024530</td>
<td>AMMAR LUTHFI ZAIDAN</td>
<td>'3503051811190002</td>
<td>RT 10 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-11-2019</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0003000876232</td>
<td></td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>32</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024532</td>
<td>RAFAEL ATHALA MUSYAFA</td>
<td>'</td>
<td>RT 20 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-03-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</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>33</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024533</td>
<td>DIANATUL NAFIANI</td>
<td>'</td>
<td>RT 23 RW 8 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-01-1995</td>
<td>28</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>RAWAT INAP</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0002478605523</td>
<td></td>
<td align='center'>
K56.7 </td>
<td align='center'>
<font color='black'>Ileus, unspecified</font> </td>

</tr>

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


<td>34</td>
<td>01-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024026</td>
<td>MARJAIP</td>
<td>'</td>
<td>DEPOK</td>
<td>DEPOK</td>
<td>BENDUNGAN</td>
<td>TRENGGALEK</td>
<td>03-01-1960</td>
<td>63</td>
<td>L</td>
<td>Wiraswasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>35</td>
<td>01-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018888</td>
<td>SUKAMTO</td>
<td>'</td>
<td>RT 18 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-07-1968</td>
<td>54</td>
<td>L</td>
<td>Tentara Nasional Indonesia</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PRAJURIT AD</td>
<td>'0001390412878</td>
<td>131506010123Y000101</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>01-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004042</td>
<td>SUPRIYONO</td>
<td>'3503051908610001</td>
<td>RT 11 RW 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-08-1961</td>
<td>61</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002294770026</td>
<td>131506010123Y000302</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>37</td>
<td>01-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005262</td>
<td>MUHAMMAD AKMAL ALFARIZI</td>
<td>'</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-10-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002297290059</td>
<td>131506010123Y000303</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>38</td>
<td>01-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024027</td>
<td>AHMAD NIZAM</td>
<td>'</td>
<td>KARANGSOKO</td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>03-01-2017</td>
<td>6</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>39</td>
<td>01-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024028</td>
<td>MUHAMAD RAFI</td>
<td>'</td>
<td>GONDANG RT 20 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-01-2012</td>
<td>11</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

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


<td>40</td>
<td>01-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024029</td>
<td>NUR UMI AINANDA</td>
<td>'</td>
<td>GONDANG</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-01-2005</td>
<td>18</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
L20.9 </td>
<td align='center'>
<font color='red'>Atopic dermatitis, unspecified</font> </td>

</tr>

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


<td>41</td>
<td>01-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001252</td>
<td>PARTINI</td>
<td>'3503055211560001</td>
<td>DUSUN KALIPINGGIR, RT : 19,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-11-1956</td>
<td>66</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664933342</td>
<td>131506010123Y000001</td>
<td align='center'>
A09.9 </td>
<td align='center'>
<font color='red'>Gastroenteritis and colitis of unspecified
origin</font> </td>

</tr>

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


<td>42</td>
<td>01-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013683</td>
<td>BAGUS DWI NUGROHO</td>
<td>'3503050208050001</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-08-2005</td>
<td>17</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978458052</td>
<td>131506010123Y000002</td>
<td align='center'>
A09.9 </td>
<td align='center'>
<font color='red'>Gastroenteritis and colitis of unspecified
origin</font> </td>

</tr>

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


<td>43</td>
<td>01-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003921</td>
<td>TUMIRAN</td>
<td>'3503052701650001</td>
<td>DUSUN CORAH MULYO, RT : 2,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-01-1965</td>
<td>57</td>
<td>L</td>
<td>Wiraswasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>44</td>
<td>01-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024005</td>
<td>LINA RIFNGATU NGAJIJAH</td>
<td>'3503055410920002</td>
<td>DUSUN JUMOK, RT : 9,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-10-1992</td>
<td>30</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0001978445845</td>
<td></td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

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


<td>45</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004829</td>
<td>MUHAMMAD ZIDNY BINA ALHUSNI N. H.</td>
<td>'</td>
<td>RT 37 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-09-2007</td>
<td>15</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802753641</td>
<td>131506010123Y000307</td>
<td align='center'>
L20.9 </td>
<td align='center'>
<font color='red'>Atopic dermatitis, unspecified</font> </td>

</tr>

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


<td>46</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001357</td>
<td>MESIYAH</td>
<td>'3503055507740003</td>
<td>DUSUN KRAJAN, RT : 19,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-07-1974</td>
<td>48</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666518163</td>
<td>131506010123Y000313</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>47</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024030</td>
<td>ALVIN</td>
<td>'</td>
<td>BANARAN RT 12 RW 06</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-01-2020</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</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>48</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024031</td>
<td>NANDA SETYA</td>
<td>'</td>
<td>GONDANG RT 04 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-01-1999</td>
<td>24</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>49</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006673</td>
<td>AFFIKA MASAYU MUKHAYYIN</td>
<td>'3503054504150001-485770</td>
<td>DUSUN PAKEL, RT : 39,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-04-2015</td>
<td>7</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>50</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010825</td>
<td>DEWI NOVIANTI</td>
<td>'</td>
<td>RT 11 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-11-1972</td>
<td>50</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002294770364</td>
<td>131506010123Y000355</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>51</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024103</td>
<td>SRIWAHYUNI</td>
<td>'</td>
<td>TEMPURAN RT 02 RW 03</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>30-06-1981</td>
<td>41</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>
</tr>

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


<td>52</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024104</td>
<td>NUR UMI AMALIA</td>
<td>'</td>
<td>GONDANG</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-12-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>53</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024089</td>
<td>DIAN KRISTIOWATI</td>
<td>'</td>
<td>RT 10 RW 01</td>
<td>WONOKERTO</td>
<td>SURUH</td>
<td>TRENGGALEK</td>
<td>05-01-1987</td>
<td>36</td>
<td>P</td>
<td>Perawat</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>54</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024113</td>
<td>NOVI</td>
<td>'</td>
<td>SUMBER RT 3 RW 01</td>
<td>SUMBER</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>07-01-1981</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>55</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024114</td>
<td>NAZRA AFIDA</td>
<td>'</td>
<td>SUMBER RT 06 RW 02</td>
<td>SUMBER</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>07-01-2022</td>
<td>1</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>56</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024115</td>
<td>SLAMET</td>
<td>'</td>
<td>GONDANG RT 14 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-01-1961</td>
<td>62</td>
<td>L</td>
<td>Wiraswasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>57</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024116</td>
<td>ZAENAL</td>
<td>'</td>
<td>PRAMBON RT 11 RW 02</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-05-1995</td>
<td>27</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>58</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024117</td>
<td>ZAHRA HUMAIRAH</td>
<td>'</td>
<td>GONDANG RT 33 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-01-2007</td>
<td>16</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>59</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002055</td>
<td>FARAS SAVIOLA HINGTRIAN</td>
<td>'3503052106050002</td>
<td>DUSUN PAKEL, RT : 33,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-06-2005</td>
<td>17</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PEKERJA MANDIRI</td>
<td>'0001261600198</td>
<td></td>
<td align='center'>
D66 </td>
<td align='center'>
<font color='black'>Hereditary factor viii deficiency</font>
</td>

</tr>

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


<td>60</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023785</td>
<td>MA`RUP SAIFUDIN</td>
<td>'3503032705980002</td>
<td>RT 64 RW 30</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>07-05-1998</td>
<td>24</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0002012679303</td>
<td></td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

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


<td>61</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024120</td>
<td>RISMA PUSPA N</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 003,RW :001 </td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-11-2001</td>
<td>21</td>
<td>P</td>
<td>PELAJAR/MAHASISWA</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0001037013423</td>
<td></td>
<td align='center'>
L20.9 </td>
<td align='center'>
<font color='red'>Atopic dermatitis, unspecified</font> </td>

</tr>

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


<td>62</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005344</td>
<td>YUNITA ENDAH PRASETYANI</td>
<td>'</td>
<td>WINONG RT7</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-06-1997</td>
<td>25</td>
<td>P</td>
<td>Wiraswasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037006019</td>
<td>131506010123Y000364</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

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


<td>63</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024122</td>
<td>TEGUH YADI</td>
<td>'</td>
<td>PETEMON RT 07 RW 09</td>
<td>PETEMON</td>
<td>SAWAHAN</td>
<td>KOTA SURABAYA</td>
<td>07-01-1971</td>
<td>52</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>64</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024124</td>
<td>RADITYA TAUFIQ ADIPRASTYA</td>
<td>'3503051008170001</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-08-2017</td>
<td>5</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0002419309484</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>65</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002320</td>
<td>SULASTRI</td>
<td>'3503056906790001</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-06-1979</td>
<td>43</td>
<td>P</td>
<td>Perdagangan</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0001978451256</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>66</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004918</td>
<td>ISTIKHOMAH</td>
<td>'3503055512610001</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-12-1961</td>
<td>61</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978465432</td>
<td>131506010123Y000469</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>
</tr>

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


<td>67</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005271</td>
<td>HAIKAL RUANDIKA RAMADHAN</td>
<td>'3503101705180001</td>
<td>KRAJAN, RT : 17,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-05-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002459552308</td>
<td>131506010123Y000373</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>68</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024125</td>
<td>SARIF</td>
<td>'</td>
<td>SUKOREJO RT 01 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1935</td>
<td>87</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978440131</td>
<td>131506010123Y000374</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>69</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024108</td>
<td>AHMAD MIFTAKUL NGULUM</td>
<td>'</td>
<td>RT 22 RW 6</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1994</td>
<td>28</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666153303</td>
<td>131506010123Y000375</td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>70</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008026</td>
<td>MULYONO</td>
<td>'3503053005660001</td>
<td>RT 2 RW 1</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-05-1966</td>
<td>56</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037008192</td>
<td>131506010123Y000377</td>
<td align='center'>
L20.9 </td>
<td align='center'>
<font color='red'>Atopic dermatitis, unspecified</font> </td>

</tr>

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


<td>71</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023203</td>
<td>AQILA PUTRI SANJAYA</td>
<td>'3503055108170003</td>
<td>DUSUN KEBON, RT : 22,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-08-2017</td>
<td>5</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002278497936</td>
<td>131506010123Y000378</td>
<td align='center'>
A09.0 </td>
<td align='center'>
<font color='red'>Other and unspecified gastroenteritis and colitis of
infectious origin</font> </td>

</tr>

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


<td>72</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024127</td>
<td>HAIKAL</td>
<td>'</td>
<td>NGLONGSOR</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-03-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>73</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010733</td>
<td>FAUZIAH ISMA NURLAILI</td>
<td>'3503065201960001</td>
<td>RT 08 RW 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-01-1996</td>
<td>27</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003129870071</td>
<td>131506010123Y000470</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>74</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024138</td>
<td>MARYOTO</td>
<td>'3502051809860003</td>
<td>TEMPURAN RT 01 RW 06</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>18-09-1986</td>
<td>36</td>
<td>L</td>
<td>Wiraswasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000662251072</td>
<td>131506010123Y000474</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>75</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024140</td>
<td>ENGGAR GILANG DELVIANTAMA</td>
<td>'3503050212970001</td>
<td>DESA WINONG, RT : 1,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-12-1997</td>
<td>25</td>
<td>L</td>
<td>Wiraswasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666873562</td>
<td>131506010123Y000475</td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>76</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002559</td>
<td>ANISA FATIN AZZAHRA</td>
<td>'3503057006190001</td>
<td>RT 34 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-06-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002773431314</td>
<td>131506010123Y000473</td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>77</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024128</td>
<td>IMAM ISMAIL</td>
<td>'350306280730001</td>
<td>DUSUN CANGKRING, RT : 37,RW :10 </td>
<td>SUMBERINGIN</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>28-02-1973</td>
<td>49</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>78</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024143</td>
<td>TRI ATMAJATUL KAMILAH</td>
<td>'3503056006060001</td>
<td>DUSUN KEBON, RT : 22,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-06-2006</td>
<td>16</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0000666668384</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>79</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024137</td>
<td>BRIAN ADYASTA RASENDRIYA</td>
<td>'</td>
<td>TUMPUK RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-10-2019</td>
<td>3</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>'0003067630896</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>80</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024157</td>
<td>AMIR MAHMUD</td>
<td>' </td>
<td>DSN TOMPE, RT : 012,RW :004 </td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-07-1989</td>
<td>33</td>
<td>L</td>
<td>WIRASWASTA</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0000666418792</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>81</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024158</td>
<td>SRI WAHYUNI</td>
<td>'</td>
<td>TEMPURAN</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>09-01-1981</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>82</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024159</td>
<td>MUHAMMAD NUR</td>
<td>'</td>
<td>SUMBERGEMPOL </td>
<td>BENDILJATI WETAN</td>
<td>SUMBERGEMPOL</td>
<td>TULUNGAGUNG</td>
<td>09-01-2008</td>
<td>15</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>83</td>
<td>08-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007480</td>
<td>JEMATUN</td>
<td>' </td>
<td>DUSUN SALAM, RT : 60,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-03-1945</td>
<td>77</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666216011</td>
<td>131506010123Y000484</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>84</td>
<td>08-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019351</td>
<td>UMI SALBIYAH</td>
<td>'</td>
<td>RT 13 RW 3</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-07-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011259756</td>
<td>131506010123Y000487</td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

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


<td>85</td>
<td>08-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005360</td>
<td>IMAM KUDHORI</td>
<td>'</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-05-1972</td>
<td>50</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000691127368</td>
<td>131506010123Y000583</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>86</td>
<td>08-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000365</td>
<td>FAHMI SALAFUDIN NGABDULLAH</td>
<td>'</td>
<td>RT 09 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-06-2004</td>
<td>18</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001037002814</td>
<td>131506010123Y000584</td>
<td align='center'>
A09.0 </td>
<td align='center'>
<font color='red'>Other and unspecified gastroenteritis and colitis of
infectious origin</font> </td>

</tr>

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


<td>87</td>
<td>08-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023922</td>
<td>SARJITO</td>
<td>'</td>
<td>GONDANG RT 34 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1959</td>
<td>63</td>
<td>L</td>
<td>Wiraswasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665538366</td>
<td>131506010123Y000586</td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>88</td>
<td>08-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002970</td>
<td>TARIKEM</td>
<td>'3503054107530035</td>
<td>KRAJAN, RT : 18,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1953</td>
<td>69</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802758422</td>
<td>131506010123Y000587</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>89</td>
<td>08-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000087</td>
<td>SUKADI</td>
<td>'</td>
<td>RT 14 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-07-1945</td>
<td>77</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665392443</td>
<td>131506010123Y000585</td>
<td align='center'>
A09.0 </td>
<td align='center'>
<font color='red'>Other and unspecified gastroenteritis and colitis of
infectious origin</font> </td>

</tr>

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


<td>90</td>
<td>08-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024161</td>
<td>RESYA QILA</td>
<td>'</td>
<td>SURODAKAN RT 26 RW 08</td>
<td>SURODAKAN</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>09-01-2022</td>
<td>1</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

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


<td>91</td>
<td>08-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024162</td>
<td>ROZAQTIAN AL FATIH</td>
<td>'</td>
<td>KELUTAN RT 02 RW 01</td>
<td>KELUTAN</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>09-01-2005</td>
<td>18</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>92</td>
<td>08-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024163</td>
<td>EKIS HILMI NURPRIYADI</td>
<td>'</td>
<td>NGLINGGIS</td>
<td>NGLINGGIS</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-01-2006</td>
<td>17</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>
<tr align="left" valign="top">
<td>93</td>
<td>08-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024164</td>
<td>MUKROM</td>
<td>'</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-01-2007</td>
<td>16</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</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>94</td>
<td>08-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024165</td>
<td>ANGGA</td>
<td>'</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-01-2007</td>
<td>16</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>95</td>
<td>08-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024166</td>
<td>ZAKKI</td>
<td>'</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-01-2007</td>
<td>16</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>96</td>
<td>08-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024167</td>
<td>ZIDAN</td>
<td>'</td>
<td>PPQH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-01-2010</td>
<td>13</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>97</td>
<td>08-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024168</td>
<td>NASA</td>
<td>'</td>
<td>BANARAN</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-01-2022</td>
<td>1</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>98</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024183</td>
<td>RINA TRIANI</td>
<td>'3503116412740003</td>
<td>RT 15 RW 04 KELURAHAN SURODAKAN, RT : 15,RW :4 </td>
<td>SURODAKAN</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>24-12-1974</td>
<td>48</td>
<td>P</td>
<td>Wiraswasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0002262857951</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>99</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000151</td>
<td>JAMI</td>
<td>'3503055111650001</td>
<td>RT 06 RW 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667103951</td>
<td>131506010123Y000589</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>100</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024184</td>
<td>SISKA PUTRI</td>
<td>'</td>
<td>PUCANGANAK RT 18 RW 8</td>
<td>PUCANGANAK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-01-2006</td>
<td>17</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>101</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024185</td>
<td>AMELIA</td>
<td>'</td>
<td>DUREN RT 18 RW 07</td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-01-2007</td>
<td>16</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>102</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008046</td>
<td>SLAMET</td>
<td>'</td>
<td>PRAMBON RT 38/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1962</td>
<td>61</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665970052</td>
<td>131506010123Y000591</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>103</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024187</td>
<td>ELSA AYU NINGTYAS</td>
<td>'</td>
<td>PRAMBON RT 54 RW 11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-06-2014</td>
<td>8</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003106952199</td>
<td>131506010123Y000635</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>104</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024189</td>
<td>DEVI NOVITASARI</td>
<td>'</td>
<td>GONDANG RT 31 RW 8</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-11-2016</td>
<td>6</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>105</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009315</td>
<td>DAFFA ARZIQI APRILIO</td>
<td>'9999999999999999-492216</td>
<td>DUSUN SETONO, RT : 14,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-2014</td>
<td>8</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
A09.0 </td>
<td align='center'>
<font color='red'>Other and unspecified gastroenteritis and colitis of
infectious origin</font> </td>
</tr>

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


<td>106</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024291</td>
<td>YATINI</td>
<td>'</td>
<td>RT.04 RW.02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1973</td>
<td>49</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978452753</td>
<td></td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

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


<td>107</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024316</td>
<td>NENENG</td>
<td>'</td>
<td>RT 33 RW 8</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-11-1992</td>
<td>30</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></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>108</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005051</td>
<td>HERU SUSILAWANING</td>
<td>'3502055005750007</td>
<td>RT 1 RW 3</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>10-05-1975</td>
<td>47</td>
<td>P</td>
<td>Wiraswasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000661458148</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>109</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024325</td>
<td>ZAHRA YANTI</td>
<td>'</td>
<td>RT32 RW8</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-02-2009</td>
<td>13</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R55 </td>
<td align='center'>
<font color='black'>Syncope and collapse</font> </td>

</tr>

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


<td>110</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024326</td>
<td>NUKIANA DESHA</td>
<td>'</td>
<td>RT.11 RW.3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-08-2002</td>
<td>20</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
H61.2 </td>
<td align='center'>
<font color='red'>Impacted cerumen</font> </td>

</tr>

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


<td>111</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024327</td>
<td>FILZA</td>
<td>'</td>
<td>PONDOK PESANTREN QOMARUL HIDAYAH</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-11-2009</td>
<td>13</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>112</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024366</td>
<td>FRISKA</td>
<td>'</td>
<td>RT.7</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-07-2002</td>
<td>20</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>113</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002733</td>
<td>PURWANTI</td>
<td>'3503056812900002</td>
<td>DUSUN SETONO, RT : 15,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-12-1990</td>
<td>32</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>114</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024410</td>
<td>NANDA PRASTIKA</td>
<td>'</td>
<td>RT03 RW 07</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-03-2001</td>
<td>21</td>
<td>P</td>
<td>Wiraswasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></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>115</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002233</td>
<td>REGA PRATAMA</td>
<td>'3503053010150001</td>
<td>MLOKO, RT : 54,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-10-2015</td>
<td>7</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068144144</td>
<td>131506010123Y001030</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>116</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024317</td>
<td>SURATIN</td>
<td>'</td>
<td>BUNGKAL PONOROGO</td>
<td>BUNGKAL</td>
<td>BUNGKAL</td>
<td>PONOROGO</td>
<td>15-01-1969</td>
<td>54</td>
<td>P</td>
<td>Wiraswasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>117</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024318</td>
<td>DASAR</td>
<td>'</td>
<td>BUNGKAL PONOROGO</td>
<td>BUNGKAL</td>
<td>BUNGKAL</td>
<td>PONOROGO</td>
<td>15-01-1967</td>
<td>56</td>
<td>L</td>
<td>Wiraswasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>118</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014386</td>
<td>DWI RAHMAWATI</td>
<td>'3503056907820005</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-07-1982</td>
<td>40</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0002049524561</td>
<td></td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>
<tr align="left" valign="top">
<td>119</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008116</td>
<td>FAZA FAUZAN AZ ZAHRA</td>
<td>'3503051106100002</td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-06-2010</td>
<td>12</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>120</td>
<td>15-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008263</td>
<td>YULIANTI</td>
<td>'</td>
<td>RT 10 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-04-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067668472</td>
<td>131506010123Y000820</td>
<td align='center'>
K29.3 </td>
<td align='center'>
<font color='black'>Chronic superficial gastritis</font> </td>

</tr>

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


<td>121</td>
<td>15-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024320</td>
<td>DENI SUGIARTI</td>
<td>'</td>
<td>NGEPEH RT 7 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-2006</td>
<td>17</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666198764</td>
<td>131506010123Y000821</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>122</td>
<td>15-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024321</td>
<td>AZRIL</td>
<td>'</td>
<td>RT 11 RW 6 BANARAN</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-2021</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>123</td>
<td>15-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024322</td>
<td>ANTOK</td>
<td>'</td>
<td>RT 4 RW 1 GONDANG</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-1977</td>
<td>46</td>
<td>L</td>
<td>Wiraswasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</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>124</td>
<td>15-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024323</td>
<td>RENDRA ARI SUDARSONO</td>
<td>'</td>
<td>RT 2 RW 1 GONDANG</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-12-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>125</td>
<td>15-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013880</td>
<td>MUHAMMAD AKMAL ALFARIZI</td>
<td>'3502061210170001</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-10-2017</td>
<td>5</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'</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>126</td>
<td>15-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012406</td>
<td>PAIKUN</td>
<td>'3503051211480001</td>
<td>RT 44 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-11-1948</td>
<td>74</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067659808</td>
<td></td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

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


<td>127</td>
<td>15-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011884</td>
<td>ANINDITA SALSABILA PUTRI</td>
<td>'</td>
<td>RT 26 RW 06</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-10-2018</td>
<td>4</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>128</td>
<td>15-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024324</td>
<td>KENZO GILANG</td>
<td>'</td>
<td>SALAMREJO</td>
<td>SALAMREJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>15-01-2028</td>
<td>-5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

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


<td>129</td>
<td>15-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010305</td>
<td>ENI SETIANA</td>
<td>'</td>
<td>RT 10/05</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-09-1984</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666185365</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>130</td>
<td>15-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024401</td>
<td>AUDYTIO RIFALDY</td>
<td>'3503062008050001</td>
<td>DUSUN JAJAR, RT : 22,RW :8 </td>
<td>SALAMREJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>20-08-2005</td>
<td>17</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0001707017264</td>
<td></td>
<td align='center'>
M79.81 </td>
<td align='center'>
<font color='black'>Other specified soft tissue disorders, shoulder
region</font> </td>

</tr>

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


<td>131</td>
<td>15-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012021</td>
<td>FAREZA HASBI T</td>
<td>'3503052904150001-409557</td>
<td>SUROSO, RT : 018,RW :007 </td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-04-2015</td>
<td>7</td>
<td>L</td>
<td>BELUM/TIDAK BEKERJA</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>132</td>
<td>15-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024315</td>
<td>BELINDA NAIFAH SADINA MEI</td>
<td>'</td>
<td>RT.28 RW.7</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-05-2010</td>
<td>12</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001829266953</td>
<td>131506010123Y000948</td>
<td align='center'>
H66.9 </td>
<td align='center'>
<font color='red'>Otitis media, unspecified</font> </td>

</tr>

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


<td>133</td>
<td>15-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006660</td>
<td>IKA MAHARANI</td>
<td>'9271046305070001</td>
<td>DUSUN KEBONSARI, RT : 31,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-05-2007</td>
<td>15</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>ANGGOTA POLRI</td>
<td>'0001291336389</td>
<td>131506010123Y000950</td>
<td align='center'>
H66.9 </td>
<td align='center'>
<font color='red'>Otitis media, unspecified</font> </td>
</tr>

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


<td>134</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024402</td>
<td>RIZKI WAHYU</td>
<td>'</td>
<td>JOMBOK PULE RT 5 RW 2</td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>18-01-2006</td>
<td>17</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>135</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012873</td>
<td>AZIZAH AZMI</td>
<td>'3503056705120002</td>
<td>DUSUN SETONO, RT : 15,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-05-2012</td>
<td>10</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978457332</td>
<td></td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

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


<td>136</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008452</td>
<td>SITI ZUBAIDAH</td>
<td>'3503055310740001</td>
<td>RT 27 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-10-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068132488</td>
<td>131506010123Y000860</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>137</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000795</td>
<td>MOCHAMMAD ARJUNA ASYRAFY KURNIAWAN</td>
<td>'</td>
<td>RT 35 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-10-2011</td>
<td>11</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001266976517</td>
<td>131506010123Y000376</td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

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


<td>138</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024403</td>
<td>AHMAD ZAIDAN</td>
<td>'</td>
<td>GONDANG</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-01-2028</td>
<td>-5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>139</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024479</td>
<td>AHMAD ZAIDAN</td>
<td>'</td>
<td>GONDANG RT 31 RW 8</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-01-2017</td>
<td>6</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>140</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024480</td>
<td>MOHAMAD KAMALUDIN</td>
<td>'</td>
<td>RT 18 RW 9 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-04-2004</td>
<td>18</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></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>141</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024483</td>
<td>PUJI RAHAYUNINGSIH</td>
<td>'</td>
<td>RT 11 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-10-1970</td>
<td>52</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'</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>142</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004248</td>
<td>MUHAMMAD ASYAM HAFIDZ</td>
<td>'3503051603180002</td>
<td>RT 05 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-03-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002759341781</td>
<td></td>
<td align='center'>
L50.0 </td>
<td align='center'>
<font color='red'>Allergic urticaria</font> </td>

</tr>

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


<td>143</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003064</td>
<td>REYZA INARA MAHARANI</td>
<td>'</td>
<td>RT 19 RW 7</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-03-2017</td>
<td>5</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002474014915</td>
<td>131506010123Y000312</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>144</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024484</td>
<td>RAHMAWATI</td>
<td>'</td>
<td>PRAMBON RT 7 RW 2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-01-2011</td>
<td>12</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

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


<td>145</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024485</td>
<td>SAKTI FATURROHMAN WAKHID</td>
<td>'</td>
<td>NGEPEH RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-05-2015</td>
<td>7</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0002802757241</td>
<td></td>
<td align='center'>
J45 </td>
<td align='center'>
<font color='red'>Asthma</font> </td>

</tr>

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


<td>146</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024486</td>
<td>QAISYA</td>
<td>'</td>
<td>RT 11 RW 6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-01-2021</td>
<td>2</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</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>147</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024487</td>
<td>ANDI SUCIPTO</td>
<td>'</td>
<td>GONDANG RT 33 RW 8</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-08-1974</td>
<td>48</td>
<td>L</td>
<td>Wiraswasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0000665757461</td>
<td></td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

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


<td>148</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024482</td>
<td>ANDIKA WISNU PRATAMA</td>
<td>'</td>
<td>NGLONGSOR RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-12-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003069067094</td>
<td>131506010123Y001162</td>
<td align='center'>
A09.0 </td>
<td align='center'>
<font color='red'>Other and unspecified gastroenteritis and colitis of
infectious origin</font> </td>
</tr>

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


<td>149</td>
<td>22-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024545</td>
<td>DESI SHOLIQ</td>
<td>'</td>
<td>GONDANG RT 30 RT 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-12-1992</td>
<td>30</td>
<td>P</td>
<td>Wiraswasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

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


<td>150</td>
<td>22-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023076</td>
<td>FADILA</td>
<td>'</td>
<td>SUKOREJO RT 11 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-01-2013</td>
<td>10</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>151</td>
<td>22-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024546</td>
<td>DEA AYU</td>
<td>'</td>
<td>RT 9 RW 3 WINONG</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-01-2003</td>
<td>20</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>152</td>
<td>22-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024547</td>
<td>JIONO</td>
<td>'</td>
<td>RT 28 RW 12 NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-01-1974</td>
<td>49</td>
<td>L</td>
<td>Wiraswasta</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T13.1 </td>
<td align='center'>
<font color='black'>Open wound of lower limb, level unspecified</font>
</td>

</tr>

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


<td>153</td>
<td>22-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023525</td>
<td>SLAMET </td>
<td>'</td>
<td>RT 14 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-12-1960</td>
<td>62</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

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


<td>154</td>
<td>22-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016280</td>
<td>M. NIZAR ASNAL HABIB</td>
<td>'3503051410160001</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-10-2016</td>
<td>6</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068069095</td>
<td></td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

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


<td>155</td>
<td>22-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003642</td>
<td>ALIFA NAILA</td>
<td>'</td>
<td>RT. 28</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-08-2017</td>
<td>5</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

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


<td>156</td>
<td>22-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024548</td>
<td>SUYITNO</td>
<td>'</td>
<td>RT 17 RW 7 NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-01-1950</td>
<td>73</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T13.1 </td>
<td align='center'>
<font color='black'>Open wound of lower limb, level unspecified</font>
</td>

</tr>

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


<td>157</td>
<td>22-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021437</td>
<td>NOVIA SANFAISNAM</td>
<td>'3503055711940003</td>
<td>DUSUN SETONO, RT : 15,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-11-1994</td>
<td>28</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>158</td>
<td>23-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001698</td>
<td>KARTINI</td>
<td>'3503055603740001</td>
<td>RT 32 RW 8</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-03-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802751367</td>
<td>131506010123Y001160</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

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


<td>159</td>
<td>23-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005788</td>
<td>IRFAN NAWAWI</td>
<td>'3503051005080001</td>
<td>SUKOREJO, RT : 10,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-05-2008</td>
<td>14</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>UGD</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978438869</td>
<td></td>
<td align='center'>
J45 </td>
<td align='center'>
<font color='red'>Asthma</font> </td>

</tr>

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


<td>160</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020432</td>
<td>ATTALARIC ZAKARIA CAHYANA</td>
<td>'3503050601220002</td>
<td>RT 005 RW 003</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-01-2022</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'</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>161</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023863</td>
<td>ARSILA NUR SHIDQIA</td>
<td>'</td>
<td>RT 10 RW 02</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-08-2021</td>
<td>1</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>162</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012423</td>
<td>SAFIRA PUTRI</td>
<td>'</td>
<td>RT06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-09-2018</td>
<td>4</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>163</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018460</td>
<td>AZKIA YUMNA RAMADHANI </td>
<td>'3503056504220003</td>
<td>RT10/4 BENGGLE DESA WINONG</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-04-2022</td>
<td>0</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0003273724991</td>
<td>131506010123Y000074</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>164</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006146</td>
<td>FATHIMATUL HABIBAH</td>
<td>'</td>
<td>RT 40 RW 07</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-09-2020</td>
<td>2</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>165</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005232</td>
<td>ALYA NIDAUL KARIMAH</td>
<td>'3503055309190002</td>
<td>RT 24 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-09-2019</td>
<td>3</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002892886716</td>
<td>131506010123Y000157</td>
<td align='center'>
Q21.0 </td>
<td align='center'>
<font color='black'>Ventricular septal defect</font> </td>

</tr>

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


<td>166</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002661</td>
<td>AGNI AFIA MULKI</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-07-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>167</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004937</td>
<td>MUHAMMAD RAKA ABDUL GHOFUR</td>
<td>'3503050508180001</td>
<td>RT 18 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-08-2018</td>
<td>4</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002480168597</td>
<td>131506010123Y000218</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>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009265</td>
<td>NAYLA FRIZCHA KHOIRUN NISA</td>
<td>'3503054604180001</td>
<td>RT 025 RW 006</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-04-2018</td>
<td>4</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
H10.9 </td>
<td align='center'>
<font color='red'>Conjunctivitis, unspecified</font> </td>

</tr>

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


<td>169</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021248</td>
<td>GEMPAR SADAWIRA</td>
<td>'3503050601220001</td>
<td>RT 06 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-01-2022</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003129948088</td>
<td>131506010123Y000281</td>
<td align='center'>
L30.9 </td>
<td align='center'>
<font color='red'>Dermatitis, unspecified</font> </td>

</tr>

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


<td>170</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006944</td>
<td>SHERINDA OKTAVANI</td>
<td>'3503066810180001</td>
<td>RT 21 RW 4</td>
<td>KERJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>28-10-2018</td>
<td>4</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002503364128</td>
<td>131506010123Y000284</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>171</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020645</td>
<td>MUHAMAD HAMIM ULIN NUHA</td>
<td>'3503050104190001</td>
<td>RT 09 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-2019</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002756572031</td>
<td>131506010123Y000287</td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

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


<td>172</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024101</td>
<td>RAKA BEKTI RAMADHAN</td>
<td>'</td>
<td>RT 23 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-04-2022</td>
<td>0</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>173</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023414</td>
<td>AISYAH KAUREENDEENA PUTRI AYUNDRA</td>
<td>'3503055410210001</td>
<td>RT 16 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-10-2021</td>
<td>1</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0003104328745</td>
<td>131506010123Y000338</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>174</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022007</td>
<td>SALSABILA AZIZAH</td>
<td>'3503056707190001</td>
<td>RT 08 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-07-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002880676541</td>
<td>131506010123Y000397</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>175</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005564</td>
<td>APRILIA ATSANI RAMADHANIA</td>
<td>'3503056904200002</td>
<td>RT 7 RW 3</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-04-2020</td>
<td>2</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002932657007</td>
<td>131506010123Y000383</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>176</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006539</td>
<td>MUHAMMAD SYVA DYLON SUKRIYANTO</td>
<td>'3503052009070226</td>
<td>RT 15 RW 4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-05-2021</td>
<td>1</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003082554527</td>
<td>131506010123Y000527</td>
<td align='center'>
E03.1 </td>
<td align='center'>
<font color='black'>Congenital hypothyroidism without goitre</font>
</td>

</tr>

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


<td>177</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021098</td>
<td>ARSYILA EKA SEPTIANI</td>
<td>'</td>
<td>RT 07 RW 02</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-09-2018</td>
<td>4</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>178</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016488</td>
<td>AARON HASBI ALFARIZKY</td>
<td>'</td>
<td>RT 07 RW 04</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-04-2021</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>179</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001251</td>
<td>BELLVANIA JASMEEN PUTRI ARYONO</td>
<td>'3503050203180006</td>
<td>RT 15 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-10-2020</td>
<td>2</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003054964522</td>
<td>131506010123Y000581</td>
<td align='center'>
R50 </td>
<td align='center'>
<font color='black'>Fever of other and unknown origin</font>
</td>

</tr>

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


<td>180</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024173</td>
<td>RAYA AECHA KHAIRINA</td>
<td>'</td>
<td>RT RW 5</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-05-2022</td>
<td>0</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>181</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024209</td>
<td>HAIKAL ABRIZAM AL KHALIFI</td>
<td>'3503111805210001</td>
<td>RT 20 RW 5</td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>18-05-2021</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003309749932</td>
<td>131506010123Y000697</td>
<td align='center'>
Z48 </td>
<td align='center'>
<font color='black'>Other surgical follow-up care</font> </td>

</tr>

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


<td>182</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004956</td>
<td>AHMAD FARIS AL FANDI</td>
<td>'</td>
<td>BANARAN RT 6/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-09-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003053101105</td>
<td>131506010123Y000688</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>183</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013771</td>
<td>ARDANA ALGHIFARI</td>
<td>'3503050506210002</td>
<td>RT 7 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-06-2021</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003085447555</td>
<td>131506010123Y000732</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>184</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019797</td>
<td>RANIA ADZKIYAL `AFIF</td>
<td>'3503054907200001</td>
<td>RT 15 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-07-2020</td>
<td>2</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002942067756</td>
<td>131506010123Y000733</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>185</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012289</td>
<td>MUHAMMAD AFANDI ALFARIZQI</td>
<td>'3503051501180001</td>
<td>ETAN KALI, RT : 21,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-2018</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002420732924</td>
<td>131506010123Y000750</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>186</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024230</td>
<td>MUHAMMAD RISKY PRIYANTO</td>
<td>'3503052807200003</td>
<td>RT 46 RW 9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-07-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002944651252</td>
<td>131506010123Y000752</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>187</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024235</td>
<td>MOHAMAD NOVVAL RIDLO LIE</td>
<td>'3503050712210001</td>
<td>RT 15 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-12-2021</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003119247527</td>
<td>131506010123Y000808</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>188</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024258</td>
<td>ALMAHIRA AYU MAHARANI</td>
<td>'</td>
<td>RT 17 RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-07-2022</td>
<td>0</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

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


<td>189</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024260</td>
<td>RAFASYA GIBRAN ALVAREZI</td>
<td>'</td>
<td>RT 07 RW 04</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-05-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>190</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024284</td>
<td>ELRIZKI SAMUDRA</td>
<td>'</td>
<td>RT 003 RW 001</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-05-2022</td>
<td>0</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

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


<td>191</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005083</td>
<td>ARSYA FEBRIAN</td>
<td>'</td>
<td>RT 6 RW 3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-02-2021</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>192</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020947</td>
<td>ARUNA ASKANA SAKHI</td>
<td>'3503056605200002</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-05-2020</td>
<td>2</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002935153023</td>
<td>131506010123Y000873</td>
<td align='center'>
J38.7 </td>
<td align='center'>
<font color='black'>Other diseases of larynx</font> </td>

</tr>

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


<td>193</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008164</td>
<td>KHABIB ALZAYN WICAKSONO</td>
<td>'3503052707200001</td>
<td>RT 54 RW 11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-07-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003047513883</td>
<td>131506010123Y000936</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>194</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024346</td>
<td>PANJI SETYO NUGROHO</td>
<td>'3503052609220003</td>
<td>RT 9 RW 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-09-2022</td>
<td>0</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003294675606</td>
<td>131506010123Y000924</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>195</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008887</td>
<td>MUHAMMAD RASYID</td>
<td>'</td>
<td>RT 07 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-03-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>196</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024338</td>
<td>AINAYYA MYESHA</td>
<td>'3503056411190001</td>
<td>RT 9 RW 5</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-11-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002909609998</td>
<td>131506010123Y000921</td>
<td align='center'>
J02.9 </td>
<td align='center'>
<font color='red'>Acute pharyngitis, unspecified</font> </td>

</tr>

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


<td>197</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024384</td>
<td>REFANO NAZRIL SAPUTRA</td>
<td>'</td>
<td>RT 24 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-06-2021</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Reza Suzana</td>
<td>BARU</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>198</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024388</td>
<td>QIANA NURAISA</td>
<td>'</td>
<td>RT 08 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-11-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Reza Suzana</td>
<td>BARU</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>199</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024396</td>
<td>YAHYA ARYA PUTRA</td>
<td>'</td>
<td>RT 02 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-08-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
L08.0 </td>
<td align='center'>
<font color='red'>Pyoderma</font> </td>

</tr>

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


<td>200</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019114</td>
<td>AZKA MAULANA AKBAR</td>
<td>'</td>
<td>RT 11 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-06-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R53 </td>
<td align='center'>
<font color='black'>Malaise and fatigue</font> </td>

</tr>

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


<td>201</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005542</td>
<td>FARHANA TAMARA WIYONO</td>
<td>'3503056803190001</td>
<td>RT 25 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-03-2019</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002757176122</td>
<td>131506010123Y001027</td>
<td align='center'>
B08.4 </td>
<td align='center'>
<font color='black'>Enteroviral vesicular stomatitis with
exanthem</font> </td>

</tr>

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


<td>202</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024408</td>
<td>MUHAMMAD AZMI SATRIA TRI WIBOWO</td>
<td>'</td>
<td>RT 31 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-05-2022</td>
<td>0</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
B01.9 </td>
<td align='center'>
<font color='red'>Varicella without complication</font> </td>

</tr>

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


<td>203</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009031</td>
<td>SHABIRA CHALISHA PUTRI</td>
<td>'3503056301190001</td>
<td>RT 15 RW 4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-01-2019</td>
<td>4</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI MTBS</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002741911108</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>204</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024443</td>
<td>NADILLA PUTRI</td>
<td>'3502056604190002</td>
<td>RT 2 RW 2</td>
<td>TUMPAK PELEM</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>26-04-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002761947077</td>
<td>131506010123Y001117</td>
<td align='center'>
A09.0 </td>
<td align='center'>
<font color='red'>Other and unspecified gastroenteritis and colitis of
infectious origin</font> </td>

</tr>
<tr align="left" valign="top">
<td>205</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024450</td>
<td>AQILA KAYESA PAMELA</td>
<td>'</td>
<td>RT 26 RW 6</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-07-2020</td>
<td>2</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>206</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022213</td>
<td>MUHAMMAD ARVIN FIRDAUS</td>
<td>'3503052004200001</td>
<td>RT 24 RW 04</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-04-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003296730295</td>
<td>131506010123Y001159</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>207</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024331</td>
<td>GENDIS HAYUNING KINASIH</td>
<td>'9271026703180002</td>
<td>RT 22 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-03-2018</td>
<td>4</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003243500469</td>
<td>131506010123Y001176</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>208</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015652</td>
<td>ALPIN ADI SAPUTRA</td>
<td>'3503051902190001</td>
<td>RT 12 RW 06</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-02-2019</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002747284907</td>
<td>131506010123Y001239</td>
<td align='center'>
H10.9 </td>
<td align='center'>
<font color='red'>Conjunctivitis, unspecified</font> </td>

</tr>

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


<td>209</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013954</td>
<td>EMBUN KHINARA</td>
<td>'3503054405210003</td>
<td>RT 08 RW 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-05-2021</td>
<td>1</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI MTBS</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0003081409852</td>
<td>131506010123Y001272</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>210</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004299</td>
<td>ARSYA FEBRIAN</td>
<td>'</td>
<td>RT 6 RW 3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-02-2021</td>
<td>1</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI MTBS</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
A09.9 </td>
<td align='center'>
<font color='red'>Gastroenteritis and colitis of unspecified
origin</font> </td>

</tr>

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


<td>211</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024011</td>
<td>SOPIYAH</td>
<td>'3503064303920001</td>
<td>DUSUN SOKO, RT : 7,RW :2 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>03-03-1992</td>
<td>30</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0001081911453</td>
<td>131506010123Y000096</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>212</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024012</td>
<td>MUSRI</td>
<td>'3503054908750002</td>
<td>DUSUN SOKO, RT : 51,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-08-1975</td>
<td>47</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666011698</td>
<td>131506010123Y000097</td>
<td align='center'>
N91.1 </td>
<td align='center'>
<font color='black'>Secondary amenorrhoea</font> </td>

</tr>

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


<td>213</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020035</td>
<td>SITI HARMINAH</td>
<td>'3503056908950001</td>
<td>DUSUN MLOKO, RT : 56,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-08-1995</td>
<td>27</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665777698</td>
<td>131506010123Y000100</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>214</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024017</td>
<td>LAILATUH HUSNAH</td>
<td>'3502051410010002</td>
<td>RT 1 RW 2</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>01-05-2001</td>
<td>21</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000660586342</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>215</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000657</td>
<td>RIRIN PRATIWI</td>
<td>'3503055105970001</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-08-1998</td>
<td>24</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666768947</td>
<td>131506010123Y000166</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>216</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008086</td>
<td>DESY KURNIAWATI</td>
<td>'3503056702020003</td>
<td>RT 54 RW 11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-02-2002</td>
<td>20</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802766533</td>
<td>131506010123Y000299</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>217</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000007</td>
<td>HAMIDAH</td>
<td>'3503064305830010</td>
<td>DUSUN KRAJAN, RT : 014,RW :004 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-05-1983</td>
<td>39</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106838357</td>
<td>131506010123Y000120</td>
<td align='center'>
Z35.8 </td>
<td align='center'>
<font color='black'>Supervision of other high-risk pregnancies</font>
</td>

</tr>

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


<td>218</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014962</td>
<td>RINAWATI YULISTIYAN</td>
<td>'3503056607820006</td>
<td>DUSUN GONDANG, RT : 32,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-07-1982</td>
<td>40</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003129653867</td>
<td>131506010123Y000232</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>219</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022790</td>
<td>SUSI ISMIATI</td>
<td>'3503055706920003</td>
<td>RT 01 RW 01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-06-1992</td>
<td>30</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>
</tr>

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


<td>220</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024048</td>
<td>RIA ASTUTI ULANDARI</td>
<td>'3503055804920003</td>
<td>RT 13 RW 3 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>18-04-1992</td>
<td>30</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002161144405</td>
<td>131506010123Y000182</td>
<td align='center'>
Z35.8 </td>
<td align='center'>
<font color='black'>Supervision of other high-risk pregnancies</font>
</td>

</tr>

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


<td>221</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021593</td>
<td>ERNA ISTIANINGSIH</td>
<td>'3503055502930001</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-02-1993</td>
<td>29</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978449052</td>
<td>131506010123P000462</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>222</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005332</td>
<td>KUS INDAH WINARTI</td>
<td>'3503055704000003</td>
<td>RT 20 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-04-2000</td>
<td>22</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665917749</td>
<td>131506010123Y000408</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>223</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000532</td>
<td>SAMINAH</td>
<td>'3503054807710002</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-07-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802749264</td>
<td>131506010123Y000421</td>
<td align='center'>
N89 </td>
<td align='center'>
<font color='black'>Other noninflammatory disorders of vagina</font>
</td>

</tr>

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


<td>224</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005531</td>
<td>NIA FARIDHOTUS SAFITRI</td>
<td>'3503055802970001</td>
<td>DUSUN KRAJAN, RT : 10,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-02-1997</td>
<td>25</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978435506</td>
<td>131506010123Y000422</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>225</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005686</td>
<td>TITIK SALIS HIDAYAH</td>
<td>'3503056209970001</td>
<td>DUSUN PAKEL, RT : 36,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-09-1997</td>
<td>25</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002097595135</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>226</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024142</td>
<td>RATIK</td>
<td>'3503064802870002</td>
<td>JAJAR, RT : 21,RW :8 </td>
<td>SALAMREJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>08-02-1987</td>
<td>35</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>227</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010092</td>
<td>LAILATUL BADRIYATI</td>
<td>'3503055501930001</td>
<td>RT 04 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-1993</td>
<td>30</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>228</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008851</td>
<td>AGUSTIN RIZKYA AGGRAINI</td>
<td>'3515136608990001</td>
<td>RT 14 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-08-1999</td>
<td>23</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>229</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020906</td>
<td>AMINATUL FUAD</td>
<td>'3503056404930001</td>
<td>DUSUN KEBONSARI, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-04-1993</td>
<td>29</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664917197</td>
<td>131506010123Y000503</td>
<td align='center'>
N92 </td>
<td align='center'>
<font color='black'>Excessive, frequent and irregular
menstruation</font> </td>

</tr>

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


<td>230</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013252</td>
<td>MUYATI</td>
<td>'3503055708850001</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-08-1985</td>
<td>37</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666224155</td>
<td>131506010123Y000532</td>
<td align='center'>
N83.2 </td>
<td align='center'>
<font color='black'>Other and unspecified ovarian cysts</font>
</td>
</tr>

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


<td>231</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011040</td>
<td>WIDIA SAFITRI</td>
<td>'3503055009000005</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-09-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665095059</td>
<td>131506010123Y000524</td>
<td align='center'>
O03.4 </td>
<td align='center'>
<font color='black'>Spontaneous abortion, incomplete, without
complication</font> </td>

</tr>

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


<td>232</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001121</td>
<td>NOVIA DIYAS WIJAYANTI</td>
<td>'3503055310910001</td>
<td>RT 13 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-11-1991</td>
<td>31</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>233</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020982</td>
<td>ELSA TIARA</td>
<td>'</td>
<td>RT 19 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-06-2007</td>
<td>15</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>234</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013925</td>
<td>SITI NURHIDAYATI</td>
<td>'3503056708000001</td>
<td>RT 08 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-08-2000</td>
<td>22</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002014087803</td>
<td>131506010123P000573</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>235</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024174</td>
<td>WEDA YUNITA LIGESTRIANA</td>
<td>'3503106606950001</td>
<td>RT 7 RW 4</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-06-1995</td>
<td>27</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665482443</td>
<td>131506010123Y000668</td>
<td align='center'>
Z34.8 </td>
<td align='center'>
<font color='black'>Supervision of other normal pregnancy</font>
</td>

</tr>

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


<td>236</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008179</td>
<td>HERLINDA FITRI FEBRIANA</td>
<td>'3503055102970001</td>
<td>RT 06 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-02-1997</td>
<td>25</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>237</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020539</td>
<td>ANITA SARI</td>
<td>'1602154801910001</td>
<td>RT 02 RW 04</td>
<td>SIDODADI</td>
<td>SUNGKAI SELATAN</td>
<td>LAMPUNG UTARA</td>
<td>08-01-1991</td>
<td>32</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>Ulik Tri Wahyuni,Amd.keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
N91.5 </td>
<td align='center'>
<font color='black'>Oligomenorrhoea, unspecified</font> </td>

</tr>

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


<td>238</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009105</td>
<td>SISWANTI</td>
<td>'3503056107790001</td>
<td>DUSUN GONDANG, RT : 7,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-07-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>SIH WAHYUDIATI,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666202566</td>
<td>131506010123Y000628</td>
<td align='center'>
Z30.9 </td>
<td align='center'>
<font color='black'>Contraceptive management, unspecified</font>
</td>

</tr>

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


<td>239</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004155</td>
<td>SRIWIGATI</td>
<td>'3503055607830002</td>
<td>RT 21 RW 04</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-07-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>SIH WAHYUDIATI,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667139668</td>
<td>131506010123Y000631</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>240</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011574</td>
<td>ETIK TRISNAWATI</td>
<td>'3503056509870001</td>
<td>DESA KEBONSARI, RT : 28,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-09-1987</td>
<td>35</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>241</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008968</td>
<td>RINDI AYUN ASTRIANDA</td>
<td>'3503055607980001</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-07-1998</td>
<td>24</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106505627</td>
<td>131506010123Y000849</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>242</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020247</td>
<td>ALIFA PUTRI ARUM ISLAMIAH</td>
<td>'9171035001010001</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-01-2001</td>
<td>22</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665691761</td>
<td>131506010123Y000850</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>243</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019153</td>
<td>DIAS KRIS DAMAYANTI</td>
<td>'3503055904990001</td>
<td>ETAN KALI, RT : 21,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-04-1999</td>
<td>23</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000665660553</td>
<td>131506010123Y000851</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>
</tr>

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


<td>244</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014906</td>
<td>SUSIANA</td>
<td>'3503055007890002</td>
<td>DUSUN PAKEL, RT : 155,RW :8 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-07-1989</td>
<td>33</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867871442</td>
<td>131506010123Y000853</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>245</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017858</td>
<td>SURATI</td>
<td>'3503054505710004</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-05-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978458074</td>
<td>131506010123Y000753</td>
<td align='center'>
N83.2 </td>
<td align='center'>
<font color='black'>Other and unspecified ovarian cysts</font>
</td>

</tr>

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


<td>246</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020040</td>
<td>EKA ADI PUTRI</td>
<td>'3503076007010001</td>
<td>DUSUN TANJUNG, RT : 12,RW :2 </td>
<td>NGADIMULYO</td>
<td>KAMPAK</td>
<td>TRENGGALEK</td>
<td>20-07-2001</td>
<td>21</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000663739209</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>247</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023617</td>
<td>PURNAMA SARI (2)</td>
<td>'3503115504920003</td>
<td>RT 14 RW 03</td>
<td>KERJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>15-04-1992</td>
<td>30</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666000426</td>
<td>131506010123Y000859</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>248</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006902</td>
<td>IRZAKI YATUN N</td>
<td>'3503054303000001</td>
<td>RT 3 RW 1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-03-2000</td>
<td>22</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003280397106</td>
<td>131506010123Y001011</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>249</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019746</td>
<td>HARI BUDI KARTINI</td>
<td>'3503067008860002</td>
<td>DUSUN JAMPI, RT : 3,RW :1 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>30-08-1986</td>
<td>36</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001858094752</td>
<td>131506010123Y001012</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>250</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019759</td>
<td>FITRI WULANSARI</td>
<td>'3503065704900002</td>
<td>RT.10 RW.02</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-04-1990</td>
<td>32</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K I A</td>
<td>Ulik Tri Wahyuni,Amd.keb</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665087253</td>
<td>131506010123Y001106</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>251</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024377</td>
<td>RATNA WULANDARI</td>
<td>'3503065806900001</td>
<td>SOKO, RT : 10,RW :2 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>18-06-1990</td>
<td>32</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>Istirohmawati,S.S.T.</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>252</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024382</td>
<td>NOPA ANDRIANI</td>
<td>'3503055011000003</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-11-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI K I A</td>
<td>Ulik Tri Wahyuni,Amd.keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002190268089</td>
<td>131506010123Y001108</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>253</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023624</td>
<td>PURYATI</td>
<td>'3503056005820001</td>
<td>RT 53 RW 11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-05-1982</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666225865</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>254</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019796</td>
<td>IKA PRAHARANI RAHAYU</td>
<td>'3503056207850001</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-07-1985</td>
<td>37</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978449401</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>
</tr>

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


<td>255</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019774</td>
<td>SRI LESTARI</td>
<td>'3503054106900003</td>
<td>DUSUN SOKO, RT : 51,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1990</td>
<td>32</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI K I A</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002681644577</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>256</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010427</td>
<td>NANIK NURYANI</td>
<td>'3503055509840003</td>
<td>DUSUN KEBONSARI, RT : 30,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-09-1984</td>
<td>38</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664996623</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>257</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019465</td>
<td>IKA RIMA MARDIANTI</td>
<td>'3503055403960001</td>
<td>DUSUN BENGGLE, RT : 12,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-03-1996</td>
<td>26</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>258</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017929</td>
<td>NURUL HIDAYAH</td>
<td>'9103015209870005</td>
<td>NGLEGOK, RT : 10,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-09-1987</td>
<td>35</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002729557113</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>259</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023679</td>
<td>ELPIA PITANTI</td>
<td>'</td>
<td>RT 23 RW 4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-06-1992</td>
<td>30</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLI K I A</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000200191375</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>260</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019845</td>
<td>GUSLINA RAHMAWATI</td>
<td>'3503055708880002</td>
<td>DUSUN KRAJAN, RT : 8,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-08-1988</td>
<td>34</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLI K I A</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665435226</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>261</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007832</td>
<td>RIRIN DWI RAHAYU</td>
<td>'3503056411930001</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-11-1993</td>
<td>29</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI K I A</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978434336</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>262</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021364</td>
<td>MUMA HUSNA MULIANA</td>
<td>'3503056005850001</td>
<td>RT 04 RW 01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-05-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>263</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021651</td>
<td>NURUL AZIZAH</td>
<td>'3503016910970002</td>
<td>RT 43 RW 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-10-1997</td>
<td>25</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664132241</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>264</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019206</td>
<td>NURUL HIDAYAH</td>
<td>'3503054107970005</td>
<td>DESA WINONG, RT : 2,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1997</td>
<td>25</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665952041</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>265</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002535</td>
<td>ANITA NINGSIH</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-08-1984</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>
<tr align="left" valign="top">
<td>266</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024405</td>
<td>IDA PURWATI</td>
<td>'3503056003990001</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-03-1999</td>
<td>23</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLI K I A</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000665323435</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>267</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018658</td>
<td>SISKA MARYANI</td>
<td>'3503066211960001</td>
<td>RT 12 RW 04</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-11-1996</td>
<td>26</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707013135</td>
<td>131506010123Y000297</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>268</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013762</td>
<td>EMI FETRIANI</td>
<td>'3503054509940001</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-09-1994</td>
<td>28</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K I A</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037001802</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>269</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024442</td>
<td>DHEBI OCTAVIA</td>
<td>'3518156410890001</td>
<td>RT 14 RW 05</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-10-1989</td>
<td>33</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>270</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021433</td>
<td>AID DATUL FAIZAH</td>
<td>'3503056106850003</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-06-1985</td>
<td>37</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K I A</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>271</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024411</td>
<td>REVANDA SYIFA`UL K.</td>
<td>'</td>
<td>RT 57 RW 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-01-2007</td>
<td>16</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>272</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024412</td>
<td>YENI FATMASARI</td>
<td>'3503054607980001</td>
<td>RT 12 RW 04</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-07-1998</td>
<td>24</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978465015</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>273</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003056</td>
<td>WIDA JANUARTININGTRIYAS</td>
<td>'3216065701900007</td>
<td>RT 12 RW 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-01-1990</td>
<td>33</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI BUMN</td>
<td>'0000665892821</td>
<td>131506010123Y001127</td>
<td align='center'>
Z30.1 </td>
<td align='center'>
<font color='black'>Insertion of (intrauterine) contraceptive
device</font> </td>

</tr>

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


<td>274</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024444</td>
<td>SOINEM</td>
<td>'3503056404810001</td>
<td>SOOKO, RT : 42,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-04-1981</td>
<td>41</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>275</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024190</td>
<td>DEWI ISWATUN KHASANAH</td>
<td>'3503056401000001</td>
<td>RT 18 RW 5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-01-2000</td>
<td>23</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665038113</td>
<td>131506010123Y000594</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>276</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017492</td>
<td>ROMSIAH</td>
<td>'3503064808880001</td>
<td>RT 26 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-08-1988</td>
<td>34</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978402465</td>
<td>131506010123Y001221</td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>277</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024550</td>
<td>SULAIMAH</td>
<td>'2171095811800001</td>
<td>RT 16 RW 4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-11-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0001978458311</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

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


<td>278</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020080</td>
<td>SANTI PUJI RAHAYU</td>
<td>'3503115709930002</td>
<td>DUSUN KEBONSARI, RT : 30,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-09-1993</td>
<td>29</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K I A</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>
</tr>

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


<td>279</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024007</td>
<td>WAHYU WIDODO</td>
<td>'3503110711910002</td>
<td>RT 10 RW 4</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-11-1991</td>
<td>31</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0002772999663</td>
<td>131506010123Y000155</td>
<td align='center'>
K03.6 </td>
<td align='center'>
<font color='black'>Deposits [accretions] on teeth</font> </td>

</tr>

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


<td>280</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002364</td>
<td>WARAS</td>
<td>'3503123112760012</td>
<td>DUSUN TENGGAR, RT : 4,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1976</td>
<td>46</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K04.0 </td>
<td align='center'>
<font color='black'>Pulpitis</font> </td>

</tr>

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


<td>281</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024022</td>
<td>KEISHA ZAHRA RIADI</td>
<td>'3503055908150002</td>
<td>RT 034 RW 008</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-08-2015</td>
<td>7</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>282</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002104</td>
<td>MUSLIMAH</td>
<td>'3503056005720002</td>
<td>KARANGPLOSO, RT : 012,RW :004 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-05-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106539344</td>
<td>131506010123Y000290</td>
<td align='center'>
K02.1 </td>
<td align='center'>
<font color='black'>Caries of dentine</font> </td>

</tr>

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


<td>283</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009834</td>
<td>RIFQIE HAIDAR ARHAP</td>
<td>'</td>
<td>RT 05 RW 01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>29-04-2015</td>
<td>7</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>284</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012756</td>
<td>MAELA KARTIKA PUTRI</td>
<td>'3503057001160001</td>
<td>DUSUN PAKEL, RT : 39,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-01-2016</td>
<td>6</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002213757235</td>
<td>131506010123Y000291</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>285</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005709</td>
<td>BINANDA FAHRUL FAUZI</td>
<td>'3503051007140001</td>
<td>RT 2 RW 1</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-07-2014</td>
<td>8</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978468097</td>
<td>131506010123Y000169</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>286</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014412</td>
<td>ADRIAN PRADIPTA NAUFAL</td>
<td>'</td>
<td>RT 11 RW 04</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-07-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>287</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011400</td>
<td>ASTINIA WIDYASTUTI</td>
<td>'3503144701940001</td>
<td>RT 01 RW 01</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-01-1994</td>
<td>29</td>
<td>P</td>
<td>Dokter</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000006035128</td>
<td>131506010123Y000258</td>
<td align='center'>
K04.0 </td>
<td align='center'>
<font color='black'>Pulpitis</font> </td>

</tr>

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


<td>288</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023399</td>
<td>MOCH AHMAD ARI SANDI</td>
<td>'3503050402080004</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-02-2008</td>
<td>14</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666184296</td>
<td>131506010123Y000274</td>
<td align='center'>
K02.1 </td>
<td align='center'>
<font color='black'>Caries of dentine</font> </td>

</tr>

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


<td>289</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018887</td>
<td>RANGGA YUDA ADI PRATAMA</td>
<td>'3503052312030003</td>
<td>RT 19 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-12-2003</td>
<td>19</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665858507</td>
<td>131506010123Y000300</td>
<td align='center'>
K03.6 </td>
<td align='center'>
<font color='black'>Deposits [accretions] on teeth</font> </td>

</tr>

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


<td>290</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013012</td>
<td>BELGIS ZALLITA AUDRIA ZALIANTI</td>
<td>'3503054708080001</td>
<td>DUSUN TENGGAR, RT : 9,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-08-2008</td>
<td>14</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867872037</td>
<td>131506010123Y000301</td>
<td align='center'>
K04.0 </td>
<td align='center'>
<font color='black'>Pulpitis</font> </td>

</tr>

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


<td>291</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006730</td>
<td>TUMIRAN</td>
<td>'</td>
<td>RT 10 RW 4</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-03-1960</td>
<td>62</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978446778</td>
<td></td>
<td align='center'>
K04.0 </td>
<td align='center'>
<font color='black'>Pulpitis</font> </td>

</tr>

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


<td>292</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011289</td>
<td>ERNI SULISTIANI</td>
<td>'3503055209890003</td>
<td>RT 11 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-09-1989</td>
<td>33</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001617471742</td>
<td>131506010123Y000429</td>
<td align='center'>
K02.1 </td>
<td align='center'>
<font color='black'>Caries of dentine</font> </td>

</tr>

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


<td>293</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018456</td>
<td>NAILA NUR AZIZAH</td>
<td>'</td>
<td>RT 04 RW 02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-01-2016</td>
<td>6</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>294</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024131</td>
<td>FELLISA AYUNDA CHOIRI</td>
<td>'3503054909130001</td>
<td>RT 33 RW 8</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-09-2013</td>
<td>9</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PRAJURIT AD</td>
<td>'0002089211578</td>
<td>131506010123Y000431</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>295</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024033</td>
<td>AZSKA TAUFIK HAJIANSYAH</td>
<td>'3503052709160004</td>
<td>DESA WINONG, RT : 2,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-09-2016</td>
<td>6</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003012960093</td>
<td>131506010123Y000436</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>296</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024149</td>
<td>ARIF WAHYU AMBRIYONO</td>
<td>'3503050202880002</td>
<td>DUSUN KRAJAN, RT : 002,RW :001 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-02-1988</td>
<td>34</td>
<td>L</td>
<td>WIRASWASTA</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K03.6 </td>
<td align='center'>
<font color='black'>Deposits [accretions] on teeth</font> </td>

</tr>

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


<td>297</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024150</td>
<td>NILNA FATIHATUS SYIFA</td>
<td>'3503055411150001</td>
<td>DUSUN KRAJAN, RT : 19,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-11-2015</td>
<td>7</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067903517</td>
<td>131506010123Y000501</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>
</tr>

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


<td>298</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011679</td>
<td>PAIDJO</td>
<td>'</td>
<td>RT 35 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-01-1954</td>
<td>69</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106892471</td>
<td>131506010123Y000502</td>
<td align='center'>
K05.3 </td>
<td align='center'>
<font color='black'>Chronic periodontitis</font> </td>

</tr>

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


<td>299</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024153</td>
<td>NADINE KHAIRA HANIFA</td>
<td>'3503054304010003</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-04-2015</td>
<td>7</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>300</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024154</td>
<td>HENDRIK BAHRUDIN</td>
<td>'</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-10-2015</td>
<td>7</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>301</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024155</td>
<td>IKE TESTIANA</td>
<td>'3503057001880001</td>
<td>RT 8 RW 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-01-1988</td>
<td>34</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0000100053213</td>
<td></td>
<td align='center'>
K01.1 </td>
<td align='center'>
<font color='black'>Impacted teeth</font> </td>

</tr>

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


<td>302</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006234</td>
<td>DZAKIYA FAZA T. Z.</td>
<td>'3503054711130001</td>
<td>DUKUH, RT : 022,RW :008 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-11-2013</td>
<td>9</td>
<td>P</td>
<td>BELUM/TIDAK BEKERJA</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002589294082</td>
<td>131506010123Y000504</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>303</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024156</td>
<td>LEON LANGIT P.</td>
<td>'3503051712160001</td>
<td>JAMBU, RT : 022,RW :008 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-12-2016</td>
<td>6</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>304</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024171</td>
<td>SYEINA MUTIARA AGUSTIN</td>
<td>'3503055808160001</td>
<td>DUSUN CORAH MULYO, RT : 2,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-08-2016</td>
<td>6</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>305</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014722</td>
<td>QUEENZA KHALIFTA AFSOH</td>
<td>'</td>
<td>RT 004 RW 002</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-09-2011</td>
<td>11</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K04.0 </td>
<td align='center'>
<font color='black'>Pulpitis</font> </td>

</tr>

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


<td>306</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011783</td>
<td>MUHAMMAD IJLAL EL ZAAHIR</td>
<td>'3503050104150001</td>
<td>RT 16 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-2015</td>
<td>7</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802764968</td>
<td>131506010123Y000747</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>307</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014216</td>
<td>AQILLA AZAHIRA</td>
<td>'</td>
<td>RT 14 RW 05</td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>15-04-2016</td>
<td>6</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>308</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024191</td>
<td>JIMUN</td>
<td>'3503052607840003</td>
<td>RT 60 RW 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-07-1984</td>
<td>38</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037015392</td>
<td>131506010123Y000759</td>
<td align='center'>
K04.7 </td>
<td align='center'>
<font color='black'>Periapical abscess without sinus</font> </td>

</tr>

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


<td>309</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024194</td>
<td>JULIANA HIDAYATUS SYIFA</td>
<td>'3503065607090001</td>
<td>DUSUN KRAJAN, RT : 20,RW :4 </td>
<td>KERJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>16-07-2009</td>
<td>13</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003088631711</td>
<td>131506010123Y000760</td>
<td align='center'>
K04.4 </td>
<td align='center'>
<font color='black'>Acute apical periodontitis of pulpal origin</font>
</td>

</tr>

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


<td>310</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024196</td>
<td>FADHILA TSANIA AZZAHRA</td>
<td>'3503054701130001</td>
<td>DESA SUKOREJO, RT : 11,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-01-2013</td>
<td>10</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PEGAWAI SWASTA</td>
<td>'0002094169342</td>
<td></td>
<td align='center'>
K04.4 </td>
<td align='center'>
<font color='black'>Acute apical periodontitis of pulpal origin</font>
</td>

</tr>

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


<td>311</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002064</td>
<td>MISIRAH</td>
<td>'</td>
<td>RT 17 RW 07</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1959</td>
<td>63</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666232007</td>
<td>131506010123Y000770</td>
<td align='center'>
K13.1 </td>
<td align='center'>
<font color='black'>Cheek and lip biting</font> </td>

</tr>

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


<td>312</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024211</td>
<td>SULTHON FADILAH RAMADAN</td>
<td>'3513042511010002</td>
<td>RT 5 RW 2</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-11-2001</td>
<td>21</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0001303080794</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>313</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017534</td>
<td>TUMIRAN</td>
<td>'3503052303600001</td>
<td>DUSUN JUMOK, RT : 10,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-03-1960</td>
<td>62</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K04.0 </td>
<td align='center'>
<font color='black'>Pulpitis</font> </td>

</tr>

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


<td>314</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007837</td>
<td>MUTIKAH</td>
<td>'3503054806630001</td>
<td>RT 9 RW 4</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-06-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K04.0 </td>
<td align='center'>
<font color='black'>Pulpitis</font> </td>

</tr>
<tr align="left" valign="top">
<td>315</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024215</td>
<td>ANINDIYA DWI ANGGITA</td>
<td>'3503065503990002</td>
<td>RT 24 RW 08</td>
<td>SUMURUP</td>
<td>BENDUNGAN</td>
<td>TRENGGALEK</td>
<td>15-03-1999</td>
<td>23</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K04.7 </td>
<td align='center'>
<font color='black'>Periapical abscess without sinus</font> </td>

</tr>

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


<td>316</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024216</td>
<td>NAFIELKA RISNA AISHILA</td>
<td>'3503055101180001</td>
<td>RT 18 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-01-2018</td>
<td>5</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002419343019</td>
<td>131506010123Y000773</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>
</tr>

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


<td>317</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024221</td>
<td>KARMIATUN</td>
<td>'3503064608730004</td>
<td>DUSUN SOKO, RT : 11,RW :2 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>06-08-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003128828308</td>
<td>131506010123Y000775</td>
<td align='center'>
K05.3 </td>
<td align='center'>
<font color='black'>Chronic periodontitis</font> </td>

</tr>

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


<td>318</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010488</td>
<td>MUKATIN</td>
<td>'3503055701770002</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-01-1977</td>
<td>46</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K04.7 </td>
<td align='center'>
<font color='black'>Periapical abscess without sinus</font> </td>

</tr>

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


<td>319</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017925</td>
<td>BRIANNA REISA ARIANDO</td>
<td>'3503055011160001</td>
<td>RT 006 RW 001</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-11-2016</td>
<td>6</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI BUMN</td>
<td>'0003070028384</td>
<td>131506010123Y000781</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>320</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024243</td>
<td>KEISYA SHAQUEENA CHANDRA</td>
<td>'3503064108170001</td>
<td>RT 05 RW 02</td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>01-08-2017</td>
<td>5</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>ANGGOTA POLRI</td>
<td>'0002914647568</td>
<td>131506010123Y000852</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>321</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024263</td>
<td>CINDY AGNESARI (1)</td>
<td>'3503034608960002</td>
<td>RT. 009, RW. 001 DESA TANGGARAN, KECAMATAN PULE, KABUPATEN
TRENGGALEK, RT : 9,RW :1 </td>
<td>TANGGARAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>06-08-1996</td>
<td>26</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002579793028</td>
<td>131506010123Y000856</td>
<td align='center'>
K03.6 </td>
<td align='center'>
<font color='black'>Deposits [accretions] on teeth</font> </td>

</tr>

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


<td>322</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021322</td>
<td>SYIFA AZZAHRA</td>
<td>'3503054909130002</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-09-2013</td>
<td>9</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>323</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024267</td>
<td>IKA PURWIANI</td>
<td>'3503056105890002</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-05-1989</td>
<td>33</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666105243</td>
<td>131506010123Y000857</td>
<td align='center'>
K03.6 </td>
<td align='center'>
<font color='black'>Deposits [accretions] on teeth</font> </td>

</tr>

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


<td>324</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017922</td>
<td>NAFRA AULIA PUTRI</td>
<td>'3503056211130001</td>
<td>TENGGAR, RT : 1,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-11-2013</td>
<td>9</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802763337</td>
<td>131506010123Y000861</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>325</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004105</td>
<td>RAFIF AHNAF KHAIRUNNAS</td>
<td>'3503052705140005</td>
<td>SOOKO, RT : 45,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-05-2014</td>
<td>8</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0003069914826</td>
<td>131506010123Y001007</td>
<td align='center'>
K04.0 </td>
<td align='center'>
<font color='black'>Pulpitis</font> </td>

</tr>

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


<td>326</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024340</td>
<td>ARIF TEGUH SANTOSO</td>
<td>'3503051305930003</td>
<td>RT 9 RW 3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-05-1993</td>
<td>29</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666900639</td>
<td>131506010123Y001008</td>
<td align='center'>
K04.4 </td>
<td align='center'>
<font color='black'>Acute apical periodontitis of pulpal origin</font>
</td>

</tr>

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


<td>327</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003317</td>
<td>NUR HIDAYAH</td>
<td>'3503054203970004</td>
<td>RT. 18 RW. 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-03-1997</td>
<td>25</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666302512</td>
<td>131506010123Y001009</td>
<td align='center'>
K04.0 </td>
<td align='center'>
<font color='black'>Pulpitis</font> </td>

</tr>

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


<td>328</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005374</td>
<td>DICKY PUTRA SETIAWAN</td>
<td>'3503052507020001</td>
<td>RT 12 RW 4</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-07-2002</td>
<td>20</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037007685</td>
<td>131506010123Y001010</td>
<td align='center'>
K03.6 </td>
<td align='center'>
<font color='black'>Deposits [accretions] on teeth</font> </td>

</tr>

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


<td>329</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024344</td>
<td>ELSA FATMAWIYANTI (1)</td>
<td>'3503054212960001</td>
<td>RT 016 RW 003</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-12-1996</td>
<td>26</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665601445</td>
<td>131506010123Y001013</td>
<td align='center'>
K04.0 </td>
<td align='center'>
<font color='black'>Pulpitis</font> </td>

</tr>

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


<td>330</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024345</td>
<td>ELSA FATMAWIYANTI</td>
<td>'3503054212960001</td>
<td>RT 016 RW 003</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-12-1996</td>
<td>26</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665601445</td>
<td></td>
<td align='center'>
K04.0 </td>
<td align='center'>
<font color='black'>Pulpitis</font> </td>

</tr>

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


<td>331</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024360</td>
<td>FIRZA PUTRA SASONGKO</td>
<td>'</td>
<td>RT 11 RW 4</td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>23-02-2014</td>
<td>8</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>332</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024376</td>
<td>IRAWATI</td>
<td>'3503056208890002</td>
<td>DUSUN BENGGLE, RT : 12,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-08-1989</td>
<td>33</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002735132139</td>
<td>131506010123Y001073</td>
<td align='center'>
K05.3 </td>
<td align='center'>
<font color='black'>Chronic periodontitis</font> </td>

</tr>

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


<td>333</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001456</td>
<td>PAISAH</td>
<td>'</td>
<td>PRAMBON RT 40 RW 07</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-04-1961</td>
<td>61</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666506272</td>
<td>131506010123Y001074</td>
<td align='center'>
K04.7 </td>
<td align='center'>
<font color='black'>Periapical abscess without sinus</font> </td>

</tr>
<tr align="left" valign="top">
<td>334</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012171</td>
<td>KHALISAH ZAKIRAH AMATULLAH</td>
<td>'3503054510190001</td>
<td>RT 36 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-10-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002899478439</td>
<td>131506010123Y001075</td>
<td align='center'>
K05.3 </td>
<td align='center'>
<font color='black'>Chronic periodontitis</font> </td>

</tr>

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


<td>335</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007381</td>
<td>RISMA CITRA LESTARI</td>
<td>'3503055904090002</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-04-2009</td>
<td>13</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000195400809</td>
<td>131506010123Y001076</td>
<td align='center'>
K02.1 </td>
<td align='center'>
<font color='black'>Caries of dentine</font> </td>
</tr>

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


<td>336</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009477</td>
<td>SALSABILA LINTANG PERDANA</td>
<td>'3519144909150002</td>
<td>DUSUN PONGGOK, RT : 22,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-09-2015</td>
<td>7</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>337</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024398</td>
<td>REVINA FEBRIANI FIRLIAN</td>
<td>'3503055502160001</td>
<td>RT 22 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-02-2016</td>
<td>6</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002210110299</td>
<td>131506010123Y001077</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>338</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014058</td>
<td>REVAN FARIS IRAWAN</td>
<td>'3503052112150001</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-12-2015</td>
<td>7</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>339</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024404</td>
<td>FITRIA MARGARETA</td>
<td>'3503056703950002</td>
<td>GONDANG 29/07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-03-1995</td>
<td>27</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068161626</td>
<td>131506010123Y001069</td>
<td align='center'>
K02.1 </td>
<td align='center'>
<font color='black'>Caries of dentine</font> </td>

</tr>

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


<td>340</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020914</td>
<td>ASMIRALAVINA NAZILLA ZAIN</td>
<td>'3503056504170001</td>
<td>DUSUN KRAJAN, RT : 24,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-04-2017</td>
<td>5</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002251400556</td>
<td>131506010123Y001070</td>
<td align='center'>
K04.5 </td>
<td align='center'>
<font color='black'>Chronic apical periodontitis</font> </td>

</tr>

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


<td>341</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010169</td>
<td>DEWI FUJI ASTUTIK</td>
<td>'3503116002030002</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-02-2003</td>
<td>19</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666285322</td>
<td>131506010123Y001072</td>
<td align='center'>
K04.5 </td>
<td align='center'>
<font color='black'>Chronic apical periodontitis</font> </td>

</tr>

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


<td>342</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010792</td>
<td>AIKO HANI ASAFFA</td>
<td>'3503056711160001</td>
<td>DUSUN KRAJAN, RT : 2,RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-11-2016</td>
<td>6</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>343</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024436</td>
<td>LAMIYEM</td>
<td>'9111024101560010</td>
<td>RT 25 RW 5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-10-1956</td>
<td>66</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0000106573746</td>
<td></td>
<td align='center'>
K05.3 </td>
<td align='center'>
<font color='black'>Chronic periodontitis</font> </td>

</tr>

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


<td>344</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006026</td>
<td>SAFRIANA FRESSY ANANTA</td>
<td>'3503054307040004</td>
<td>DUSUN KRAJAN, RT : 4,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-07-2004</td>
<td>18</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106713448</td>
<td>131506010123Y001126</td>
<td align='center'>
K04.7 </td>
<td align='center'>
<font color='black'>Periapical abscess without sinus</font> </td>

</tr>

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


<td>345</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024210</td>
<td>LUQMAN ROSADI</td>
<td>' 3503050905940002</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-05-1994</td>
<td>28</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667308126</td>
<td>131506010123Y001151</td>
<td align='center'>
K04.4 </td>
<td align='center'>
<font color='black'>Acute apical periodontitis of pulpal origin</font>
</td>

</tr>

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


<td>346</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003191</td>
<td>FARIDA ANGGRAENI</td>
<td>'3503056703800001</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-03-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665816973</td>
<td>131506010123Y001153</td>
<td align='center'>
K05.3 </td>
<td align='center'>
<font color='black'>Chronic periodontitis</font> </td>

</tr>

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


<td>347</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022446</td>
<td>SITI AISYAH RAMADHANI</td>
<td>'</td>
<td>RT 36 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-09-2008</td>
<td>14</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K04.4 </td>
<td align='center'>
<font color='black'>Acute apical periodontitis of pulpal origin</font>
</td>

</tr>

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


<td>348</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017854</td>
<td>FANO FRADANA</td>
<td>'3503052406160002</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-06-2016</td>
<td>6</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002069126594</td>
<td>131506010123Y001128</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>349</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004030</td>
<td>ABBAS SANDY PANGESTU</td>
<td>'3503051505150005</td>
<td>RT 22 RW 6</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-05-2015</td>
<td>7</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002420472881</td>
<td>131506010123Y001157</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>350</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024447</td>
<td>QAMRA PUTRI NURAIDA</td>
<td>'3503064610150002</td>
<td>DUSUN SOKO, RT : 10,RW :2 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>06-10-2015</td>
<td>7</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K04.4 </td>
<td align='center'>
<font color='black'>Acute apical periodontitis of pulpal origin</font>
</td>

</tr>
<tr align="left" valign="top">
<td>351</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024041</td>
<td>ENI SUSANTI</td>
<td>'3503055005760007</td>
<td>RT 6 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-05-1976</td>
<td>46</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000170081032</td>
<td>131506010123Y001191</td>
<td align='center'>
K05.3 </td>
<td align='center'>
<font color='black'>Chronic periodontitis</font> </td>

</tr>

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


<td>352</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021563</td>
<td>EMBUN RISQYA SALSABILLA</td>
<td>'3503054908140001</td>
<td>DUSUN KRAJAN, RT : 4,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-08-2014</td>
<td>8</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002448544173</td>
<td>131506010123Y001192</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>
</tr>

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


<td>353</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022118</td>
<td>AVERILL CALYA RATIFA GIZHAWA (1)</td>
<td>'3503054304160002</td>
<td>DUSUN TENGGAR, RT : 5,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-04-2016</td>
<td>6</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002776550455</td>
<td>131506010123Y001198</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>354</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006542</td>
<td>AQILLA OCTAVIA PUTRI</td>
<td>'3503055510150002</td>
<td>RT 10 RW 2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-10-2015</td>
<td>7</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002594700336</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>355</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023185</td>
<td>ARJUNA ARYA SATYA</td>
<td>'</td>
<td>RT 21 RW 08</td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-11-2019</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K04.7 </td>
<td align='center'>
<font color='black'>Periapical abscess without sinus</font> </td>

</tr>

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


<td>356</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011382</td>
<td>BISMA WAHYU PRATAMA</td>
<td>'3503051603190002</td>
<td>RT 43 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-03-2019</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002752590756</td>
<td>131506010123Y001006</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>357</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009825</td>
<td>HADI SANTOSO</td>
<td>'3503051004630001</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-04-1963</td>
<td>59</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0001103836454</td>
<td>131506010123Y001071</td>
<td align='center'>
K04.0 </td>
<td align='center'>
<font color='black'>Pulpitis</font> </td>

</tr>

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


<td>358</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024232</td>
<td>SUCIANI</td>
<td>'3507154701770002</td>
<td>RT 4 RW 2</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-01-1977</td>
<td>46</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K05.3 </td>
<td align='center'>
<font color='black'>Chronic periodontitis</font> </td>

</tr>

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


<td>359</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010729</td>
<td>ISNA MIRAHAYU</td>
<td>'3503057105050001</td>
<td>DESA GONDANG, RT : 13,RW :3 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-05-2005</td>
<td>17</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666146643</td>
<td></td>
<td align='center'>
K04.0 </td>
<td align='center'>
<font color='black'>Pulpitis</font> </td>

</tr>

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


<td>360</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024521</td>
<td>DEVANIA CITRA ISABYAN</td>
<td>'3502066707150001</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-07-2015</td>
<td>7</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>361</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004597</td>
<td>IMAM ROZAVTAMA</td>
<td>'3503051101930001</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-01-1993</td>
<td>30</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665921709</td>
<td></td>
<td align='center'>
K02.1 </td>
<td align='center'>
<font color='black'>Caries of dentine</font> </td>

</tr>

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


<td>362</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024524</td>
<td>VIRENDRA MAHARDIKA</td>
<td>'3503062510170002</td>
<td>DUSUN BURET, RT : 15,RW :5 </td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>25-10-2017</td>
<td>5</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>363</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018616</td>
<td>MIRATIN</td>
<td>'9271036503730003</td>
<td>RT 08/03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-03-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI GIGI</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PRAJURIT AD</td>
<td>'0001313456523</td>
<td></td>
<td align='center'>
K03.6 </td>
<td align='center'>
<font color='black'>Deposits [accretions] on teeth</font> </td>

</tr>

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


<td>364</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012152</td>
<td>SRIATUN</td>
<td>'3503054710650002</td>
<td>RT 001 RW 001</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-10-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001037007167</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>365</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006209</td>
<td>DINEM</td>
<td>'3503057112650012</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1965</td>
<td>57</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665400352</td>
<td>131506010123Y000083</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>366</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007763</td>
<td>NOVI NADIATUS SOLEKAH</td>
<td>'3503055311000001-497101</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-11-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002491547883</td>
<td>131506010123Y000080</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>367</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018568</td>
<td>SARTUN</td>
<td>' </td>
<td>DUSUN GERBO, RT : 16,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-09-1970</td>
<td>52</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666906028</td>
<td>131506010123Y000081</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>368</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024008</td>
<td>NANDIKA TIO PRISKI</td>
<td>'</td>
<td>RT 027 RW 007</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-02-2005</td>
<td>17</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>369</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008274</td>
<td>MUHAMAD ROZIN ZAKI</td>
<td>'3503052608980001</td>
<td>DUSUN SETONO, RT : 14,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-08-1998</td>
<td>24</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>370</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017733</td>
<td>MUNARTI</td>
<td>'3503054803750005</td>
<td>DUSUN SOKO, RT : 49,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-03-1975</td>
<td>47</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067661474</td>
<td>131506010123Y000077</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>371</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017195</td>
<td>SUTRIMO</td>
<td>'3503053112720019</td>
<td>DUSUN SOKO, RT : 49,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1972</td>
<td>50</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067661441</td>
<td>131506010123Y000076</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>372</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024010</td>
<td>HARI ASTUTIK</td>
<td>'3503054107830021</td>
<td>RT 015 RW 006</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860463215</td>
<td>131506010123Y000008</td>
<td align='center'>
H52.5 </td>
<td align='center'>
<font color='black'>Disorders of accommodation</font> </td>

</tr>

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


<td>373</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001693</td>
<td>JOKO SUSANTO</td>
<td>'3503051008710004</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-08-1971</td>
<td>51</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
F20 </td>
<td align='center'>
<font color='black'>Schizophrenia</font> </td>

</tr>

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


<td>374</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000854</td>
<td>RADIFTA HAFIS SAPUTRA</td>
<td>'</td>
<td>PRAMBON RT 18</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-05-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002251645029</td>
<td>131506010123Y000078</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>375</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009374</td>
<td>JUARTI</td>
<td>'3503054503750002</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-03-1975</td>
<td>47</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664932914</td>
<td>131506010123Y000043</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>376</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002641</td>
<td>MUHAMMAD ZAHDAN ILHAM ILYAS</td>
<td>'</td>
<td>RT 8 RW 4</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-06-2014</td>
<td>8</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002424644932</td>
<td>131506010123Y000007</td>
<td align='center'>
G40 </td>
<td align='center'>
<font color='black'>Epilepsy</font> </td>

</tr>

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


<td>377</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022877</td>
<td>MURI</td>
<td>'3503050107660010</td>
<td>RT 10RW 04</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1966</td>
<td>56</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037006831</td>
<td>131506010123Y000015</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>378</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001420</td>
<td>SURYATIN</td>
<td>'9171026508750003</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-08-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003058785347</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>379</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024009</td>
<td>REKE BANGKIT FAJRIANI</td>
<td>'3503056005980001</td>
<td>RT 6 RW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-05-1998</td>
<td>24</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000666988402</td>
<td>131506010123Y000057</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

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


<td>380</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022481</td>
<td>JEMINAH</td>
<td>'3503055012700001</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1970</td>
<td>52</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0000665771758</td>
<td>131506010123Y000075</td>
<td align='center'>
L30.9 </td>
<td align='center'>
<font color='red'>Dermatitis, unspecified</font> </td>

</tr>

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


<td>381</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003500</td>
<td>HENDRA SETIAWAN</td>
<td>'3503051203780005</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-03-1978</td>
<td>44</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002250389619</td>
<td>131506010123Y000030</td>
<td align='center'>
F20.9 </td>
<td align='center'>
<font color='black'>Schizophrenia, unspecified</font> </td>

</tr>

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


<td>382</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009767</td>
<td>SUMINI</td>
<td>'3503056705740001</td>
<td>RT 007 RW 003</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-05-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037005986</td>
<td>131506010123Y000014</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

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


<td>383</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022829</td>
<td>MUJITO</td>
<td>'3503061207740001</td>
<td>JAMPI, RT : 3,RW :1 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>12-07-1974</td>
<td>48</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001036922139</td>
<td>131506010123Y000034</td>
<td align='center'>
Z09.0 </td>
<td align='center'>
<font color='black'>Follow-up examination after surgery for other
conditions</font> </td>

</tr>

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


<td>384</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000153</td>
<td>SUPANI</td>
<td>'3503066104630001</td>
<td>DUSUN JAMPI RT 03 RW 01</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>21-04-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002093922145</td>
<td>131506010123Y000029</td>
<td align='center'>
I20 </td>
<td align='center'>
<font color='black'>Angina pectoris</font> </td>

</tr>

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


<td>385</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003987</td>
<td>TRENDI REKSONO</td>
<td>'3503052510930001</td>
<td>RT 04 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-10-1993</td>
<td>29</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665459561</td>
<td>131506010123Y000019</td>
<td align='center'>
F23 </td>
<td align='center'>
<font color='black'>Acute and transient psychotic disorders</font>
</td>

</tr>

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


<td>386</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013522</td>
<td>WIWIN IRIANA WATI</td>
<td>'3503055404790001</td>
<td>DUSUN GERBO, RT : 13,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-04-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665682243</td>
<td>131506010123Y000070</td>
<td align='center'>
L30.9 </td>
<td align='center'>
<font color='red'>Dermatitis, unspecified</font> </td>

</tr>
<tr align="left" valign="top">
<td>387</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013615</td>
<td>MISBAHAK</td>
<td>' 3503052712690001</td>
<td>DUSUN GERBO, RT : 13,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-12-1969</td>
<td>53</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665681578</td>
<td>131506010123Y000068</td>
<td align='center'>
L30 </td>
<td align='center'>
<font color='red'>Other dermatitis</font> </td>

</tr>

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


<td>388</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015839</td>
<td>MUHAMMAD SAHRUL FADLI</td>
<td>'3503051006030001</td>
<td>RT. 13 RW. 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-2003</td>
<td>19</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665683479</td>
<td>131506010123Y000071</td>
<td align='center'>
L30.9 </td>
<td align='center'>
<font color='red'>Dermatitis, unspecified</font> </td>
</tr>

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


<td>389</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015840</td>
<td>ZURKA AHMAD ZUR</td>
<td>'3503051102120001</td>
<td>RT. 13 RW. 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-02-2012</td>
<td>10</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978432097</td>
<td>131506010123Y000073</td>
<td align='center'>
L30.9 </td>
<td align='center'>
<font color='red'>Dermatitis, unspecified</font> </td>

</tr>

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


<td>390</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002748</td>
<td>PONIARSIH</td>
<td>'3503054511720003</td>
<td>RT 16 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-11-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665465894</td>
<td>131506010123Y000042</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

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


<td>391</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024032</td>
<td>SUTRISNO</td>
<td>'3503050807690003</td>
<td>DSN GAJAH, RT : 007,RW :003 </td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-07-1969</td>
<td>53</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000144899954</td>
<td>131506010123Y000110</td>
<td align='center'>
M25.51 </td>
<td align='center'>
<font color='black'>Pain in joint, shouder region</font> </td>

</tr>

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


<td>392</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016730</td>
<td>PURYANI</td>
<td>'3503050708730002</td>
<td>RT 009 RW 003</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-07-1974</td>
<td>48</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037007369</td>
<td>131506010123Y000183</td>
<td align='center'>
I11.0 </td>
<td align='center'>
<font color='black'>Hypertensive heart disease with (congestive) heart
failure</font> </td>

</tr>

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


<td>393</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019252</td>
<td>AHMAD JONI</td>
<td>'3506231304770001</td>
<td>DUSUN KRAJAN, RT : 19,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-04-1977</td>
<td>45</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067903359</td>
<td>131506010123Y000103</td>
<td align='center'>
C32.0 </td>
<td align='center'>
<font color='black'>Malignant neoplasm of glottis</font> </td>

</tr>

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


<td>394</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010812</td>
<td>MAERAH</td>
<td>'3503055307650003</td>
<td>DSN. MOJO KIDUL, RT : 019,RW :007 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-07-1965</td>
<td>57</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664947156</td>
<td>131506010123Y000189</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>395</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019420</td>
<td>RIVAI</td>
<td>'3503050308830001</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-08-1983</td>
<td>39</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802747374</td>
<td>131506010123Y000192</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>396</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002328</td>
<td>PURWANTO</td>
<td>'3503050702650002</td>
<td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-02-1965</td>
<td>57</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001262457134</td>
<td>131506010123Y000106</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

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


<td>397</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005798</td>
<td>MESINAH</td>
<td>'</td>
<td>PRAMBON RT 26</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-02-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002602978762</td>
<td>131506010123Y000194</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>398</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021841</td>
<td>JERYKO AGUSTINO STEYANDREA</td>
<td>'3503052508150002</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-08-2015</td>
<td>7</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068137765</td>
<td>131506010123Y000196</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>399</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011460</td>
<td>FITRATUN NURUL H.</td>
<td>'3503056203940001</td>
<td>MOJO KIDUL, RT : 019,RW :007 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-03-1994</td>
<td>28</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665458198</td>
<td>131506010123Y000119</td>
<td align='center'>
H66.3 </td>
<td align='center'>
<font color='black'>Other chronic suppurative otitis media</font>
</td>

</tr>

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


<td>400</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021325</td>
<td>MUTMAINAH</td>
<td>'3503056109720002</td>
<td>KARANG PLOSO, RT : 006,RW :002 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-09-1972</td>
<td>50</td>
<td>P</td>
<td>BELUM/TIDAK BEKERJA</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>'0000152932948</td>
<td>131506010123Y000154</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>401</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014102</td>
<td>SITI MUDRIKAH</td>
<td>'3503055007660002</td>
<td>RT 015 RW 004</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-07-1966</td>
<td>56</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001037001947</td>
<td>131506010123Y000117</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>
<tr align="left" valign="top">
<td>402</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000420</td>
<td>SULISTYOWATI</td>
<td>'3503115812690002</td>
<td>RT 05 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-12-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0000106617701</td>
<td>131506010123Y000151</td>
<td align='center'>
M10.0 </td>
<td align='center'>
<font color='black'>Idiopathic gout</font> </td>

</tr>

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


<td>403</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023999</td>
<td>TRIWIONO</td>
<td>'3503051510790002</td>
<td>RT 01 RW 01</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-10-1979</td>
<td>43</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666221196</td>
<td>131506010123Y000153</td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>404</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023898</td>
<td>RISKA WULANDARI</td>
<td>'3503054910000002</td>
<td>RT 31 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-10-2000</td>
<td>22</td>
<td>P</td>
<td>WIRASWASTA</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665979412</td>
<td>131506010123Y000147</td>
<td align='center'>
N39 </td>
<td align='center'>
<font color='red'>Other disorders of urinary system</font> </td>

</tr>

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


<td>405</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001086</td>
<td>SITI ASMAH</td>
<td>'</td>
<td>RT 15RW 05</td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>14-07-1976</td>
<td>46</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001270768858</td>
<td>131506010123Y000125</td>
<td align='center'>
G40.9 </td>
<td align='center'>
<font color='black'>Epilepsy, unspecified</font> </td>

</tr>

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


<td>406</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000393</td>
<td>DWI SUSANTI</td>
<td>'3503114712790002</td>
<td>JL SUTAN SYAHRIR, RT : 014,RW :005 </td>
<td>SUMBERGEDONG</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>07-12-1979</td>
<td>43</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001808667933</td>
<td>131506010123Y000146</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>407</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024044</td>
<td>BAGUS GALIH HARIYADI PAMBAYUN</td>
<td>'3503113108920001</td>
<td>RT 10 RW 2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-08-1992</td>
<td>30</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0000106586864</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

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


<td>408</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019938</td>
<td>DIMAS EKO SAPUTRO</td>
<td>'3503050306040002</td>
<td>RT.16 RW.4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-06-2004</td>
<td>18</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037000722</td>
<td>131506010123Y000257</td>
<td align='center'>
K03.6 </td>
<td align='center'>
<font color='black'>Deposits [accretions] on teeth</font> </td>

</tr>

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


<td>409</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019847</td>
<td>TOTOK SUBIANTO</td>
<td>'3503052501770003</td>
<td>RT 011 RW 004</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-01-1977</td>
<td>45</td>
<td>L</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000164868434</td>
<td>131506010123P000173</td>
<td align='center'>
S42.00 </td>
<td align='center'>
<font color='black'>Fracture of clavicle, closed</font> </td>

</tr>

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


<td>410</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001491</td>
<td>SRI WAHYUNI</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-09-1965</td>
<td>57</td>
<td>P</td>
<td>PNS</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106590701</td>
<td>131506010123Y000161</td>
<td align='center'>
F20 </td>
<td align='center'>
<font color='black'>Schizophrenia</font> </td>

</tr>

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


<td>411</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002523</td>
<td>YUNITA EFRIYANTI</td>
<td>'3502056204890001</td>
<td>RT 01 RW 02</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>22-04-1989</td>
<td>33</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000661531004</td>
<td>131506010123Y000176</td>
<td align='center'>
Z08.0 </td>
<td align='center'>
<font color='black'>Follow-up examination after surgery for malignant
neoplasm</font> </td>

</tr>

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


<td>412</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011552</td>
<td>WATINI</td>
<td>'3502055605690003</td>
<td>RT 01 RW 02</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>16-05-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000661421597</td>
<td>131506010123Y000201</td>
<td align='center'>
H10.9 </td>
<td align='center'>
<font color='red'>Conjunctivitis, unspecified</font> </td>

</tr>

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


<td>413</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022484</td>
<td>UMI SALBIYAH</td>
<td>'3503064601900003</td>
<td>DUSUN JAMPI, RT : 3,RW :1 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>06-01-1990</td>
<td>33</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>414</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001560</td>
<td>ANDRI SETIAWAN</td>
<td>'</td>
<td>RT 11 RW 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-03-1983</td>
<td>39</td>
<td>L</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>'0000165061517</td>
<td>131506010123Y000179</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

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


<td>415</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023670</td>
<td>MUSTAKIM</td>
<td>'3503050403830002</td>
<td>RT 9 RW 3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-03-1983</td>
<td>39</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067866718</td>
<td>131506010123Y000199</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>416</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024046</td>
<td>BEJAN</td>
<td>'3503061212720005</td>
<td>RT 19 RW 4</td>
<td>KERJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>12-12-1972</td>
<td>50</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665742306</td>
<td>131506010123Y000215</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>417</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023909</td>
<td>MIATI</td>
<td>'3503054810710002</td>
<td>NGLEGOK, RT : 11,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-10-1971</td>
<td>51</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978434764</td>
<td>131506010123Y000214</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>418</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024057</td>
<td>RANI RAHMA MAFIROH</td>
<td>'3503116406970002</td>
<td>RT 32 RW 6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-06-1997</td>
<td>25</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>419</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002321</td>
<td>SUMARNI</td>
<td>'3503054803730001</td>
<td>DUSUN TENGGAR, RT : 5,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-03-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002470186451</td>
<td>131506010123Y000217</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

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


<td>420</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024067</td>
<td>SRIAMI</td>
<td>'3503056408790002</td>
<td>DUSUN KRAJAN, RT : 15,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-08-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106777416</td>
<td>131506010123Y000219</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>421</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024068</td>
<td>MUNANDIR</td>
<td>'3503052407670002</td>
<td>DUSUN KRAJAN, RT : 15,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-07-1967</td>
<td>55</td>
<td>L</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106777405</td>
<td>131506010123Y000220</td>
<td align='center'>
H61.2 </td>
<td align='center'>
<font color='red'>Impacted cerumen</font> </td>

</tr>

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


<td>422</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001773</td>
<td>DANANG SETYAWAN</td>
<td>'3503050904970002</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-04-1997</td>
<td>25</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002032477244</td>
<td>131506010123Y000210</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>423</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002290</td>
<td>WINARSIH</td>
<td>'3503055906820003</td>
<td>DUSUN KEBON, RT : 34,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-06-1982</td>
<td>40</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665011383</td>
<td>131506010123Y000223</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>424</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013218</td>
<td>NATASYA AZ ZAHRA PUTRI</td>
<td>'3503056301160001</td>
<td>DUSUN MLOKO, RT : 58,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-01-2016</td>
<td>7</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002636125121</td>
<td>131506010123Y000221</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>425</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018479</td>
<td>MAHMUDAH WATI SUGITO</td>
<td>'3517094902950009</td>
<td>PERUM PULO ASRI SEJAHTERA M-08 RT 003 RW 008</td>
<td>PULOLOR</td>
<td>JOMBANG</td>
<td>JOMBANG</td>
<td>09-02-1995</td>
<td>27</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000108804295</td>
<td>131506010123Y000270</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>426</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009386</td>
<td>SISWANTO</td>
<td>'3503051609000003</td>
<td>RT 50 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-11-1997</td>
<td>25</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002734754872</td>
<td>131506010123Y000235</td>
<td align='center'>
F20 </td>
<td align='center'>
<font color='black'>Schizophrenia</font> </td>

</tr>

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


<td>427</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011383</td>
<td>MUSTINI</td>
<td>'3503054705680002</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-05-1968</td>
<td>54</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666182529</td>
<td>131506010123Y000244</td>
<td align='center'>
I20.9 </td>
<td align='center'>
<font color='black'>Angina pectoris, unspecified</font> </td>

</tr>

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


<td>428</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024078</td>
<td>ATIK SURYANINGSIH</td>
<td>'3519025608830010</td>
<td>RT 44 RW 9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-08-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001855763548</td>
<td>131506010123Y000367</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>429</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004443</td>
<td>ELYS RUSSYTA</td>
<td>'3503056710820002</td>
<td>RT 08 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-10-1982</td>
<td>40</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
H81.3 </td>
<td align='center'>
<font color='red'>Other peripheral vertigo</font> </td>

</tr>

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


<td>430</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023888</td>
<td>DAHLAN</td>
<td>'3503050408650003</td>
<td>KRAJAN, RT : 17,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-08-1965</td>
<td>57</td>
<td>L</td>
<td>Industri</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970310522</td>
<td>131506010123Y000280</td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>431</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006360</td>
<td>NAUFAL ALIF FIKRIA</td>
<td>'3503052103160002</td>
<td>RT 11 RW 04</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-03-2016</td>
<td>6</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002214124029</td>
<td>131506010123Y000286</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>432</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022171</td>
<td>MISWATI</td>
<td>'</td>
<td>RT 05 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-12-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106769801</td>
<td>131506010123Y000285</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>433</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000162</td>
<td>WIJIARSO</td>
<td>'3503052212790005</td>
<td>RT 19 RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-12-1979</td>
<td>43</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001978460943</td>
<td>131506010123Y000369</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>
<tr align="left" valign="top">
<td>434</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006261</td>
<td>CANDRA ESTER YUNANI</td>
<td>'3503056708990002</td>
<td>RT 12 RW 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-08-1999</td>
<td>23</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666100337</td>
<td>131506010123Y000272</td>
<td align='center'>
N39 </td>
<td align='center'>
<font color='red'>Other disorders of urinary system</font> </td>

</tr>

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


<td>435</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017901</td>
<td>JULI</td>
<td>'3503052707690001</td>
<td>DUSUN PAKEL, RT : 34,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-06-1970</td>
<td>52</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>436</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024091</td>
<td>RETNANING PUJI LESTARI</td>
<td>'3503056303910001</td>
<td>ASRAMA YONKAV 8 RT 004 RW 012</td>
<td>BEJI</td>
<td>BEJI</td>
<td>PASURUAN</td>
<td>23-03-1991</td>
<td>31</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PRAJURIT AD</td>
<td>'0001080037912</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>437</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008530</td>
<td>MARYAM</td>
<td>'3503055106730001</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-06-1973</td>
<td>49</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665880041</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>438</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000810</td>
<td>SAKRI</td>
<td>'</td>
<td>RT 08 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-11-1970</td>
<td>52</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666146586</td>
<td>131506010123Y000310</td>
<td align='center'>
F20 </td>
<td align='center'>
<font color='black'>Schizophrenia</font> </td>

</tr>

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


<td>439</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006906</td>
<td>SITI JUARIYAH</td>
<td>'3502056611810004</td>
<td>RT 002 RW 001</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>26-11-1981</td>
<td>41</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000660566215</td>
<td>131506010123Y000306</td>
<td align='center'>
M54.51 </td>
<td align='center'>
<font color='black'>Low back pain, occipito-atlanto-axial region</font>
</td>

</tr>

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


<td>440</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003539</td>
<td>SUMANTO</td>
<td>'3503053112710020</td>
<td>DUSUN KRAJAN, RT : 8,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1971</td>
<td>51</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665869072</td>
<td>131506010123Y000333</td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

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


<td>441</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024040</td>
<td>NURMA NUSA INDAH</td>
<td>'3503055909840001</td>
<td>RT 28 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-09-1984</td>
<td>38</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665902012</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>442</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000599</td>
<td>SUMIATI</td>
<td>'3503054107690003</td>
<td>DUSUN GONDANG, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1969</td>
<td>53</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666680984</td>
<td>131506010123Y000330</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>443</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023782</td>
<td>SUJADI</td>
<td>'3503050107640022</td>
<td>DUSUN TENGGAR, RT : 11,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1964</td>
<td>58</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665353967</td>
<td>131506010123Y000345</td>
<td align='center'>
R50 </td>
<td align='center'>
<font color='black'>Fever of other and unknown origin</font>
</td>

</tr>

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


<td>444</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000784</td>
<td>LILIK ANGGRAENI</td>
<td>'</td>
<td>RT 08 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-08-1981</td>
<td>41</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002311175068</td>
<td>131506010123Y000316</td>
<td align='center'>
F28 </td>
<td align='center'>
<font color='black'>Other nonorganic psychotic disorders</font>
</td>

</tr>

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


<td>445</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024097</td>
<td>FARHAN AZZAM NUR RAFA</td>
<td>'3503052806130001</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-06-2013</td>
<td>9</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802771099</td>
<td>131506010123Y000343</td>
<td align='center'>
R50 </td>
<td align='center'>
<font color='black'>Fever of other and unknown origin</font>
</td>

</tr>

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


<td>446</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024098</td>
<td>SITI KHOLIPAH</td>
<td>'3503056011810002</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-11-1981</td>
<td>41</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666052942</td>
<td>131506010123Y000341</td>
<td align='center'>
Z03.0 </td>
<td align='center'>
<font color='black'>Observation for suspected tuberculosis</font>
</td>

</tr>

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


<td>447</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004778</td>
<td>ANDRIANSYAH IKSANUDIN</td>
<td>'3503050306140002-485143</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-03-2014</td>
<td>8</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>448</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019559</td>
<td>ZAENURI</td>
<td>'3503051703750001</td>
<td>DUSUN PAKEL, RT : 41,RW :8 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-03-1975</td>
<td>47</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002014049992</td>
<td>131506010123Y000336</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>
</tr>

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


<td>449</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024102</td>
<td>SLAMET</td>
<td>'3503052109630001</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-09-1963</td>
<td>59</td>
<td>L</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106762781</td>
<td>131506010123Y000335</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>450</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009324</td>
<td>AFIN SETIONO</td>
<td>'350311 </td>
<td>RT 003 RW 001</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-08-1981</td>
<td>41</td>
<td>L</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>451</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011397</td>
<td>AGUS PURWANTO</td>
<td>'3503051808850001</td>
<td>KEBONSARI, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-08-1985</td>
<td>37</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J45 </td>
<td align='center'>
<font color='red'>Asthma</font> </td>

</tr>

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


<td>452</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014702</td>
<td>SITI HIDAYAH</td>
<td>'3503055008730001</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-08-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666070964</td>
<td>131506010123Y000340</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>453</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024105</td>
<td>RAHMA AYU SUSANA</td>
<td>'3503054103010001</td>
<td>DUSUN JUMOK, RT : 6,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-03-2001</td>
<td>21</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>454</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024106</td>
<td>SANTI FATMASARI</td>
<td>'3503055104010002</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-04-2001</td>
<td>21</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>455</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007299</td>
<td> SUTARMI</td>
<td>'3503056912680002</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-12-1968</td>
<td>54</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666109462</td>
<td>131506010123Y000358</td>
<td align='center'>
F23 </td>
<td align='center'>
<font color='black'>Acute and transient psychotic disorders</font>
</td>

</tr>

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


<td>456</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024111</td>
<td>RUSMIATUN</td>
<td>'3503055112680002</td>
<td>RT 19 RW 7</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-06-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665817265</td>
<td>131506010123Y000395</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>457</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023242</td>
<td>MUDMAINAH</td>
<td>'3503056610790001</td>
<td>DUSUN KEBONSARI, RT : 27,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-10-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665471676</td>
<td>131506010123Y000390</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>458</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009843</td>
<td>AHMAD YUNUS</td>
<td>'3503051504660001</td>
<td>RT 22 RW 06</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-04-1966</td>
<td>56</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003105760555</td>
<td>131506010123Y000402</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

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


<td>459</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021737</td>
<td>SULISTIAWATI</td>
<td>'3503055701800001</td>
<td>DERMOSARI, RT : 004,RW :001 </td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-01-1980</td>
<td>43</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

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


<td>460</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024121</td>
<td>PRIANTIKA ARIFATUN NIDA</td>
<td>'3503056401050002</td>
<td>DESA GONDANG, RT : 8,RW :3 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-01-2005</td>
<td>18</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001274111932</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>461</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011784</td>
<td>SUNARSIH</td>
<td>'3503056501710002</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-01-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0001106649742</td>
<td>131506010123Y000387</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

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


<td>462</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024123</td>
<td>SRI HARIANI</td>
<td>'3503056007680001</td>
<td>RT 3 RW 1 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-12-1965</td>
<td>57</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0000199467415</td>
<td></td>
<td align='center'>
A01.0 </td>
<td align='center'>
<font color='red'>Typhoid fever</font> </td>

</tr>

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


<td>463</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010047</td>
<td>NISRINA HASNA ANINDA</td>
<td>'3503054806130001</td>
<td>DUSUN PAKEL, RT : 25,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-06-2013</td>
<td>9</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</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>464</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002502</td>
<td>ISMIATI</td>
<td>'3503056903780002</td>
<td>DUSUN KARAJN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-03-1978</td>
<td>44</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067627072</td>
<td>131506010123Y000393</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>465</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024129</td>
<td>IPAN PRIYA NUR CHOLIS</td>
<td>'3503061402990002</td>
<td>DUSUN SOKO, RT : 8,RW :2 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>14-02-1999</td>
<td>23</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0002156110389</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>466</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001757</td>
<td>ANTIK</td>
<td>'3503055105640001</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-05-1964</td>
<td>58</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000107085238</td>
<td>131506010123Y000382</td>
<td align='center'>
I15.9 </td>
<td align='center'>
<font color='black'>Secondary hypertension, unspecified</font>
</td>

</tr>

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


<td>467</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017233</td>
<td>LINTANG PRAMESTI S.</td>
<td>'3503056007160001</td>
<td>DERMOSARI, RT : 004,RW :001 </td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-07-2016</td>
<td>6</td>
<td>P</td>
<td>BELUM/TIDAK BEKERJA</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0002072529156</td>
<td>131506010123Y000401</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>468</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003836</td>
<td>ANNISA</td>
<td>'</td>
<td>RT 1RW 1</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-05-2015</td>
<td>7</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>469</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020590</td>
<td>ZELINE OCTAVIANI</td>
<td>'6471036910160007</td>
<td>RT 21 RW 04</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-10-2016</td>
<td>6</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0003064164805</td>
<td>131506010123Y000398</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>470</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020591</td>
<td>FATHAN KEVIN FEBRYLIO</td>
<td>'6471032402150003</td>
<td>RT 21 RW 04</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-02-2015</td>
<td>7</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0003064164568</td>
<td>131506010123Y000400</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>471</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000218</td>
<td>IKHWANUDIN</td>
<td>'3503050105880001</td>
<td>DUSUN GONDANG, RT : 009,RW :002 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-05-1988</td>
<td>34</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664967193</td>
<td>131506010123Y000403</td>
<td align='center'>
F20 </td>
<td align='center'>
<font color='black'>Schizophrenia</font> </td>

</tr>

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


<td>472</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005630</td>
<td>SRI SUNDARI</td>
<td>'</td>
<td>RT 02 RW 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-04-1976</td>
<td>46</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106631853</td>
<td>131506010123Y000404</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>473</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000461</td>
<td> MIATUN</td>
<td>'3503056703760002</td>
<td>DUSUN TENGGAR, RT : 004,RW :001 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-03-1976</td>
<td>46</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665321376</td>
<td>131506010123Y000432</td>
<td align='center'>
F28 </td>
<td align='center'>
<font color='black'>Other nonorganic psychotic disorders</font>
</td>

</tr>

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


<td>474</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002474</td>
<td>MOHAMAD ISA KHOMEINI</td>
<td>'350305 </td>
<td>RT 7 RW 3</td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1979</td>
<td>43</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000167149293</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>475</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000564</td>
<td>SLAMET SUBAGYO</td>
<td>'350305</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-05-1968</td>
<td>54</td>
<td>L</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106531571</td>
<td>131506010123Y000411</td>
<td align='center'>
R07.4 </td>
<td align='center'>
<font color='black'>Chest pain, unspecified</font> </td>

</tr>

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


<td>476</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023580</td>
<td>ALZAEDAN ERFASYAH PRADIPTA</td>
<td>'3503052704160003</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-04-2016</td>
<td>6</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067899478</td>
<td>131506010123Y000423</td>
<td align='center'>
H11.9 </td>
<td align='center'>
<font color='black'>Disorder of conjunctiva, unspecified</font>
</td>

</tr>

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


<td>477</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011965</td>
<td>SLAMET</td>
<td>'3503050302810004</td>
<td>RT 06 RW 03</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-02-1981</td>
<td>41</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666184691</td>
<td>131506010123Y000588</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>478</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004944</td>
<td>BAGAS DWI IRAWAN </td>
<td>'3503050908160001</td>
<td>RT 03 RW 02</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-08-2016</td>
<td>6</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002076644801</td>
<td>131506010123Y000435</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>479</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024144</td>
<td>BARI IRAWAN</td>
<td>'3503052808690001</td>
<td>DUSUN KRAJAN, RT : 21,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-08-1969</td>
<td>53</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>480</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002245</td>
<td>AGUS SETIYO BUDI</td>
<td>'3503051611770002</td>
<td>DESA DERMOSARI RT 04/ RW 01 KECAMATAN TUGU KAB. TRENGGALEK, RT :
004,RW :001 </td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-11-1977</td>
<td>45</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106523212</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>481</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024146</td>
<td>SULISTIONO</td>
<td>'3503051503910002</td>
<td>DUSUN CORAH MULYO, RT : 2,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-03-1991</td>
<td>31</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665912496</td>
<td>131506010123Y000443</td>
<td align='center'>
S80.8 </td>
<td align='center'>
<font color='black'>Other superficial injuries of lower leg</font>
</td>

</tr>

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


<td>482</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009453</td>
<td>MURIYAH</td>
<td>'3503066605830002</td>
<td>RT 005 RW 002</td>
<td>SALAMREJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>26-05-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002764509952</td>
<td>131506010123Y000461</td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

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


<td>483</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023080</td>
<td>BINTIMUKAROMAH</td>
<td>'3503055608790004</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-1979</td>
<td>43</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666968264</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>484</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024148</td>
<td>RENI SAFITRI</td>
<td>'3503056310870002</td>
<td>RT 10 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-10-1987</td>
<td>35</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0002613445547</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>485</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017609</td>
<td>SUMIYATI</td>
<td>'3503057008660001</td>
<td>RT 011 RW 002</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-1966</td>
<td>56</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665430557</td>
<td>131506010123Y000466</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>486</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008997</td>
<td>VEFI FEBRIONA SARI</td>
<td>'3503054602040004</td>
<td>DUSUN MLOKO, RT : 58,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-02-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002014091414</td>
<td>131506010123Y000448</td>
<td align='center'>
C85.9 </td>
<td align='center'>
<font color='black'>Non-Hodgkin`s lymphoma, unspecified type</font>
</td>

</tr>

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


<td>487</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003537</td>
<td>SUKESI</td>
<td>'3503055108650001</td>
<td>DUSUN KASIHAN, RT : 28,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-08-1965</td>
<td>57</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665849441</td>
<td>131506010123Y000449</td>
<td align='center'>
I69.4 </td>
<td align='center'>
<font color='black'>Sequelae of stroke, not specified as haemorrhage or
infarction</font> </td>

</tr>

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


<td>488</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013541</td>
<td>MARTIN</td>
<td>'3503054505660002</td>
<td>DESA WINONG, RT : 2,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-05-1966</td>
<td>56</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978468086</td>
<td>131506010123Y000499</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>489</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021320</td>
<td>MASHUDI</td>
<td>'3503050511740001</td>
<td>DUSUN KEBONSARI, RT : 28,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-11-1974</td>
<td>48</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002213734588</td>
<td>131506010123Y000452</td>
<td align='center'>
I49.3 </td>
<td align='center'>
<font color='black'>Ventricular premature depolarization</font>
</td>

</tr>

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


<td>490</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002258</td>
<td>PAITO</td>
<td>'3503051803690001</td>
<td>RT 1 RW1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-03-1969</td>
<td>53</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002253567104</td>
<td>131506010123Y000454</td>
<td align='center'>
I50 </td>
<td align='center'>
<font color='black'>Heart failure</font> </td>

</tr>

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


<td>491</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004763</td>
<td>SAINI</td>
<td>'3503055511790001</td>
<td>KRAJAN, RT : 18,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-11-1979</td>
<td>43</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002734759967</td>
<td>131506010123Y000465</td>
<td align='center'>
F20 </td>
<td align='center'>
<font color='black'>Schizophrenia</font> </td>

</tr>

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


<td>492</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010732</td>
<td>TUSBIANTO</td>
<td>'3503050802690002</td>
<td>RT 05 RW 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-02-1969</td>
<td>53</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978455036</td>
<td>131506010123Y000513</td>
<td align='center'>
A15 </td>
<td align='center'>
<font color='red'>Respiratory tuberculosis, bacteriologically and
histologically confirmed</font> </td>

</tr>

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


<td>493</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011825</td>
<td>SURATNO</td>
<td>'3503052904670003</td>
<td>DUSUN JUMOK, RT : 11,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-04-1967</td>
<td>55</td>
<td>L</td>
<td>Karyawan Honorer</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001820499456</td>
<td>131506010123Y000458</td>
<td align='center'>
H52.5 </td>
<td align='center'>
<font color='black'>Disorders of accommodation</font> </td>
</tr>

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


<td>494</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022208</td>
<td>ROSYIDAH DANNIS RAMADHANI</td>
<td>'3503054306160001</td>
<td>RT 36 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-06-2016</td>
<td>6</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003012959654</td>
<td>131506010123Y000468</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>495</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024152</td>
<td>SITI UMULKUSNAH</td>
<td>'3519046907840001</td>
<td>RT 6 RW 1</td>
<td>MRUWAK</td>
<td>DAGANGAN</td>
<td>MADIUN</td>
<td>29-07-1984</td>
<td>38</td>
<td>P</td>
<td>Pembantu Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T63.4 </td>
<td align='center'>
<font color='red'>Toxic effect of venom of other arthropods</font>
</td>

</tr>

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


<td>496</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004792</td>
<td>TITIK BALI PURWATI</td>
<td>'350305 </td>
<td>RT 09 RW 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-01-1977</td>
<td>46</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>'0000106577076</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

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


<td>497</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001794</td>
<td>HAIDAR NUR HANANDAKA</td>
<td>'</td>
<td>RT 20 RW 05</td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>11-06-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0002465448895</td>
<td>131506010123Y000510</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>498</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002213</td>
<td>ANJARWATIE</td>
<td>'3503055605790003</td>
<td>DESA DERMOSARI RT 04/ RW 01 KECAMATAN TUGU KAB. TRENGGALEK, RT :
004,RW :001 </td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-05-1979</td>
<td>43</td>
<td>P</td>
<td>PERAWAT</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106629445</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>499</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009623</td>
<td>WIDYA VICKY ALFIONA</td>
<td>'3505155302960003</td>
<td>RT 001 RW 001</td>
<td>TULUNGREJO</td>
<td>GANDUSARI</td>
<td>BLITAR</td>
<td>13-02-1996</td>
<td>26</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0002739024966</td>
<td>131506010123Y000482</td>
<td align='center'>
H52.5 </td>
<td align='center'>
<font color='black'>Disorders of accommodation</font> </td>

</tr>

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


<td>500</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024160</td>
<td>M. IQBAL MAULANA</td>
<td>'</td>
<td>RT 29 RW 7</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-06-2011</td>
<td>11</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>501</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016550</td>
<td>KWIN YULIATI</td>
<td>'3503066007730002</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>SUMBER</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>20-07-1973</td>
<td>49</td>
<td>P</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106525416</td>
<td>131506010123Y000508</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>502</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001330</td>
<td>NAYUN PUTRI IQROMA </td>
<td>'</td>
<td>RT 1 RT 1</td>
<td>SUMBER</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>19-01-2002</td>
<td>21</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106560371</td>
<td>131506010123Y000509</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>503</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013070</td>
<td>GHADIRA SANI ZHAFIRA</td>
<td>'3503054108140001</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-2014</td>
<td>8</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PRAJURIT AL</td>
<td>'0001453931987</td>
<td>131506010123Y000492</td>
<td align='center'>
D69.6 </td>
<td align='center'>
<font color='black'>Thrombocytopenia, unspecified</font> </td>

</tr>

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


<td>504</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002732</td>
<td>JUARIYAH</td>
<td>'3503054602700001</td>
<td>DUSUN KALIPINGGIR, RT : 18,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-02-1970</td>
<td>52</td>
<td>P</td>
<td>Buruh Harian Lepas</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666192756</td>
<td>131506010123Y000539</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

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


<td>505</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011303</td>
<td>SUNARTO</td>
<td>'3503051002660002</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-02-1966</td>
<td>56</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037006526</td>
<td>131506010123Y000666</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>506</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010453</td>
<td>SITI KAYATUN</td>
<td>'3503055109740004</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-09-1974</td>
<td>48</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037006537</td>
<td>131506010123Y000547</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>
</tr>

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


<td>507</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007359</td>
<td>SITI AISAH</td>
<td>'3503056712700001</td>
<td>DESA GONDANG, RT : 8,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-05-1970</td>
<td>52</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802754596</td>
<td>131506010123Y000580</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>508</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009004</td>
<td>LISTIANA</td>
<td>'3503057105850001</td>
<td>RT 20 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-04-1982</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802765104</td>
<td>131506010123Y000540</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>509</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000996</td>
<td>SUMARTO</td>
<td>'</td>
<td>RT 20 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-04-1967</td>
<td>55</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665636984</td>
<td>131506010123Y000530</td>
<td align='center'>
I50 </td>
<td align='center'>
<font color='black'>Heart failure</font> </td>

</tr>

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


<td>510</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008338</td>
<td>HIKMAH</td>
<td>'3503055205650005-483702</td>
<td>KRAJAN, RT : 2,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-05-1965</td>
<td>57</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999146</td>
<td>131506010123Y000582</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>511</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005559</td>
<td>PUJIONO</td>
<td>'3503050202830003</td>
<td>DUSUN KRAJAN, RT : 005,RW :002 </td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-02-1983</td>
<td>39</td>
<td>L</td>
<td>KONSTRUKSI</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978484624</td>
<td>131506010123Y000533</td>
<td align='center'>
F20.9 </td>
<td align='center'>
<font color='black'>Schizophrenia, unspecified</font> </td>

</tr>

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


<td>512</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004396</td>
<td>MUALIP</td>
<td>'</td>
<td>TAMANAN RT 12 RW 05</td>
<td>TAMANAN</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>18-04-1971</td>
<td>51</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106876967</td>
<td>131506010123Y000746</td>
<td align='center'>
K02.0 </td>
<td align='center'>
<font color='black'>Caries limited to enamel</font> </td>

</tr>

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


<td>513</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024175</td>
<td>SUCIK NURYATI</td>
<td>'3503056903630001</td>
<td>DESA DERMOSARI RT 7/3, RT : 007,RW :003 </td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-03-1963</td>
<td>59</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0001280858409</td>
<td>131506010123Y000577</td>
<td align='center'>
H10.9 </td>
<td align='center'>
<font color='red'>Conjunctivitis, unspecified</font> </td>

</tr>

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


<td>514</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024177</td>
<td>DIO YOGA PRATAMA</td>
<td>'3503051510030001</td>
<td>DUSUN PAKEL, RT : 35,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-10-2003</td>
<td>19</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0002487492483</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>515</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001196</td>
<td>KOIRUL</td>
<td>'3503052704760002</td>
<td>RT 04 RW 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-04-1976</td>
<td>46</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>'0000173261766</td>
<td>131506010123Y000543</td>
<td align='center'>
I50.9 </td>
<td align='center'>
<font color='black'>Heart failure, unspecified</font> </td>

</tr>

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


<td>516</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024181</td>
<td>SITI KHOTIMAH</td>
<td>'3503055807710003</td>
<td>DSN. KALIPINGGIR, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-07-1971</td>
<td>51</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>517</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006576</td>
<td>ISTANTININGSIH</td>
<td>'3503056204760002</td>
<td>DUSUN PAKEL, RT : 36,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-04-1976</td>
<td>46</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003267285107</td>
<td>131506010123Y000570</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>518</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009175</td>
<td>MUJIATI</td>
<td>'3503054612710002</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-12-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003101238077</td>
<td>131506010123Y000548</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

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


<td>519</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000488</td>
<td>SITI MASRUROH</td>
<td>'3503056703760001</td>
<td>DUSUN KALIPINGGIR, RT : 018,RW :005 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-03-1976</td>
<td>46</td>
<td>P</td>
<td>MENGURUS RUMAH TANGGA</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000167099692</td>
<td>131506010123Y000574</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>520</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004800</td>
<td>NANDAR</td>
<td>'3503050405660001</td>
<td>RT 33 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-05-1966</td>
<td>56</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665749978</td>
<td>131506010123Y000558</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

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


<td>521</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008075</td>
<td>LINARYATI</td>
<td>'3503056308750001</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-08-1975</td>
<td>47</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665750024</td>
<td>131506010123Y000571</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>522</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011184</td>
<td>HERU SISWANTO</td>
<td>'3503052512850001</td>
<td>RT 16 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-12-1985</td>
<td>37</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037002702</td>
<td>131506010123Y000563</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>523</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023193</td>
<td>KHARISMA SYAHDA WIDYASTIKA</td>
<td>'3503065510980002</td>
<td>RT 007 RW 008</td>
<td>KARANGAN</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>15-10-1998</td>
<td>24</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>524</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011896</td>
<td>SRI ASTATIK</td>
<td>'</td>
<td>RT 04 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-07-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>525</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007347</td>
<td>CLAUDHEA MINDA SAFIRA</td>
<td>'3503066809950001</td>
<td>RT 14 RW 03</td>
<td>KEDUNGSIGIT</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>28-09-1995</td>
<td>27</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106845647</td>
<td>131506010123Y000700</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>526</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010537</td>
<td>ISNA HAYUN NURUSSAFA</td>
<td>'3503055410160001</td>
<td>DSN ETAN KALI, RT : 19,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-10-2016</td>
<td>6</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002161669511</td>
<td>131506010123Y000672</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>527</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021618</td>
<td>SUSMIATI</td>
<td>'3503066401700002</td>
<td>RT 14 RW 03</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>24-01-1970</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
H10.9 </td>
<td align='center'>
<font color='red'>Conjunctivitis, unspecified</font> </td>

</tr>

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


<td>528</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009047</td>
<td>ELSA AYU NINGTIYAS</td>
<td>'3503056806140003</td>
<td>RT 54 RW 11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-06-2014</td>
<td>8</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003106952199</td>
<td>131506010123Y000612</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>529</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016037</td>
<td>TRI SETIAWATI</td>
<td>'3503054405850006</td>
<td>TENGGAR, RT : 1,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-05-1985</td>
<td>37</td>
<td>P</td>
<td>Guru</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0003280756926</td>
<td>131506010123Y000620</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>530</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000120</td>
<td> ISNAINI MAULIDA</td>
<td>'3503057001150002</td>
<td>RT 18 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-01-2015</td>
<td>7</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860462901</td>
<td>131506010123Y000595</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>531</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010508</td>
<td>ISKANAH</td>
<td>'3503056312710001</td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-12-1971</td>
<td>51</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978464071</td>
<td>131506010123Y000604</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

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


<td>532</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000753</td>
<td>SITI KOMSATUN</td>
<td>'</td>
<td>RT 10 RW 02</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>15-07-1964</td>
<td>58</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002055129974</td>
<td>131506010123Y000599</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

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


<td>533</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018302</td>
<td>ILHAM SYAHRONI</td>
<td>'3503051809710002</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-09-1971</td>
<td>51</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>'0000106571507</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>534</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024198</td>
<td>ATIK IL HIDAYAH</td>
<td>'3503055905960001</td>
<td>RT 20 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-02-1996</td>
<td>26</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665599689</td>
<td>131506010123Y000627</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>535</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024200</td>
<td>PANJI PRIMA WIJAYA</td>
<td>'3503052302100003</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-02-2010</td>
<td>12</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068053727</td>
<td>131506010123Y000625</td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>536</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024206</td>
<td>WENDY KURNIAWAN</td>
<td>'3503050212960001</td>
<td>DSN ETAN KALI, RT : 19,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-12-1996</td>
<td>26</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000106864604</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>537</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010445</td>
<td>YULI ASTUTI</td>
<td>'3503055207900008</td>
<td>RT 13 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-07-1990</td>
<td>32</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666049678</td>
<td>131506010123Y000637</td>
<td align='center'>
L30.9 </td>
<td align='center'>
<font color='red'>Dermatitis, unspecified</font> </td>

</tr>

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


<td>538</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010370</td>
<td>SUYONO</td>
<td>'3524031802840002</td>
<td>RT 05 RW 03</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-02-1984</td>
<td>38</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000756969096</td>
<td>131506010123Y000699</td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>
</tr>

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


<td>539</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001466</td>
<td>NAFA IRFAUR RISKA</td>
<td>'</td>
<td>RT 14 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-07-1997</td>
<td>25</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0000666157228</td>
<td>131506010123Y000641</td>
<td align='center'>
G40.9 </td>
<td align='center'>
<font color='black'>Epilepsy, unspecified</font> </td>

</tr>

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


<td>540</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012428</td>
<td>SOFIA AZAHRA FEBIANI</td>
<td>'3503054302170001</td>
<td>MLOKO, RT : 59,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-02-2017</td>
<td>5</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002682052896</td>
<td>131506010123Y000693</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>541</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024094</td>
<td>ZAINAL ABIDIN</td>
<td>'3503050107950003</td>
<td>RT 11 RW 2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1995</td>
<td>27</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665355251</td>
<td>131506010123Y000695</td>
<td align='center'>
Z48.0 </td>
<td align='center'>
<font color='black'>Attention to surgical dressings and sutures</font>
</td>

</tr>

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


<td>542</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024212</td>
<td>MESIYEM</td>
<td>' 3503056110750001</td>
<td>DUSUN SOKO, RT : 49,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-06-1976</td>
<td>46</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666716826</td>
<td>131506010123Y000694</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>543</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023822</td>
<td>SRI UTAMI</td>
<td>'3503054304690001</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-04-1969</td>
<td>53</td>
<td>P</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106534912</td>
<td>131506010123Y000722</td>
<td align='center'>
I84.2 </td>
<td align='center'>
<font color='red'>Internal haemorrhoids without complication</font>
</td>

</tr>

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


<td>544</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023034</td>
<td>SAMSUDIN, SH</td>
<td>'3503051512680005</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-12-1968</td>
<td>54</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>'0000106742946</td>
<td>131506010123Y000723</td>
<td align='center'>
I84.2 </td>
<td align='center'>
<font color='red'>Internal haemorrhoids without complication</font>
</td>

</tr>

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


<td>545</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024214</td>
<td>SITI AMINAH</td>
<td>'1801155007800010</td>
<td>RT 21 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-07-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003052653759</td>
<td>131506010123Y000648</td>
<td align='center'>
C50 </td>
<td align='center'>
<font color='black'>Malignant neoplasm of breast</font> </td>

</tr>

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


<td>546</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000261</td>
<td>YATMIATI</td>
<td>'3503055703750001</td>
<td>RT 02 RW 01</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1970</td>
<td>53</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'</td>
<td></td>
<td align='center'>
F20.9 </td>
<td align='center'>
<font color='black'>Schizophrenia, unspecified</font> </td>

</tr>

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


<td>547</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024217</td>
<td>ARIANI FARIDA</td>
<td>'3503055103970004</td>
<td>DUSUN KRAJAN, RT : 15,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-03-1997</td>
<td>25</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>548</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005898</td>
<td>ARJUNA FARKHAN KAMAL</td>
<td>'</td>
<td>RT 13 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-12-2014</td>
<td>8</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>549</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011322</td>
<td>EKA DIAN RAHMADANI</td>
<td>'3503054511050001</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-11-2005</td>
<td>17</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002941797148</td>
<td>131506010123Y000678</td>
<td align='center'>
L30.9 </td>
<td align='center'>
<font color='red'>Dermatitis, unspecified</font> </td>

</tr>

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


<td>550</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000949</td>
<td>TRISUNARNI</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-11-1968</td>
<td>54</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001849718766</td>
<td>131506010123Y000650</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

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


<td>551</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022428</td>
<td>KATIRAH</td>
<td>'3503054907760003</td>
<td>DUSUN MLOKO, RT : 56,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-07-1976</td>
<td>46</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037013603</td>
<td>131506010123Y000696</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>552</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001061</td>
<td>SITI AMINAH</td>
<td>'</td>
<td>RT 20 RW 05</td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>12-02-1976</td>
<td>46</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI UMUM</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000149233419</td>
<td>131506010123Y000776</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>553</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024223</td>
<td>ARMANDA ANGGUN HARTANINGRUM</td>
<td>'3503055604000001</td>
<td>DUSUN KRAJAN, RT : 15,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-04-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>ANGGOTA POLRI</td>
<td>'0001315564547</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>554</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009078</td>
<td>MAR`ATUSSOLICHAH</td>
<td>'3503055211900002</td>
<td>RT 08 RW 03</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-11-1990</td>
<td>32</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802759636</td>
<td>131506010123Y000715</td>
<td align='center'>
G40.9 </td>
<td align='center'>
<font color='black'>Epilepsy, unspecified</font> </td>

</tr>

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


<td>555</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024199</td>
<td>YAYUK INDARWATI</td>
<td>'3503055006840007</td>
<td>JAMBU, RT : 023,RW :008 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-06-1984</td>
<td>38</td>
<td>P</td>
<td>WIRASWASTA</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>UMUM</td>
<td></td>
<td>'</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>556</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021897</td>
<td>SUBAGI</td>
<td>'3503051707760006</td>
<td>RT 17 RWB 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-07-1976</td>
<td>46</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665489542</td>
<td>131506010123Y000735</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

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


<td>557</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008002</td>
<td>SUMANI</td>
<td>'3503051509670001</td>
<td>DUSUN PONGGOK, RT : 22,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-09-1967</td>
<td>55</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

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


<td>558</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005015</td>
<td>SUTRISNO</td>
<td>'3503050609700003</td>
<td>RT 12 RW 4</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-09-1970</td>
<td>52</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666113894</td>
<td>131506010123Y000729</td>
<td align='center'>
H25.9 </td>
<td align='center'>
<font color='black'>Senile cataract, unspecified</font> </td>

</tr>

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


<td>559</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003203</td>
<td>WIWI ANGGRAENI</td>
<td>'3503055606940001</td>
<td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-06-1994</td>
<td>28</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998448</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

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


<td>560</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024225</td>
<td>TATIT MAHENDRA</td>
<td>'3503052502990001</td>
<td>RT 8 RW 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-02-1999</td>
<td>23</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PEGAWAI SWASTA</td>
<td>'0002158658537</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

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


<td>561</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024226</td>
<td>ARDYLA DIAH OCKTA PRAMESWARI</td>
<td>'3503056110020002</td>
<td>RT 2 RW 1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-10-2002</td>
<td>20</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666279461</td>
<td>131506010123Y000738</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>562</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004539</td>
<td>ARKA RISQIPUTRA SEPTIANO</td>
<td>'3503051809170003</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-09-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002433609628</td>
<td>131506010123Y000768</td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

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


<td>563</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024112</td>
<td>NINIK HARYATI</td>
<td>'3503054201810001</td>
<td>RT 11 RW 4</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-01-1981</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001847400208</td>
<td>131506010123Y000592</td>
<td align='center'>
Z48.9 </td>
<td align='center'>
<font color='black'>Surgical follow-up care, unspecified</font>
</td>

</tr>

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


<td>564</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024228</td>
<td>SRI LISTIANI</td>
<td>'3503064304730001</td>
<td>DUSUN KEDUNGSANGKAL, RT : 7,RW :3 </td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>03-04-1973</td>
<td>49</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>565</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002302</td>
<td>SARMINI</td>
<td>'3503056507660004</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-07-1966</td>
<td>56</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666104264</td>
<td>131506010123Y000737</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>566</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007941</td>
<td>NANUK HIDAYAH</td>
<td>'3503054402930003</td>
<td>DUSUN SELOMUNDING, RT : 4,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-02-1993</td>
<td>29</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

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


<td>567</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005626</td>
<td>ZAHRA CANTIKA PUTRI</td>
<td>'3503054312140003</td>
<td>RT 7 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-12-2014</td>
<td>8</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001845881706</td>
<td>131506010123Y000756</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>568</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015850</td>
<td>EVI YULIANA</td>
<td>'3503056505880002</td>
<td>SUKOREJO, RT : 10,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-05-1988</td>
<td>34</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666937506</td>
<td>131506010123Y000749</td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>
</tr>

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


<td>569</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003356</td>
<td>ISMIATUN</td>
<td>'3503056212730001</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-12-1973</td>
<td>49</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802761368</td>
<td>131506010123Y000744</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>570</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003618</td>
<td>ARIK SANIYATUSSA`ADAH</td>
<td>'</td>
<td>RT 15 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-12-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860463621</td>
<td>131506010123Y000748</td>
<td align='center'>
L30.9 </td>
<td align='center'>
<font color='red'>Dermatitis, unspecified</font> </td>

</tr>

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


<td>571</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002354</td>
<td>JURI</td>
<td>'3503050207640001</td>
<td>DUSUN JUMOK, RT : 11,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-07-1964</td>
<td>58</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106795686</td>
<td>131506010123Y000764</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

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


<td>572</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000398</td>
<td>SHAFIRA PUTRI HANDAYANI</td>
<td>'3503056205030002</td>
<td>DUSUN KEBONSARI, RT : 032,RW :008 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-05-2003</td>
<td>19</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002860463856</td>
<td></td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

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


<td>573</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024233</td>
<td>NOVITA DWI HARTIYAH</td>
<td>'3503035704000002</td>
<td>RT 6 RW 1</td>
<td>TANGGARAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>17-04-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

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


<td>574</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024234</td>
<td>PRETY ERLITA FATMA YUSNIA</td>
<td>' 3503054509050001</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-09-2005</td>
<td>17</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666081044</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

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


<td>575</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007443</td>
<td>MESIRAN</td>
<td>'3503052604630001</td>
<td>DUSUN GONDANG, RT : 17,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-04-1963</td>
<td>59</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978456645</td>
<td>131506010123Y000805</td>
<td align='center'>
R00.0 </td>
<td align='center'>
<font color='black'>Tachycardia, unspecified</font> </td>

</tr>

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


<td>576</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021730</td>
<td>MOHAMMAD ALVINO ARDIANSYAH</td>
<td>'3503051911140001</td>
<td>RT 7 RW 2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-11-2014</td>
<td>8</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003296083421</td>
<td>131506010123Y000807</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>577</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024238</td>
<td>RIDHWAN ABDUL AZIZ</td>
<td>'3503053006980003</td>
<td>RT 20 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1998</td>
<td>24</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665453406</td>
<td>131506010123Y000818</td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

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


<td>578</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024242</td>
<td>SUPRAPTO</td>
<td>'3503051012690001</td>
<td>RT 11 RW 04</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1971</td>
<td>51</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067656783</td>
<td>131506010123Y000806</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>579</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024246</td>
<td>ARYA RAHMAD MAULANA</td>
<td>'</td>
<td>RT 20 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-07-2012</td>
<td>10</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>580</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001990</td>
<td>JUMADI</td>
<td>'</td>
<td>RT 10 RW 04</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-07-1968</td>
<td>54</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666304211</td>
<td>131506010123Y000754</td>
<td align='center'>
F41.1 </td>
<td align='center'>
<font color='black'>Generalized anxiety disorder</font> </td>

</tr>

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


<td>581</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010143</td>
<td>PURWATI</td>
<td>'3503055108760004</td>
<td>RT 04 RW 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-08-1976</td>
<td>46</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067630301</td>
<td>131506010123Y000809</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

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


<td>582</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006216</td>
<td>SITI ROMELAH</td>
<td>'3503055209710002</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-09-1971</td>
<td>51</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001277400464</td>
<td>131506010123Y000815</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

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


<td>583</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009810</td>
<td>MUYATI</td>
<td>'3503055301640001</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-01-1968</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001309550207</td>
<td>131506010123Y000814</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>
</tr>

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


<td>584</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010735</td>
<td>EKO WAHYU UTOMO</td>
<td>'6472010807180001</td>
<td>RT 04 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-07-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002471036051</td>
<td>131506010123Y000789</td>
<td align='center'>
N48.8 </td>
<td align='center'>
<font color='black'>Other specified disorders of penis</font>
</td>

</tr>

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


<td>585</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004740</td>
<td>LESTARI</td>
<td>'6472035702900003</td>
<td>DUSUN CORAH MULYO, RT : 1,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-02-1990</td>
<td>32</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666102789</td>
<td>131506010123Y000811</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>586</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023049</td>
<td>REZA SUZANA</td>
<td>'3503126711790005</td>
<td>RT 21 RW 09</td>
<td>NGADIRENGGO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-11-1979</td>
<td>43</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000205584581</td>
<td>131506010123Y000792</td>
<td align='center'>
M51.2 </td>
<td align='center'>
<font color='black'>Other specified intervertebral disc
displacement</font> </td>

</tr>

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


<td>587</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017378</td>
<td>BIANDI BALYA</td>
<td>'3517080303970002</td>
<td>RT 04 RW 05</td>
<td>KAYANGAN</td>
<td>DIWEK</td>
<td>JOMBANG</td>
<td>03-03-1997</td>
<td>25</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0002197138601</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>588</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009351</td>
<td>FADHIL YAQDAN NASRULLAH</td>
<td>'3503052803150001</td>
<td>RT 007 RW 002</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-03-2015</td>
<td>7</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>589</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024271</td>
<td>IRFAN SYAICHUDIN FASIH</td>
<td>'3503051706950002</td>
<td>RT 08 RW 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-06-1995</td>
<td>27</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068092912</td>
<td>131506010123Y000799</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>590</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024272</td>
<td>INDARWATI</td>
<td>'9101015001730002</td>
<td>RT 004 RW 000</td>
<td>CATURHARJO</td>
<td>PANDAK</td>
<td>BANTUL</td>
<td>10-01-1973</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PRAJURIT AU</td>
<td>'0001109038511</td>
<td>131506010123Y000796</td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>591</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004988</td>
<td>HAMIDAH</td>
<td>'3503116506670003</td>
<td>GERBO, RT : 12,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-06-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106792121</td>
<td>131506010123Y000794</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>592</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004194</td>
<td>NOVIA ANJARWATI</td>
<td>'3503056102980001</td>
<td>DUSUN BEJI, RT : 17,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-02-1998</td>
<td>24</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665869792</td>
<td>131506010123Y000802</td>
<td align='center'>
H81.3 </td>
<td align='center'>
<font color='red'>Other peripheral vertigo</font> </td>

</tr>

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


<td>593</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004859</td>
<td>DIAN EKA</td>
<td>'3503050311880002</td>
<td>DUSUN TOMPE, RT : 010,RW :004 </td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-11-1988</td>
<td>34</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0000106632347</td>
<td>131506010123Y000803</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>594</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001096</td>
<td>HADI EKOSILO</td>
<td>'3503051204680007</td>
<td>RT 4 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1968</td>
<td>54</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>Wiwing Dewi Rachmasari</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002448542845</td>
<td>131506010123Y000942</td>
<td align='center'>
H61 </td>
<td align='center'>
<font color='red'>Other disorders of external ear</font> </td>

</tr>

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


<td>595</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021486</td>
<td>RENI USFIANA</td>
<td>'3503054101880002</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1988</td>
<td>35</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>596</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014716</td>
<td>ALI MUSTOFA</td>
<td>'3503052107780001</td>
<td>RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-07-1978</td>
<td>44</td>
<td>L</td>
<td>Lainnya</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665711098</td>
<td>131506010123Y000943</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

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


<td>597</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000191</td>
<td>JAMINEM</td>
<td>'3503057004630001</td>
<td>RT 37 RW 6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-04-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002325715097</td>
<td>131506010123Y000845</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

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


<td>598</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024337</td>
<td>NASYITA MAYKHANZA RAMADINI</td>
<td>'</td>
<td>RT 008 RW 003</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-05-2018</td>
<td>4</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>599</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012211</td>
<td>LINURIYAH</td>
<td>'3503056101720002</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-01-1972</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802764147</td>
<td>131506010123Y000941</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

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


<td>600</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001199</td>
<td>INDRIANI PRIYANTI</td>
<td>'</td>
<td>RT 06 RW 03</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-08-1999</td>
<td>23</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>601</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019036</td>
<td>GIMIN</td>
<td>'3503050710680001</td>
<td>DUSUN MLOKO, RT : 57,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-10-1968</td>
<td>54</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665370674</td>
<td>131506010123Y000848</td>
<td align='center'>
M10.9 </td>
<td align='center'>
<font color='black'>Gout, unspecified</font> </td>

</tr>

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


<td>602</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002228</td>
<td>MARTINAH</td>
<td>'3503056004760001</td>
<td>SOOKO, RT : 45,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-04-1976</td>
<td>46</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667058736</td>
<td>131506010123Y000923</td>
<td align='center'>
R50 </td>
<td align='center'>
<font color='black'>Fever of other and unknown origin</font>
</td>

</tr>

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


<td>603</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024341</td>
<td>VEI AHMAD MAULANA DIANTONO</td>
<td>'3503051006180001</td>
<td>RT 018 RW 008</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-06-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002465381845</td>
<td>131506010123Y000915</td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

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


<td>604</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009985</td>
<td>LAILATUL ASRAFA</td>
<td>'3503055808790002</td>
<td>DUSUN KRAJAN, RT : 6,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-08-1979</td>
<td>43</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802764935</td>
<td>131506010123Y000918</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>605</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018911</td>
<td>SUNARTI</td>
<td>'6471035801670003</td>
<td>DUSUN KRAJAN, RT : 6,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-01-1967</td>
<td>56</td>
<td>P</td>
<td>Lainnya</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001322546422</td>
<td>131506010123Y000863</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>606</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009102</td>
<td>SUHARTINI</td>
<td>'3503054405780003</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-05-1978</td>
<td>44</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003108958266</td>
<td>131506010123Y000864</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

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


<td>607</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017185</td>
<td>ABBYTIO DERMA GANYARSYAH</td>
<td>'3516130710970001</td>
<td>RT 11 RW 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-10-1997</td>
<td>25</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PEKERJA MANDIRI</td>
<td>'0001535972027</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>608</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021266</td>
<td>SAMBA ALZA TIRTA NUGROHO</td>
<td>'1808101909150001</td>
<td>RT 22 RW 06</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-09-2015</td>
<td>7</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>609</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016468</td>
<td>JAIKEM</td>
<td>'3503055612640001</td>
<td>RT 20 RW 09 PONGGOK</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-12-1964</td>
<td>58</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002729556843</td>
<td>131506010123Y000621</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

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


<td>610</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023464</td>
<td>PARYATI</td>
<td>'3503056007740003</td>
<td>GERBO, RT : 12,RW :5 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-08-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666100214</td>
<td>131506010123Y000917</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

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


<td>611</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024195</td>
<td>PURBHO BAYU AJI PUTRO SASONGKO</td>
<td>'3503052803170001</td>
<td>RT 024 RW 005</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-03-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003287455964</td>
<td>131506010123Y000901</td>
<td align='center'>
L30.9 </td>
<td align='center'>
<font color='red'>Dermatitis, unspecified</font> </td>

</tr>

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


<td>612</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005134</td>
<td>MESIDI</td>
<td>'</td>
<td>RT 01 RW 03</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>30-06-1963</td>
<td>59</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000661457507</td>
<td>131506010123Y000902</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>613</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003326</td>
<td>SUHERMAN</td>
<td>'3503051504820002</td>
<td>DSN TOMPE, RT : 008,RW :003 </td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-04-1982</td>
<td>40</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002467742466</td>
<td>131506010123Y000939</td>
<td align='center'>
H92 </td>
<td align='center'>
<font color='black'>Otalgia and effusion of ear</font> </td>

</tr>
<tr align="left" valign="top">
<td>614</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024319</td>
<td>SUTRISNO</td>
<td>'3503052001860006</td>
<td>DUSUN GEBANG, RT : 019,RW :007 </td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-01-1986</td>
<td>37</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>615</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024347</td>
<td>AHSAN PRAWIRA MUKTI</td>
<td>'</td>
<td>RT 009 RW 003</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-04-2002</td>
<td>20</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>'0000106569922</td>
<td>131506010123Y000937</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>
</tr>

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


<td>616</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024348</td>
<td>APRILIA ISNAWATI</td>
<td>'3503056504940001</td>
<td>RT 18 RW 7</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-04-1994</td>
<td>28</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002143922951</td>
<td>131506010123Y000886</td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

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


<td>617</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024349</td>
<td>SUGIARTO</td>
<td>'3503052803860001</td>
<td>RT 006 RW 002</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-03-1986</td>
<td>36</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>618</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024350</td>
<td>NURCHOLIS ADE SETIAWAN</td>
<td>'1803102004910003</td>
<td>RT 003 RW 002</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-04-1991</td>
<td>31</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>619</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024351</td>
<td>ERLINA SEPTANTI</td>
<td>'3503064209920003</td>
<td>RT 6 RW 1</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>02-09-1992</td>
<td>30</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003263892298</td>
<td>131506010123Y000920</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>620</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010199</td>
<td>SHOLIKAH</td>
<td>'3503055805670002</td>
<td>RT 16 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-05-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665676865</td>
<td>131506010123Y000938</td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

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


<td>621</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019947</td>
<td>ARISKA ARUM KHOLIFATUL UMAROH</td>
<td>'3503055803980001</td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-03-1998</td>
<td>24</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978453776</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>622</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003290</td>
<td>ANIS KHAYATUL MU`ALIMAH</td>
<td>'3503055102900003</td>
<td>DUSUN JUMOK, RT : 11,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-02-1990</td>
<td>32</td>
<td>P</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>'0000172881009</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>623</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000703</td>
<td>NANING</td>
<td>'3503054502700001</td>
<td>DUSUN BENGGLE, RT : 11,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-02-1970</td>
<td>52</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037006897</td>
<td>131506010123Y000884</td>
<td align='center'>
I11 </td>
<td align='center'>
<font color='black'>Hypertensive heart disease</font> </td>

</tr>

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


<td>624</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024354</td>
<td>HAMDAN KHOIRUN FADJAN</td>
<td>'3503051510020001</td>
<td>NGLEGOK, RT : 11,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-10-2002</td>
<td>20</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>625</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024358</td>
<td>LUKMAN SULISTIYO</td>
<td>'3503051602010001</td>
<td>RT 015 RW 003</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-03-2001</td>
<td>21</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>626</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024359</td>
<td>MOHAMMAD TOHIR</td>
<td>'3503051410710003</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-10-1971</td>
<td>51</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463799</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>627</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001436</td>
<td>JOKO IRIANTO</td>
<td>'3503050603630001</td>
<td>RT 6 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-03-1963</td>
<td>59</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802747554</td>
<td>131506010123Y000945</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

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


<td>628</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018787</td>
<td>BAMBANG EKO WIDODO</td>
<td>'3503051109770001</td>
<td>RT 23 RW 08</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-09-1977</td>
<td>45</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665803034</td>
<td>131506010123Y000946</td>
<td align='center'>
S06.5 </td>
<td align='center'>
<font color='black'>Traumatic subdural haemorrhage</font> </td>

</tr>

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


<td>629</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000432</td>
<td>SITI QOMARIYAH</td>
<td>'</td>
<td>RT 32 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666188458</td>
<td>131506010123Y000998</td>
<td align='center'>
F41 </td>
<td align='center'>
<font color='black'>Other anxiety disorders</font> </td>

</tr>

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


<td>630</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002529</td>
<td>SURYADANI</td>
<td>'3503051212850002</td>
<td>DUSUN SANGGRAHAN, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-12-1985</td>
<td>37</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665913273</td>
<td>131506010123Y001000</td>
<td align='center'>
D17.0 </td>
<td align='center'>
<font color='red'>Benign lipomatous neoplasm of skin and subcutaneous
tissue of head, face and neck</font> </td>

</tr>

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


<td>631</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001467</td>
<td>SARWO PRAYITNO</td>
<td>'3571010404680007</td>
<td>RT 1 RW 1</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-04-1968</td>
<td>54</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001900119273</td>
<td>131506010123Y000999</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>632</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019088</td>
<td>JAINI</td>
<td>'3503050609660001</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-09-1966</td>
<td>56</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666232795</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>633</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024370</td>
<td>HARIYANTO</td>
<td>'3503051510800001</td>
<td>DUSUN KRAJAN, RT : 13,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-10-1980</td>
<td>42</td>
<td>L</td>
<td>Sopir</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>634</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024371</td>
<td>SUGENG HARIYADI</td>
<td>'3503050506870001</td>
<td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-06-1987</td>
<td>35</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>635</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000498</td>
<td>MARISKA DYAH ASTARI (2)</td>
<td>'3503056903990002</td>
<td>RT 03 RW 02</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-03-1999</td>
<td>23</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463215</td>
<td>131506010123Y001001</td>
<td align='center'>
J40 </td>
<td align='center'>
<font color='red'>Bronchitis, not specified as acute or chronic</font>
</td>

</tr>

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


<td>636</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003306</td>
<td>IMAWATI</td>
<td>'3503056708800004</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-08-1980</td>
<td>42</td>
<td>P</td>
<td>Lainnya</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>637</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013038</td>
<td>MESTINI</td>
<td>'3503055301940001</td>
<td>DUSUN PONGGOK, RT : 24,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-01-1994</td>
<td>29</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665823058</td>
<td>131506010123Y000995</td>
<td align='center'>
J45 </td>
<td align='center'>
<font color='red'>Asthma</font> </td>

</tr>

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


<td>638</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009508</td>
<td>WIDATI</td>
<td>'3503056202670001</td>
<td>KRAJAN, RT : 17,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-02-1967</td>
<td>55</td>
<td>P</td>
<td>Guru</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106875685</td>
<td>131506010123Y000955</td>
<td align='center'>
H52.5 </td>
<td align='center'>
<font color='black'>Disorders of accommodation</font> </td>

</tr>

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


<td>639</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007117</td>
<td>MURTINI</td>
<td>'3503054606690001</td>
<td>DUSUN GONDANG, RT : 7,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-06-1969</td>
<td>53</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666629932</td>
<td>131506010123Y000997</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

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


<td>640</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024379</td>
<td>MARIO NARENDRA AGUSTINO</td>
<td>'3503052008150001</td>
<td>DESA DERMOSARI RT 01/ RW 01 KECAMATAN TUGU KAB. TRENGGALEK, RT :
001,RW :001 </td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-08-2015</td>
<td>7</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002310733449</td>
<td>131506010123Y000996</td>
<td align='center'>
H10.9 </td>
<td align='center'>
<font color='red'>Conjunctivitis, unspecified</font> </td>

</tr>

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


<td>641</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002224</td>
<td>APRILIO FERNANDA</td>
<td>'3503050204130003</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-04-2013</td>
<td>9</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978458614</td>
<td>131506010123Y000957</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>642</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024381</td>
<td>I `ONE SIUWJING KUSUMA WARDANA</td>
<td>'3503052203040002</td>
<td>RT 10 RW 04</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-03-2004</td>
<td>18</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>643</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001139</td>
<td>UMULLATHIFAH</td>
<td>'3503055307960003</td>
<td>DUSUN KRAJAN, RT : 11,RW :3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-07-1996</td>
<td>26</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>644</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000181</td>
<td>FAIREL ATHARIZ CALIEF</td>
<td>'</td>
<td>RT 18 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-01-2016</td>
<td>7</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0002049759685</td>
<td>131506010123Y001002</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>645</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002214</td>
<td> RAHAYU SUYATI</td>
<td>'3503054510660004</td>
<td>RT 06 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-10-1966</td>
<td>56</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001280851097</td>
<td>131506010123Y000967</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

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


<td>646</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024386</td>
<td>NURIN KHASANAH</td>
<td>'3503056406800001</td>
<td>RT 04 RW 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-06-1980</td>
<td>42</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>'0000106574141</td>
<td>131506010123Y000994</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>647</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024385</td>
<td>LUTFI NUR ROHMAH</td>
<td>'3503055507000003</td>
<td>RT 06 RW 02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-07-2000</td>
<td>22</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>648</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024392</td>
<td>MUHAMMAD ICHSAN</td>
<td>'3503050308880002</td>
<td>RT 01 RW 01</td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-08-1988</td>
<td>34</td>
<td>L</td>
<td>LAINNYA</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0002194613493</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>649</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018238</td>
<td>KHOIROTUN NISAK</td>
<td>'3503056406900009</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-06-1990</td>
<td>32</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000666397901</td>
<td>131506010123Y000992</td>
<td align='center'>
K30 </td>
<td align='center'>
<font color='red'>Dyspepsia</font> </td>
</tr>

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


<td>650</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012044</td>
<td>YUSUF ARYA PUTRA</td>
<td>'9999999999999999-492007</td>
<td>DUSUN CORAH MULYO, RT : 2,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-09-2014</td>
<td>8</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
L08 </td>
<td align='center'>
<font color='red'>Other local infections of skin and subcutaneous
tissue</font> </td>

</tr>

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


<td>651</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021455</td>
<td>NUR HIDAYATI</td>
<td>'3503055305910005</td>
<td>RT 02 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-05-1991</td>
<td>31</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
B86 </td>
<td align='center'>
<font color='red'>Scabies</font> </td>

</tr>

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


<td>652</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023473</td>
<td>MASHUDI SETYO UTOMO</td>
<td>'3503050504650002</td>
<td>KRAJAN, RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-04-1965</td>
<td>57</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002747310884</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>653</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003097</td>
<td>MARSYA NABILA PUTRI</td>
<td>'3503056110140001</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-10-2014</td>
<td>8</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>UMUM</td>
<td></td>
<td>'</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>654</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000271</td>
<td>SUKARTI</td>
<td>'3503056711670001</td>
<td>RT01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-11-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666102251</td>
<td>131506010123Y001003</td>
<td align='center'>
L23 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis</font> </td>

</tr>

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


<td>655</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001401</td>
<td>SAMSIAH</td>
<td>'3503057011670001</td>
<td>DUSUN GONDANG, RT : 17,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-11-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978459266</td>
<td>131506010123Y001016</td>
<td align='center'>
G40.9 </td>
<td align='center'>
<font color='black'>Epilepsy, unspecified</font> </td>

</tr>

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


<td>656</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002834</td>
<td>FERA DANIATI</td>
<td>'3503054104890002</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1989</td>
<td>33</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PRAJURIT AL</td>
<td>'0001108540517</td>
<td>131506010123Y001019</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>657</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011561</td>
<td>RENI YULI ASTUTI</td>
<td>'</td>
<td>RT 04/01 DONGKO</td>
<td>DONGKO</td>
<td>DONGKO</td>
<td>TRENGGALEK</td>
<td>18-07-1995</td>
<td>27</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0003125256467</td>
<td>131506010123Y001018</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>658</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009129</td>
<td>ERIYANTI RIZKHA PARADITA</td>
<td>'3503056108940001</td>
<td>DUSUN KALIPINGGIR, RT : 18,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-08-1994</td>
<td>28</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000106530085</td>
<td>131506010123Y001022</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>659</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009116</td>
<td>DIAN ARGAWATI</td>
<td>'3503055903830003</td>
<td>DUSUN GONDANG, RT : 7,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-03-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>ANGGOTA POLRI</td>
<td>'0001101340091</td>
<td>131506010123Y001023</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>660</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009121</td>
<td>PARID KASDIATORO</td>
<td>'3503072708900001</td>
<td>RT 06 RW 02</td>
<td>WATUAGUNG</td>
<td>WATULIMO</td>
<td>TRENGGALEK</td>
<td>27-08-1990</td>
<td>32</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002875156929</td>
<td>131506010123Y001021</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>661</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022682</td>
<td>NINIS WULANDARI</td>
<td>'3520046007960001</td>
<td>RT 24 RW 05</td>
<td>KUWONHARJO</td>
<td>TAKERAN</td>
<td>MAGETAN</td>
<td>20-07-1996</td>
<td>26</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0003125278473</td>
<td>131506010123Y001024</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>662</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013090</td>
<td>DIANTI DWI PANGESTUTI</td>
<td>'3504175106870003</td>
<td>RT 02 RW 01</td>
<td>KARANGAN</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>11-06-1987</td>
<td>35</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>663</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001290</td>
<td>PAMUJIATI</td>
<td>'3503055605660002</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-05-1966</td>
<td>56</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106547523</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>664</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001362</td>
<td>WARSINI</td>
<td>'3503055506800004</td>
<td>KRAJAN, RT : 23,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-06-1980</td>
<td>42</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</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>665</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024407</td>
<td>NAUFAL BISMA YUNANTA</td>
<td>'3503052709130001</td>
<td>DUSUN BEJI, RT : 17,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-09-2013</td>
<td>9</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002861468392</td>
<td>131506010123Y001031</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>666</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006475</td>
<td>ARI KURNIAWAN</td>
<td>'3503120505920002</td>
<td>RT 18 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-05-1992</td>
<td>30</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>667</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019441</td>
<td>KASIH</td>
<td>'3503057112630013</td>
<td>RT 01 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978440175</td>
<td>131506010123Y001029</td>
<td align='center'>
M54.05 </td>
<td align='center'>
<font color='black'>Panniculitis affecting regions of neck and back,
thoracolumbar region</font> </td>

</tr>

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


<td>668</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024361</td>
<td>SUKAJI</td>
<td>'3503050403660002</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-03-1966</td>
<td>56</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R50.0 </td>
<td align='center'>
<font color='black'>Fever with chills</font> </td>

</tr>

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


<td>669</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008616</td>
<td>DEMA ARIS SETYAWAN</td>
<td>'3503051604980004 </td>
<td>DUSUN WINONG, RT : 4,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-04-1998</td>
<td>24</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>670</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003123</td>
<td>NAFI`A NURHIDAYAH</td>
<td>'3503054803940004</td>
<td>RT 37 RW 6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-03-1994</td>
<td>28</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867872601</td>
<td>131506010123Y001047</td>
<td align='center'>
K29 </td>
<td align='center'>
<font color='red'>Gastritis and duodenitis</font> </td>

</tr>

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


<td>671</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024413</td>
<td>OKY SETYAWAN</td>
<td>'3571020504880002</td>
<td>RT 14 RW 03</td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>05-04-1988</td>
<td>34</td>
<td>L</td>
<td>Karyawan Honorer</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0002435395116</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>672</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023488</td>
<td>ABDUL AZIZ MUHAMAT AL</td>
<td>'3502022709940002</td>
<td>RT 1 RW 2 MUNENG</td>
<td>MUNENG</td>
<td>BALONG</td>
<td>PONOROGO</td>
<td>27-09-1994</td>
<td>28</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
G43.9 </td>
<td align='center'>
<font color='red'>Migraine, unspecified</font> </td>

</tr>

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


<td>673</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024414</td>
<td>AHMAD DHANI BAHTIAR RIFA`I (1)</td>
<td>'3503132312010002</td>
<td>DUSUN KRAJAN, RT : 8,RW :2 </td>
<td>SUMBEREJO</td>
<td>DURENAN</td>
<td>TRENGGALEK</td>
<td>23-12-2001</td>
<td>21</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802910522</td>
<td>131506010123Y001046</td>
<td align='center'>
K30 </td>
<td align='center'>
<font color='red'>Dyspepsia</font> </td>

</tr>

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


<td>674</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024415</td>
<td>RUDI SANTOSO</td>
<td>'3503051511930002</td>
<td>DUSUN KRAJAN, RT : 13,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-11-1993</td>
<td>29</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>675</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024416</td>
<td>MUHAMAD SUBUR</td>
<td>'3503051603760003</td>
<td>RT 16 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-03-1976</td>
<td>46</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001140987069</td>
<td>131506010123Y001034</td>
<td align='center'>
B97.7 </td>
<td align='center'>
<font color='black'>Papillomavirus as the cause of diseases classified
to other chapters</font> </td>

</tr>

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


<td>676</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020228</td>
<td>IDA AYU DEWI UTARI</td>
<td>'3503055101040001</td>
<td>RT 21 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-01-2004</td>
<td>19</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>677</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005900</td>
<td>ERLINGGA EDWIN PANGGALIH</td>
<td>'3503050602950001</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-02-1995</td>
<td>27</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>678</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000305</td>
<td>YENI SISKAWATI</td>
<td>'</td>
<td>RT 12 RW 05</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-12-1988</td>
<td>34</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978432064</td>
<td>131506010123Y001044</td>
<td align='center'>
N30 </td>
<td align='center'>
<font color='black'>Cystitis</font> </td>

</tr>

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


<td>679</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024420</td>
<td>MISNI</td>
<td>'3503050907630002</td>
<td>RT 17 RW 07</td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-07-1963</td>
<td>59</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>680</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024427</td>
<td>AHMAD HABIBI WALID</td>
<td>'3503100310970001</td>
<td>RT 12 RW 04</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-10-1997</td>
<td>25</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>681</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024428</td>
<td>RICKY MAURILLA PRATAMA</td>
<td>'3503052903030001</td>
<td>PRAMBON, RT : 31,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-03-2003</td>
<td>19</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>682</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008297</td>
<td>RIZKY FADILLAH SIDDIK</td>
<td>'3503051807010003</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-07-2001</td>
<td>21</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>683</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024429</td>
<td>MUHAMMAD ARDIANSYAH</td>
<td>'3503052512010004</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-12-2001</td>
<td>21</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>684</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024430</td>
<td>FERI EKO SETYAWAN</td>
<td>'3503051708070001</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-08-2003</td>
<td>19</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>685</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024431</td>
<td>DENI PRASETYA</td>
<td>'3503050209030002</td>
<td>DSN ETAN KALI, RT : 17,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-09-2003</td>
<td>19</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>686</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024432</td>
<td>ARTIKA NUR HIKMAWATI</td>
<td>'3503055905000001</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-05-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>687</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024333</td>
<td>USWATUN KHASANAH</td>
<td>'3503055605010001</td>
<td>KEBONSARI, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-05-2001</td>
<td>21</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>688</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024433</td>
<td>WIWIK HARIYANTI</td>
<td>'3503146603970001</td>
<td>RT 13 RW 04</td>
<td>PURU</td>
<td>SURUH</td>
<td>TRENGGALEK</td>
<td>26-03-1997</td>
<td>25</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0003088526062</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>689</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000982</td>
<td>ALI MUSTOFA</td>
<td>'3503051711070352</td>
<td>PRAMBON RT24/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-09-2016</td>
<td>6</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002083121763</td>
<td>131506010123Y001142</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>690</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002058</td>
<td>ANANG MA`RUF HARDYANSYAH</td>
<td>'3503050510960001</td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-10-1996</td>
<td>26</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665119247</td>
<td>131506010123Y001079</td>
<td align='center'>
F25.1 </td>
<td align='center'>
<font color='black'>Schizoaffective disorder, depressive type</font>
</td>

</tr>

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


<td>691</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022326</td>
<td>SUNARTI</td>
<td>'3503055704700001</td>
<td>RT 23 RW 06 GONDANG</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-04-1970</td>
<td>52</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067757447</td>
<td>131506010123Y001150</td>
<td align='center'>
M51.2 </td>
<td align='center'>
<font color='black'>Other specified intervertebral disc
displacement</font> </td>

</tr>

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


<td>692</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022584</td>
<td>KATIMIN</td>
<td>'3503050310640002</td>
<td>DSN ETAN KALI, RT : 17,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-10-1964</td>
<td>58</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666050782</td>
<td>131506010123Y001124</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

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


<td>693</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005068</td>
<td>ZULFIAN CANDRA RIZQI EL FANDRI</td>
<td>'3503052503100001</td>
<td>DUSUN KEBONSARI, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-03-2010</td>
<td>12</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067757627</td>
<td>131506010123Y001138</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>694</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024437</td>
<td>PRISMA YUSDINAR</td>
<td>'3503056906010001</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-06-2001</td>
<td>21</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0001978445002</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>695</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024438</td>
<td>ABDUL ROHMAN</td>
<td>'3503051501970001</td>
<td>DESA SUKOREJO, RT : 11,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-1997</td>
<td>26</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665769723</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>696</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009003</td>
<td>MEGA KISNAWATI</td>
<td>'6471054409910004</td>
<td>RT 42 RW 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-09-1991</td>
<td>31</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>697</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017228</td>
<td>BUDI NUR`AINI</td>
<td>'3503111707730002</td>
<td>DSN JARAKAN, RT : 020,RW :005 </td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>17-07-1973</td>
<td>49</td>
<td>L</td>
<td>WIRASWASTA</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000196218819</td>
<td>131506010123Y001175</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>698</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024439</td>
<td>ANGGI PUTRI APRILLIA DINI</td>
<td>'3503054704040001</td>
<td>KRAJAN, RT : 2,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-04-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106540593</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>699</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018213</td>
<td>MURTI NINGSIH</td>
<td>'3502055012710002</td>
<td>RT 03 RW 02</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>10-12-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003256123342</td>
<td>131506010123Y001119</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

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


<td>700</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006916</td>
<td>ANDI SUBAGYO</td>
<td>'3503043010960001</td>
<td>RT 5 RW 1</td>
<td>SUMBERBENING</td>
<td>DONGKO</td>
<td>TRENGGALEK</td>
<td>30-10-1996</td>
<td>26</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</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>701</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024441</td>
<td>BASRONI</td>
<td>'3503050209680002</td>
<td>RT 9 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-09-1968</td>
<td>54</td>
<td>L</td>
<td>WIRASWA</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666946765</td>
<td>131506010123Y001139</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>702</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020905</td>
<td>SITI ZUWARIYAH</td>
<td>'3503054110650004</td>
<td>DESA GONDANG, RT : 11,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-12-1965</td>
<td>57</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003312361282</td>
<td>131506010123Y001089</td>
<td align='center'>
C18.9 </td>
<td align='center'>
<font color='black'>Malignant neoplasm of colon, unspecified</font>
</td>

</tr>

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


<td>703</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009325</td>
<td>MAHFU DHOTUN NADHIROH</td>
<td>'3503054706990003</td>
<td>RT 006 RW 002</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-06-1999</td>
<td>23</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666164463</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>704</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007912</td>
<td>BUDIARTO</td>
<td>'3503052112710001</td>
<td>DUSUN JUMOK, RT : 6,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-12-1971</td>
<td>51</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>705</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022019</td>
<td>ROHMAD RIZQI RIZALDI</td>
<td>'3503051107960001</td>
<td>TENGGAR, RT : 2,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-07-1996</td>
<td>26</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665821359</td>
<td>131506010123Y001152</td>
<td align='center'>
N39.9 </td>
<td align='center'>
<font color='red'>Disorder of urinary system, unspecified</font>
</td>

</tr>

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


<td>706</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002078</td>
<td>SITI ASMIATUN</td>
<td>'3503054107730003</td>
<td>RT 18 RW 07</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666569305</td>
<td>131506010123Y001133</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>707</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003459</td>
<td>NURAINI HAJAR ROHMAH</td>
<td>'6408045703940003</td>
<td>RT 6 RW 3</td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>17-03-1994</td>
<td>28</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>708</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019204</td>
<td>FATIMAH</td>
<td>'3503135103790001</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-03-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665927458</td>
<td>131506010123Y001154</td>
<td align='center'>
N39.0 </td>
<td align='center'>
<font color='red'>Urinary tract infection, site not specified</font>
</td>

</tr>

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


<td>709</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013525</td>
<td>SURATMAN</td>
<td>'3503051906690002</td>
<td>DUSUN KRAJAN, RT : 3,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-06-1969</td>
<td>53</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978467164</td>
<td>131506010123Y001155</td>
<td align='center'>
F20 </td>
<td align='center'>
<font color='black'>Schizophrenia</font> </td>

</tr>

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


<td>710</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010037</td>
<td>ROHMIATIN</td>
<td>'3503055906820002</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-06-1982</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666101417</td>
<td>131506010123Y001156</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>711</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024446</td>
<td>DIYAN TRIONO</td>
<td>'3503054911980004</td>
<td>RT 44 RW 9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-11-1998</td>
<td>24</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978487302</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>712</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000247</td>
<td>HARYATUN</td>
<td>'9171036006670001</td>
<td>RT 3 RW 1</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>20-06-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001318097283</td>
<td>131506010123Y001134</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>713</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000546</td>
<td>MUYOTO</td>
<td>'350305</td>
<td>RT 18 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-07-1966</td>
<td>56</td>
<td>L</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106835499</td>
<td>131506010123Y001136</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>714</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002626</td>
<td>SRI HAWAMI</td>
<td>'3503054303740002</td>
<td>RT 23 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-03-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037003894</td>
<td>131506010123Y001158</td>
<td align='center'>
L50.9 </td>
<td align='center'>
<font color='red'>Urticaria, unspecified</font> </td>

</tr>

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


<td>715</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019849</td>
<td>MUHARDI</td>
<td>'3503051501680001</td>
<td>DESA WINONG, RT : 8,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-1968</td>
<td>55</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001255932459</td>
<td>131506010123Y001135</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>716</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023854</td>
<td>ILHAM AJI NUGROHO</td>
<td>'3503050902980003</td>
<td>DUSUN CORAH MULYO, RT : 1,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-02-1998</td>
<td>24</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666406348</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>717</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009095</td>
<td>MAHMUD ARIF SANTOSO</td>
<td>'3503051411910001</td>
<td>RT 36 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-11-1991</td>
<td>31</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>718</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024449</td>
<td>ANDIMAS AGUS PRASTYO</td>
<td>'3503051708990005</td>
<td>DUSUN KRAJAN, RT : 15,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-08-1999</td>
<td>23</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>719</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001341</td>
<td>ERINA RAMADHANI AYUDIN</td>
<td>'3503055912980001</td>
<td>RT 03 RW 01</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1998</td>
<td>24</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666335812</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>720</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024477</td>
<td>SAROPAH</td>
<td>'</td>
<td>RT 40 RW 7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-01-1985</td>
<td>38</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>721</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018504</td>
<td>PUJIANTO</td>
<td>'3503051901010001</td>
<td>DESA WINONG, RT : 1,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-01-2001</td>
<td>22</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666538593</td>
<td>131506010123Y001145</td>
<td align='center'>
B20 </td>
<td align='center'>
<font color='black'>Human immunodeficiency virus [HIV] disease
resulting in infectious and parasitic diseases</font> </td>

</tr>

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


<td>722</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018828</td>
<td>YENI KARTIKASARI</td>
<td>'3503066005750006</td>
<td>DUSUN TALUN, RT : 3,RW :1 </td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>20-05-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>723</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024494</td>
<td>BUDIANTO</td>
<td>'3503052203740003</td>
<td>KEBONSARI, RT : 24,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-03-1974</td>
<td>48</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664995385</td>
<td>131506010123Y001173</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>724</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007558</td>
<td>NENENG PUJI LESTARI</td>
<td>'3506135111920001</td>
<td>GONDANG RT 33 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-11-1992</td>
<td>30</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001038070585</td>
<td>131506010123Y001172</td>
<td align='center'>
Z48.9 </td>
<td align='center'>
<font color='black'>Surgical follow-up care, unspecified</font>
</td>

</tr>

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


<td>725</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024499</td>
<td>ENDRA ADITYA</td>
<td>'3503051911930003</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-11-1993</td>
<td>29</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>726</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013735</td>
<td>SUKMA AYU NINGRUM</td>
<td>'3503056106170002</td>
<td>RT 018 RW 005</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-06-2017</td>
<td>5</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802765464</td>
<td>131506010123Y001170</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>727</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006702</td>
<td>ANIK WAHYU WIDYASTUTI</td>
<td>'</td>
<td>RT 11 RW 06</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-03-1965</td>
<td>57</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI UMUM</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106523447</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>728</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007551</td>
<td>ARI CANDRA NINGTIAS</td>
<td>'3503055103930001</td>
<td>ETAN KALI, RT : 21,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-03-1993</td>
<td>29</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>'0000665918537</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>729</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007519</td>
<td>SUMIATUN</td>
<td>'3503054607630001</td>
<td>ETAN KALI, RT : 21,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-07-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665918109</td>
<td>131506010123Y001246</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

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


<td>730</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022436</td>
<td>SURATI</td>
<td>'3503055903770001</td>
<td>MOJO KIDUL, RT : 023,RW :008 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-03-1977</td>
<td>45</td>
<td>P</td>
<td>PETANI/PEKEBUN</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665803484</td>
<td>131506010123Y001242</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

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


<td>731</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024507</td>
<td>DESY MEINA INDRASARI</td>
<td>'3503056105010001</td>
<td>RT 23 RW 8</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-05-2001</td>
<td>21</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665803956</td>
<td>131506010123Y001241</td>
<td align='center'>
K30 </td>
<td align='center'>
<font color='red'>Dyspepsia</font> </td>

</tr>

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


<td>732</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004795</td>
<td>SENUN</td>
<td>'3503051006690003</td>
<td>JAMBU, RT : 023,RW :008 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-06-1969</td>
<td>53</td>
<td>L</td>
<td>PETANI/PEKEBUN</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003071771155</td>
<td>131506010123Y001189</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>
<tr align="left" valign="top">
<td>733</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024510</td>
<td>SASMITA NUR AGUSTIN</td>
<td>'3503064108000002</td>
<td>DUSUN NGEGONG, RT : 14,RW :6 </td>
<td>JATIPRAHU</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>01-08-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003000899428</td>
<td></td>
<td align='center'>
J03.9 </td>
<td align='center'>
<font color='red'>Acute tonsillitis, unspecified</font> </td>

</tr>

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


<td>734</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008459</td>
<td>MISTINI</td>
<td>'3503115707720004</td>
<td>NGARES, RT : 12,RW :3 </td>
<td>NGARES</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>17-07-1972</td>
<td>50</td>
<td>P</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106526068</td>
<td>131506010123Y001132</td>
<td align='center'>
K02.1 </td>
<td align='center'>
<font color='black'>Caries of dentine</font> </td>
</tr>

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


<td>735</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024511</td>
<td>KARIN DIMITRA ANJANI</td>
<td>'</td>
<td>RT 11 RW 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-08-2013</td>
<td>9</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001917650261</td>
<td>131506010123Y001244</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>736</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022576</td>
<td>SEPTA PUTRA WIJAYA</td>
<td>'3503053009120001</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-09-2012</td>
<td>10</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002603330919</td>
<td>131506010123Y001245</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>737</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024515</td>
<td>FIKA NURIL BASYIROH</td>
<td>'1803055707050002</td>
<td>RT 05 RW 05</td>
<td>SIDOMUKTI</td>
<td>ABUNG TIMUR</td>
<td>LAMPUNG UTARA</td>
<td>17-06-2005</td>
<td>17</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>738</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024517</td>
<td>SUCIATI</td>
<td>'3503055212790004</td>
<td>RT 17 RW 4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-12-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667004005</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

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


<td>739</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024518</td>
<td>MARYATI</td>
<td>'3503056712670001</td>
<td>RT 15 RW 4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1968</td>
<td>54</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0001037001194</td>
<td></td>
<td align='center'>
M65.32 </td>
<td align='center'>
<font color='black'>Trigger finger, upper arm</font> </td>

</tr>

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


<td>740</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009126</td>
<td>HIDAH ROHMAHWATI</td>
<td>'3503054502970001</td>
<td>DUSUN KEBON, RT : 22,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-02-1997</td>
<td>25</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001082405891</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>741</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002869</td>
<td>ROFIK RIANTO</td>
<td>'3503050705870003</td>
<td>DUSUN KRAJAN, RT : 16,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-05-1987</td>
<td>35</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0000157091578</td>
<td>131506010123Y001215</td>
<td align='center'>
F32.9 </td>
<td align='center'>
<font color='black'>Depressive episode, unspecified</font> </td>

</tr>

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


<td>742</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002534</td>
<td>MARIYAM</td>
<td>'3503064202730002</td>
<td>SOKO, RT : 11,RW :2 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>02-02-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0001799276736</td>
<td>131506010123Y001214</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

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


<td>743</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004932</td>
<td>DAFFA ALFARIZKI PUTRATAMA</td>
<td>'3503051509150002</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-09-2015</td>
<td>7</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002233907032</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>744</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003104</td>
<td>SITI ROHANA</td>
<td>'3504184808730002</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-08-1973</td>
<td>49</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0002039156548</td>
<td>131506010123Y001238</td>
<td align='center'>
K30 </td>
<td align='center'>
<font color='red'>Dyspepsia</font> </td>

</tr>

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


<td>745</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016750</td>
<td>OCTAVIANA AYU ZAHRA</td>
<td>'3503054210150001</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-10-2015</td>
<td>7</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002682083079</td>
<td>131506010123Y001240</td>
<td align='center'>
K00.6 </td>
<td align='center'>
<font color='black'>Disturbances in tooth eruption</font> </td>

</tr>

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


<td>746</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024549</td>
<td>DHEA NADA AMELIA FIESA</td>
<td>'3301174112000001</td>
<td>RT 4 RW 5</td>
<td>PAKETINGAN</td>
<td>SAMPANG</td>
<td>CILACAP</td>
<td>01-12-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000522157656</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>747</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000574</td>
<td>JEMANI</td>
<td>'3503050506650002</td>
<td>DUSUN KEBON, RT : 34,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-06-1965</td>
<td>57</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665547546</td>
<td>131506010123Y001303</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

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


<td>748</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002557</td>
<td>RIFKA WANDARI</td>
<td>'3503054501030001</td>
<td>DUSUN KRAJAN II, RT : 28,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-01-2003</td>
<td>20</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002877144355</td>
<td>131506010123Y001252</td>
<td align='center'>
G40.9 </td>
<td align='center'>
<font color='black'>Epilepsy, unspecified</font> </td>

</tr>

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


<td>749</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010713</td>
<td>YUNINGSIH</td>
<td>'3503056612820003</td>
<td>RT 05 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-12-1982</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665825297</td>
<td>131506010123Y001285</td>
<td align='center'>
Z03.0 </td>
<td align='center'>
<font color='black'>Observation for suspected tuberculosis</font>
</td>

</tr>
<tr align="left" valign="top">
<td>750</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024552</td>
<td>ADHAM AYALI</td>
<td>'3503050710020001</td>
<td>LINGKUNGAN CENGKONG, RT : 011,RW :005 </td>
<td>TAMANAN</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>07-10-2002</td>
<td>20</td>
<td>L</td>
<td>PELAJAR/MAHASISWA</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0003120675287</td>
<td>131506010123Y001253</td>
<td align='center'>
Z47.9 </td>
<td align='center'>
<font color='black'>Orthopaedic follow-up care, unspecified</font>
</td>

</tr>

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


<td>751</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014637</td>
<td>ERLANGGA NAUVALIO</td>
<td>'3503052911140001</td>
<td>DUSUN SOKO, RT : 49,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-11-2014</td>
<td>8</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>752</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011539</td>
<td>RIFKA IRJAYANTI</td>
<td>'3503054906000003</td>
<td>DUSUN CORAH MULYO, RT : 2,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-06-2000</td>
<td>22</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z48 </td>
<td align='center'>
<font color='black'>Other surgical follow-up care</font> </td>

</tr>

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


<td>753</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014110</td>
<td>YUSNIA DWI PRASTIKA</td>
<td>'3503056604000001</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-04-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665629615</td>
<td>131506010123Y001275</td>
<td align='center'>
K30 </td>
<td align='center'>
<font color='red'>Dyspepsia</font> </td>

</tr>

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


<td>754</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008693</td>
<td>SRI ASTUTIK</td>
<td>'8272035606740002</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-06-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0001105813822</td>
<td>131506010123Y001296</td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

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


<td>755</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004643</td>
<td>NADIA TRI NILASARI</td>
<td>'3503134708930002</td>
<td>RT 8 RW 3</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-08-1993</td>
<td>29</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002802770583</td>
<td>131506010123Y001270</td>
<td align='center'>
H10.9 </td>
<td align='center'>
<font color='red'>Conjunctivitis, unspecified</font> </td>

</tr>

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


<td>756</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003926</td>
<td>MEGA SWASTI</td>
<td>'3503056409950001</td>
<td>RT 1 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-09-1995</td>
<td>27</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001795152611</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>757</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003108</td>
<td>RINAWATI</td>
<td>'3503055404920001</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-04-1992</td>
<td>30</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003284278773</td>
<td>131506010123Y001262</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

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


<td>758</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005094</td>
<td>ARNITA SETIYANI</td>
<td>'3503054801940001</td>
<td>RT 1 RW 1</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-01-1994</td>
<td>29</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001978440232</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>759</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024561</td>
<td>AKHMAD MUKHLISIN</td>
<td>'3505011809770002</td>
<td>RT 22 RW 4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-09-1977</td>
<td>45</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PEKERJA MANDIRI</td>
<td>'0002905061837</td>
<td></td>
<td align='center'>
H40 </td>
<td align='center'>
<font color='black'>Glaucoma</font> </td>

</tr>

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


<td>760</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005938</td>
<td>MUNIRAH</td>
<td>'3503057112650020</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002901416613</td>
<td>131506010123Y001290</td>
<td align='center'>
C50.9 </td>
<td align='center'>
<font color='black'>Malignant neoplasm of breast, unspecified</font>
</td>

</tr>

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


<td>761</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011508</td>
<td>MUHAMMAD AKMAL ALFARIZI</td>
<td>'3503051210170001</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-10-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002297290059</td>
<td>131506010123Y001293</td>
<td align='center'>
J45 </td>
<td align='center'>
<font color='red'>Asthma</font> </td>

</tr>

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


<td>762</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024565</td>
<td>PARTINI</td>
<td>'3310155408650003</td>
<td>RT 44 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-08-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>ANGGOTA POLRI</td>
<td>'0001100991576</td>
<td>131506010123Y001301</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

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


<td>763</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013069</td>
<td>BINTI ROIKAH</td>
<td>'3503125204870005</td>
<td>RT 01 RW 01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1987</td>
<td>35</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860464205</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>764</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013072</td>
<td>ELFRIDA ARAWINDA AHMAD</td>
<td>'3503055508180001</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-08-2018</td>
<td>4</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002483493783</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>765</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013074</td>
<td>ANISA MEI NURSAFITRI</td>
<td>'3503066505990001</td>
<td>KRAJAN, RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-05-1999</td>
<td>23</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665340377</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>766</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006511</td>
<td>DEWI FATIMAH</td>
<td>'</td>
<td>RT. 6 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-04-1997</td>
<td>25</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802761965</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>767</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003662</td>
<td>ABIL SHIDIQ ARSALAN</td>
<td>'3503050506200001</td>
<td>RT 06 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-06-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002936499636</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>768</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024109</td>
<td>SUSI ISMIATI</td>
<td>'</td>
<td>RT. 1 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-06-1992</td>
<td>30</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666170829</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>769</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005757</td>
<td>MUNIKA DEWI FATIMAH</td>
<td>'</td>
<td>RT. 5 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-07-1996</td>
<td>26</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665582229</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>770</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001297</td>
<td>MUHAMMAD HIZAM OKTAFIANTO</td>
<td>'</td>
<td>RT 07 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-10-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002293424605</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>771</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001406</td>
<td>YENI KRISTI JAYANTI</td>
<td>'</td>
<td>RT 05 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-10-1998</td>
<td>24</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802765418</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>772</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011216</td>
<td>ELIZA AYU TIFANY MAHREEN</td>
<td>'</td>
<td>RT. 5 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-01-2021</td>
<td>2</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003065780327</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>773</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002576</td>
<td>ERLINA LILIS SETYAWATI</td>
<td>'</td>
<td>RT 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-05-1991</td>
<td>31</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867872353</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>774</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004665</td>
<td>LIUNSIN DYAH LALA</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-09-2000</td>
<td>22</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681697137</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>775</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010139</td>
<td>ADRIAN PRADIPTA AMZARI</td>
<td>'3503052305170001</td>
<td>RT 006 RW 002</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-05-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067810931</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>776</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003875</td>
<td>ADRI`ATUL MUTI`AH</td>
<td>'3503054201980001</td>
<td>RT 6 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-01-1998</td>
<td>25</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802770471</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>777</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002137</td>
<td>PUJI LESTARI</td>
<td>' </td>
<td>KRAJAN, RT : 3,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-03-1990</td>
<td>32</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665097412</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>778</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000405</td>
<td>RITA DYAH SETYO UTAMI</td>
<td>'3503056702800003</td>
<td>KRAJAN, RT : 004,RW :002 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-02-1980</td>
<td>42</td>
<td>P</td>
<td>KARYAWAN SWASTA</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001161623711</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>779</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006995</td>
<td>RUSMINIATI</td>
<td>'3503054507850001</td>
<td>KRAJAN, RT : 3,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-07-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665912474</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>780</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009410</td>
<td>AHMAD INDRA NURCAHYA</td>
<td>'3503051401180002</td>
<td>RT003/01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-01-2018</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002419710298</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>781</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005384</td>
<td>ARIK SUSANTI</td>
<td>'</td>
<td>RT. 6 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-11-1989</td>
<td>33</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802757509</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>782</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013091</td>
<td>NURSEHA ROZABI ZAIM</td>
<td>'3503050804160001</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-04-2016</td>
<td>6</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067902966</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>783</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002128</td>
<td>LILIK WIDAYATI</td>
<td>' 3503054811710001</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-11-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665903878</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>784</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000270</td>
<td>SITI MUAWANAH</td>
<td>'3503055311810003</td>
<td>KRAJAN, RT : 006,RW :002 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-11-1981</td>
<td>41</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802756565</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>785</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005319</td>
<td>NURUL HILALIYAH</td>
<td>'</td>
<td>RT 5 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-05-1993</td>
<td>29</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665769464</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>786</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007009</td>
<td>IRZA RASYA ABQARI</td>
<td>'</td>
<td>RT 5 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-06-2018</td>
<td>4</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002467702732</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>787</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012335</td>
<td>ARWANUDDIN</td>
<td>'3503051206700005</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-06-1970</td>
<td>52</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002865185414</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>788</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008319</td>
<td>MUHAMMAD RIZQI FADILAH</td>
<td>'3503051209130002</td>
<td>RT 06 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-09-2013</td>
<td>9</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003067669495</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>789</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011573</td>
<td>KAWURTI</td>
<td>'</td>
<td>RTR 006 RW 003</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-05-1936</td>
<td>86</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036997447</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>790</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014936</td>
<td>ATHALLAH CHERRYO RAMADHAN</td>
<td>'</td>
<td>RT. 4 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-05-2019</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0003255753475</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>791</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012343</td>
<td>GEMPAR SADAWIRA</td>
<td>'3503052205080005</td>
<td>RT 06 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1970</td>
<td>53</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003129948088</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>792</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006425</td>
<td>MURISAH</td>
<td>'3503055809770002</td>
<td>RT 6 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-09-1977</td>
<td>45</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067893461</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>793</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014935</td>
<td>RESTI EKA MULYANI</td>
<td>'3503116001910001</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-01-1991</td>
<td>32</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002210522602</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>794</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014934</td>
<td>NARENDRA RAFKA ADHITAMA</td>
<td>'</td>
<td>RT. 6 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-05-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002913376667</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>795</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015617</td>
<td>EKA YULI RATNASARI</td>
<td>'</td>
<td>RT. 2 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1996</td>
<td>26</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001707020796</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>796</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014933</td>
<td>FARADINA AZZAHRA KHAIRUNNISA</td>
<td>'</td>
<td>RT. 2 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-08-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002888921496</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>797</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008481</td>
<td>YARMINATIN</td>
<td>'3503055510820004</td>
<td>KRAJAN, RT : 3,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-10-1982</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002250055001</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>798</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022788</td>
<td>INNAMA CHOIRIYAH</td>
<td>'3503055501040001</td>
<td>RT 03 RW 01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-2004</td>
<td>19</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002250055124</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>799</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014932</td>
<td>MUHAMMAD AZKA ZAINUL FU`ADIN</td>
<td>'</td>
<td>RT. 3 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-08-2011</td>
<td>11</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002250055247</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>800</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014931</td>
<td>ANTO</td>
<td>'3503051412700001</td>
<td>KRAJAN, RT : 3,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-12-1970</td>
<td>52</td>
<td>L</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106552618</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>801</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014930</td>
<td>ANISIYAH</td>
<td>'3503056808800001</td>
<td>KRAJAN, RT : 3,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-08-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106552629</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>802</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014929</td>
<td>SHIVAPRILA ALTHA FUNNISA</td>
<td>'</td>
<td>RT. 3 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-04-2009</td>
<td>13</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106552642</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>803</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005760</td>
<td>SURTINI</td>
<td>'</td>
<td>RT. 3 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-08-1971</td>
<td>51</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665944176</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>804</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010001</td>
<td>IHSAN SUYUTI AQILLA</td>
<td>'</td>
<td>RT 3RT1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-06-2007</td>
<td>15</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665945177</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>805</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014928</td>
<td>SAIFUL MA`RUF</td>
<td>'</td>
<td>RT. 3 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-09-1958</td>
<td>64</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665943298</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>806</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014927</td>
<td>FEBY AGENG PUTRA ANUGRAH</td>
<td>'</td>
<td>RT. 3 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-04-2008</td>
<td>14</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002729556955</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>807</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014926</td>
<td>MARYATI</td>
<td>'</td>
<td>RT. 3 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-08-1978</td>
<td>44</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001551474573</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>808</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014925</td>
<td>JUKI NOR KOID</td>
<td>'</td>
<td>RT. 3 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-12-1972</td>
<td>50</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002729556944</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>809</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014924</td>
<td>TARA RENANDA NURTILANA</td>
<td>'</td>
<td>RT. 3 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-11-2001</td>
<td>21</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001551474584</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>810</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014923</td>
<td>QOMARUN</td>
<td>'</td>
<td>RT. 5 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-07-1972</td>
<td>50</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802765385</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>811</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004574</td>
<td>SRI ANIK</td>
<td>'</td>
<td>RT. 5 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-10-1978</td>
<td>44</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802765396</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>812</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014922</td>
<td>MUHAMMAD ALI MARZUKI</td>
<td>'3503052209090001</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-09-2009</td>
<td>13</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802765407</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>813</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014921</td>
<td>NAJIBUD DAROINI</td>
<td>'</td>
<td>RT. 3 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-02-1986</td>
<td>36</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002729557089</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>814</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014920</td>
<td>MIRATUN</td>
<td>'</td>
<td>RT. 3 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1949</td>
<td>73</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002729556977</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>815</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013174</td>
<td>VENOS ELOVIAN PUTRA IRAWAN</td>
<td>'3503051904160001</td>
<td>RT 006 RW 002</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-04-2016</td>
<td>6</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002158658471</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>816</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013172</td>
<td>SRI SUNDARI</td>
<td>'3503054412800002</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-12-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002158658447</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>817</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014919</td>
<td>AQMAL AFFANDI MAULANA</td>
<td>'</td>
<td>RT. 5 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-02-2002</td>
<td>20</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002158658469</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>818</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014918</td>
<td>VERLYTA EVELYN TEGAR PUTRI IRAWAN</td>
<td>'</td>
<td>RT. 5 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-02-2010</td>
<td>12</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002158658482</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>819</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005612</td>
<td>AGUS IRAWAN</td>
<td>'3503121210850002</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-10-1985</td>
<td>37</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002158658458</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>820</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008759</td>
<td>ARDIAN CHRISNA PRASTIWA OKTAVIAN</td>
<td>'</td>
<td>-</td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>05-10-1996</td>
<td>26</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000106526013</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>821</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014917</td>
<td>SUPARNO</td>
<td>'</td>
<td>RT. 5 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-03-1976</td>
<td>46</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802757498</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>822</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002293</td>
<td>DESIVA NATALIA SAFIRA</td>
<td>'3503056212120001</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-12-2012</td>
<td>10</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802757511</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>823</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016935</td>
<td>TITIN HIDAYATI</td>
<td>'</td>
<td>RT. 5 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-10-1987</td>
<td>35</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707126467</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>824</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016588</td>
<td>NUNIK HARYATIN</td>
<td>'9202126809840001</td>
<td>KRAJAN, RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-09-1984</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665719244</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>825</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014379</td>
<td>SURATUN</td>
<td>'</td>
<td>RT. 1 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-07-1969</td>
<td>53</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998922</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>826</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005763</td>
<td>SITI JARIYAH</td>
<td>'</td>
<td>RT. 1 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-02-1969</td>
<td>53</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665899986</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>827</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004222</td>
<td>TUKIYEM</td>
<td>' </td>
<td>KRAJAN, RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-04-1977</td>
<td>45</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666845638</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>828</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016747</td>
<td>ENDAH SUTARTI</td>
<td>'3503056604660001</td>
<td>KRAJAN, RT : 2,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-04-1966</td>
<td>56</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002250021791</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>829</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002888</td>
<td>YAYUK</td>
<td>'</td>
<td>RT 3 RW 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-10-1979</td>
<td>43</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666230692</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>830</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010355</td>
<td>NURYATI</td>
<td>'3503056609850001</td>
<td>KRAJAN, RT : 3,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-09-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666055427</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>831</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007848</td>
<td>ENI NURHAYATI</td>
<td>'3503054804830004</td>
<td>RT 5 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-04-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998189</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>832</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016934</td>
<td>MAR`ATUS SOLIKAH</td>
<td>'</td>
<td>RT. 5 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-1982</td>
<td>40</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665668405</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>833</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016933</td>
<td>HENY WIJAYANTI</td>
<td>'3503056412900001</td>
<td>RT. 6 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-12-1990</td>
<td>32</td>
<td>P</td>
<td>Buruh Harian Lepas</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002164471931</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>834</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011974</td>
<td>WIWIT WAHYUNI</td>
<td>'3503054308870001</td>
<td>KRAJAN, RT : 6,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-08-1987</td>
<td>35</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665632091</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>835</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002292</td>
<td>MUHADI</td>
<td>'3503050810720001</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-10-1972</td>
<td>50</td>
<td>L</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106847875</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>836</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016931</td>
<td>NIKEN PUSPASARI</td>
<td>'</td>
<td>RT. 5 RW. 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-09-1971</td>
<td>51</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000206730538</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>837</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015630</td>
<td>ILFA MIFTAHUL FAIZIN</td>
<td>'3503050612040001</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-12-2004</td>
<td>18</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0002055628438</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>838</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004567</td>
<td>ROHMAWATI</td>
<td>'</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-11-1989</td>
<td>33</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666115931</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>839</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001474</td>
<td> TEHANI</td>
<td>'3503054109120002</td>
<td>RT 02 RW 01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1970</td>
<td>53</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802768636</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>840</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009602</td>
<td>MUARIFIN</td>
<td>'</td>
<td>RT 002 RW 001</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-01-1982</td>
<td>41</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802768625</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>841</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014694</td>
<td>ANDINITA</td>
<td>'3503065010170001</td>
<td>DUSUN KEDUNGSANGKAL, RT : 7,RW :3 </td>
<td>BULUAGUNG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>10-10-2017</td>
<td>5</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002293478561</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>842</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000299</td>
<td>MUHDI</td>
<td>'</td>
<td>RT 02 RW 01</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-12-1945</td>
<td>77</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001270609558</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>843</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007069</td>
<td>MARSILAH</td>
<td>'3503054305570001</td>
<td>KRAJAN, RT : 2,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-05-1946</td>
<td>76</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001270608658</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>844</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016746</td>
<td>NURHADI</td>
<td>'</td>
<td>RT. 5 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-07-1981</td>
<td>41</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665668372</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>845</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007064</td>
<td>SRINATUN</td>
<td>' </td>
<td>KRAJAN, RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-09-1968</td>
<td>54</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666169626</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>846</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011805</td>
<td>RISKY DWI RAHAYU</td>
<td>'</td>
<td>RT 2 RW 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1999</td>
<td>23</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999337</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>847</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018028</td>
<td>MUALIF</td>
<td>'</td>
<td>RT. 2 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-07-1973</td>
<td>49</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999315</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>848</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009595</td>
<td>WIJIATI</td>
<td>'</td>
<td>RT 2 RW 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-03-1977</td>
<td>45</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999326</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>849</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018029</td>
<td>WILDAN MOHAMMAD ARIFQI SAPUTRA</td>
<td>'</td>
<td>RT. 2 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-05-2005</td>
<td>17</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999348</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>850</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018030</td>
<td>CITRA LAILA NUR BAITI</td>
<td>'</td>
<td>RT. 2 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-2010</td>
<td>13</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999359</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>851</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018031</td>
<td>UKIK SEPTIARI</td>
<td>'</td>
<td>RT. 2 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-09-1966</td>
<td>56</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802756104</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>852</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018032</td>
<td>PURWANTO</td>
<td>'</td>
<td>RT. 2 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1994</td>
<td>28</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002915879499</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>853</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013163</td>
<td>SITI MAROTU SOLIKAH</td>
<td>'</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-08-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002743211878</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>854</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013164</td>
<td>DEVAN FAEYZA ALVARO</td>
<td>'3503050504190002</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-04-2019</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002757543276</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>855</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013162</td>
<td>NOFA YULIANA</td>
<td>'3503054708940001</td>
<td>NGLEGOK, RT : 10,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-08-1994</td>
<td>28</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666178659</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>856</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002159</td>
<td>DIKA RAFITA MERIYANTI</td>
<td>'3503054603000001</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-03-2000</td>
<td>22</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665593525</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>857</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002164</td>
<td>SHAQUEENA</td>
<td>'</td>
<td>RT 8 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-01-2029</td>
<td>-6</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002935269134</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>858</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006277</td>
<td>ANGGITA ROBIUL HANIPAH</td>
<td>'3503056804970001</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-04-1997</td>
<td>25</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000666200531</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>859</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008627</td>
<td>INTAN MAHERA</td>
<td>'</td>
<td>RT 07 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-10-1993</td>
<td>29</td>
<td>P</td>
<td>Guru</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000665933242</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>860</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013167</td>
<td>HILYA MAULIDA RUGAYYAH</td>
<td>'3503056311180001</td>
<td>RT 007 RW 003</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-11-2018</td>
<td>4</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002617051509</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>861</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000819</td>
<td>APRILIA SRI KARTIKA</td>
<td>'</td>
<td>RT 08 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1998</td>
<td>24</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666147407</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>862</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004838</td>
<td>SALSABILA AYU HANIFA</td>
<td>'3503051109200009</td>
<td>RT 8 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-03-2021</td>
<td>1</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003075387502</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>863</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003458</td>
<td>ITA PURNAMASARI</td>
<td>'3503054106940001</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1994</td>
<td>28</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666144562</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>864</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013168</td>
<td>RAZKA AKBAR MAHERZA</td>
<td>'3503050110210001</td>
<td>RT 009 RW 003 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-10-2021</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003106838125</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>865</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002900</td>
<td>SITI MARFU`AH</td>
<td>'</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-01-1986</td>
<td>37</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665622977</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>866</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008623</td>
<td>MIRZA MADA RADITYA</td>
<td>'</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-03-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002930533143</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>867</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013170</td>
<td>SITI KOMARIAH</td>
<td>'3503055803880001</td>
<td>NGLEGOK, RT : 11,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-03-1988</td>
<td>34</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067901932</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>868</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013171</td>
<td>RHEYNA CHAIRA YHUSIVA</td>
<td>'3503056603170001</td>
<td>RT 011 RW 004 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-03-2017</td>
<td>5</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067901965</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>869</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002375</td>
<td>DIANI</td>
<td>'3503056505850004</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-05-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666124435</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>870</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002119</td>
<td>WAHYU DWI NUR CAHYO</td>
<td>'3503050402180001</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-02-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002462839277</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>871</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006506</td>
<td>MUNAWAROH</td>
<td>'</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-12-1984</td>
<td>38</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665735949</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>872</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000370</td>
<td>SITI AMINAH</td>
<td>'</td>
<td>RT 07 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-01-1974</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978434145</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>873</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013177</td>
<td>DYLAN DAMARIO ALFARISQI</td>
<td>'3503060206190002</td>
<td>RT 011 RW 004</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-06-2019</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002768314408</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>874</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013176</td>
<td>LILIK FITRIA</td>
<td>'3503056105880001</td>
<td>NGLEGOK, RT : 11,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-05-1988</td>
<td>34</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666336723</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>875</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013178</td>
<td>KHOIRIL JANNAH</td>
<td>'3503055611980001</td>
<td>NGLEGOK, RT : 10,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-11-1998</td>
<td>24</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665614653</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>876</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004980</td>
<td>MURIYAH</td>
<td>'3503055112650001</td>
<td>NGLEGOK, RT : 11,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-12-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067656838</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>877</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016937</td>
<td>REZA AGNES JULAEHA</td>
<td>'</td>
<td>RT. 8 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-07-2000</td>
<td>22</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067656985</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>878</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014528</td>
<td>SUCI PURWATI AGUSTINI</td>
<td>'3503057108940003</td>
<td>RT 001 RW 001</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-08-1994</td>
<td>28</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002521561691</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>879</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005548</td>
<td>RIRIN SETIYAWATI</td>
<td>'3503055209890002</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-09-1989</td>
<td>33</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998549</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>880</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004977</td>
<td>MISIYAH</td>
<td>'</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-09-1967</td>
<td>55</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666077185</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>881</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010260</td>
<td>TRI IRMAWATI</td>
<td>'</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-09-1983</td>
<td>39</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998729</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>882</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016939</td>
<td>MELKI SETIAWAN</td>
<td>'</td>
<td>RT. 11 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-05-1997</td>
<td>25</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665649472</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>883</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016940</td>
<td>SUTRISNO</td>
<td>'3503050504650001</td>
<td>NGLEGOK, RT : 11,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-04-1965</td>
<td>57</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665647874</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>884</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011214</td>
<td>NURHAYATI</td>
<td>'</td>
<td>RT. 11 RW. 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-10-1971</td>
<td>51</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665649101</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>885</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014427</td>
<td>TRI WAHYUNI</td>
<td>'3503054807970001</td>
<td>NGLEGOK, RT : 11,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-07-1997</td>
<td>25</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666159715</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>886</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016941</td>
<td>EKO PURNOMO</td>
<td>'</td>
<td>RT. 11 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-06-1988</td>
<td>34</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000665711414</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>887</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016942</td>
<td>ENDRO SUROSO</td>
<td>'</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-03-1978</td>
<td>44</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978434369</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>888</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016943</td>
<td>ABDI PANGESTU</td>
<td>'</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-12-2009</td>
<td>13</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998551</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>889</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004576</td>
<td>NURKASANAH</td>
<td>'</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-04-1988</td>
<td>34</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001975748229</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>890</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016944</td>
<td>SUPARNO</td>
<td>'</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-08-1958</td>
<td>64</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666056711</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>891</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003793</td>
<td>SUPRIADI</td>
<td>'9202013006640001</td>
<td>RT 7 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-06-1964</td>
<td>58</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666210756</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>892</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000112</td>
<td>ANIK</td>
<td>'3503054404810005</td>
<td>RT 11 RW 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1981</td>
<td>41</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666191889</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>893</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016945</td>
<td>NISMA HERLI CAHYANI</td>
<td>'</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-05-1992</td>
<td>30</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978434268</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>894</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009529</td>
<td>SUJUD JAMALUDIN</td>
<td>'</td>
<td>RT 009 RW 003</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-08-1982</td>
<td>40</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666124694</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>895</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002376</td>
<td>SANTIKA MAHARANI</td>
<td>'3503054905080002</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-05-2008</td>
<td>14</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666124738</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>896</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016947</td>
<td>AFIFA DESI KHOIRUNISA</td>
<td>'</td>
<td>RT. 8 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-12-2014</td>
<td>8</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978434382</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>897</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016948</td>
<td>MUHAMMAD RENDY GP</td>
<td>'</td>
<td>RT. 8 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-09-2012</td>
<td>10</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978434371</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>898</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014372</td>
<td>ROSI USWATUN KHASANAH</td>
<td>'</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-10-1998</td>
<td>24</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665701108</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>899</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014373</td>
<td>RENDY DWI JATMIKO</td>
<td>'</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-12-2003</td>
<td>19</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665701187</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>900</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009521</td>
<td>SUPARDIANTO</td>
<td>'</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-05-1973</td>
<td>49</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665697508</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>901</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014371</td>
<td>MURTINI</td>
<td>'</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-12-1973</td>
<td>49</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665697789</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>902</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014370</td>
<td>MISKUN</td>
<td>'</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-03-1965</td>
<td>57</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665621188</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>903</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014369</td>
<td>MUDA NUR AWALUDIN</td>
<td>'</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-05-1983</td>
<td>39</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665622832</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>904</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009566</td>
<td>MARZEL SANDY PRATAMA</td>
<td>'</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-03-2010</td>
<td>12</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665623912</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>905</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003015</td>
<td>MURBINI</td>
<td>' </td>
<td>NGLEGOK, RT : 10,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-02-1944</td>
<td>78</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037000013</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>906</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007008</td>
<td>SITI NURJANAH</td>
<td>'</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-03-1990</td>
<td>32</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666208574</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>907</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011615</td>
<td>HADI SOFYAN</td>
<td>'3503060307760001</td>
<td>RT 09 RW 04</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-07-1976</td>
<td>46</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860462629</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>908</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014531</td>
<td>SITI SULIKAH</td>
<td>'</td>
<td>RT 009 RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-05-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665617623</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>909</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014607</td>
<td>ARRUM DINIATI MAWADAH</td>
<td>'3503056206060001</td>
<td>NGLEGOK, RT : 11,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-06-2006</td>
<td>16</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666052593</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>910</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014530</td>
<td>AMANAH</td>
<td>'</td>
<td>RT 008 RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-05-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978434641</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>911</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002894</td>
<td>SUTINAH</td>
<td>'</td>
<td>RT 11 RW 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-03-1978</td>
<td>44</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666050613</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>912</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009679</td>
<td>KADENI</td>
<td>'3503050401500001</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-01-1950</td>
<td>73</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003067811616</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>913</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005934</td>
<td>MINARTI</td>
<td>'3503055510750001</td>
<td>RT 08 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-10-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666228284</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>914</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014522</td>
<td>SAMINGAN</td>
<td>'</td>
<td>RT 008 RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-09-1970</td>
<td>52</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666227913</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>915</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004406</td>
<td>SARKUN</td>
<td>'</td>
<td>RT 08 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1948</td>
<td>74</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666307214</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>916</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008575</td>
<td>MUDJANI</td>
<td>'</td>
<td>-</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-12-1948</td>
<td>74</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0000076617461</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>917</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002898</td>
<td>SUMINTEN</td>
<td>'</td>
<td>RT 8 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-04-1954</td>
<td>68</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0000076617472</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>918</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014527</td>
<td>HARIYANTO</td>
<td>'</td>
<td>RT 009 RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-01-1977</td>
<td>46</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666038878</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>919</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003007</td>
<td>MURINI</td>
<td>' </td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-02-1956</td>
<td>66</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666092788</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>920</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004377</td>
<td>SAMITUN</td>
<td>'</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-09-1950</td>
<td>72</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666832408</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>921</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002886</td>
<td>YAUMI</td>
<td>'</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-06-1969</td>
<td>53</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802747925</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>922</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010254</td>
<td>MARSIYAH</td>
<td>'</td>
<td>RT. 11 RW. 4</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-05-1980</td>
<td>42</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665934401</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>923</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014532</td>
<td>MARIYAH</td>
<td>'</td>
<td>RT 008 RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-04-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665819201</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>924</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005312</td>
<td>MUNIRAN</td>
<td>'</td>
<td>RT 9 RW 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-03-1960</td>
<td>62</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666208113</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>925</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005774</td>
<td>SITI `AROFAH</td>
<td>'3503056406900005</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-06-1990</td>
<td>32</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000665933095</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>926</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014939</td>
<td>INDANA HURRIN MUMTAZAH</td>
<td>'</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-01-2017</td>
<td>6</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0002216004322</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>927</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007718</td>
<td>SITI ALFIYAH</td>
<td>'3503055612890001</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-12-1989</td>
<td>33</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666211522</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>928</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014938</td>
<td>NUSAYBA ADARA FRIGEL</td>
<td>'</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-03-2022</td>
<td>0</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003258351516</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>929</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011600</td>
<td>SUMIATUN</td>
<td>'</td>
<td>RT RW</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-04-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666210936</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>930</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014937</td>
<td>DIMAS SALSADILA</td>
<td>'</td>
<td>RT. 9 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-03-2000</td>
<td>22</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666212253</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>931</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000563</td>
<td>MEIRA KIRANA ZAHRANI RAMADHANIA</td>
<td>'</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-07-2013</td>
<td>9</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802769852</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>932</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003700</td>
<td>MISNATUN</td>
<td>'</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1960</td>
<td>62</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666144314</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>933</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015576</td>
<td>BASTIATUL ULUM</td>
<td>'</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-03-1974</td>
<td>48</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665675188</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>934</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005990</td>
<td>ANIK SURYATI</td>
<td>'</td>
<td>RT. 7 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-07-1982</td>
<td>40</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036997583</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>935</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016997</td>
<td>SARNI</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-11-1939</td>
<td>83</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666396191</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>936</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016998</td>
<td>ARPITA YULITA NOVIYANTI</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-07-2002</td>
<td>20</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001036998641</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>937</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016999</td>
<td>GIYONO</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-07-1978</td>
<td>44</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665928562</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>938</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017000</td>
<td>SITI SHOLIKAH</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-08-1981</td>
<td>41</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665930261</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>939</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017001</td>
<td>SAIFUL ANWAR</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-03-2003</td>
<td>19</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665930564</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>940</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017002</td>
<td>SUGITO</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-04-1978</td>
<td>44</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665708174</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>941</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017003</td>
<td>MUSAJI</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-11-1952</td>
<td>70</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665707173</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>942</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017004</td>
<td>SUTIYAH</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-03-1962</td>
<td>60</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665707972</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>943</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017005</td>
<td>MINI</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-12-1948</td>
<td>74</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666221646</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>944</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017006</td>
<td>PASANI RAHAYU</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-03-1986</td>
<td>36</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002729557012</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>945</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017007</td>
<td>MISNI</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-07-1979</td>
<td>43</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860463518</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>946</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017008</td>
<td>SLAMET WIDODO</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-01-1991</td>
<td>32</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666168219</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>947</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017009</td>
<td>YAHMUGI</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-12-1963</td>
<td>59</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666167804</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>948</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017010</td>
<td>IKA NOVITA SARI</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-11-1999</td>
<td>23</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665653509</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>949</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017011</td>
<td>MISINI</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-03-1980</td>
<td>42</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665653151</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>950</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017013</td>
<td>MUKIRAH</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-03-1967</td>
<td>55</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665561496</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>951</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010020</td>
<td>ARIK MUHARINI</td>
<td>'9103016512840005</td>
<td>RT 22 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-12-1984</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001276575603</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>952</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019164</td>
<td>RADHITYA RIZWAN JAYA RAMADHAN</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-10-2006</td>
<td>16</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001276576187</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>953</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017014</td>
<td>TIRTAMUKTY REZHA PURWANTO</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-04-2013</td>
<td>9</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001276576874</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>954</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013006</td>
<td>MARKAMAH</td>
<td>'3503055802700001</td>
<td>RT 022 RW 009</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-02-1970</td>
<td>52</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036997559</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>955</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017015</td>
<td>MUYOTO</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-04-1964</td>
<td>58</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036997548</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>956</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007395</td>
<td>AGUS SALIM</td>
<td>'3503051508930003</td>
<td>RT 1 RW 1</td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-08-1993</td>
<td>29</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665979985</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>957</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017016</td>
<td>MUDJIYEM</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-08-1969</td>
<td>53</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665820325</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>958</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017017</td>
<td>DJUMIRAN</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1960</td>
<td>62</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665819616</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>959</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017019</td>
<td>WIWIN DARMANTO</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-1980</td>
<td>42</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665854918</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>960</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017020</td>
<td>SUPARTUN</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1980</td>
<td>42</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665855504</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>961</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017021</td>
<td>MILAH</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-01-1939</td>
<td>83</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666081382</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>962</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017023</td>
<td>AGUS PUTRANTO</td>
<td>'</td>
<td>RT. 23 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-08-1990</td>
<td>32</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665743634</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>963</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017024</td>
<td>MARTALIAN EKA ANGELITA MAHARANI</td>
<td>'</td>
<td>RT. 23 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-03-2011</td>
<td>11</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665744613</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>964</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017026</td>
<td>YATINI</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-01-1969</td>
<td>53</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002158256013</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

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


<td>965</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017027</td>
<td>TIMUR</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-03-1964</td>
<td>58</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002158256103</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>966</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017028</td>
<td>DJONO</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-02-1957</td>
<td>65</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002158256092</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>967</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017030</td>
<td>AHMAD WILDAN CAHYONO</td>
<td>'</td>
<td>RT. 23 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-05-2001</td>
<td>21</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666089199</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>968</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017031</td>
<td>MISELAN</td>
<td>'</td>
<td>RT. 23 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1950</td>
<td>72</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802756025</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>969</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017032</td>
<td>KATINI</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-08-1960</td>
<td>62</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802756036</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>970</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017033</td>
<td>PAITO</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-11-1970</td>
<td>52</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666172607</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

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


<td>971</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010250</td>
<td>SALIKEM</td>
<td>'</td>
<td>RT21 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-09-1946</td>
<td>76</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666822543</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>972</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017034</td>
<td>IRFAN ZAMHARI</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1999</td>
<td>23</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666173924</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>973</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017035</td>
<td>FENDRI NUR CAHYONO</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-10-1997</td>
<td>25</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666078568</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>974</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017036</td>
<td>KUTIN</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-01-1971</td>
<td>51</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666078366</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>975</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017037</td>
<td>MUJO</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-06-1971</td>
<td>51</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666077872</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>976</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005590</td>
<td> SUHENDRO</td>
<td>'3503051511830001</td>
<td>RT 22 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1970</td>
<td>53</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666217451</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>977</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016141</td>
<td>PAINEM</td>
<td>'</td>
<td>RT 24 RW 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-10-1957</td>
<td>65</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037000169</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>978</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017038</td>
<td>MISNI</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-09-1949</td>
<td>73</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037000158</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>979</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017039</td>
<td>ARIS YUDIANTO</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-01-1990</td>
<td>32</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037000171</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>980</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017040</td>
<td>GARNIS LIVIA SARI</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-05-2010</td>
<td>12</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002158256081</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>981</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005960</td>
<td>ARINDRA AZRIL IRJAYANA</td>
<td>'</td>
<td>RT 22 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-07-2017</td>
<td>5</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002267628491</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>982</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005959</td>
<td>RIRIN ALFIANA</td>
<td>'</td>
<td>RT 9 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-05-1993</td>
<td>29</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037003174</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>983</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017041</td>
<td>TEGAR IKHWANUL DZIKRI</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-05-2009</td>
<td>13</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666351437</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>984</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017042</td>
<td>ABDUR ROKHIM</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-03-1979</td>
<td>43</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666351112</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>985</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017043</td>
<td>SUYONO</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-09-1957</td>
<td>65</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666348772</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>986</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004397</td>
<td>SUMONO</td>
<td>' </td>
<td>DUSUN PONGGOK, RT : 20,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-01-1966</td>
<td>57</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666117358</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>987</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017044</td>
<td>TRI SULISTYONO</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-03-2003</td>
<td>19</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666119428</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>988</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017045</td>
<td>SUMINTO</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-10-1985</td>
<td>37</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999113</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>989</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017046</td>
<td>KASNI</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-09-1947</td>
<td>75</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999089</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>990</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017047</td>
<td>SAMINEM</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-05-1953</td>
<td>69</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999091</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>991</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017049</td>
<td>SUMINI</td>
<td>'</td>
<td>RT. 20 RW. 9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-09-1934</td>
<td>88</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998213</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>992</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017050</td>
<td>PAITO</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-07-1977</td>
<td>45</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665826524</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>993</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003024</td>
<td>SUNARTI</td>
<td>'3503055605740003</td>
<td>DUSUN PONGGOK, RT : 20,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-05-1974</td>
<td>48</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665827198</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>994</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017051</td>
<td>KOKOK K</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-04-2000</td>
<td>22</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665827334</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>995</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017052</td>
<td>JEZIKA YOLANDA AGBELIA</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-01-2011</td>
<td>12</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665827558</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>996</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017053</td>
<td>KATIJO</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-06-1935</td>
<td>87</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666319454</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>997</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017054</td>
<td>TUSIYAH</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-08-1975</td>
<td>47</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998966</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>998</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017055</td>
<td>WIWIK STYONINGRUM</td>
<td>'3503056703040002</td>
<td>RT. 23 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-03-2004</td>
<td>18</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666167905</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>999</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017057</td>
<td>MUHAMAD HERY</td>
<td>'3503050710730001</td>
<td>RT. 23 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-10-1973</td>
<td>49</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666166307</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1000</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000545</td>
<td>KOMSIYAH</td>
<td>'3503056509760001</td>
<td>RT 23 RW 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-09-1976</td>
<td>46</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666166375</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1001</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017059</td>
<td>MUYADI</td>
<td>'</td>
<td>RT. 23 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-1971</td>
<td>51</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998955</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1002</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017060</td>
<td>DIYAH WULANDARI</td>
<td>'</td>
<td>RT. 23 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-11-1998</td>
<td>24</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998988</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1003</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013713</td>
<td>HANNIFA FRANSISKA RAMADHANI</td>
<td>'3503055507140001</td>
<td>RT 023 RW 010</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-07-2014</td>
<td>8</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867872847</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1004</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016568</td>
<td>SARIPAH</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-11-1951</td>
<td>71</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666148735</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1005</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016566</td>
<td>SEMI</td>
<td>'</td>
<td>RT. 22 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-04-1950</td>
<td>72</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666073034</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1006</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010958</td>
<td>USWATUN HASANAH</td>
<td>'3503054102840002</td>
<td>DUSUN PONGGOK, RT : 23,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-1984</td>
<td>38</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802770008</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1007</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016561</td>
<td>AZIS ZAMRONI</td>
<td>'</td>
<td>RT 23 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-01-2003</td>
<td>20</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802770019</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1008</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016560</td>
<td>SUTRIATI</td>
<td>'</td>
<td>RT.22 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-08-1977</td>
<td>45</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665927414</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1009</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016559</td>
<td>KATIJO</td>
<td>'</td>
<td>RT. 22 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-08-1948</td>
<td>74</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665716443</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1010</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004434</td>
<td>PONAJI</td>
<td>'</td>
<td>RT 20 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1964</td>
<td>58</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665557727</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1011</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016557</td>
<td>YATIMAH</td>
<td>'</td>
<td>RT. 22 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-07-1971</td>
<td>51</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665558662</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1012</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016556</td>
<td>KAHAR</td>
<td>'</td>
<td>RT. 22 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-1971</td>
<td>52</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666128351</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1013</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011671</td>
<td>SUKARTI</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-06-1973</td>
<td>49</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666128621</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1014</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016555</td>
<td>HERU USWANTO</td>
<td>'</td>
<td>RT. 22 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-01-1995</td>
<td>28</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666130307</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1015</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016554</td>
<td>PAITO</td>
<td>'</td>
<td>RT. 22 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-06-1969</td>
<td>53</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666200676</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1016</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016553</td>
<td>YAHMI</td>
<td>'</td>
<td>RT. 22 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-09-1969</td>
<td>53</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666200845</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1017</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015475</td>
<td>SUDARSONO</td>
<td>'</td>
<td>RT 20/09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-08-1978</td>
<td>44</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999102</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1018</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009682</td>
<td>MARSIH</td>
<td>' </td>
<td>DUSUN PONGGOK, RT : 24,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-06-1948</td>
<td>74</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666396257</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1019</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002921</td>
<td>NIKE SISKA RAHAYU</td>
<td>'3503055603130001</td>
<td>DUSUN PONGGOK, RT : 22,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-03-2013</td>
<td>9</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707126243</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1020</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009860</td>
<td>NYAMAN</td>
<td>'3503050303700003</td>
<td>DUSUN PONGGOK, RT : 20,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-03-1970</td>
<td>52</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665919988</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1021</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001114</td>
<td>SUMINI</td>
<td>'</td>
<td>RT 21 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-03-1978</td>
<td>44</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998077</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1022</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002895</td>
<td>DWI LESTARI</td>
<td>'</td>
<td>RT 24 RW 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-05-1998</td>
<td>24</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666168614</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1023</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013037</td>
<td>CLARISSA ADELIA SALSABILA</td>
<td>'3503050209200001</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-10-2020</td>
<td>2</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003057635709</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1024</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013039</td>
<td>PRATAMA SAPUTRA</td>
<td>'3503140304140001</td>
<td>DUSUN PONGGOK, RT : 24,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-12-2014</td>
<td>8</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002633645979</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1025</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013041</td>
<td>ANGGA TITO ARDIANSYAH</td>
<td>'3503051809190001</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-09-2019</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002892564066</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1026</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000371</td>
<td>SRI WAHYUNI</td>
<td>'3503055402900005</td>
<td>DUSUN PONGGOK, RT : 020,RW :009 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-02-1990</td>
<td>32</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666350752</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1027</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004502</td>
<td>MIANAH</td>
<td>'</td>
<td>RT 20 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-05-1985</td>
<td>37</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666145901</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1028</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004501</td>
<td>ARSA ADITYA PRATAMA</td>
<td>'</td>
<td>RT 15 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-10-2016</td>
<td>6</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002196148926</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1029</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005386</td>
<td>RAISYA AMEERA MISHEL</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-07-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002778023248</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1030</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002882</td>
<td>SITI KOLIFAH</td>
<td>'</td>
<td>RT 24 RW 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-1988</td>
<td>34</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665708051</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1031</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003285</td>
<td>LINA RAHMAWATI</td>
<td>'3503055704940001</td>
<td>RT 20 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-04-1994</td>
<td>28</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666118787</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1032</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001165</td>
<td>SUJARWATI</td>
<td>'3503055408810003</td>
<td>DUSUN PONGGOK, RT : 24,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-08-1981</td>
<td>41</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860463575</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1033</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013048</td>
<td>RIZKI INDRA FIRMANSYAH</td>
<td>'3503050509180003</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-09-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002865185537</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1034</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000183</td>
<td>ROCHMAH SAFITRI</td>
<td>'</td>
<td>RT24 RW10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-03-1992</td>
<td>30</td>
<td>P</td>
<td>karyawan swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002158256079</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1035</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013647</td>
<td>MARDIYAH</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-07-1991</td>
<td>31</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665857697</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1036</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011265</td>
<td>ANGELINA KYLA JUSTINA</td>
<td>'</td>
<td>RT 24 RW 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-10-2017</td>
<td>5</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002304237813</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1037</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014949</td>
<td>HAFIZH AQMAR ALFARIZQI</td>
<td>'</td>
<td>RT. 23 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-03-2019</td>
<td>3</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002757146769</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1038</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014948</td>
<td>REZAL ALDY SAPUTRA</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-01-2010</td>
<td>13</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002249996883</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1039</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014947</td>
<td>IRHAM RIZKI SAPUTRA</td>
<td>'</td>
<td>RT. 22 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-05-2005</td>
<td>17</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002249996613</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1040</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009564</td>
<td>NURKOLIS</td>
<td>'</td>
<td>RT. 22 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-07-1981</td>
<td>41</td>
<td>L</td>
<td>Perangkat Desa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002249995869</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1041</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004976</td>
<td>MUNTAMAH</td>
<td>'</td>
<td>RT. 22 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-08-1984</td>
<td>38</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002249996218</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1042</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004651</td>
<td>SUSMIATI</td>
<td>'9171036201890005</td>
<td>RT 21 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-01-1989</td>
<td>34</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001203834328</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1043</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016967</td>
<td>ELVI SUKESI</td>
<td>'</td>
<td>RT. 20 RW.9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-11-1976</td>
<td>46</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN POLRI</td>
<td>'0001101102017</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1044</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005752</td>
<td>SUGIARTI</td>
<td>'</td>
<td>RT. 21 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-02-1985</td>
<td>37</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002285211622</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1045</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014944</td>
<td>KHARISMA LAILATUSSYAHWA</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-05-2012</td>
<td>10</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665708354</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1046</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006412</td>
<td>SRI UTAMI</td>
<td>'3503054304820003</td>
<td>DUSUN PONGGOK, RT : 23,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-04-1982</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802770177</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1047</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014943</td>
<td>IMAM SOLIKIN</td>
<td>'</td>
<td>RT. 23 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-05-1980</td>
<td>42</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802770166</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1048</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014942</td>
<td>DINA LU`LUUL JANNAH</td>
<td>'</td>
<td>RT. 23 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-05-2006</td>
<td>16</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867872869</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1049</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007394</td>
<td>NURHIDAYAH</td>
<td>'3503056511960002</td>
<td>RT 22 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-11-1996</td>
<td>26</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036997561</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1050</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014941</td>
<td>SUKAJI</td>
<td>'</td>
<td>RT. 23 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-09-1984</td>
<td>38</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998876</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1051</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014940</td>
<td>MOHAMAD HIBATUL RIFAI</td>
<td>'</td>
<td>RT. 23 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-05-2007</td>
<td>15</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998898</td>
<td>Konseling</td>
<td align='center'>
Z00.1 </td>
<td align='center'>
<font color='black'>Routine child health examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1052</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011673</td>
<td>SUMARTIN</td>
<td>' </td>
<td>DUSUN PONGGOK, RT : 20,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-06-1973</td>
<td>49</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666113139</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1053</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011668</td>
<td>USNUL KHOTIMAH</td>
<td>'</td>
<td>RT. 22 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-11-1992</td>
<td>30</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666128676</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1054</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016968</td>
<td>KARYATIN</td>
<td>'</td>
<td>RT. 21 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1979</td>
<td>43</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666175285</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1055</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016354</td>
<td>SARIMPEN</td>
<td>'</td>
<td>RT 20 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-06-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665920315</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1056</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016970</td>
<td>YULIANIK</td>
<td>'</td>
<td>RT. 21 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-01-1985</td>
<td>38</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665605247</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1057</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004570</td>
<td>ROSITA</td>
<td>'</td>
<td>RT.21 RW.9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-01-1983</td>
<td>40</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666373735</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1058</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016971</td>
<td>LAILATUL BAROKAH</td>
<td>'</td>
<td>RT. 23 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-02-1995</td>
<td>27</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998011</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1059</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003014</td>
<td>SIYAMI TUTIK</td>
<td>'3503055406820005</td>
<td>DUSUN PONGGOK, RT : 22,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-06-1982</td>
<td>40</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666161954</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1060</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004571</td>
<td>DEWI DWI JULIATI</td>
<td>'</td>
<td>RT.22 RW.9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1990</td>
<td>32</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665743487</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1061</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004212</td>
<td>ERNAWATI</td>
<td>'3503056503970001</td>
<td>DUSUN PONGGOK, RT : 22,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-03-1997</td>
<td>25</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666203624</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1062</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011450</td>
<td>NURIL ZUMAROH</td>
<td>'3503055607800002</td>
<td>RT 22 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665930676</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1063</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003011</td>
<td>ULIN PURNAMASARI</td>
<td>'9103016506920004</td>
<td>DUSUN PONGGOK, RT : 23,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-06-1992</td>
<td>30</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011605863</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1064</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015471</td>
<td>SUTILAH</td>
<td>'3503056507770001</td>
<td>DUSUN PONGGOK, RT : 22,RW :9 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-07-1977</td>
<td>45</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665863424</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1065</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016974</td>
<td>MINATIN</td>
<td>'</td>
<td>RT. 24 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-07-1974</td>
<td>48</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998639</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1066</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003650</td>
<td>MARYATIN</td>
<td>'3503055402790001</td>
<td>DUSUN PONGGOK, RT : 24,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-02-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666194139</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1067</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007015</td>
<td>KATIYAH</td>
<td>'</td>
<td>RT 24 RW10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-08-1976</td>
<td>46</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666203409</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1068</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016977</td>
<td>IDA AYU DEWI UTARI</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-01-2004</td>
<td>19</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN POLRI</td>
<td>'0001098340367</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1069</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016978</td>
<td>SUKIDI</td>
<td>'</td>
<td>RT. 21 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-06-1959</td>
<td>63</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003065613412</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1070</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012483</td>
<td>DAFFA RISKY RAMADHAN</td>
<td>'3503053007130003</td>
<td>DUSUN PONGGOK, RT : 21,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-07-2013</td>
<td>9</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002285211791</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1071</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008768</td>
<td>SUKIRAN </td>
<td>'</td>
<td>RT</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-06-1952</td>
<td>70</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106560516</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1072</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016979</td>
<td>RUSMINI</td>
<td>'3309076005629001</td>
<td>RT.21 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-05-1962</td>
<td>60</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>ANGGOTA POLRI</td>
<td>'0001271270035</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1073</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016980</td>
<td>DIYAH TRI PUJI LESTARI</td>
<td>'</td>
<td>RT. 21 RW.9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-08-2001</td>
<td>21</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>ANGGOTA POLRI</td>
<td>'0001271271047</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1074</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016981</td>
<td>SINTO</td>
<td>'</td>
<td>RT. 21 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-11-1949</td>
<td>73</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999708</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1075</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013034</td>
<td>SUPANI</td>
<td>'</td>
<td>RT 021 RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-12-1962</td>
<td>60</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999719</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1076</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016982</td>
<td>ROKIP SUBHAN</td>
<td>'</td>
<td>RT. 21 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-05-1984</td>
<td>38</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001154959222</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1077</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016983</td>
<td>FARHAN RIZQY PRADANA</td>
<td>'</td>
<td>RT. 21 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-12-2010</td>
<td>12</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001203834341</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1078</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016984</td>
<td>KATIRAH</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-06-1965</td>
<td>57</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802756071</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1079</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016985</td>
<td>WARNO</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-07-1955</td>
<td>67</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802756069</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1080</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016986</td>
<td>AGUS TRIANTO</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-08-1976</td>
<td>46</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665665525</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1081</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008203</td>
<td>WIDARTI</td>
<td>'</td>
<td>RT 21 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-07-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665667178</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1082</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016987</td>
<td>OKTIANI RISTA LASELLI</td>
<td>'</td>
<td>RT. 20 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-10-2000</td>
<td>22</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665667404</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1083</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004439</td>
<td>GESEN ANTIKA WIDIASARI</td>
<td>'</td>
<td>RT 21 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-12-2010</td>
<td>12</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665667459</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1084</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016988</td>
<td>ANGGUN NANDA SASMITA</td>
<td>'</td>
<td>RT. 21 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-2004</td>
<td>19</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998099</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1085</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016989</td>
<td>MUASIM</td>
<td>'</td>
<td>RT. 21 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-06-1968</td>
<td>54</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998066</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1086</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000085</td>
<td>AMINI</td>
<td>'3503055107690001</td>
<td>RT 21 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666120058</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1087</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016990</td>
<td>FAIS DWI YANWAR</td>
<td>'</td>
<td>RT. 21 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-2001</td>
<td>22</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666120216</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1088</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009672</td>
<td>MUJIARTO</td>
<td>'3503051202700004</td>
<td>DUSUN PONGGOK, RT : 21,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-02-1970</td>
<td>52</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666091427</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1089</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002905</td>
<td>SUMINTEN</td>
<td>'</td>
<td>RT 21 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-03-1971</td>
<td>51</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666092002</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1090</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016991</td>
<td>ANANG MAKRUF PUTRA PRATAMA</td>
<td>'</td>
<td>RT. 21 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1997</td>
<td>25</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666092248</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1091</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002134</td>
<td>TUKIMIN</td>
<td>'3503055008550003</td>
<td>DUSUN PONGGOK, RT : 21,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-08-1955</td>
<td>67</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002623970136</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1092</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001337</td>
<td> ISTILAH</td>
<td>'3503055003630004</td>
<td>RT 21 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-03-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002623970529</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1093</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016992</td>
<td>FADHIL DWI APRILIANSYAH</td>
<td>'</td>
<td>RT. 21 RW. 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-04-2010</td>
<td>12</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867872612</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1094</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016994</td>
<td>SATIMIN</td>
<td>'</td>
<td>RT. 23 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-09-1968</td>
<td>54</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665939057</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1095</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010252</td>
<td>YAHMI</td>
<td>'</td>
<td>RT 0 RW 0</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-09-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665939147</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1096</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016995</td>
<td>KARINA AZZAHRA NADIA PUTRI</td>
<td>'</td>
<td>RT. 23 RW. 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-10-2016</td>
<td>6</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003088304234</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1097</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004513</td>
<td>SITI MUKAROMAH</td>
<td>'</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-03-1986</td>
<td>36</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665685819</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1098</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001057</td>
<td>SITI KOMSIYAH</td>
<td>'</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-06-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666091056</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1099</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012910</td>
<td>SUMINI</td>
<td>' </td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-06-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666094432</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1100</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005748</td>
<td>DWI NINGSIH</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-07-1987</td>
<td>35</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666381835</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1101</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014374</td>
<td>ABDUL JAFAR</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-06-1963</td>
<td>59</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665684324</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1102</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013785</td>
<td>WIJI</td>
<td>'</td>
<td>RT25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-03-1968</td>
<td>54</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665684831</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1103</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002194</td>
<td>FAREL SOFYAN MARDIANA</td>
<td>'</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-07-2009</td>
<td>13</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665687979</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1104</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013784</td>
<td>SAROJI</td>
<td>'</td>
<td>RT25 RW12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-07-1975</td>
<td>47</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665687316</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1105</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004577</td>
<td>HANIF ANSYARI</td>
<td>'</td>
<td>RT. 25 RW.. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-10-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002898301239</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1106</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012885</td>
<td>MAKIYEM</td>
<td>' </td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-07-1940</td>
<td>82</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665648515</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1107</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012887</td>
<td>SUTINAH</td>
<td>' </td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-12-1954</td>
<td>68</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036997976</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1108</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016089</td>
<td>SUPARTIN</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-06-1960</td>
<td>62</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978432503</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1109</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012897</td>
<td>MAKINEM</td>
<td>' </td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-07-1943</td>
<td>79</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665885441</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1110</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012898</td>
<td>TUKINI</td>
<td>'3503054701410001</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-01-1941</td>
<td>82</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999765</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1111</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012899</td>
<td>SUTRISNO</td>
<td>'3503052306310001</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-06-1931</td>
<td>91</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999754</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1112</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012900</td>
<td>KASIRAH</td>
<td>' </td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1960</td>
<td>62</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666295029</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1113</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013031</td>
<td>WIJI</td>
<td>' </td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-02-1937</td>
<td>85</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665722135</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1114</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012901</td>
<td>LASIYEM</td>
<td>' </td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-09-1930</td>
<td>92</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665863108</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1115</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005995</td>
<td>MUJIATI</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1977</td>
<td>45</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666125684</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1116</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000529</td>
<td>SITI SAMILAH</td>
<td>'3503055307690001</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-07-1969</td>
<td>53</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665700243</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1117</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012902</td>
<td>TOINAH</td>
<td>'3503054710500001</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-10-1950</td>
<td>72</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433291</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1118</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012904</td>
<td>KASMIRAH</td>
<td>' </td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-02-1956</td>
<td>66</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666169097</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1119</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000875</td>
<td>SUWARNO</td>
<td>'</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1971</td>
<td>51</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666234382</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1120</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000455</td>
<td>ROBINGU</td>
<td>'3503054208740001</td>
<td>DUSUN KASIHAN, RT : 028,RW :012 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-08-1974</td>
<td>48</td>
<td>P</td>
<td>BELUM/TIDAK BEKERJA</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433741</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1121</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015549</td>
<td>EDI WAHANANTO</td>
<td>'</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-01-1990</td>
<td>33</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666320894</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1122</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002904</td>
<td>KHUSNUL KHOTIMAH</td>
<td>'</td>
<td>RT 28 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-03-1992</td>
<td>30</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666321175</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1123</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015550</td>
<td>REIHAN ANJAS PRAYOGA</td>
<td>'</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-12-2011</td>
<td>11</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001917649978</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1124</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014957</td>
<td>SUPRIYONO</td>
<td>'</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-01-1988</td>
<td>35</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666378909</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1125</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014956</td>
<td>ISTI</td>
<td>'</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1965</td>
<td>57</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666378786</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1126</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014955</td>
<td>PUTRI AFRITA FEBRIANI</td>
<td>'</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-02-2012</td>
<td>10</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707126131</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1127</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014954</td>
<td>TARMUJI</td>
<td>'</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-03-1974</td>
<td>48</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666100798</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1128</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014953</td>
<td>SUNARTI</td>
<td>'</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-03-1980</td>
<td>42</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666100912</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1129</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014952</td>
<td>RAHMA JUNIA AYU ANJANI</td>
<td>'</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-06-2008</td>
<td>14</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665546488</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1130</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014951</td>
<td>LENNA FITRIANINGTYAS</td>
<td>'</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-02-1997</td>
<td>25</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665545915</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1131</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014950</td>
<td>PURNAMA SODIK</td>
<td>'</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-09-1986</td>
<td>36</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666187569</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1132</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007546</td>
<td>IMAM TURMUDI</td>
<td>'3503052508670001</td>
<td>DUSUN KASIHAN, RT : 28,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-08-1967</td>
<td>55</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433728</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1133</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012914</td>
<td>SURATMAN</td>
<td>'3503051501560004</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-1956</td>
<td>67</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860464161</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1134</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003848</td>
<td>OKTAVIA PUTRI AGUSTINA AZZAHRA</td>
<td>'3503067110120003</td>
<td>RT 28 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-10-2012</td>
<td>10</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860463103</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1135</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017092</td>
<td>TIARA CAHAYA PUTRI</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-06-2009</td>
<td>13</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037000125</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1136</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005756</td>
<td>EDI MURTONO</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-08-1987</td>
<td>35</td>
<td>L</td>
<td>Perdagangan</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037000103</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1137</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017093</td>
<td>APRILIA EKA SANTI NUR FARIDA</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-04-1996</td>
<td>26</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978432558</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1138</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017094</td>
<td>JENISA DWI RAHMA</td>
<td>'3503054106090001</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-2009</td>
<td>13</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978432525</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1139</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006773</td>
<td>ANA NOVIANA</td>
<td>'3503055711980004</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-11-1998</td>
<td>24</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665868767</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1140</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009355</td>
<td>MUJIANTO</td>
<td>'3503050904640001</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-04-1964</td>
<td>58</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665868115</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1141</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017095</td>
<td>WASISNO</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-06-1967</td>
<td>55</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665879692</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1142</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017096</td>
<td>KAMINAH</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-05-1942</td>
<td>80</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665946145</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1143</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017099</td>
<td>TUMIJAH</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-12-1965</td>
<td>57</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665886677</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1144</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017100</td>
<td>MUYAJID</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-02-1982</td>
<td>40</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665838415</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1145</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017101</td>
<td>HAFIZ AKMAL AL AZZAM</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-08-2013</td>
<td>9</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978432727</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1146</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002141</td>
<td>MARYAM</td>
<td>' </td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-06-1973</td>
<td>49</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665880041</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1147</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017102</td>
<td>HERI SETIAWAN</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-1997</td>
<td>25</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665880131</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1148</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017103</td>
<td>LIDIA ANGGITA SARI</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-07-2006</td>
<td>16</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665880884</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1149</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017104</td>
<td>AHMAD MUKLIS</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-03-1992</td>
<td>30</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665880085</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1150</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008885</td>
<td>AZAHWA ROBIATUL HIKMAH</td>
<td>'3503057009130001</td>
<td>RT 30 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-09-2013</td>
<td>9</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433695</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1151</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005367</td>
<td>KASERI</td>
<td>'</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1935</td>
<td>87</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665721573</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1152</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007827</td>
<td>KAJUMI</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-05-1957</td>
<td>65</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666212657</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1153</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007296</td>
<td>RIKA KURNIASARI</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-09-2010</td>
<td>12</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666213603</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1154</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017105</td>
<td>DASIRAN</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-09-1952</td>
<td>70</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666212275</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1155</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017106</td>
<td>IRWANTO</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-07-1991</td>
<td>31</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666213568</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1156</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017107</td>
<td>MUJIRAN</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-09-1966</td>
<td>56</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000666396606</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1157</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017108</td>
<td>SITI RUKAYAH</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-08-1967</td>
<td>55</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000666396775</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1158</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004450</td>
<td>SUPATKUR</td>
<td>'3503051406740001</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-06-1974</td>
<td>48</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665896566</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1159</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007025</td>
<td>GEA ANGGITA C</td>
<td>'</td>
<td>RT 28 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-04-2013</td>
<td>9</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433447</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1160</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021963</td>
<td>AHMAD MUSAFAK FATLULLOH</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-06-2004</td>
<td>18</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666140501</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1161</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012909</td>
<td>SUKIYEM</td>
<td>'3503055507390001</td>
<td>DUSUN KASIHAN, RT : 28,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-07-1939</td>
<td>83</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665730729</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1162</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017109</td>
<td>NURGIANTO</td>
<td>'</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-10-1984</td>
<td>38</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665732564</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1163</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017111</td>
<td>WIJI INSIYAH</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-12-1964</td>
<td>58</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666399317</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1164</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017112</td>
<td>ABDUL MUNGIN</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1963</td>
<td>59</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666399058</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1165</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017113</td>
<td>BELLA YUDA ARDIAN PRADANA</td>
<td>'</td>
<td>RT.27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-2003</td>
<td>19</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665897174</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1166</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017114</td>
<td>DESY ROHMAWATI</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-12-2002</td>
<td>20</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666115435</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1167</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008209</td>
<td>MUTOYO</td>
<td>'</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-09-1967</td>
<td>55</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666114041</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1168</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006033</td>
<td>ADINDA RENA MAWARTI</td>
<td>'3503054604040002</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-04-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666904004</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1169</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017119</td>
<td>MUHAMMAD ABDULOH F</td>
<td>'</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-03-1996</td>
<td>26</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433739</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1170</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017120</td>
<td>NYAMAN</td>
<td>'</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-05-1934</td>
<td>88</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978432997</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1171</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017121</td>
<td>MUHAJIRIN</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-02-1988</td>
<td>34</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666107144</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1172</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017122</td>
<td>MUKIYO</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1961</td>
<td>61</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036997392</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1173</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021964</td>
<td>SURTIANI</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-04-1975</td>
<td>47</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433469</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1174</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017126</td>
<td>SUMIATI</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-12-1974</td>
<td>48</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978432874</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1175</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017127</td>
<td>RIFKI NUR ALFIAH</td>
<td>'</td>
<td>RT. 26 RT. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-08-2008</td>
<td>14</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978432852</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1176</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017128</td>
<td>SUHARDI</td>
<td>'</td>
<td>RT. 26 RT. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1971</td>
<td>51</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978432841</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1177</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017129</td>
<td>TUKINAH</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-02-1933</td>
<td>89</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433008</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1178</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017130</td>
<td>IMAM MANSUR</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-03-1976</td>
<td>46</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666819606</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1179</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005365</td>
<td>MUSIRAH</td>
<td>'</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1933</td>
<td>89</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666820991</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1180</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008618</td>
<td>DEWI MELINDA SILVITASARI</td>
<td>'</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-05-2008</td>
<td>14</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666820372</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1181</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015563</td>
<td>EFI TURINA WIAS TUTIK</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-06-1994</td>
<td>28</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666388282</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1182</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010502</td>
<td>YULIATI</td>
<td>'3503055206660002</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-06-1966</td>
<td>56</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666386943</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1183</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009368</td>
<td>SUMARJI</td>
<td>' </td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-12-1962</td>
<td>60</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666386436</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1184</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017131</td>
<td>REVALINA MARSYAVIAN</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-03-2014</td>
<td>8</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433021</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1185</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004952</td>
<td>MUJIRAN</td>
<td>'3503051108650002</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-08-1965</td>
<td>57</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665729188</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1186</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016088</td>
<td>DWI PURWANTO</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-04-1985</td>
<td>37</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666145574</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1187</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000493</td>
<td>SUBANI</td>
<td>'3503052105530001</td>
<td>DUSUN KASIHAN, RT : 025,RW :011 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-05-1953</td>
<td>69</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978432492</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1188</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005761</td>
<td>RENI SUSANTI</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-09-1992</td>
<td>30</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666143864</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1189</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016090</td>
<td>AQILA QORI ANANDA KAILANI</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-10-2013</td>
<td>9</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978432683</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1190</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017132</td>
<td>MUJITO</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-04-1962</td>
<td>60</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999449</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1191</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010489</td>
<td>SITI SAROPAH</td>
<td>'3503055012690001</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1969</td>
<td>53</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999451</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1192</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017133</td>
<td>AMANDA YENI RAHMAWATI</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-04-2010</td>
<td>12</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665928156</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1193</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017134</td>
<td>VICKY AGUS RAHANDI</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-08-2006</td>
<td>16</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666170032</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1194</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007065</td>
<td>SUPARMI</td>
<td>'</td>
<td>RT 26RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-06-1966</td>
<td>56</td>
<td>P</td>
<td>PETAN</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666169571</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1195</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017135</td>
<td>ANDIK RIANTO</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-11-1991</td>
<td>31</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978432885</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1196</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017136</td>
<td>LAMINI</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-11-1961</td>
<td>61</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978432907</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1197</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002608</td>
<td>SUMONO</td>
<td>'3503052308590001</td>
<td>RT 26 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-08-1959</td>
<td>63</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978432896</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1198</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001141</td>
<td>RIZKI WAHYU RAMADHANI</td>
<td>'3503112410040001</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-10-2004</td>
<td>18</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433054</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1199</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017138</td>
<td>SHAFIRA AYUDIA PUTRI SUSILO</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-03-2014</td>
<td>8</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433032</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1200</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017139</td>
<td>UMI PARTIMAH</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1982</td>
<td>40</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433065</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1201</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021965</td>
<td>LASIGUN</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1968</td>
<td>54</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666121678</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1202</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017140</td>
<td>MUJIYAT</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-07-1962</td>
<td>60</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666312805</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1203</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017141</td>
<td>MEIDA PUSPITA SARI</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-05-2006</td>
<td>16</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666314245</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1204</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011957</td>
<td>SITI UMINI</td>
<td>'</td>
<td>RT 26 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-06-1969</td>
<td>53</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666313086</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1205</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021966</td>
<td>AMABEL SANDRIA AURELIN</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-07-2014</td>
<td>8</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978432839</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1206</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017142</td>
<td>MUSTAJI</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-06-1967</td>
<td>55</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433458</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1207</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017143</td>
<td>META DIAH ANGGRAENI</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-04-2005</td>
<td>17</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433471</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1208</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017144</td>
<td>QOIRUDIN</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-06-1978</td>
<td>44</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999686</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1209</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017145</td>
<td>AHMAD YASIR</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1990</td>
<td>32</td>
<td>L</td>
<td>Perdagangan</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666085871</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1210</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017146</td>
<td>KASENI</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-10-1959</td>
<td>63</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665871478</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1211</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017147</td>
<td>FATIMATUS ZAHROK</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-06-2003</td>
<td>19</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665872209</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1212</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017148</td>
<td>SUJITO</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-12-1961</td>
<td>61</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666084126</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1213</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017149</td>
<td>MUSIYEM</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-12-1966</td>
<td>56</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666084238</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1214</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017150</td>
<td>ASYIFA FEBRI AULIA</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-02-2013</td>
<td>9</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433368</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1215</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017151</td>
<td>KOMSIN</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-07-1978</td>
<td>44</td>
<td>L</td>
<td>Perdagangan</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666052615</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1216</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017152</td>
<td>NIKEN ADILLA DESTIANI</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-12-1998</td>
<td>24</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666053414</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1217</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017153</td>
<td>SITI KHOLIPAH</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-11-1981</td>
<td>41</td>
<td>P</td>
<td>Perdagangan</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666052942</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1218</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011028</td>
<td>IMAM MASRURI</td>
<td>'3503052408940001</td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-08-1994</td>
<td>28</td>
<td>L</td>
<td>Karyawan Honorer</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036997728</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1219</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012996</td>
<td>MISTIYAH</td>
<td>'</td>
<td>RT 26 RW 11</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036997717</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1220</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013179</td>
<td>ANDRI PURWATI</td>
<td>'3503054109930003</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-09-1993</td>
<td>29</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000666397438</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1221</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013180</td>
<td>ALFIN RAFQI ABDILLAH</td>
<td>'3503052904190001</td>
<td>RT 027 RW 012 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-04-2019</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002762044558</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1222</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003005</td>
<td>SULIS ISTIQOMAH</td>
<td>'3503054202890001</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-02-1989</td>
<td>33</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002729557078</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1223</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002126</td>
<td>ROBIATUL FATIMAH</td>
<td>'3503054905980001</td>
<td>DUSUN KASIHAN, RT : 28,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-05-1998</td>
<td>24</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665942859</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1224</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013181</td>
<td>KENZHA ANANDA PUTRA</td>
<td>'3503051912190002</td>
<td>RT 028 RW 012</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-12-2019</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002912501564</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1225</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002380</td>
<td>SUHARTI</td>
<td>'3503054701860001</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-01-1986</td>
<td>37</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666084868</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1226</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000453</td>
<td>MUHAMMAD NADHIM AFIFUDDIN</td>
<td>'3503052503200001</td>
<td>DUSUN KASIHAN, RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-03-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002936856677</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1227</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004211</td>
<td>LAILATUL HIDAYAH</td>
<td>'3503056506870001</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-06-1987</td>
<td>35</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433684</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1228</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006497</td>
<td>MUKHAMMAD MAKHSUN ZAKI RAMADHANI</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-06-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002501164833</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1229</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002890</td>
<td>LULUK ANGGRAINI</td>
<td>'</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-01-1993</td>
<td>30</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666212962</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1230</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004981</td>
<td>WIJI ASTUTIK</td>
<td>'</td>
<td>RT.27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-04-1987</td>
<td>35</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666820091</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1231</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008619</td>
<td>TSANI SAKHA ARKAN WIRATAMA</td>
<td>'</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-11-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003091778278</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1232</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002901</td>
<td>SRI WAHYUNI</td>
<td>'</td>
<td>RT 28 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-05-1986</td>
<td>36</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036997673</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1233</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013186</td>
<td>PUTRI SARI AYU</td>
<td>'3503054901180002</td>
<td>DUSUN KASIHAN, RT : 28,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-01-2018</td>
<td>5</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002459129679</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1234</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005759</td>
<td>SITI FITRIATUL JANAH</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-1997</td>
<td>25</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666402186</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1235</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013187</td>
<td>AZZAHRA AYUDIA INARA</td>
<td>'</td>
<td>RT 027 RW 012</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-09-2020</td>
<td>2</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003057609914</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1236</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003883</td>
<td>MIFTAKUL JANAH</td>
<td>'3503056010920001</td>
<td>RT 28 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-10-1992</td>
<td>30</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036922501</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1237</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013188</td>
<td>AHKTAR ARDIYANSAH</td>
<td>'3503051203180002</td>
<td>RT 028 RW 012 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-03-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002438794809</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1238</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004072</td>
<td>UTAMI</td>
<td>'3503064311930002</td>
<td>RT 278 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-11-1993</td>
<td>29</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665436971</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1239</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005994</td>
<td>ROFIKUL NGAZIZAH</td>
<td>'</td>
<td>RT. 27 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-07-1995</td>
<td>27</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666401613</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1240</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001390</td>
<td>KANITA ANINDYA SHERLLY PRAMUDYA</td>
<td>'</td>
<td>RT 06 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-06-2018</td>
<td>4</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002466788365</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1241</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003280</td>
<td>DWI WIDAYATI</td>
<td>'3503055603910001</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-03-1991</td>
<td>31</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037000114</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1242</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002773</td>
<td>RISKA ARUM MANITASARI</td>
<td>'3503054506950003</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-06-1995</td>
<td>27</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665114646</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1243</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013196</td>
<td>AYUNIA RISMA AINAYYA</td>
<td>'3503054512170002</td>
<td>RT 025 RW 011</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-12-2017</td>
<td>5</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002463834295</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1244</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007829</td>
<td>MIA AGUSMITA</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-08-1996</td>
<td>26</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666313391</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1245</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007830</td>
<td>CLARISSA PUTRI RAFANDA</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-12-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002914281808</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1246</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013200</td>
<td>TUSMINAH</td>
<td>'3503144303860002</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-03-1986</td>
<td>36</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970311196</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1247</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007884</td>
<td>KANIA PUTRI RAMADHANI</td>
<td>'</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-06-2017</td>
<td>5</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970311207</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1248</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013205</td>
<td>KHOLIDIYA USWAH</td>
<td>'3502024101180001</td>
<td>RT RW </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-2018</td>
<td>5</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002417864872</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1249</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012060</td>
<td>KOMSATUN</td>
<td>'3503054406790003</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-06-1979</td>
<td>43</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666090088</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1250</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013207</td>
<td>MUHAMMAD LUQMAN HAKIM</td>
<td>'3503052002180001</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-02-2018</td>
<td>4</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002431870784</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1251</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001393</td>
<td>SUKINI</td>
<td>'3503054805880001</td>
<td>DUSUN KASIHAN, RT : 28,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-05-1988</td>
<td>34</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665732305</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1252</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013208</td>
<td>ARDIANSYAH MUBAROK</td>
<td>'3503051512170001</td>
<td>RT 028 RW 012 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-12-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002320963604</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1253</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004982</td>
<td>KHUSNUL KHOTIMAH</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-07-1996</td>
<td>26</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665910382</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1254</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000257</td>
<td>SRIATUN</td>
<td>'3503054512720001</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-12-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0001978433559</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1255</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013875</td>
<td>KEMIS RIANTO</td>
<td>'</td>
<td>NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-06-1969</td>
<td>53</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0001978433548</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1256</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001888</td>
<td>SITI HINDUN</td>
<td>'3503055209800001</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-09-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666059354</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1257</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013877</td>
<td>MARZUKI</td>
<td>'</td>
<td>NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-01-1973</td>
<td>50</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666059139</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1258</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011080</td>
<td>LAILATUL HASANAH</td>
<td>'3503054310000001</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-10-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666059556</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1259</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011081</td>
<td>LATIFATUN NISA`</td>
<td>'3503055409120002</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-09-2012</td>
<td>10</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002126916009</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1260</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015714</td>
<td>SITI ISTIKOMAH</td>
<td>'</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-07-1988</td>
<td>34</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666187604</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1261</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015715</td>
<td>AGISTA CAHYA RAMADHANI</td>
<td>'</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-2009</td>
<td>13</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666187694</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1262</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015716</td>
<td>MURSALIN</td>
<td>'</td>
<td>RT. 28 RW. 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-08-1982</td>
<td>40</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666186748</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1263</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015717</td>
<td>EKO SUJARNO</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-09-1978</td>
<td>44</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0001978432593</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1264</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007654</td>
<td>ENY KUS ENDANG</td>
<td>'3503055911810004</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-11-1981</td>
<td>41</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0001978432626</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1265</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015718</td>
<td>ANNISA CONY CAHYANINGTYAS</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-03-2008</td>
<td>14</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0001978432615</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1266</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015719</td>
<td>AIRLANGGA SATRIA RAMADHAN</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-07-2013</td>
<td>9</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0001978432604</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1267</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003084</td>
<td>RATNA TRI OKTAFIA</td>
<td>' 35030561100000003</td>
<td>DUSUN KASIHAN, RT : 28,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-10-2000</td>
<td>22</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665637366</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1268</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010941</td>
<td>BIRRUL AKMAL FUADI</td>
<td>'3503052808210001</td>
<td>RT 25/11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-08-2021</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003104306954</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1269</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008523</td>
<td>YATENI</td>
<td>'</td>
<td>RT 28 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-08-1969</td>
<td>53</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978433829</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1270</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002893</td>
<td>RINI ANTIKA</td>
<td>'</td>
<td>RT 3 RW 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1991</td>
<td>31</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666042107</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1271</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010747</td>
<td>SULASIH</td>
<td>'3503055703730001</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-03-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665114049</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1272</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015065</td>
<td>OKTA DWI MAYA SARI</td>
<td>'</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-10-1999</td>
<td>23</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665114681</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1273</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015721</td>
<td>SAMSURI</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-11-1970</td>
<td>52</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665112712</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1274</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004201</td>
<td>MUKIRAH</td>
<td>' </td>
<td>DUSUN KASIHAN, RT : 26,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-11-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665729289</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1275</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014879</td>
<td>SATRIA ZAFRANSAPUTRA</td>
<td>'</td>
<td>RT 26 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-05-2019</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002764802889</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1276</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006761</td>
<td>PUPUT AYU MAHARANY</td>
<td>'3503054408030002</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-08-2003</td>
<td>19</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666235653</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1277</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015722</td>
<td>TUMINI</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-03-1966</td>
<td>56</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665608228</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1278</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015723</td>
<td>SITI ZAENAB</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-05-1973</td>
<td>49</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665868543</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1279</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015724</td>
<td>SURYATI</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-01-1972</td>
<td>51</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666115086</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1280</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015725</td>
<td>FATLUL MUBAROKATIN</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-09-1988</td>
<td>34</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666118945</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1281</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015726</td>
<td>ROBINGATUN</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-11-1992</td>
<td>30</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665837965</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1282</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014367</td>
<td>KUSMAWATI</td>
<td>'</td>
<td>RT. 26 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-12-1981</td>
<td>41</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036997346</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1283</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002903</td>
<td>WIDYAWATI</td>
<td>'</td>
<td>RT 26 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-05-1978</td>
<td>44</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665902585</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1284</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015727</td>
<td>MUJIATI</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1975</td>
<td>47</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665551236</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1285</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015728</td>
<td>RINI AGUSTINA</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-08-1985</td>
<td>37</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666235506</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1286</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004568</td>
<td>NGAINUR ROHMAH</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1975</td>
<td>47</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666142896</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1287</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011812</td>
<td>TIPAH</td>
<td>'3503054812790001</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-12-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666122242</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1288</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015729</td>
<td>LASMINAH</td>
<td>'</td>
<td>RT. 25 RW. 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-06-1968</td>
<td>54</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666143346</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1289</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002902</td>
<td>MESTINI</td>
<td>'</td>
<td>RT 24 RW 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-01-1994</td>
<td>29</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665823058</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1290</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001092</td>
<td>DESI ERNAWATI</td>
<td>'3503055112910001</td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-12-1991</td>
<td>31</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665883009</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1291</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000446</td>
<td>TARMINI</td>
<td>'</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-05-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665622145</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1292</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002740</td>
<td>MESIYEM</td>
<td>'9171015704650001</td>
<td>RT 21 RW 09</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-04-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003065613423</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1293</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001808</td>
<td>SITI MASRUROH</td>
<td>'3503054805950001</td>
<td>DUSUN KASIHAN, RT : 25,RW :11 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-05-1995</td>
<td>27</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665860241</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1294</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003138</td>
<td>SITI RUKANA</td>
<td>'3503054802850002</td>
<td>DUSUN PONGGOK, RT : 23,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-02-1985</td>
<td>37</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036998887</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1295</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012926</td>
<td>SUNARTI</td>
<td>'</td>
<td>RT 25 RW 11</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-04-1967</td>
<td>55</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665909673</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1296</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010601</td>
<td>INDAH DWI ANGGRAINI</td>
<td>'3503054107980001</td>
<td>KRAJAN, RT : 5,RW :2 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1998</td>
<td>24</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666104488</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1297</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024110</td>
<td>KEISHA ATTAYA SACHI</td>
<td>'3503125305170001</td>
<td>RT. 1 RW. 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-05-2017</td>
<td>5</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002271249707</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1298</td>
<td>22-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012921</td>
<td>SITI MUNAWAROH</td>
<td>'</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-11-1977</td>
<td>45</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665896599</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1299</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001243</td>
<td>MARYADI</td>
<td>'3503053112670002</td>
<td>NGLEGOK, RT : 7,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1967</td>
<td>55</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978434134</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1300</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014111</td>
<td>SARTINI</td>
<td>'3503055010740003</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-10-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665628614</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1301</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011899</td>
<td>GAVINDRA DENTA KUSUMA</td>
<td>'3503052406210001</td>
<td>NGEPEH</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-06-2021</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0003107863405</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1302</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016304</td>
<td>JUMIATI</td>
<td>'</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-07-1970</td>
<td>52</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665438242</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1303</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016305</td>
<td>NAFI`ATUN NUR AZIZAH</td>
<td>'</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-10-2002</td>
<td>20</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665439254</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1304</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015037</td>
<td>YENI RACHMAWATI</td>
<td>'</td>
<td>RT 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-03-1981</td>
<td>41</td>
<td>P</td>
<td>IRT</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665598442</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1305</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000399</td>
<td>TITIK TIYAM TINI</td>
<td>'</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665648831</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1306</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001007</td>
<td>CITRA CAHYANI MARFIANA</td>
<td>'</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-03-1996</td>
<td>26</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665648875</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1307</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005031</td>
<td>RIZKA AYU SEFTIYANI</td>
<td>'3503055509010001</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-09-2001</td>
<td>21</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665654826</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1308</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000799</td>
<td>YULIATIN</td>
<td>'</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-03-1978</td>
<td>44</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665816051</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1309</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011616</td>
<td>MARYATI</td>
<td>'3503057012610001</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1961</td>
<td>61</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665915591</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1310</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016306</td>
<td>SITI KHOLISOH</td>
<td>'</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-09-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666042939</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1311</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016307</td>
<td>SUMIATI</td>
<td>'</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-08-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666421997</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1312</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015093</td>
<td>SINTYA NUR LAILY</td>
<td>'</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-01-2003</td>
<td>19</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666422098</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1313</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015094</td>
<td>SHINDY NUR FADILAH</td>
<td>'</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-01-2005</td>
<td>18</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666422245</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1314</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013687</td>
<td>NURDAYATI</td>
<td>'3503055008780001</td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-11-1978</td>
<td>44</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037003624</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1315</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015100</td>
<td>FARIDATUL UMAMI</td>
<td>' </td>
<td>DUSUN CORAH MULYO, RT : 6,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-07-1997</td>
<td>25</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037003635</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1316</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000298</td>
<td>ENY WAHYUNINGSIH</td>
<td>'3503054503660001</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-03-1966</td>
<td>56</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037003938</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1317</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016309</td>
<td>MINARTI</td>
<td>'</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-06-1966</td>
<td>56</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666130173</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1318</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015103</td>
<td>DWI NUR WAHYUNI</td>
<td>'</td>
<td>RT 06 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-05-1998</td>
<td>24</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666131051</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1319</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015104</td>
<td>NAFISA HUWAIDA KARIMA</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-01-2010</td>
<td>13</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002013998927</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1320</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016310</td>
<td>PATONAH</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1955</td>
<td>67</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665468627</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1321</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016311</td>
<td>WIDYA UTAMI</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-10-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665468796</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1322</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016312</td>
<td>SUSIANI</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1958</td>
<td>64</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665597856</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1323</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016313</td>
<td>MUNTAMAH</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-09-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666041365</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1324</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016314</td>
<td>MISRI</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-10-1953</td>
<td>69</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666104635</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1325</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016315</td>
<td>SULASTRI</td>
<td>'</td>
<td>RT 02 RW 01</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-06-1959</td>
<td>63</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665456962</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1326</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017473</td>
<td>WASITO</td>
<td>'</td>
<td>RT 002 RW 001</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-08-1975</td>
<td>47</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667348569</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1327</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015025</td>
<td>DWI LESTARI</td>
<td>'</td>
<td>RT03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-10-1991</td>
<td>31</td>
<td>P</td>
<td>IRT</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665582242</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1328</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016299</td>
<td>SUPRIHATIN</td>
<td>'</td>
<td>RT 003 RW 001</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665629492</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1329</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009643</td>
<td>WINARNI</td>
<td>'</td>
<td>RT 22</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-06-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978460368</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1330</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015019</td>
<td>ELSA APRILIANDA</td>
<td>'</td>
<td>RT08</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-04-2005</td>
<td>17</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978460381</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1331</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016316</td>
<td>RUMINI</td>
<td>'</td>
<td>RT 08 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1955</td>
<td>67</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978460403</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1332</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015020</td>
<td>RINA ALFIANA</td>
<td>'</td>
<td>RT 08</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-03-2002</td>
<td>20</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002014006667</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1333</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016317</td>
<td>MUSRIATI</td>
<td>'</td>
<td>RT 08 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-04-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665434181</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1334</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012069</td>
<td>KATIYAM</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-07-1967</td>
<td>55</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666370247</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1335</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015114</td>
<td>WINARSIH</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-12-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666412907</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1336</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015115</td>
<td>RISMA SEPTIANA PUTRI</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-09-2003</td>
<td>19</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666413403</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1337</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015116</td>
<td>SUNARMI</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-02-1972</td>
<td>50</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666418375</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1338</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015135</td>
<td>DWI RAHMAWATI</td>
<td>'</td>
<td>RT 14 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-08-2007</td>
<td>15</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665430399</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1339</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010615</td>
<td>DIHARTI RAHAYU</td>
<td>'3503054110640001</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-10-1964</td>
<td>58</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665464318</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1340</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016393</td>
<td>SUMARTIN</td>
<td>'3503056112630001</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-12-1963</td>
<td>59</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665624722</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1341</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016397</td>
<td>SUNARTI</td>
<td>'</td>
<td>RT 014 RW 004</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-12-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665652104</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1342</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016399</td>
<td>DARIYAH</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-09-1960</td>
<td>62</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665921935</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1343</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006920</td>
<td>TUTIK YULIANI</td>
<td>'3503055508810001</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-08-1981</td>
<td>41</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665926143</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1344</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015136</td>
<td>INTAN NURAINI</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-05-2003</td>
<td>19</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000665926683</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1345</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015137</td>
<td>WIDA ROYANI</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-09-1987</td>
<td>35</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665927741</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1346</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007283</td>
<td>WIJI WAHYUNI</td>
<td>'3503054302950001</td>
<td>RT 14 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-02-1995</td>
<td>27</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665927864</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1347</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001896</td>
<td>ASTI NITYAS SARI</td>
<td>'3503054610960001</td>
<td>RT 01 RW 01</td>
<td>NGADIRENGGO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-10-1996</td>
<td>26</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666144797</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1348</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008293</td>
<td>PUJI RAHAYUNINGSIH</td>
<td>'3503055010700002</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-10-1970</td>
<td>52</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665426902</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1349</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013957</td>
<td>BETRI WAHYUNINGTIAS</td>
<td>'3503056711970001</td>
<td>RT 27 RW 05</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-11-1997</td>
<td>25</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665431255</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1350</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016400</td>
<td>WIKI PITRI WAHYUNI</td>
<td>'</td>
<td>RT 013 RW 003</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-03-1995</td>
<td>27</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665864662</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1351</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000284</td>
<td>SUPARMI</td>
<td>'</td>
<td>RT 11 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1958</td>
<td>64</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665912439</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1352</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006720</td>
<td>PARJIYEM</td>
<td>'</td>
<td>RT-</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1957</td>
<td>65</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666107638</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1353</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016402</td>
<td>ARDYAS NUTHFA NUR AZIZAH</td>
<td>'3503056702010002</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-02-2001</td>
<td>21</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002014096206</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1354</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016403</td>
<td>SUKARTI</td>
<td>'</td>
<td>RT 010 RW 003</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-12-1954</td>
<td>68</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666331648</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1355</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001476</td>
<td>FEBRIANA MUSTIKA DEWI</td>
<td>'3503056302960001</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-02-1996</td>
<td>26</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665597081</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1356</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000708</td>
<td>SUPRIHATIN</td>
<td>'</td>
<td>RT 12 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-03-1958</td>
<td>64</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665892404</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1357</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016404</td>
<td>CANDRA JULIAWATI</td>
<td>'3503056507030002</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-07-2003</td>
<td>19</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666110586</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1358</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011344</td>
<td>SITI SOPIYAH</td>
<td>'</td>
<td>RT 012 RW -</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-01-1956</td>
<td>67</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666148792</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1359</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016406</td>
<td>USWATUN HASANAH</td>
<td>'3503055010680001</td>
<td>DUSUN KRAJAN, RT : 9,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-10-1968</td>
<td>54</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665644577</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1360</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005469</td>
<td>SRI RAHAYU</td>
<td>'3503055302800001</td>
<td>RT 9 RW 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-02-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665666662</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1361</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002665</td>
<td>MARIYATI</td>
<td>'3503055903610001</td>
<td>DUSUN KRAJAN, RT : 9,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-03-1961</td>
<td>61</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665810098</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1362</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001525</td>
<td>NURUL HIDAYAH</td>
<td>'3503056004030002</td>
<td>DUSUN KRAJAN, RT : 9,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-04-2003</td>
<td>19</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665810482</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1363</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016408</td>
<td>NIKITA FARDIANA SAPUTRI</td>
<td>'</td>
<td>RT 009 RW 003</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-06-2007</td>
<td>15</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665911203</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1364</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000192</td>
<td>LINASI WIDYAWATI</td>
<td>'3503055104680003</td>
<td>RT 12 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1968</td>
<td>54</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665879084</td>
<td>131506010123Y000204</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1365</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013462</td>
<td>NURUL HIDAYAH</td>
<td>'3503054402810003</td>
<td>KRAJAN, RT : 18,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-02-1981</td>
<td>41</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978460109</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1366</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016323</td>
<td>SRI YANTI</td>
<td>'</td>
<td>RT 19 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-10-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978460122</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1367</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015009</td>
<td>ADINDA RISMA DAMAYANTI</td>
<td>'</td>
<td>RT 20</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-01-2002</td>
<td>21</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978460155</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1368</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003435</td>
<td>TATIK SUNARTI</td>
<td>'3503055001540002</td>
<td>ETAN KALI, RT : 20,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-01-1954</td>
<td>69</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978460166</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1369</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012285</td>
<td>INTAN AULIA FITRIA RAHAYU</td>
<td>'</td>
<td>RT 20 RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-09-2011</td>
<td>11</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978460177</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1370</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007377</td>
<td>SUDARSIH</td>
<td>'3503057112610046</td>
<td>ETAN KALI, RT : 20,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1961</td>
<td>61</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978460201</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1371</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012768</td>
<td>SITI IMSIKAH</td>
<td>'3509214602620004</td>
<td>ETAN KALI, RT : 20,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-02-1962</td>
<td>60</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978460223</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1372</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015010</td>
<td>HALIFAH SANGGARWATI</td>
<td>'</td>
<td>RT 20</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-08-2008</td>
<td>14</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978460234</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1373</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016337</td>
<td>NIK AMAH</td>
<td>'</td>
<td>RT 22 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-05-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES NGLONGSOR</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667305448</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1374</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007352</td>
<td>SUPRIYANTO</td>
<td>'</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-12-1976</td>
<td>46</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068151895</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1375</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002053</td>
<td>SISWANTO</td>
<td>'</td>
<td>PRAMBON RT 6/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-12-1975</td>
<td>47</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666550179</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1376</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002973</td>
<td>PANIRAH</td>
<td>' </td>
<td>DUSUN TENGGAR, RT : 5,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1966</td>
<td>56</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666094768</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1377</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002042</td>
<td>EKA SUSANTI</td>
<td>'3503056205800001</td>
<td>TENGGAR, RT : 6,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-05-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666550236</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1378</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008244</td>
<td>SITI KOTIJAH</td>
<td>'</td>
<td>RT 02</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-03-1977</td>
<td>45</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665821214</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1379</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001244</td>
<td>ANA FAUZIYAH</td>
<td>'3503064903960003</td>
<td>DUSUN TENGGAR, RT : 4,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-03-1996</td>
<td>26</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666010809</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1380</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014447</td>
<td>ERIK TIARASARI</td>
<td>'</td>
<td>RT 04</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-08-1997</td>
<td>25</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665988401</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1381</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006016</td>
<td>OGGA VERRA VIEORENTINA</td>
<td>'3503055806990003</td>
<td>RT 3 RW 1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-06-1998</td>
<td>24</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666028427</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1382</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014448</td>
<td>MUHAMMAD FAKHRUDDIN ANNAUFAL</td>
<td>'</td>
<td>RT 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-10-2009</td>
<td>13</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665288291</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1383</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013009</td>
<td>KARYANTO</td>
<td>'</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-08-1982</td>
<td>40</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665287885</td>
<td>Konseling</td>
<td align='center'>
Z00.1 </td>
<td align='center'>
<font color='black'>Routine child health examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1384</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003850</td>
<td>IDHA MARTA DEVIANI</td>
<td>'3503056703990001</td>
<td>RT : 01,RW 01 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-03-1999</td>
<td>23</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666385964</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1385</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004683</td>
<td>DEVANO PUTRA PERMANA</td>
<td>'</td>
<td>PRAMBON RT 7/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-12-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002318620836</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1386</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006485</td>
<td>FITRI HANDAYANI</td>
<td>'</td>
<td>PRAMBON RT 4/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-01-1983</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666311725</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1387</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007456</td>
<td>ERNITA PUTRI APRILIA</td>
<td>'</td>
<td>PRAMBON RT 7/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-04-2009</td>
<td>13</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665965203</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1388</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001484</td>
<td>PRIHATIN</td>
<td>'3503055312860001</td>
<td>TENGGAR, RT : 7,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-12-1986</td>
<td>36</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665964753</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1389</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014450</td>
<td>SETU</td>
<td>'</td>
<td>RT 07</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-02-1980</td>
<td>42</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002776120874</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1390</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013972</td>
<td>RISMA DIYAN LESTARI</td>
<td>'</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-10-2001</td>
<td>21</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666247408</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1391</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003782</td>
<td>HASBI ALWI</td>
<td>'</td>
<td>RT 04</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-03-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002924456951</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1392</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013974</td>
<td>MURTIANI</td>
<td>'</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-03-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666246982</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1393</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014455</td>
<td>YATENO</td>
<td>'</td>
<td>RT 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-06-1968</td>
<td>54</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666246903</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1394</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013973</td>
<td>RAFARDHAN AL-GHAFALI</td>
<td>'</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-05-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002461111255</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1395</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014456</td>
<td>IRSADI ULTHIFA THORIQUSSALIM</td>
<td>'</td>
<td>RT 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-03-2021</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003098846439</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1396</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014457</td>
<td>IBNU MUCHTAROM</td>
<td>'</td>
<td>RT 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-01-1991</td>
<td>32</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002158256395</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1397</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011500</td>
<td>JUMARI</td>
<td>'3503051210750003</td>
<td>RT 04 RW 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-10-1975</td>
<td>47</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665302825</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1398</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014458</td>
<td>SRI KUNTARI</td>
<td>'</td>
<td>RT 04</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-08-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665303422</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1399</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014459</td>
<td>FAHRUL RIZALDI</td>
<td>'</td>
<td>DUSUN TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-04-2002</td>
<td>20</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665304851</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1400</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014462</td>
<td>PURWANTO</td>
<td>'</td>
<td>DUSUN TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-10-1979</td>
<td>43</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860463744</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1401</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019544</td>
<td>BINTI IMTI YAAZUR RIHADATUL A</td>
<td>'</td>
<td>TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-06-2007</td>
<td>15</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002594793936</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1402</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013157</td>
<td>ANA HALIMATUL SAKDIYAH</td>
<td>'3503054906160001</td>
<td>DUSUN TENGGAR, RT : 5,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-06-2016</td>
<td>6</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002865185638</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1403</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011558</td>
<td>QONITA SHAFIA AZAHRA</td>
<td>'</td>
<td>PRAMBON RT 5/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-10-2014</td>
<td>8</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802762922</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1404</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014466</td>
<td>TIARA NUR WIDIA</td>
<td>'</td>
<td>RT 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-06-2011</td>
<td>11</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002126916549</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1405</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014468</td>
<td>KRISNA RAHMADDAN</td>
<td>'</td>
<td>RT 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-08-2009</td>
<td>13</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667073474</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1406</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014470</td>
<td>MESINI</td>
<td>'</td>
<td>DUSUN TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1960</td>
<td>62</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667069108</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1407</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018347</td>
<td>KATIRAN</td>
<td>'</td>
<td>TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-1978</td>
<td>44</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666260122</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1408</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010339</td>
<td>IBNU SHIDIQ KURNIAWAN</td>
<td>'3503052507060002</td>
<td>TENGGAR, RT : 6,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-07-2006</td>
<td>16</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666550361</td>
<td>Konseling</td>
<td align='center'>
Z00.1 </td>
<td align='center'>
<font color='black'>Routine child health examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1409</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009426</td>
<td>SUGENG</td>
<td>'</td>
<td>PRAMBON RT 6/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1957</td>
<td>65</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068136909</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1410</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004114</td>
<td>MUHAMMAD YUSUF ALVIAN PRATAMA</td>
<td>'3503051605140001</td>
<td>TENGGAR, RT : 3,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-05-2014</td>
<td>8</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802766454</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1411</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018349</td>
<td>KEENAN TSAQIF ALFARIZQI</td>
<td>'</td>
<td>TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-01-2022</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003134040366</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1412</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013443</td>
<td>WENI MAYANGSARI</td>
<td>'</td>
<td>PRAMBON RT 6/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-06-2004</td>
<td>18</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665546398</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1413</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013648</td>
<td>SUPARNO</td>
<td>'</td>
<td>PRAMBON RT 6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-06-1959</td>
<td>63</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665545026</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1414</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013649</td>
<td>SUMARMI</td>
<td>'</td>
<td>PRAMBON RT 6/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1964</td>
<td>58</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665545252</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1415</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004828</td>
<td>ANDAKA RIZKY MUBAROK</td>
<td>'</td>
<td>PRAMBON RT 6/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-05-2014</td>
<td>8</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860463755</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1416</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012047</td>
<td>YUNUS</td>
<td>'</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-05-1972</td>
<td>50</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003064259766</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1417</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015631</td>
<td>MUHAMMAD HASBUNAL KAFI</td>
<td>'</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-12-1999</td>
<td>23</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003064259867</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1418</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011935</td>
<td>NAHDHIYATUR ROSYIIDAH</td>
<td>'</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-12-2015</td>
<td>7</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003064259957</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1419</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003461</td>
<td>HILMAN DZANNADHOR</td>
<td>'</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-04-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003064259924</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1420</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006926</td>
<td>SITI JUARIYAH</td>
<td>'</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-02-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003064259812</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1421</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004431</td>
<td>AGUS RIYANTO</td>
<td>'</td>
<td>PRAMBON RT 8/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-08-1987</td>
<td>35</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681645128</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1422</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015642</td>
<td>AHMAD GHIYATSIDDIN</td>
<td>'</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-07-1997</td>
<td>25</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970311321</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1423</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013005</td>
<td>MUJIRAH</td>
<td>'</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-11-1953</td>
<td>69</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666030947</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1424</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015831</td>
<td>NYOTO</td>
<td>'</td>
<td>TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-01-1966</td>
<td>57</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037013737</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1425</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015832</td>
<td>SUSENO CAHYO DININGRAT</td>
<td>'</td>
<td>TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-09-2004</td>
<td>18</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037013759</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1426</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015833</td>
<td>BOIRAH</td>
<td>' </td>
<td>TENGGAR, RT : 8,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-04-1967</td>
<td>55</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037013748</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1427</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022950</td>
<td>MUHAMMAD EMIR ALKHALIFA ABBAD</td>
<td>'</td>
<td>NGEPOH</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-04-2017</td>
<td>5</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0003131299708</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1428</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022949</td>
<td>FUTIK HATUL KARIMAH</td>
<td>'</td>
<td>NGEPOH</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-09-1990</td>
<td>32</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0003131299383</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1429</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022948</td>
<td>AMRULLOH</td>
<td>'</td>
<td>NGEPOH</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-10-1990</td>
<td>32</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0003131298922</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1430</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005331</td>
<td>SABRINA VARISHA PUTRI</td>
<td>'</td>
<td>PRAMBON RT 28/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-03-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002750493734</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1431</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013563</td>
<td>YAKUP</td>
<td>'</td>
<td>RT</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-07-1970</td>
<td>52</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665347959</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1432</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013564</td>
<td>KADIM</td>
<td>'</td>
<td>RT</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-05-1965</td>
<td>57</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970309881</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1433</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013417</td>
<td>SAMINI</td>
<td>'3503055109690004</td>
<td>PRAMBON, RT : 29,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-09-1969</td>
<td>53</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970309892</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1434</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013451</td>
<td>DWI OKTAVIA SUSANTI</td>
<td>'3503055510000001</td>
<td>PRAMBON, RT : 29,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-10-2000</td>
<td>22</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970309903</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1435</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000844</td>
<td>ISMIATUN</td>
<td>'</td>
<td>PRAMBON RT 26</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-09-1975</td>
<td>47</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002602978751</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1436</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013566</td>
<td>YOGA WAHYU SYAIFUDIN</td>
<td>'</td>
<td>RT</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-10-2006</td>
<td>16</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002583767193</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1437</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015568</td>
<td>elfiana khairunnisa</td>
<td>'3503055902220001</td>
<td>RT 04 RW 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-02-2022</td>
<td>0</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003256192001</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1438</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018348</td>
<td>KHARIS MUHAMMAD FADIL</td>
<td>'</td>
<td>TENGGAR</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-02-2006</td>
<td>16</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>Anis Sri Rahayu, A.Md.Keb.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666261314</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1439</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001537</td>
<td>SIGIT RIZKY PUTRA</td>
<td>'3503050707120002</td>
<td>DUSUN TENGGAR, RT : 5,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-07-2012</td>
<td>10</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES PRAMBON 1</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002594102949</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1440</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010571</td>
<td>VERNANDO ULIN NUHA</td>
<td>'3503050804170005</td>
<td>RT 09 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-04-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES GONDANG</td>
<td>MEARY MEDEON,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002239834588</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1441</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009515</td>
<td>SUNWARI VITA SRIWIRATMI</td>
<td>'3503056301870002</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-01-1987</td>
<td>36</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES GONDANG</td>
<td>MEARY MEDEON,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665416271</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1442</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008025</td>
<td>IKA SULISTIOWATI</td>
<td>'3503056310850001</td>
<td>RT 7 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-10-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES GONDANG</td>
<td>MEARY MEDEON,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002231539053</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1443</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011011</td>
<td>NAUFAL MAHARDIKA AFLAH</td>
<td>'</td>
<td>RT 7 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-04-2012</td>
<td>10</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES GONDANG</td>
<td>MEARY MEDEON,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002231539165</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1444</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016110</td>
<td>ARYASATYA ADYATAMA ALHANAN</td>
<td>'3503050501220001</td>
<td>RT 007 RW 002</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-01-2022</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES GONDANG</td>
<td>MEARY MEDEON,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0003129638073</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1445</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013765</td>
<td>FITRIANI</td>
<td>'</td>
<td>RT 13 RW 3</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-02-1986</td>
<td>36</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES GONDANG</td>
<td>MEARY MEDEON,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665911844</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1446</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013772</td>
<td>RAFA ARYA SETIAWAN</td>
<td>'</td>
<td>RT 8 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-04-2021</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES GONDANG</td>
<td>MEARY MEDEON,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003078004004</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1447</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000227</td>
<td>YENI ARIYANTI</td>
<td>'3503056006980002</td>
<td>RT 08 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-06-1998</td>
<td>24</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES GONDANG</td>
<td>MEARY MEDEON,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665561812</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1448</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006830</td>
<td>DWI NUR ANA</td>
<td>'3503055702970002</td>
<td>RT 8 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-02-1997</td>
<td>25</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES GONDANG</td>
<td>MEARY MEDEON,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802754629</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1449</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007745</td>
<td>UMMI WALIYATUN NAHDLIYAH</td>
<td>'3503124901850004</td>
<td>RT 7 RW 2</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-01-1985</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES GONDANG</td>
<td>MEARY MEDEON,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067610545</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1450</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006765</td>
<td>MEI LISTIANI</td>
<td>'3503045005920001</td>
<td>DUSUN GONDANG KIDUL, RT : 10,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-05-1992</td>
<td>30</td>
<td>P</td>
<td>Lainnya</td>
<td>POLINDES GONDANG</td>
<td>MEARY MEDEON,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664340883</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1451</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016113</td>
<td>SITI QOMARIYAH</td>
<td>'3503054305850002</td>
<td>DUSUN GONDANG, RT : 7,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-05-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES GONDANG</td>
<td>MEARY MEDEON,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860464172</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1452</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002343</td>
<td>KATINAH</td>
<td>' </td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-12-1958</td>
<td>64</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037005187</td>
<td>131506010123Y000433</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1453</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003350</td>
<td>DELFINO PUTRA RIYADI</td>
<td>'</td>
<td>BANARAN RT3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-06-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002259990055</td>
<td>131506010123Y000633</td>
<td align='center'>
J02.0 </td>
<td align='center'>
<font color='red'>Streptococcal pharyngitis</font> </td>

</tr>
<tr align="left" valign="top">
<td>1454</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004411</td>
<td>RENA OKTAVIANI</td>
<td>'</td>
<td>BANARAN RT 3 RW2</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-06-1990</td>
<td>32</td>
<td>P</td>
<td>IBU RUMAH TANGGA</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463518</td>
<td>131506010123Y000634</td>
<td align='center'>
J02.0 </td>
<td align='center'>
<font color='red'>Streptococcal pharyngitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1455</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017437</td>
<td>SUPARTIYAH</td>
<td>'3503056604830002</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-04-1963</td>
<td>59</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J02.0 </td>
<td align='center'>
<font color='red'>Streptococcal pharyngitis</font> </td>
</tr>

<tr align="left" valign="top">


<td>1456</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024086</td>
<td>BILAL</td>
<td>'</td>
<td>BANARAN RT 7/RW 02</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-01-2020</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K29 </td>
<td align='center'>
<font color='red'>Gastritis and duodenitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1457</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001944</td>
<td>SUHARMI</td>
<td>'3503055012560003</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1956</td>
<td>66</td>
<td>P</td>
<td>Pedagang</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463406</td>
<td>131506010123Y000652</td>
<td align='center'>
K29 </td>
<td align='center'>
<font color='red'>Gastritis and duodenitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1458</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005256</td>
<td>MUJARI</td>
<td>'3503050104690003</td>
<td>DUSUN KRAJAN I, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1969</td>
<td>53</td>
<td>L</td>
<td>Perangkat Desa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0003054474189</td>
<td>131506010123Y000653</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>1459</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001987</td>
<td>PARTINI</td>
<td>'3503056512680002</td>
<td>DUSUN KRAJAN I, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-12-1968</td>
<td>54</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0003058814755</td>
<td>131506010123Y000657</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1460</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012935</td>
<td>SITI MARTINI</td>
<td>'3503055406810001</td>
<td>DESA BANARAN, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-06-1981</td>
<td>41</td>
<td>P</td>
<td>Pedagang</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666224087</td>
<td>131506010123Y000658</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1461</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011582</td>
<td>JUMINI</td>
<td>'3503055203820003</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-12-1982</td>
<td>40</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666290676</td>
<td>131506010123Y000662</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>1462</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004941</td>
<td>SUSANTI</td>
<td>'3503054712810001</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-12-1981</td>
<td>41</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463542</td>
<td>131506010123Y000663</td>
<td align='center'>
K29 </td>
<td align='center'>
<font color='red'>Gastritis and duodenitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1463</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000309</td>
<td>TRIWINARSIH</td>
<td>'3503055410680001</td>
<td>TAWANG, RT : 003,RW :002 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-10-1968</td>
<td>54</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000170069545</td>
<td>131506010123Y000664</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>1464</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003623</td>
<td>ISMINI</td>
<td>'3503054508440002</td>
<td>RT 3 RW 2</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-08-1944</td>
<td>78</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106707172</td>
<td>131506010123Y000674</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1465</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014164</td>
<td>MISWAN</td>
<td>'3503050505660002</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-05-1966</td>
<td>56</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002466028315</td>
<td>131506010123Y000675</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1466</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010314</td>
<td>NYAMIRAH</td>
<td>'3503054707670001</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-07-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068069984</td>
<td>131506010123Y000762</td>
<td align='center'>
L20.8 </td>
<td align='center'>
<font color='red'>Other atopic dermatitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1467</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003460</td>
<td>SURYONO</td>
<td>'3503050604580002</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-04-1958</td>
<td>64</td>
<td>L</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106771195</td>
<td>131506010123Y000687</td>
<td align='center'>
J02.0 </td>
<td align='center'>
<font color='red'>Streptococcal pharyngitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1468</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024222</td>
<td>SIYAM</td>
<td>'</td>
<td>BANARAN RT8 RW 04</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1965</td>
<td>57</td>
<td>P</td>
<td>Tani</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666223222</td>
<td>131506010123Y000689</td>
<td align='center'>
J02.0 </td>
<td align='center'>
<font color='red'>Streptococcal pharyngitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1469</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002394</td>
<td>WIJI ASTUTIK</td>
<td>'3503055310840003</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-10-1984</td>
<td>38</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462484</td>
<td>131506010123Y000690</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>1470</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012179</td>
<td>JUMINI</td>
<td>'3503057101750001</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-10-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666301094</td>
<td>131506010123Y000691</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>
<tr align="left" valign="top">
<td>1471</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001890</td>
<td> MULYANI</td>
<td>'3503050912730001</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-12-1973</td>
<td>49</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001972486045</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1472</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012140</td>
<td>RICA APRILIA WARDANI</td>
<td>'3503056604000002</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-04-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463643</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1473</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014148</td>
<td>IDA FITRIANA</td>
<td>'3503056210930001</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-10-1993</td>
<td>29</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665455173</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1474</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020829</td>
<td>NAJENG WULANDARI</td>
<td>'3503056405060002</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-05-2006</td>
<td>16</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665455847</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1475</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011166</td>
<td>RISKANUARI</td>
<td>'3503056901910001</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-01-1991</td>
<td>31</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067903146</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1476</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005972</td>
<td>ENDANG SULISTIYOWATI</td>
<td>'3503056805860002</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-05-1986</td>
<td>36</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002774883238</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1477</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020830</td>
<td>MACHFUD PANDU KUSUMA</td>
<td>'3503053001930004</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-01-1993</td>
<td>29</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001143186208</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1478</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014759</td>
<td>ARUM PUSPITKA HANDAYANI</td>
<td>'3503056011070003</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-11-2007</td>
<td>15</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665502445</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1479</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014330</td>
<td>KARIANI</td>
<td>'3503055211870001</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-11-1987</td>
<td>35</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665502401</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1480</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017248</td>
<td>ANIS KURNIAWATI</td>
<td>'3503055909960001</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-09-1996</td>
<td>26</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665489406</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1481</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020833</td>
<td>HARTANTO WALUYO AJI</td>
<td>'3503052507700001</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-07-1970</td>
<td>52</td>
<td>L</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106557603</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1482</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020416</td>
<td>CAHAYA NOVIANTI</td>
<td>'3503054707030004</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-07-2003</td>
<td>19</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002729556246</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1483</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004820</td>
<td>SEPTIAN ISYA PRATAMA</td>
<td>'3503051909010001</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-09-2001</td>
<td>21</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003080173814</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1484</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003795</td>
<td>SUDARMAN</td>
<td>'3503051701370001</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-01-1937</td>
<td>86</td>
<td>L</td>
<td>Pensiunan</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002518368906</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1485</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014343</td>
<td>ERICO NICOVA DANUARTA</td>
<td>'3503052905020001</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-05-2002</td>
<td>20</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PRAJURIT AD</td>
<td>'0001109440697</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1486</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004938</td>
<td>SUTANTI</td>
<td>'3503054105780001</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-05-1978</td>
<td>44</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PRAJURIT AD</td>
<td>'0001109440686</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1487</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017404</td>
<td>MUYANI</td>
<td>'3503050305660001</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-05-1966</td>
<td>56</td>
<td>L</td>
<td>Sopir</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802750704</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1488</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020834</td>
<td>ANDIK SETIAWAN</td>
<td>'3503051203920001</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-12-1992</td>
<td>30</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001037004096</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1489</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012180</td>
<td>SUNARYANI</td>
<td>'3503054406670004</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-06-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802762729</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1490</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020835</td>
<td>SRYANTO</td>
<td>'3503050705650003</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-05-1965</td>
<td>57</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802762718</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1491</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010848</td>
<td>PRADITYA SAFAGANA SAPUTRA</td>
<td>'3503050209050001</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-09-2005</td>
<td>17</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802770741</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1492</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020836</td>
<td>VITO ANANDA IRYAN</td>
<td>'3503050507140001</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-07-2014</td>
<td>8</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003186309238</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1493</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020837</td>
<td>SUBANDI</td>
<td>'3503051404560002</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-04-1956</td>
<td>66</td>
<td>L</td>
<td>Pedagang</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802758139</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1494</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014740</td>
<td>ERYA DWI WARDHANI</td>
<td>'3503054409970001</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-09-1997</td>
<td>25</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI BUMN</td>
<td>'0000106771217</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1495</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003277</td>
<td>MUGO WIYANTO</td>
<td>'3503050409770001</td>
<td>RT 1 RW 1</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-09-1977</td>
<td>45</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462798</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1496</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016476</td>
<td>KATIRAN</td>
<td>'3503052712530001</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-12-1953</td>
<td>69</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707122619</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1497</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014149</td>
<td>ANANDA KURNIA SANDI</td>
<td>'3503052104060002</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-04-2006</td>
<td>16</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463316</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1498</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012169</td>
<td>WAHYU HANDAYANI</td>
<td>'3503054606710006</td>
<td>DUSUN KRAJAN I, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-06-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802747328</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1499</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014150</td>
<td>FEBRIANA WIDYA SUBIYANTARI</td>
<td>'3503054702040001</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-02-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067860205</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1500</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011175</td>
<td>AGUS SUBIANTORO</td>
<td>'3503051008750004</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-08-1975</td>
<td>47</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067859979</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1501</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007570</td>
<td>PURI RIYANTI</td>
<td>'3503055712990001</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-12-1999</td>
<td>23</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665491656</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1502</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010335</td>
<td>MISTARYANTO</td>
<td>'3503050209560001</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-09-1956</td>
<td>66</td>
<td>L</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106823801</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1503</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020840</td>
<td>TRI YUANDIKA</td>
<td>'3503052507070002</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-07-2007</td>
<td>15</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802772124</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1504</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020842</td>
<td>BUDI PURWANTO</td>
<td>'3503052404730001</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-04-1973</td>
<td>49</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003286826998</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1505</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017083</td>
<td>RIYANTO</td>
<td>'3503051406850002</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-06-1985</td>
<td>37</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462348</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1506</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000263</td>
<td>RIZAL WIJAYANTO</td>
<td>'3503052711980002</td>
<td>DUSUN BANARAN, RT : 009,RW :005 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-11-1998</td>
<td>24</td>
<td>L</td>
<td>PELAJAR/MAHASISWA</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665498992</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1507</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010847</td>
<td>SEPTIAN WIRAI SAPUTRA</td>
<td>'3503051709060001</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-09-2005</td>
<td>17</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001976115407</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1508</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014748</td>
<td>TUMIRAN</td>
<td>'3503051706700002</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-06-1970</td>
<td>52</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666288303</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1509</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014675</td>
<td>NURROHMAN ALFIANTO</td>
<td>'3503051206000002</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-06-2000</td>
<td>22</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666288808</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1510</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020843</td>
<td>RIZQI AMIRUL IKHSAN</td>
<td>'3503051107070001</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-07-2007</td>
<td>15</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001277006894</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1511</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014139</td>
<td>YENI PURWANTI</td>
<td>'3503055101900001</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-11-1990</td>
<td>32</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002014066113</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1512</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015853</td>
<td>SUPRIYANTO</td>
<td>'3503051312610002</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-02-1961</td>
<td>61</td>
<td>L</td>
<td>Pensiunan</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106873424</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1513</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020844</td>
<td>SISWANTO</td>
<td>'3503050912840002</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-12-1984</td>
<td>38</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665495559</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1514</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014277</td>
<td>MUJIANTO</td>
<td>'3503050603740002</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-03-1974</td>
<td>48</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462991</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1515</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014758</td>
<td>SUPARLAN</td>
<td>'3503053112600028</td>
<td>DUSUN TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1960</td>
<td>62</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000174041346</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1516</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014141</td>
<td>ANGGITA VERA SIPENI</td>
<td>'3503056209010001</td>
<td>DUSUN TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-09-2001</td>
<td>21</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000194707449</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1517</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009403</td>
<td>PUTRI SUCI WULANSARI</td>
<td>'3503054303940002</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-03-1994</td>
<td>28</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0002938427673</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1518</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005040</td>
<td>FITRIA ARIESTYANI</td>
<td>'3503055704960001</td>
<td>BANARAN RT 9/5</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-04-1996</td>
<td>26</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002458261978</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1519</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020846</td>
<td>ANDIKA SARI</td>
<td>'3503057012980001</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1998</td>
<td>24</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000666257422</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1520</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021929</td>
<td>YATIRAN</td>
<td>'3503051807640001</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-07-1964</td>
<td>58</td>
<td>L</td>
<td>Lainnya</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0003054474191</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1521</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014336</td>
<td>MAHFUD TRIANTO</td>
<td>'3503050301020001</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-01-2002</td>
<td>21</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666211689</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1522</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014337</td>
<td>FERIAWAN YUSUP</td>
<td>'3503051502990001</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-02-1999</td>
<td>23</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665537174</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1523</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002621</td>
<td>INDAH SRIANI</td>
<td>'3503054910860003</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-10-1986</td>
<td>36</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002295201802</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1524</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020847</td>
<td>AGUS RIANTO</td>
<td>'3503050408010001</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-08-2001</td>
<td>21</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666250301</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1525</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020848</td>
<td>TANHANU JAELANI ABROR</td>
<td>'3503051707060001</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-07-2006</td>
<td>16</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666250918</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1526</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020849</td>
<td>CITRA AULIA KAHANAYA PUTRI</td>
<td>'3503056008050001</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-08-2005</td>
<td>17</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867873038</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1527</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014305</td>
<td>ELLA NURDIANA PUSPITA</td>
<td>'3503056607930003</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-07-1993</td>
<td>29</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462078</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1528</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017370</td>
<td>PANGGIH RAHAYU</td>
<td>'3503056510030001</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-10-2003</td>
<td>19</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978461292</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1529</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014143</td>
<td>CITRA AYU PANCA RENITA</td>
<td>'3503055501150002</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-2015</td>
<td>8</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707122698</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1530</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020850</td>
<td>KRISTANTO</td>
<td>'3503052906880001</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-06-1988</td>
<td>34</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463452</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1531</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003170</td>
<td>WIDA PRISDIANA</td>
<td>'3503055607920001</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-07-1992</td>
<td>30</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462855</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1532</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020852</td>
<td>DIRYA ASZA RAMADHAN</td>
<td>'3503050608110001</td>
<td>TAWANG BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-08-2011</td>
<td>11</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0003058814722</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1533</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014144</td>
<td>ANIS YUNITA ANGGRAENI</td>
<td>'3503055401910001</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-01-1991</td>
<td>32</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707122755</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1534</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021930</td>
<td>ADESTA GRACIA ANANTA</td>
<td>'3503055411090003</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-11-2009</td>
<td>13</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463597</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1535</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014338</td>
<td>ANGGI FEBRIANA</td>
<td>'3503056402010001</td>
<td>RT 13 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-02-2001</td>
<td>21</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001707122564</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1536</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020853</td>
<td>CHOIRUL ANAM</td>
<td>'3503052509950003</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-09-1995</td>
<td>27</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978461909</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1537</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022944</td>
<td>RIDA OKTARIYANTI</td>
<td>'3503056010000002</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-10-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665468561</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1538</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001765</td>
<td>ENDAH WULANDARI</td>
<td>'3503054309780002</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-09-1978</td>
<td>44</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665468482</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1539</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020855</td>
<td>PUSVITA WULANDARI</td>
<td>'3503055401850001</td>
<td>DESA BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-01-1985</td>
<td>38</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802745552</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1540</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014355</td>
<td>ENGGAR YUDHISTIRA MULYANA</td>
<td>'3503050303910002</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-03-1991</td>
<td>31</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802759085</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1541</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021774</td>
<td>MUNIRAN</td>
<td>'3503053103100001</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-03-1910</td>
<td>112</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003079970515</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1542</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021931</td>
<td>RUSMAN</td>
<td>'3503051201430001</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-01-1943</td>
<td>80</td>
<td>L</td>
<td>Pedagang</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802750737</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1543</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020963</td>
<td>CAHYA SANDI WAHONO</td>
<td>'3503051207020001</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-07-2002</td>
<td>20</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665502287</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1544</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005976</td>
<td>NURUL DENY PRASTYAN</td>
<td>'3503057105950001</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-05-1995</td>
<td>27</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001978463362</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1545</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006105</td>
<td>ERLINA PUSPITA WULANDARI</td>
<td>'3503055401900001</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-01-1990</td>
<td>33</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802761436</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1546</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014037</td>
<td>IRFAN SAPUTRA</td>
<td>'3503052606030001</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-06-2003</td>
<td>19</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665510185</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1547</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013944</td>
<td>ENI SETIANA</td>
<td>'3503056109840001</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-09-1984</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666185365</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1548</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006452</td>
<td>MAULANA MUHAMMAD RIFQI FAHLIZA</td>
<td>'3503052703010002</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-03-2001</td>
<td>21</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463823</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1549</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005252</td>
<td>SUSANTI</td>
<td>'3503054804770001</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-04-1977</td>
<td>45</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463834</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1550</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013312</td>
<td>CANDRA EKO FEBRIANTO</td>
<td>'3503052201020001</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-10-2002</td>
<td>20</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462473</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1551</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002205</td>
<td>DIYANTO</td>
<td>'3503051504550001</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-04-1955</td>
<td>67</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463261</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1552</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009202</td>
<td>SIRAN</td>
<td>'3503051511460001</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-11-1946</td>
<td>76</td>
<td>L</td>
<td>Industri</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462901</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1553</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018715</td>
<td>ICA KURNIA ANDHINI</td>
<td>'3503054206040001</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-06-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000666247397</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1554</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012247</td>
<td>EDY PURYANI</td>
<td>'3503051206610003</td>
<td>DUSUN KRAJAN I, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-06-1961</td>
<td>61</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106513389</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1555</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009492</td>
<td>HIDAYATUL KHASANAH</td>
<td>'3503054208120001</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-08-2012</td>
<td>10</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802749275</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1556</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016479</td>
<td>IMAM NASITUL BULDHAN</td>
<td>'3503052410910001</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-10-1991</td>
<td>31</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802749286</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1557</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012946</td>
<td>ROYAN</td>
<td>'3503050909060001</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-09-2006</td>
<td>16</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978461854</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1558</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014340</td>
<td>SRIANTI</td>
<td>'3503054603840002</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-03-1984</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978461865</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1559</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006846</td>
<td>MUHAMMAD WAHYUGINANJAR RESTU</td>
<td>'3503052501020001</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-01-2002</td>
<td>20</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707122529</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1560</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021933</td>
<td>ANGGA SUKMA PRATAMA</td>
<td>'3503050607950002</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-07-1995</td>
<td>27</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802758128</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1561</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014671</td>
<td>YOHAN ANDIKA SAPUTRA</td>
<td>'3503050406080001</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-06-2008</td>
<td>14</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802758117</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1562</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021934</td>
<td>SIH SISWANTO</td>
<td>'3503051312770002</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-12-1977</td>
<td>45</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463441</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1563</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005215</td>
<td>ANANDO ARDIANSYAH</td>
<td>'3503050102050001</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-2005</td>
<td>17</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665481701</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1564</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018311</td>
<td>ARDI SURBIANTORO</td>
<td>'3503012804980004</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-04-1998</td>
<td>24</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462967</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1565</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016501</td>
<td>JOKAN DEWI RANITA</td>
<td>'3503055403880001</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-03-1988</td>
<td>34</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037004748</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1566</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016486</td>
<td>FARIS MUNAR SETAWAN</td>
<td>'3503052807950001</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-07-1995</td>
<td>27</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707122665</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1567</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012547</td>
<td>NYAMAN</td>
<td>'3503053007720003</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-07-1972</td>
<td>50</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002491547523</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1568</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015992</td>
<td>KASIANI</td>
<td>'3503054401770005</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-01-1977</td>
<td>46</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002491547692</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1569</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012593</td>
<td>SUSIANIK</td>
<td>'3503054501690001</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-05-1969</td>
<td>53</td>
<td>P</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>'0000106593693</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1570</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021935</td>
<td>MAERAN</td>
<td>'3503051203600003</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-03-1960</td>
<td>62</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463417</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1571</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021936</td>
<td>SUJIKAN</td>
<td>'3503053001670001</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-01-1967</td>
<td>55</td>
<td>L</td>
<td>Lainnya</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0003054474213</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1572</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014773</td>
<td>LUDHVI APRILION FIRMANSYAH</td>
<td>'3503051504120001</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-04-2012</td>
<td>10</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802747418</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1573</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001536</td>
<td>HARSO SEDYANTO</td>
<td>'3503050711590001</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-11-1959</td>
<td>63</td>
<td>L</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106553035</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1574</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014363</td>
<td>TOMMYYULIDANSAPUTRA</td>
<td>'3503051907960001</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-07-1996</td>
<td>26</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037004366</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1575</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005608</td>
<td>MULYANI</td>
<td>'3503051005650004</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-05-1965</td>
<td>57</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001973135373</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1576</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007880</td>
<td>FAJAR ADI SETIAWAN</td>
<td>'3503050411020002</td>
<td>RT 1 RW 1</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-11-2002</td>
<td>20</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002290809251</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1577</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014747</td>
<td>DWI NUR KURNIAWAN</td>
<td>'3503050901050001</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-01-2005</td>
<td>18</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462664</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1578</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020889</td>
<td>HARI PURWANTO</td>
<td>'3503051209680002</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-09-1968</td>
<td>54</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003136139785</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1579</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003548</td>
<td>KUSTIANI</td>
<td>'3503055504820005</td>
<td>RT 6 RW 3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1982</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665516553</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1580</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020887</td>
<td>DIYAN NATUL ZULAIKAH</td>
<td>'3503054806100001</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-06-2010</td>
<td>12</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462416</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1581</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003175</td>
<td>WAHYUNI</td>
<td>'3503051307780004</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-07-1978</td>
<td>44</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463665</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1582</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020859</td>
<td>ISMINI</td>
<td>'3518155901890001</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-01-1989</td>
<td>34</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666192971</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1583</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014153</td>
<td>RISMA PURWANINGSIWI</td>
<td>'3503056905100001</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-05-2010</td>
<td>12</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666193127</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1584</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016495</td>
<td>FITROTUL ISNAINI</td>
<td>'3503112802840002</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-02-1984</td>
<td>38</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067903089</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1585</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011418</td>
<td>TUMINI</td>
<td>'3503055802440001</td>
<td>BANARAN, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-02-1944</td>
<td>78</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462743</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1586</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014154</td>
<td>IMA LILIK SETYANINGSIH</td>
<td>'3503055809000003</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-09-2000</td>
<td>22</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666237521</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1587</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000689</td>
<td>DJAINUDIN</td>
<td>'3503051002450001</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-02-1945</td>
<td>77</td>
<td>L</td>
<td>Tukang Batu</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037004761</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1588</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001796</td>
<td>TUMINI</td>
<td>'3503054107580050</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1958</td>
<td>64</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037004772</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1589</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020562</td>
<td>SAMSUL ARIFIN</td>
<td>'3503051811850003</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-11-1985</td>
<td>37</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978461483</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1590</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003110</td>
<td>TRISNA LIA ANGGRAINI</td>
<td>'3503056605000001</td>
<td>DESA BANARAN, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-05-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666276963</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1591</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014739</td>
<td>DINDA DWI APRITA</td>
<td>'3503055304090001</td>
<td>DESA BANARAN, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-04-2009</td>
<td>13</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666277536</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1592</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020861</td>
<td>JEMARIN</td>
<td>'3503051904720003</td>
<td>DESA BANARAN, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-04-1972</td>
<td>50</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666276006</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1593</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019103</td>
<td>PINASTI KEN LANDHUNGSIH</td>
<td>'3503055909090001</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-09-2009</td>
<td>13</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0001842885527</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1594</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020862</td>
<td>MUTINAH</td>
<td>'3503055102650002</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-02-1965</td>
<td>57</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665482454</td>
<td>131506010123Y001110</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1595</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014166</td>
<td>SATINI</td>
<td>'3503054212400001</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-12-1940</td>
<td>82</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665493772</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1596</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020863</td>
<td>MARSINEM</td>
<td>'3503054201500003</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-01-1950</td>
<td>73</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067660686</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1597</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005555</td>
<td>SUPRIHATIN</td>
<td>'3503054901560001</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-01-1956</td>
<td>67</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037005121</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1598</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020866</td>
<td>PARTINI</td>
<td>'3503056907680001</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-07-1968</td>
<td>54</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802750715</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1599</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012420</td>
<td>YAMINTEN HERLIS</td>
<td>'3503056411740001</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-11-1974</td>
<td>48</td>
<td>P</td>
<td>Buruh Harian Lepas</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978461786</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1600</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020867</td>
<td>BOBBY PUTRA HERLINTO</td>
<td>'3503052605040002</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-05-2004</td>
<td>18</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978461775</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1601</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020868</td>
<td>SURATIN</td>
<td>'3503054108700002</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-01-1970</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037004085</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1602</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020547</td>
<td>DENOK PUTRI PRASETYANINGRUM</td>
<td>'3503054907020001</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-07-2002</td>
<td>20</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037004175</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1603</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009260</td>
<td>MISTINI</td>
<td>'3503056005410001</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-05-1941</td>
<td>81</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106709804</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1604</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016771</td>
<td>IKA SULISTYORINI</td>
<td>'3503056406900008</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-08-1990</td>
<td>32</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666237148</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1605</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020870</td>
<td>MESINEM</td>
<td>'3503054112500002</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1950</td>
<td>72</td>
<td>P</td>
<td>Lainnya</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002744680667</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1606</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020839</td>
<td>ENDANG SRI SUHARLIN</td>
<td>'3503056504620002</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-04-1962</td>
<td>60</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802750805</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1607</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019536</td>
<td>BAINO</td>
<td>'3503050607640002</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-06-1964</td>
<td>58</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802772102</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1608</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009084</td>
<td>NIDA UROSALIN</td>
<td>'6471054602840007</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-02-1984</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665419094</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1609</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014151</td>
<td>INTANA PERMATA GHAISANI CAHYA MALAIKA</td>
<td>'6471056011080003</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-11-2008</td>
<td>14</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665418071</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1610</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020841</td>
<td>BINTANG AUDREY FRICILYA</td>
<td>'3503056302110001</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-02-2011</td>
<td>11</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003286828034</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1611</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020871</td>
<td>MARIYATIN</td>
<td>'3503055010770002</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-10-1977</td>
<td>45</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666288606</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1612</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009220</td>
<td>MUTINAH</td>
<td>'3503055507610001</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-07-1961</td>
<td>61</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462585</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1613</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016493</td>
<td>PRICCILIA DINDA PERMADANI</td>
<td>'3503056502150001</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-02-2015</td>
<td>7</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001707123036</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1614</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001816</td>
<td>DIDIN RETNO</td>
<td>'3503056006840003</td>
<td>DESA BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-06-1984</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665489709</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1615</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019001</td>
<td>INES DINDA ALFIRA</td>
<td>'3503056006040001</td>
<td>RT 09 RW 05</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665490205</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1616</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014152</td>
<td>AUDIN SASI KIRANA</td>
<td>'3503050503040002</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-03-2004</td>
<td>18</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002217132483</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1617</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014268</td>
<td>RINAWATI</td>
<td>'3503056606850002</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-06-1985</td>
<td>37</td>
<td>P</td>
<td>Lainnya</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665496268</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1618</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012574</td>
<td>SINI</td>
<td>'3503057112550028</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1955</td>
<td>67</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037005119</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1619</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009215</td>
<td>MESINI</td>
<td>'3503054201640001</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-01-1964</td>
<td>59</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802769143</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1620</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020845</td>
<td>INDRA ALFIYANTO</td>
<td>'3503050607100002</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-07-2010</td>
<td>12</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707122799</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1621</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017604</td>
<td>JEMANGIN</td>
<td>'3503051910840003</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-10-1984</td>
<td>38</td>
<td>L</td>
<td>Buruh Harian Lepas</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707122777</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1622</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014677</td>
<td>FEBI AINUR ROSIDAH</td>
<td>'3517074302060001</td>
<td>DUSUN TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-02-2006</td>
<td>16</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001044022961</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1623</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020931</td>
<td>KAINUN</td>
<td>'3517074302870005</td>
<td>DUSUN TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-02-1987</td>
<td>35</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001044022948</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1624</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010231</td>
<td>SUMINI</td>
<td>'3503054203550002</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-03-1955</td>
<td>67</td>
<td>P</td>
<td>Lainnya</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666278616</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1625</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002810</td>
<td>LIA INGGAR WATI</td>
<td>'3503055301010002</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-01-2001</td>
<td>22</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463013</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1626</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004994</td>
<td>SITI RIYATIN</td>
<td>'3503056808820001</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-08-1982</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463024</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1627</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001811</td>
<td>SUMINI</td>
<td>'3503054703550001</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-03-1955</td>
<td>67</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037004895</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1628</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014304</td>
<td>RINDANG ARDHA KRISDIANTI</td>
<td>'3503054702020003</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-02-2002</td>
<td>20</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000165903197</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1629</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014079</td>
<td>KARTINI</td>
<td>'3503057112400063</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1940</td>
<td>82</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666195849</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1630</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017355</td>
<td>SUYATIN</td>
<td>'3503050606410001</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-06-1941</td>
<td>81</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978461393</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1631</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002057</td>
<td>SATINI</td>
<td>'3503054505610001</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-05-1961</td>
<td>61</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463248</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1632</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002157</td>
<td>YATINI</td>
<td>'3503057112540020</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-12-1954</td>
<td>68</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067660495</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1633</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008412</td>
<td>SUPARTINI</td>
<td>'3503055205750003</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-05-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462899</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1634</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014714</td>
<td>ROWIYATIN</td>
<td>'3503055002790003</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-02-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666257376</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1635</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012570</td>
<td>MUTINI</td>
<td>'3503055106670001</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-06-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802769964</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1636</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014359</td>
<td>KOFIFAH DWI SINTA</td>
<td>'3503056205000002</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-05-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068092078</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1637</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020644</td>
<td>JARMINAH RAHMI</td>
<td>'3503055309790001</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-09-1979</td>
<td>43</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068092023</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1638</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005205</td>
<td>KARTINI</td>
<td>'3503054503730003</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-09-1973</td>
<td>49</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802772146</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1639</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012170</td>
<td>SUTINI</td>
<td>'3503057112720023</td>
<td>DUSUN KRAJAN I, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1972</td>
<td>50</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001975827879</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1640</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011158</td>
<td>SUMARTIN</td>
<td>'3503055605740002</td>
<td>DUSUN KRAJAN II, RT : 5,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-05-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978461281</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1641</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020922</td>
<td>MENTARI CIPTA NINGRUM</td>
<td>'3503056609930002</td>
<td>DESA BANARAN, RT : 10,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-09-1993</td>
<td>29</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001444472741</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1642</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017359</td>
<td>SAMINI</td>
<td>'3503055102640001</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-1964</td>
<td>58</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462787</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1643</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002034</td>
<td>KATINEM</td>
<td>'3503055203620002</td>
<td>DESA BANARAN, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-03-1962</td>
<td>60</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462326</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1644</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003158</td>
<td>WINARTI</td>
<td>'3520025905740001</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-05-1974</td>
<td>48</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002466984363</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1645</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018129</td>
<td>ARIFIN NURDIANSYAH</td>
<td>'3503052712010001</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-12-2001</td>
<td>21</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665514009</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1646</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018798</td>
<td>UMINI</td>
<td>'3503055804650001</td>
<td>DUSUN KRAJAN II, RT : 8,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-04-1965</td>
<td>57</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665513076</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1647</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008516</td>
<td>ERVINA MAHARANI</td>
<td>'3503057112040003</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978461753</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1648</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010303</td>
<td>MESINI</td>
<td>'3503055901550001</td>
<td>DUSUN KRAJAN, RT : 11,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-01-1955</td>
<td>68</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106549896</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1649</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017371</td>
<td>KAYLA AYUNINDYA ZAHRA</td>
<td>'3503054106130001</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-2013</td>
<td>9</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707122766</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1650</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020169</td>
<td>YUSLINTA AMELIA TASYAKURANTI</td>
<td>'3503056003030002</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-03-2003</td>
<td>19</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707122542</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1651</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020854</td>
<td>MOHAMMAD AFAN NINDRA AIFAZA</td>
<td>'3503050602090001</td>
<td>DUSUN KRAJAN, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-02-2009</td>
<td>13</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707122496</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1652</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021058</td>
<td>RISKI MARLINO PUTRA</td>
<td>'3503052501100003</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-01-2010</td>
<td>12</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707122711</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1653</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023665</td>
<td>SUMINI</td>
<td>'3503055902470001</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-12-1947</td>
<td>75</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037004603</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1654</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014723</td>
<td>MARINEM</td>
<td>'3503054906400002</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-06-1940</td>
<td>82</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978461011</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1655</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014073</td>
<td>TUMINI</td>
<td>'3503055206670005</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-06-1967</td>
<td>55</td>
<td>P</td>
<td>Lainnya</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462686</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1656</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014271</td>
<td>ENTIK RINAWATI</td>
<td>'3503067003870002</td>
<td>TAWANG, RT : 2,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-03-1987</td>
<td>35</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463136</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1657</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021781</td>
<td>SINUNG</td>
<td>'3503055204350002</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1935</td>
<td>87</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002737430368</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1658</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020890</td>
<td>INTAN CAESARIANG K</td>
<td>'3503055401040001</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-01-2004</td>
<td>19</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003136139807</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1659</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010239</td>
<td>SUGINO</td>
<td>'3503050808500003</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-08-1950</td>
<td>72</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068089986</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1660</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016599</td>
<td>MUJIRIN</td>
<td>' </td>
<td>DESA WINONG, RT : 9,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-07-1950</td>
<td>72</td>
<td>L</td>
<td>Buruh Harian Lepas</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666191878</td>
<td></td>
<td align='center'>
J02.0 </td>
<td align='center'>
<font color='red'>Streptococcal pharyngitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1661</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001943</td>
<td>SUSANTI</td>
<td>'</td>
<td>RT3 RW 02 BANARAN TUGU</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-12-1981</td>
<td>41</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463542</td>
<td></td>
<td align='center'>
K29.1 </td>
<td align='center'>
<font color='red'>Other acute gastritis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1662</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005974</td>
<td>WATEMI</td>
<td>'3503055607630002</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-07-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES BANARAN</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463553</td>
<td>131506010123Y000661</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>1663</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004723</td>
<td>WENTY NURITASARI</td>
<td>'3502086407880001</td>
<td>SUKOREJO</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-07-1988</td>
<td>34</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0002239730998</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1664</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020151</td>
<td>MORANTIKA MAIZA RAMADHANI</td>
<td>'3503056805170001</td>
<td>RT 12 RW04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-05-2017</td>
<td>5</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0002260068186</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>
<tr align="left" valign="top">
<td>1665</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008978</td>
<td>SUKARTI</td>
<td>'3503054908740002</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-08-1974</td>
<td>48</td>
<td>P</td>
<td>Lainnya</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441716</td>
<td>131506010123Y000128</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1666</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006597</td>
<td>SUKARMI</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 12,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-05-1962</td>
<td>60</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665723957</td>
<td>131506010123Y000129</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>
</tr>

<tr align="left" valign="top">


<td>1667</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009177</td>
<td>DWI ANNA</td>
<td>'3503055411830002</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-11-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978437159</td>
<td>131506010123Y000360</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1668</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009829</td>
<td>SAMINEM</td>
<td>'3503055007560001</td>
<td>SUKOREJO, RT : 10,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-07-1956</td>
<td>66</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978435844</td>
<td>131506010123Y000131</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1669</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002366</td>
<td>LAELA FITROTUL MUNAWAROH</td>
<td>'3503055101000003</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-01-2000</td>
<td>23</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978438072</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1670</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007670</td>
<td>ENY AGUSTINA</td>
<td>'3503055908790001</td>
<td>RT 6 RW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-08-1979</td>
<td>43</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978437227</td>
<td>131506010123Y000136</td>
<td align='center'>
R50.1 </td>
<td align='center'>
<font color='black'>Persistent fever</font> </td>

</tr>

<tr align="left" valign="top">


<td>1671</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012501</td>
<td>MUGITUN</td>
<td>'3503057112450083</td>
<td>DUSUN KRAJAN, RT : 12,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1945</td>
<td>77</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665801357</td>
<td>131506010123Y000137</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1672</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006709</td>
<td>JEMIRAH</td>
<td>'</td>
<td>RT-</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-03-1936</td>
<td>86</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978437655</td>
<td>131506010123Y000141</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1673</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009801</td>
<td>SUKARTI</td>
<td>'3503055512560003</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-12-1956</td>
<td>66</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802756161</td>
<td>131506010123Y000185</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1674</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009802</td>
<td>SIWAT</td>
<td>'3503051811520001</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-11-1952</td>
<td>70</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802756159</td>
<td>131506010123Y000142</td>
<td align='center'>
R06.0 </td>
<td align='center'>
<font color='black'>Dyspnoea</font> </td>

</tr>

<tr align="left" valign="top">


<td>1675</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011705</td>
<td>SUPRIANIK</td>
<td>'3503057112580021</td>
<td>DUSUN KRAJAN, RT : 4,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1958</td>
<td>64</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442572</td>
<td>131506010123Y000143</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>1676</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001994</td>
<td>KATENO</td>
<td>'3503052104800004</td>
<td>RT 07 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-04-1980</td>
<td>42</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978437969</td>
<td>131506010123Y000193</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>1677</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002767</td>
<td>TONI AHMAD MAULANA ALFAREZI</td>
<td>'3503051001130001</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-01-2013</td>
<td>10</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001702404088</td>
<td>131506010123Y000357</td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>1678</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002625</td>
<td>AMBARWATI</td>
<td>'3503056801820001</td>
<td>RT 05 RW 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-01-1982</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978436248</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1679</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010774</td>
<td>JUWASRI</td>
<td>'</td>
<td>RT 012 RW 000</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-11-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665817456</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1680</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012376</td>
<td>NANDA WAHYU PRASTYO</td>
<td>'</td>
<td>RG RW</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-11-2016</td>
<td>6</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067901313</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1681</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007814</td>
<td>IKA MILASARI</td>
<td>'3503055302930003</td>
<td>RT 6VRW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-02-1993</td>
<td>29</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978437036</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>
</tr>

<tr align="left" valign="top">


<td>1682</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005589</td>
<td>ALI SUWITO</td>
<td>'3503051111760003</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-11-1976</td>
<td>46</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978436924</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1683</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002441</td>
<td>SUYATEMI</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1940</td>
<td>82</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666912317</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1684</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023114</td>
<td>DIAN NOVI JAYANTI</td>
<td>'3503056710860004</td>
<td>DUSUN KRAJAN, RT : 12,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-12-1986</td>
<td>36</td>
<td>P</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0001881248343</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1685</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012397</td>
<td>YUNIATI</td>
<td>'</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-06-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666323717</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1686</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012393</td>
<td>RULI AINUNI</td>
<td>'</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-04-1989</td>
<td>33</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978438601</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1687</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012398</td>
<td>ALZAM RAYYAN FAIZ</td>
<td>'</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-04-2021</td>
<td>1</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0003088163711</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1688</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012392</td>
<td>ADARA FARZANA WIYASA</td>
<td>'</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-08-2017</td>
<td>5</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PRAJURIT AD</td>
<td>'0002423059839</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1689</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022526</td>
<td>SYIVA CHOIRURROHMAN</td>
<td>'</td>
<td>SUKOREJO RT 03/02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-08-2006</td>
<td>16</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441997</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1690</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018458</td>
<td>HARTATIK</td>
<td>'3503056802750001</td>
<td>DUSUN GENDONG, RT : 9,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-02-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978435247</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1691</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008003</td>
<td>KASMIATUN</td>
<td>'</td>
<td>RT 6 RW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1932</td>
<td>90</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106636127</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1692</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005663</td>
<td>SULASTRI</td>
<td>'3503056012770002</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-12-1977</td>
<td>45</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003000876489</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>
<tr align="left" valign="top">
<td>1693</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009789</td>
<td>SUYADI</td>
<td>'3503051507670004</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-07-1967</td>
<td>55</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666930879</td>
<td>131506010123Y000247</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1694</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006564</td>
<td>SULASTRI</td>
<td>'3503056608470001</td>
<td>DESA SUKOREJO, RT : 9,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-08-1947</td>
<td>75</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978435124</td>
<td>131506010123Y000379</td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>
</tr>

<tr align="left" valign="top">


<td>1695</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004456</td>
<td>SUMARTI BIBIT</td>
<td>'3503057112400059</td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1940</td>
<td>82</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665768261</td>
<td>131506010123Y001289</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1696</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016250</td>
<td>FAUZI KURNIAWAN</td>
<td>'</td>
<td>DSN. KRAJAN RT 06 RW 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-06-2004</td>
<td>18</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665608544</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1697</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009813</td>
<td>SARTO</td>
<td>'3503052905510001</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-05-1951</td>
<td>71</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665610243</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1698</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009791</td>
<td>SUIN</td>
<td>'3503057112600042</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1960</td>
<td>62</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665612324</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1699</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002681</td>
<td>TUMISAH</td>
<td>' </td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1942</td>
<td>80</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665615575</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1700</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012886</td>
<td>SIVANI TAHIRUN GANGGA</td>
<td>'7106044903980001</td>
<td>RT 07 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-03-1998</td>
<td>24</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000908717117</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1701</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001880</td>
<td>LIA SULISTYORINI</td>
<td>'3503055012970002</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1997</td>
<td>25</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978436305</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1702</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010053</td>
<td>ENDANG TRI WULANDARI</td>
<td>'3503055203980002</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-03-1998</td>
<td>24</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665718838</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1703</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020406</td>
<td>SITI NGATIKAH</td>
<td>'3503055603690004</td>
<td>RT 07 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-03-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665719795</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1704</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016254</td>
<td>SURATMAN</td>
<td>'</td>
<td>DUSUN GENDONG RT 10 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-08-1965</td>
<td>57</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665725961</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1705</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016255</td>
<td>DIDIK SUCIPTO</td>
<td>'</td>
<td>DSN. SANGGRAHAN RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-07-1972</td>
<td>50</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665726387</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>
<tr align="left" valign="top">
<td>1706</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008945</td>
<td>AMIRIYANI</td>
<td>'</td>
<td>RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-02-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665727232</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1707</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008927</td>
<td>JAINAL ABIDIN</td>
<td>'3503052401950003</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-01-1995</td>
<td>28</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665727489</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1708</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016257</td>
<td>FADILA AHMAD</td>
<td>'</td>
<td>DSN. KRAJAN RT 04 RW 08</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-11-2001</td>
<td>21</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665729739</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1709</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001691</td>
<td>DINA RIANTI</td>
<td>'</td>
<td>RT 04 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-06-1987</td>
<td>35</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442651</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1710</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000684</td>
<td>ARIYANI NURUL ROSYDIYANA</td>
<td>'3503056106980002</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-06-1998</td>
<td>24</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978438544</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1711</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006407</td>
<td>BAHRUL AFANDI</td>
<td>'3503052811850004</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-11-1986</td>
<td>36</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665732294</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1712</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017216</td>
<td>SITI HABIBAH</td>
<td>'</td>
<td>RT 10</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-1988</td>
<td>34</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665733082</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1713</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017218</td>
<td>YENI LIASARI</td>
<td>'</td>
<td>RT 10</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-01-1995</td>
<td>28</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665734882</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1714</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014998</td>
<td>TOBIIN</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1957</td>
<td>65</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665736041</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1715</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006574</td>
<td>YATEMI</td>
<td>'3503054608680003</td>
<td>DUSUN KRAJAN, RT : 12,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-08-1968</td>
<td>54</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978439758</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1716</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008940</td>
<td>DWI LESTARI</td>
<td>'</td>
<td>RT 06 RW 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-10-1966</td>
<td>56</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665749359</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1717</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012388</td>
<td>IDA SITI NURHAYATI</td>
<td>'</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-09-2000</td>
<td>22</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001975820398</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1718</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011320</td>
<td>PURNOMO</td>
<td>'9103080612480001</td>
<td>RT 006 RW 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-12-1948</td>
<td>74</td>
<td>L</td>
<td>Pensiunan</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000153846325</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>
</tr>

<tr align="left" valign="top">


<td>1719</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021574</td>
<td>SITI AMINATUN</td>
<td>'3503055007730002</td>
<td>DESA SUKOREJO, RT : 11,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-07-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665751328</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1720</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016273</td>
<td>ABU HAMID</td>
<td>'</td>
<td>DUSUN GENDONG RT 11 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-02-1993</td>
<td>29</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665751622</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1721</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017403</td>
<td>AYU WULAN PURWANINGSIH</td>
<td>'</td>
<td>RT 11</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-10-1997</td>
<td>25</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665751857</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1722</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017405</td>
<td>DEDI RAHAYU WIDODO</td>
<td>'</td>
<td>RT 11</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-07-2001</td>
<td>21</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665752059</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1723</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017214</td>
<td>BONARI</td>
<td>'</td>
<td>RT 12 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-09-1966</td>
<td>56</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665752691</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1724</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009819</td>
<td>SUPARTI</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1958</td>
<td>64</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665796407</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1725</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015510</td>
<td>PAIDI</td>
<td>'</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-11-1962</td>
<td>60</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978435372</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1726</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006701</td>
<td>SUKIJAH</td>
<td>'</td>
<td>RT-</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1930</td>
<td>92</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666980458</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1727</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013774</td>
<td>WAKIDATUROHMAN</td>
<td>'</td>
<td>RT.03 RW.02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-09-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441435</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1728</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002356</td>
<td>GITA PRADANA</td>
<td>'3503055403990001</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-03-1999</td>
<td>23</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0001978441446</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1729</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011754</td>
<td>MUSTOFA</td>
<td>'3503052511640001</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-11-1964</td>
<td>58</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441661</td>
<td>131506010123Y000579</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>
<tr align="left" valign="top">
<td>1730</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024509</td>
<td>IMROATUS SANGADAH</td>
<td>'</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-07-2002</td>
<td>20</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441481</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1731</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002906</td>
<td>LINA ROHMAWATI</td>
<td>'3503056312970002</td>
<td>RT 5 RW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-12-1997</td>
<td>25</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666951581</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1732</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003931</td>
<td>GHIBRAN ATHARIZQI KURNIAWAN</td>
<td>'</td>
<td>RT 5 RW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-05-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002935294301</td>
<td>131506010123Y000616</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>1733</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019446</td>
<td>KODIRIN</td>
<td>'</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-08-1962</td>
<td>60</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441468</td>
<td>131506010123Y000609</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1734</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008942</td>
<td>KAPINATUN</td>
<td>'</td>
<td>RT 04 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-04-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441479</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1735</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002439</td>
<td>SRINGATUN</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1966</td>
<td>56</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665818896</td>
<td>131506010123Y000953</td>
<td align='center'>
R50.1 </td>
<td align='center'>
<font color='black'>Persistent fever</font> </td>

</tr>

<tr align="left" valign="top">


<td>1736</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002649</td>
<td>KALIMIN</td>
<td>'3503053012480005</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1948</td>
<td>74</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978898681</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>1737</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005226</td>
<td>MISERI</td>
<td>'3503051204510001</td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1951</td>
<td>71</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978437521</td>
<td>131506010123Y000956</td>
<td align='center'>
L20.8 </td>
<td align='center'>
<font color='red'>Other atopic dermatitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1738</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002444</td>
<td>KARTIKA</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-02-1972</td>
<td>50</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665809738</td>
<td>131506010123Y000962</td>
<td align='center'>
R50.0 </td>
<td align='center'>
<font color='black'>Fever with chills</font> </td>

</tr>

<tr align="left" valign="top">


<td>1739</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002431</td>
<td>DJEMINAH</td>
<td>'3503057112500042</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1950</td>
<td>72</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441863</td>
<td>131506010123Y000963</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>1740</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018272</td>
<td>DINA PATMIASIH</td>
<td>'</td>
<td>RT 06</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-09-1989</td>
<td>33</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003000876478</td>
<td>131506010123Y000966</td>
<td align='center'>
R50.1 </td>
<td align='center'>
<font color='black'>Persistent fever</font> </td>

</tr>

<tr align="left" valign="top">


<td>1741</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011753</td>
<td>MUTINI</td>
<td>'3503054109580001</td>
<td>DUSUN KRAJAN, RT : 10,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-09-1958</td>
<td>64</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978435809</td>
<td>131506010123Y001084</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1742</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011514</td>
<td>MUSIMIN</td>
<td>'3503053112540024</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1954</td>
<td>68</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978436349</td>
<td>131506010123Y000954</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1743</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020095</td>
<td>WIJIATI</td>
<td>'3503054512920001</td>
<td>SOOKO, RT : 43,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-12-1992</td>
<td>30</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z30 </td>
<td align='center'>
<font color='black'>Contraceptive management</font> </td>

</tr>

<tr align="left" valign="top">


<td>1744</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004020</td>
<td>TRI WINARNI</td>
<td>'3503055006740004</td>
<td>RT 5 RW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-06-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666928877</td>
<td>131506010123Y001281</td>
<td align='center'>
Z30.8 </td>
<td align='center'>
<font color='black'>Other contraceptive management</font> </td>

</tr>

<tr align="left" valign="top">


<td>1745</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007888</td>
<td>SUMITUN</td>
<td>'3503054107630005</td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1963</td>
<td>59</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978438048</td>
<td>131506010123Y001088</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>1746</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009807</td>
<td>DAMINI</td>
<td>'3503057112620040</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1962</td>
<td>60</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067666389</td>
<td>131506010123Y001101</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>
<tr align="left" valign="top">
<td>1747</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003216</td>
<td>SUMARTI BIBIT</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1940</td>
<td>82</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665768261</td>
<td>131506010123Y001146</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1748</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024498</td>
<td>DANI PUTRA SETYAWAN</td>
<td>'</td>
<td>RT 07</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-10-2009</td>
<td>13</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978437936</td>
<td>131506010123Y001163</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>1749</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024375</td>
<td>SRIUTAMI</td>
<td>'</td>
<td>RT 7</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-12-1983</td>
<td>39</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978437947</td>
<td>131506010123Y001164</td>
<td align='center'>
R50.1 </td>
<td align='center'>
<font color='black'>Persistent fever</font> </td>

</tr>

<tr align="left" valign="top">


<td>1750</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020022</td>
<td>NAYRA AQILA NAFISHA PUTRI</td>
<td>'3503054310180001</td>
<td>RT 05 RW 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-10-2018</td>
<td>4</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002496733255</td>
<td>131506010123Y001166</td>
<td align='center'>
R50.1 </td>
<td align='center'>
<font color='black'>Persistent fever</font> </td>

</tr>

<tr align="left" valign="top">


<td>1751</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006583</td>
<td>SUKATUN</td>
<td>'</td>
<td>RT 6/RW 3 SUKOREJO TUGU</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-07-1945</td>
<td>77</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978437295</td>
<td>131506010123Y001167</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1752</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002954</td>
<td>SUKARNI</td>
<td>'3503056206740001</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-06-1974</td>
<td>48</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001702404066</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1753</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011687</td>
<td>BUNANGIN</td>
<td>'3503053112470019</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1947</td>
<td>75</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441525</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1754</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024512</td>
<td>AHMAD CHOLIK</td>
<td>'</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-04-1969</td>
<td>53</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441547</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1755</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024513</td>
<td>RIYAN BAHTIYAR</td>
<td>'</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-03-1996</td>
<td>26</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441582</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1756</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008989</td>
<td>ANAS WAHYUDI</td>
<td>'</td>
<td>RT 3 RW 1</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-04-1966</td>
<td>56</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441637</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1757</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008934</td>
<td>SRIANI</td>
<td>'</td>
<td>RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-08-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441672</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1758</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002434</td>
<td>IMAM MUKOLID</td>
<td>'3503050606680003</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-06-1968</td>
<td>54</td>
<td>L</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106521276</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1759</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002438</td>
<td>SUKARTI</td>
<td>'3503055802620002</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-02-1962</td>
<td>60</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0000076619553</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>
<tr align="left" valign="top">
<td>1760</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002433</td>
<td>WAFI SALMA LESTARI</td>
<td>'3503054910060002</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-10-2006</td>
<td>16</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000197394355</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1761</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019452</td>
<td>SALMA NAHAYA HADINATA</td>
<td>'</td>
<td>RT 09</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-10-2008</td>
<td>14</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978435236</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1762</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014968</td>
<td>DENI RETNO SUSANTI</td>
<td>'3503074403960002</td>
<td>RT 02 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-03-1996</td>
<td>26</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002159120913</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1763</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018149</td>
<td>MUKADI</td>
<td>'3503053112390019</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-12-1939</td>
<td>83</td>
<td>L</td>
<td>Lainnya</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0000076619992</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1764</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024519</td>
<td>MARSIYAH</td>
<td>'</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-04-1968</td>
<td>54</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441817</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1765</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007045</td>
<td>IMAM ASROFI</td>
<td>'3503051311860001</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-11-1986</td>
<td>36</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441828</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1766</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004877</td>
<td>FARIDA ISMU SHOLIKAH</td>
<td>'3503056303770001</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-03-1977</td>
<td>45</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978436968</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1767</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024520</td>
<td>KALUELA GANESWARI</td>
<td>'</td>
<td>RT</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-03-2022</td>
<td>0</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0003261418569</td>
<td></td>
<td align='center'>
L20.9 </td>
<td align='center'>
<font color='red'>Atopic dermatitis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>1768</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006112</td>
<td>SEPTIAN FAROS GHOZI</td>
<td>'3503052609000005</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-09-2000</td>
<td>22</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441942</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1769</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018963</td>
<td>BINTI ROHAYATI</td>
<td>'3503054105810004</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-05-1981</td>
<td>41</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441953</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1770</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013686</td>
<td>AINAYA NASWA ALFAIZA</td>
<td>'3503056903090003</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-03-2009</td>
<td>13</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441964</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1771</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015995</td>
<td>WAHYUDI</td>
<td>'</td>
<td>RT 05/ RW 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-09-1984</td>
<td>38</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665766854</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1772</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008037</td>
<td>MIFTAHATUN NASIHAH</td>
<td>'3503054509990002</td>
<td>RT 10 RW 5</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-09-1999</td>
<td>23</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000665726049</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>
</tr>

<tr align="left" valign="top">


<td>1773</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008923</td>
<td>ANGGUN SHERINA PUTRI</td>
<td>'3503055706090004</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-06-2009</td>
<td>13</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037007944</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1774</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017868</td>
<td>SUNYOTO</td>
<td>'3503050903540001</td>
<td>DUSUN KRAJAN, RT : 4,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-03-1954</td>
<td>68</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442559</td>
<td>131506010123Y001218</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1775</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011706</td>
<td>YATIMAH</td>
<td>'3503054504630001</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-04-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442223</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1776</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017693</td>
<td>TUKIMAN</td>
<td>'</td>
<td>RT 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-02-1969</td>
<td>53</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442234</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1777</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011690</td>
<td>SAMIATI</td>
<td>'3503057112690008</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1969</td>
<td>53</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442256</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1778</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008931</td>
<td>SAMIATI</td>
<td>'</td>
<td>RT 2 RW 2</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442256</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1779</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014666</td>
<td>BAGAS BANGUN PERMANA</td>
<td>'3504051807090001</td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-07-2009</td>
<td>13</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002014134928</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1780</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024508</td>
<td>RIFQIYA OKTA P</td>
<td>'</td>
<td>RT </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-10-2011</td>
<td>11</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441457</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>1781</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012386</td>
<td>USWATUN KASANAH</td>
<td>'</td>
<td>RT RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-08-1991</td>
<td>31</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES SUKOREJO</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067750664</td>
<td>131506010123Y001277</td>
<td align='center'>
Z30 </td>
<td align='center'>
<font color='black'>Contraceptive management</font> </td>

</tr>

<tr align="left" valign="top">


<td>1782</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020301</td>
<td>KATMIRAH</td>
<td>'</td>
<td>RT 10 RW 4</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-09-1962</td>
<td>60</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978446677</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1783</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011199</td>
<td>SUDIRMAN</td>
<td>'3503050112650002</td>
<td>DUSUN JUMOK, RT : 10,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1965</td>
<td>57</td>
<td>L</td>
<td>Transportasi</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978446688</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1784</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015860</td>
<td>PARDIONO</td>
<td>'</td>
<td>RT 10</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-04-1983</td>
<td>39</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978446813</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1785</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015862</td>
<td>RIRIS EKA PANGESTI</td>
<td>'</td>
<td>RT 10</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-08-1991</td>
<td>31</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0001978446835</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1786</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015863</td>
<td>PURWAJI</td>
<td>'</td>
<td>RT 10</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-06-1971</td>
<td>51</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978446879</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1787</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015864</td>
<td>STEVANO AJI AGHASHIE</td>
<td>'</td>
<td>RT 10</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-03-2004</td>
<td>18</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978446892</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1788</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001003</td>
<td>SUMIATI</td>
<td>'</td>
<td>RT 10 RW 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978446903</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1789</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015934</td>
<td>EKO HENGKY FS</td>
<td>'</td>
<td>RT 10</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-2001</td>
<td>21</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978446971</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1790</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015935</td>
<td>LINA PURYANTI</td>
<td>'</td>
<td>RT 10</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-05-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978446993</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1791</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016645</td>
<td>MURYONO</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-02-1953</td>
<td>69</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447184</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1792</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013282</td>
<td>ANDI DWI ANTO</td>
<td>'</td>
<td>RT;RW</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-05-2002</td>
<td>20</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447228</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1793</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013281</td>
<td>MARTONO</td>
<td>'</td>
<td>RT;RW</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-07-1956</td>
<td>66</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447239</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1794</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014055</td>
<td>NOPI DWI LESTARI</td>
<td>'3503054411940001</td>
<td>DUSUN JUMOK, RT : 11,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-11-1994</td>
<td>28</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001978447318</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1795</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015067</td>
<td>AHMAD YASIN</td>
<td>'</td>
<td>RT 10 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-08-1984</td>
<td>38</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447419</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1796</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015866</td>
<td>EKO BUDIARTO</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-11-1984</td>
<td>38</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001978447476</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1797</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000659</td>
<td>SUHADI</td>
<td>'</td>
<td>RT 11 RW 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-12-1970</td>
<td>52</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447511</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1798</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015868</td>
<td>NURMA RETNO RAHAYU</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-03-1971</td>
<td>51</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447533</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1799</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015869</td>
<td>WINARTO</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-09-1971</td>
<td>51</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001978447544</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1800</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015870</td>
<td>MISIYAH</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-08-1982</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447555</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1801</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015871</td>
<td>TATA RIZKI NAFIAH</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-05-2009</td>
<td>13</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447566</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1802</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015872</td>
<td>YULI HERMAWANTO</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-07-1981</td>
<td>41</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447601</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1803</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015873</td>
<td>KARYONO</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-08-1958</td>
<td>64</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447678</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1804</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015874</td>
<td>SUDARNO</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-02-1964</td>
<td>58</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447702</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1805</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015875</td>
<td>MURTINI</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-02-1968</td>
<td>54</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447713</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1806</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015938</td>
<td>DHIYA PUTRI SANDANI</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-11-2007</td>
<td>15</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447724</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1807</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015940</td>
<td>DWI DARSONO</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-01-1976</td>
<td>47</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447768</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1808</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015941</td>
<td>ANDHIKA PUTRA R</td>
<td>'</td>
<td>RT 11 RW 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-11-2004</td>
<td>18</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447779</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1809</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015942</td>
<td>MARSINI</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-07-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447781</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1810</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015943</td>
<td>IBNU NURUDIN</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-01-1973</td>
<td>50</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447792</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1811</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015945</td>
<td>SUWARTI</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-09-1982</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447803</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1812</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015946</td>
<td>KRISNA EKA R</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-08-2004</td>
<td>18</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447814</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1813</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015948</td>
<td>M AZIZU HUSAINI</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-09-1993</td>
<td>29</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447825</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1814</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015949</td>
<td>MUALIM</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-05-1953</td>
<td>69</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447836</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1815</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004061</td>
<td>MULYANI</td>
<td>'</td>
<td>RT 6 RW 3</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1945</td>
<td>77</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001973375932</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1816</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020303</td>
<td>AGUS SANTOSO</td>
<td>'</td>
<td>RT 6 RW 3</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-01-1992</td>
<td>31</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442728</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1817</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008304</td>
<td>PARTIMAH</td>
<td>'3503056212660001</td>
<td>DUSUN JUMOK, RT : 6,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-12-1966</td>
<td>56</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442739</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1818</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013203</td>
<td>MUJILAN</td>
<td>'</td>
<td>RT 06 RW02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-01-1965</td>
<td>58</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442752</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1819</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013206</td>
<td>SITI PATONAH</td>
<td>'</td>
<td>RT 06 RW 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-04-1971</td>
<td>51</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442763</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1820</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016637</td>
<td>MUHAMAD ADI MULYANI</td>
<td>'</td>
<td>RT 06</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-02-1985</td>
<td>37</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442875</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1821</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008504</td>
<td>MEIRINA WULAN SAPUTRI</td>
<td>'3503057105950002</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-05-1995</td>
<td>27</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0001978442908</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1822</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010543</td>
<td>SITI MUAWANAH</td>
<td>'3503054112710001</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1971</td>
<td>51</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442919</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1823</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014885</td>
<td>MUJIANTO</td>
<td>'</td>
<td>RT 06</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-02-1972</td>
<td>50</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443011</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1824</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005037</td>
<td>MUNDIYAH</td>
<td>'3503055205780005</td>
<td>RT 6 RW </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-05-1978</td>
<td>44</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443022</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1825</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015484</td>
<td>REZA ALFINANDIA A</td>
<td>'</td>
<td>RT 06</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-04-2006</td>
<td>16</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443033</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1826</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015485</td>
<td>AMIR MAHMUD</td>
<td>'</td>
<td>RT 06</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-05-1975</td>
<td>47</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443099</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1827</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005502</td>
<td>WULANDARI</td>
<td>'3503055801840002</td>
<td>DUSUN JUMOK, RT : 6,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-01-1984</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443101</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1828</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015487</td>
<td>CYNTHIA MIRLANDA P</td>
<td>'</td>
<td>RT 06</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-04-2005</td>
<td>17</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443112</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1829</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009691</td>
<td>MUJIONO</td>
<td>'</td>
<td>RT 3 RW 6</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-01-1962</td>
<td>61</td>
<td>L</td>
<td>Pensiunan</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443123</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1830</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015488</td>
<td>RUDI SETIAWAN</td>
<td>'3503051702860002</td>
<td>RT 06 RW 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-12-1986</td>
<td>36</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443134</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1831</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009866</td>
<td>PAINAH</td>
<td>'3503054904640001</td>
<td>DUSUN JUMOK, RT : 6,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-04-1964</td>
<td>58</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443145</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1832</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001701</td>
<td> EKANUARI DWI</td>
<td>'3503054101980004</td>
<td>RT 6 RW 3</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1998</td>
<td>25</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443167</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1833</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011053</td>
<td>SUWARTI</td>
<td>'1606085611830001</td>
<td>DUSUN JUMOK, RT : 6,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-11-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443281</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1834</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005190</td>
<td>DWI ADI PRAYITNO</td>
<td>'</td>
<td>RT 06</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-05-1992</td>
<td>30</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0001978443292</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1835</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008462</td>
<td>MUSERI</td>
<td>'</td>
<td>23 GONDANG</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1941</td>
<td>81</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002622848567</td>
<td>131506010123Y000041</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1836</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003712</td>
<td>YATMIATIN CITRA KIRANA</td>
<td>'3503056512850004</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-12-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448365</td>
<td>131506010123Y000039</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>1837</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020339</td>
<td>NIZA SISKIANDA PUTRI</td>
<td>'3503056203010001</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-03-2001</td>
<td>21</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978452077</td>
<td>131506010123Y000038</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>1838</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024018</td>
<td>FADIL</td>
<td>'</td>
<td>KENDAL</td>
<td>KENDAL</td>
<td>ASTANAJAPURA</td>
<td>CIREBON</td>
<td>13-01-2013</td>
<td>10</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
B86 </td>
<td align='center'>
<font color='red'>Scabies</font> </td>

</tr>

<tr align="left" valign="top">


<td>1839</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024019</td>
<td>BELVA</td>
<td>'</td>
<td>PONTIANAK</td>
<td>PONTIANAK</td>
<td>BOLENG</td>
<td>MANGGARAI BARAT</td>
<td>07-11-2016</td>
<td>6</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
B86 </td>
<td align='center'>
<font color='red'>Scabies</font> </td>

</tr>

<tr align="left" valign="top">


<td>1840</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024020</td>
<td>SERA</td>
<td>'</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-06-2005</td>
<td>17</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z34.0 </td>
<td align='center'>
<font color='black'>Supervision of normal first pregnancy</font>
</td>

</tr>

<tr align="left" valign="top">


<td>1841</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024021</td>
<td>SULASTRI</td>
<td>'</td>
<td>RT 3 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-07-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1842</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017661</td>
<td>NANANG MAHFUDIN</td>
<td>'3503052008830002</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-08-1983</td>
<td>39</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001978443358</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1843</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013211</td>
<td>MUHAJIRIN</td>
<td>'</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-10-1974</td>
<td>48</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443369</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1844</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014886</td>
<td>DAVID ZULKARNAIN</td>
<td>'</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-06-2004</td>
<td>18</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443606</td>
<td>131506010123Y001083</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1845</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014887</td>
<td>IMRON ROSANDI</td>
<td>'</td>
<td>RT 07 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-07-1979</td>
<td>43</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443674</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1846</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015489</td>
<td>DIAN DWI HERMAWAN</td>
<td>'</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-03-1989</td>
<td>33</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443753</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1847</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015492</td>
<td>SITI MAESAROH</td>
<td>'</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-11-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443797</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1848</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015494</td>
<td>MUSLIM</td>
<td>'</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1965</td>
<td>57</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443819</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1849</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015495</td>
<td>TRI SEPTIANA</td>
<td>'</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-09-1996</td>
<td>26</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443821</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1850</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015496</td>
<td>MUSTIKA PUTRI P</td>
<td>'</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-06-2005</td>
<td>17</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443832</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1851</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013216</td>
<td>SUBARTO</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-08-1963</td>
<td>59</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444203</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1852</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020373</td>
<td>RENI WAHYU CAHYATI</td>
<td>'3503066207960002</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-07-1996</td>
<td>26</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665096051</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>1853</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010159</td>
<td>AURORA RAHMADANI</td>
<td>'3503055912990001</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-12-1999</td>
<td>23</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444214</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1854</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013220</td>
<td>IBNU SANINATUL HIMA</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-10-1996</td>
<td>26</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001978444282</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1855</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016641</td>
<td>MUNAJI</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-05-1967</td>
<td>55</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444315</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1856</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013889</td>
<td>SITI CHOTIMAH</td>
<td>'3503054308740001</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-08-1973</td>
<td>49</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444326</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1857</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016642</td>
<td>ZULAIKA MAIDITA S</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-05-1999</td>
<td>23</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444337</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1858</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000510</td>
<td>FARIDA RAHMAH</td>
<td>'3503054101990002</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1999</td>
<td>24</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444348</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1859</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016643</td>
<td>SERI</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-09-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444372</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1860</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016644</td>
<td>FEBRIANTI NURAYNI</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-2002</td>
<td>20</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444405</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1861</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007935</td>
<td>DWI SULASMI</td>
<td>'3503056303690001</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-03-1969</td>
<td>53</td>
<td>P</td>
<td>Pedagang</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444416</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1862</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014888</td>
<td>SUWARI</td>
<td>'3503053103610001</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-03-1961</td>
<td>61</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444449</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1863</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001301</td>
<td>MISRI</td>
<td>'</td>
<td>RT 08 RW 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-06-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444451</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1864</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014889</td>
<td>ROSIDAH TRIA RIASTI</td>
<td>'3503055505040001</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-05-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444462</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1865</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014890</td>
<td>WIWIT RIASTI</td>
<td>'3503056010930001</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-10-1993</td>
<td>29</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444473</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1866</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007384</td>
<td>RIZKA NUR RIASTI</td>
<td>'3503056606020001</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-06-2002</td>
<td>20</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444484</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1867</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014891</td>
<td>ANANG MA`RUF</td>
<td>'3503051910860001</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-10-1986</td>
<td>36</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001978444539</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1868</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001035</td>
<td>INDAYANI</td>
<td>'</td>
<td>RT 03 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-08-1981</td>
<td>41</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978452066</td>
<td>131506010123Y000222</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1869</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013865</td>
<td>MUHAMMAD ABERCIO HAFIZH ALFAREZI</td>
<td>'</td>
<td>RT 6 RW 3</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-03-2019</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002754513483</td>
<td>131506010123Y001305</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>1870</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024526</td>
<td>ENIK</td>
<td>'</td>
<td>RT 6 RW 3</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-03-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J02.9 </td>
<td align='center'>
<font color='red'>Acute pharyngitis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>1871</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024527</td>
<td>MARDIYAH</td>
<td>'</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>01-01-1970</td>
<td>53</td>
<td></td>
<td></td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</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>1872</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004662</td>
<td>UMI HANIK</td>
<td>'3503056007810002</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-07-1981</td>
<td>41</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444833</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1873</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015924</td>
<td>NAHROWI</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-10-1976</td>
<td>46</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444811</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1874</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010263</td>
<td>DZAKY NAUFAL RAFIF</td>
<td>'3503050305090001</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-05-2009</td>
<td>13</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444798</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1875</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015921</td>
<td>ARIS SETIAWAN</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-11-1993</td>
<td>29</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444743</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1876</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015502</td>
<td>HENI YULIATUN</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-12-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444664</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1877</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015500</td>
<td>WIJI INSIYAH</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-05-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444642</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1878</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015499</td>
<td>ZENDI HILMAN NAJIB</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-08-2005</td>
<td>17</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444631</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1879</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015498</td>
<td>JAENAL ABIDIN</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-12-1975</td>
<td>47</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444629</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1880</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012096</td>
<td>LILIK SUGIARTI</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-02-1973</td>
<td>49</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444596</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1881</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010264</td>
<td>SUWANDI</td>
<td>'3503050605720001</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-05-1972</td>
<td>50</td>
<td>L</td>
<td>Perdagangan</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444585</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1882</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013593</td>
<td>HARTIYAH</td>
<td>'</td>
<td>RT 11</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-06-1956</td>
<td>66</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978447869</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1883</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017385</td>
<td>SUTRISNO</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-01-1964</td>
<td>59</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001978444877</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1884</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012778</td>
<td>HADI SUROSO</td>
<td>'3503050102840001</td>
<td>DUSUN JUMOK, RT : 8,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-1984</td>
<td>38</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001978444888</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1885</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017387</td>
<td>ENI PURWATI</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-02-1988</td>
<td>34</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001978444901</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1886</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017442</td>
<td>SUCIPTO</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-04-1976</td>
<td>46</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978445182</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1887</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020397</td>
<td>NAURAH NIA V</td>
<td>'</td>
<td>RT 8 RW 3</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-03-2008</td>
<td>14</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978445193</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1888</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017443</td>
<td>POPON RATNA SARI</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-09-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978445204</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1889</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013124</td>
<td>SETU</td>
<td>'</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-06-1969</td>
<td>53</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0001978454226</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1890</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013128</td>
<td>SITI KHOLISAH</td>
<td>'</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-01-1973</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0001978454259</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1891</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013129</td>
<td>MUJIARTO</td>
<td>'</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-12-1985</td>
<td>37</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978454272</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1892</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013195</td>
<td>DAVA YULIO PRASTIAWAN</td>
<td>'</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-07-2001</td>
<td>21</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978454373</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1893</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016633</td>
<td>DEVI HARI PRASTIWI</td>
<td>'</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-10-1993</td>
<td>29</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978454406</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1894</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016636</td>
<td>NURHADI</td>
<td>'</td>
<td>RT 05</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-06-1976</td>
<td>46</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978454474</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1895</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009009</td>
<td>IKA AGUSTINA</td>
<td>'3503054908850001</td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-08-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001978454125</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1896</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008521</td>
<td>SOPINGI</td>
<td>'</td>
<td>RT 01 TUMPUK</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-12-1971</td>
<td>51</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448264</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1897</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013067</td>
<td>BAGUS PRATAMA</td>
<td>'3503051507000001</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-07-2000</td>
<td>22</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448275</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1898</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007177</td>
<td>CASMINAH</td>
<td>'</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-03-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448286</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1899</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013068</td>
<td>BUDIANTO</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-01-1978</td>
<td>44</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448319</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1900</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003681</td>
<td>EKA SUSI RAHMAWATI</td>
<td>'3503055602820005</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-02-1982</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448321</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1901</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011056</td>
<td>FIRA DWI FEBRIANTI</td>
<td>'</td>
<td>RT 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-02-2008</td>
<td>14</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448332</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1902</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013828</td>
<td>JARNO</td>
<td>'</td>
<td>RT 01 RW 01 DUSUN KRAJAN</td>
<td>tumpuk</td>
<td>tugu</td>
<td>trenggalek</td>
<td>08-04-1970</td>
<td>52</td>
<td>L</td>
<td>swasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448343</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1903</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008717</td>
<td>RIRKY RAHMANING AMALIA</td>
<td>'3503055711040001</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-11-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448354</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1904</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013830</td>
<td>BAMBANG WAHYUDI</td>
<td>'3503050301730001</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-01-1973</td>
<td>50</td>
<td>L</td>
<td>Pedagang</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448411</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1905</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013833</td>
<td>DIYAH DWI ANI</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>tumpuk</td>
<td>tugu</td>
<td>trenggale</td>
<td>13-12-1997</td>
<td>25</td>
<td>P</td>
<td>swasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448466</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1906</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006078</td>
<td>SRI WIYATI</td>
<td>'</td>
<td>01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-05-1991</td>
<td>31</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448488</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1907</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016646</td>
<td>NURMA FEBRIYANTI</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-02-2013</td>
<td>9</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448499</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1908</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016647</td>
<td>WAHYU SUKIRNO</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-05-1986</td>
<td>36</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448512</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1909</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016648</td>
<td>SITI KHOTIJAH</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-07-1984</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448523</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1910</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007182</td>
<td>ANIS FITRIA</td>
<td>'</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-03-2002</td>
<td>20</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448591</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1911</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015889</td>
<td>LASENO</td>
<td>'</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-04-1965</td>
<td>57</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978451436</td>
<td>131506010123Y001115</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>1912</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006483</td>
<td>AQILA YURISTA RAHMADHANI</td>
<td>'3503054607150001</td>
<td>DUSUN JUMOK, RT : 9,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-07-2015</td>
<td>7</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>1913</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009428</td>
<td>ILHAM ABDILLAH RAHMAD DANI</td>
<td>'3503051512020001</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-12-2002</td>
<td>20</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978452628</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1914</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001709</td>
<td>SUMARSIH</td>
<td>'</td>
<td>RT 04 RW 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-09-1976</td>
<td>46</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978452639</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1915</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013114</td>
<td>NAYLA VALENTINA YANAS SASMITA</td>
<td>'</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-02-2009</td>
<td>13</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978452641</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1916</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016626</td>
<td>DIDIK SUSANTO</td>
<td>'</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-04-1995</td>
<td>27</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978452663</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1917</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016627</td>
<td>NITA NURJIANTI</td>
<td>'</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1995</td>
<td>27</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978452718</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1918</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016628</td>
<td>AHMAD FUAD AMIRUDIN</td>
<td>'</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-04-1972</td>
<td>50</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978452731</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1919</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016629</td>
<td>MOCH AMIRUL NIZAM</td>
<td>'</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-03-2004</td>
<td>18</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978452742</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1920</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016631</td>
<td>HENDI PRAMANA P</td>
<td>'</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-05-1993</td>
<td>29</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978452775</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1921</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021170</td>
<td>PANJI BUDIAJI</td>
<td>'</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-1995</td>
<td>28</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978452843</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1922</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010560</td>
<td>ASMINI</td>
<td>'3503055610650001</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-10-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978452876</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1923</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021169</td>
<td>SINTA NUGRAINI</td>
<td>'</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-05-1990</td>
<td>32</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978452887</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1924</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010466</td>
<td>PURWANINGSIH</td>
<td>'3503056810910001</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-10-1991</td>
<td>31</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0001978452911</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1925</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015884</td>
<td>IMAM SAHRONI</td>
<td>'</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-01-1991</td>
<td>32</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978451313</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1926</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004934</td>
<td>SUPARTI</td>
<td>'</td>
<td>RT03 RW01 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978451201</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1927</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009902</td>
<td>SRI ANAH</td>
<td>'3503055611710001</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-11-1971</td>
<td>51</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978451032</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1928</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007181</td>
<td>SRI PURNAWATI</td>
<td>'3503057005890001</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-05-1989</td>
<td>33</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448409</td>
<td></td>
<td align='center'>
Z34.9 </td>
<td align='center'>
<font color='black'>Supervision of normal pregnancy, unspecified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>1929</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013100</td>
<td>AAN DANI HAIZZAROH ALA DAWI</td>
<td>'</td>
<td>RT 02 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-10-2004</td>
<td>18</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450683</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1930</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013102</td>
<td>MUJANI</td>
<td>'</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1965</td>
<td>57</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450749</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1931</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013104</td>
<td>ENDAH SUPRIHATIN</td>
<td>'</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-03-1999</td>
<td>23</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450751</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1932</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013105</td>
<td>MUJIATIN</td>
<td>'</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-08-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450762</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1933</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013846</td>
<td>JARMI</td>
<td>'</td>
<td>RT 03 RW 01</td>
<td>tumpuk</td>
<td>tugu</td>
<td>trenggalek</td>
<td>13-02-1963</td>
<td>59</td>
<td>P</td>
<td>ibu rumah tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450863</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1934</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000057</td>
<td>SITI AMINAH</td>
<td>'</td>
<td>RT 02 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-05-1957</td>
<td>65</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450547</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1935</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017451</td>
<td>YULIANA</td>
<td>'</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-05-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450558</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1936</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017449</td>
<td>TRIO SUSANTO</td>
<td>'</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-11-1988</td>
<td>34</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450301</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1937</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000783</td>
<td> RENI SUPRIHATIN</td>
<td>'</td>
<td>RT 02 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-10-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450299</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1938</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017448</td>
<td>IMAM SOLIKIN</td>
<td>'</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-10-1974</td>
<td>48</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450288</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1939</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017447</td>
<td>DEMPA RELYANSO</td>
<td>'</td>
<td>RT02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-08-2000</td>
<td>22</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450277</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1940</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015957</td>
<td>SUNNATUL KARIMAH</td>
<td>'</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-05-1998</td>
<td>24</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450244</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1941</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015952</td>
<td>MUHAMAD DWI APRIZAL</td>
<td>'</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-04-2008</td>
<td>14</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450143</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1942</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015953</td>
<td>WAHYU TRI HANDAYANI</td>
<td>'</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-02-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450154</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1943</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015954</td>
<td>RAJIYO</td>
<td>'</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-10-1966</td>
<td>56</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450165</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1944</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015955</td>
<td>MASKUR HANDOKO</td>
<td>'</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-10-1998</td>
<td>24</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450176</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1945</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012453</td>
<td>FAIZAN RAFFASYA BEKTI</td>
<td>'</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-12-2018</td>
<td>4</td>
<td>L</td>
<td>belu</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002622884343</td>
<td>131506010123Y001299</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>1946</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015956</td>
<td>NURHIDAYATI</td>
<td>'</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-1968</td>
<td>54</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978450187</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1947</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004256</td>
<td>HENDRIK YUDIANTO</td>
<td>'3503053007820004</td>
<td>RT 2 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-07-1982</td>
<td>40</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978449175</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1948</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020456</td>
<td>DHEANIARY AMALIA PUTRI</td>
<td>'</td>
<td>RT 2 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-01-2007</td>
<td>16</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978449186</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1949</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020455</td>
<td>PIPIT DWI NURYENI</td>
<td>'3519106805850001</td>
<td>RT 2 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-05-1985</td>
<td>37</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978449197</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1950</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020457</td>
<td>SURYANI</td>
<td>'</td>
<td>RT 2 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-11-1978</td>
<td>44</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001973116293</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1951</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013084</td>
<td>TOTOK DIANTORO</td>
<td>'</td>
<td>RT 02 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-02-1992</td>
<td>30</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978449377</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1952</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013096</td>
<td>IKA PRAHARANI RAHAYU</td>
<td>'</td>
<td>RT 02 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-07-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978449401</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1953</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006081</td>
<td>ARIF YUYUN SUNARTO</td>
<td>'3503052308940002</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-08-1994</td>
<td>28</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001978449412</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1954</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007927</td>
<td>KRISNA MEI TRIANI</td>
<td>'3503055605920001</td>
<td>RT 2 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-05-1992</td>
<td>30</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001978449445</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1955</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012798</td>
<td> </td>
<td>'3503050108750005</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1970</td>
<td>53</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978449467</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1956</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013837</td>
<td>MUGIANTO</td>
<td>'</td>
<td>RT 02 RW 01</td>
<td>yumpuk</td>
<td>tugu</td>
<td>trenggalek</td>
<td>03-11-1966</td>
<td>56</td>
<td>L</td>
<td>perangkat desa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0001978449579</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1957</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013840</td>
<td>FARIDA YENI GIARTI</td>
<td>'</td>
<td>RT 02 RW 01</td>
<td>tumpuk</td>
<td>tugu</td>
<td>trenggalek</td>
<td>21-06-1991</td>
<td>31</td>
<td>P</td>
<td>swasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001978449603</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1958</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016655</td>
<td>JAKA GIGIH PRATAMA</td>
<td>'</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-03-1996</td>
<td>26</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI BUMN</td>
<td>'0001978449715</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1959</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016654</td>
<td>HARDIYANTO</td>
<td>'</td>
<td>RT 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-07-1970</td>
<td>52</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978449704</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1960</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016653</td>
<td>SITI SAUDAH</td>
<td>'</td>
<td>RT 02 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-08-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978449693</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1961</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000630</td>
<td>RUDIANSYAH</td>
<td>'3503051905940001</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-05-1994</td>
<td>28</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978449682</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1962</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007175</td>
<td>SUTINI</td>
<td>'</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-09-1964</td>
<td>58</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448602</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1963</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016652</td>
<td>SISWANTO</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-07-1977</td>
<td>45</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448624</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1964</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015068</td>
<td>WIDARTO</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-01-1990</td>
<td>33</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448635</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1965</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015070</td>
<td>WIDIA LESTARI</td>
<td>'</td>
<td>RT 01 RW01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-05-2002</td>
<td>20</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448679</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1966</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015071</td>
<td>WINDRIANI</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-09-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448681</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1967</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015072</td>
<td>WAHYU AGUNG SASONGKO</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-09-1997</td>
<td>25</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448714</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1968</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015073</td>
<td>LULUT SANTOSO</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-05-1959</td>
<td>63</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448725</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1969</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015075</td>
<td>SUWARSIH</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-05-1986</td>
<td>36</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448758</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1970</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015076</td>
<td>SARWEN</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-07-1967</td>
<td>55</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448771</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1971</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007180</td>
<td>MULYATI</td>
<td>'</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-07-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448837</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1972</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007178</td>
<td>MUTIATUN</td>
<td>'</td>
<td>RT RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-05-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448872</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1973</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022180</td>
<td>AMIRUL MAHMUD</td>
<td>'</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-10-1994</td>
<td>28</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448894</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1974</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015876</td>
<td>SAIFUL ANWAR</td>
<td>'</td>
<td>RT 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-11-1986</td>
<td>36</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448905</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1975</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015950</td>
<td>GALOH ARTA WIJAYA</td>
<td>'</td>
<td>RT 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-06-1993</td>
<td>29</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978449129</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1976</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000507</td>
<td>SUPINAH</td>
<td>'</td>
<td>RT 002 RW 001</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-10-1954</td>
<td>68</td>
<td>P</td>
<td>Pensiunan</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000195533144</td>
<td>131506010123Y001292</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>1977</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004054</td>
<td>KARTINI</td>
<td>'3503056306540001</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-06-1954</td>
<td>68</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978449423</td>
<td>131506010123Y001295</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>
<tr align="left" valign="top">
<td>1978</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015504</td>
<td>ARWANUDIN</td>
<td>'</td>
<td>RT 09</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-05-1972</td>
<td>50</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0001978445665</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1979</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015928</td>
<td>MARJUGI</td>
<td>'</td>
<td>RT 09</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-10-1960</td>
<td>62</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978445891</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1980</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014683</td>
<td>ANDIK BUDI SETIA ANWAR</td>
<td>'</td>
<td>RT 2 RW 1</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-04-1988</td>
<td>34</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978445812</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1981</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010283</td>
<td>MUSRINGAH</td>
<td>'3503054802640001</td>
<td>DUSUN JUMOK, RT : 9,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-02-1964</td>
<td>58</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978445755</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1982</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015507</td>
<td>MARETA LUTVI M</td>
<td>'</td>
<td>RT 09</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-03-2004</td>
<td>18</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001978445733</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1983</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015505</td>
<td>RANI ANGGRAINI</td>
<td>'</td>
<td>RT 09</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-10-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001978445711</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1984</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005915</td>
<td>SUMARMI</td>
<td>'</td>
<td>09</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-11-1968</td>
<td>54</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0001978445698</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1985</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014097</td>
<td>RITA AINUL MASLIKAH</td>
<td>'3503050410960001</td>
<td>RT 11 RW 05</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-10-1996</td>
<td>26</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978446251</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1986</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010911</td>
<td>AYU RISMA DWI AGUSTIANA</td>
<td>'</td>
<td>RT 1 RW 1</td>
<td>TUMPUK</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>08-08-2002</td>
<td>20</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001978448016</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1987</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019462</td>
<td>CANDRA SETIANTO</td>
<td>'</td>
<td>RT 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1996</td>
<td>26</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448073</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1988</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013057</td>
<td>SULASTRI</td>
<td>'</td>
<td>RT 01 RE 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-06-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448106</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1989</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013062</td>
<td>EDI PURWANTO</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-06-1991</td>
<td>31</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448207</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1990</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013063</td>
<td>NOVA ADI KURNIAWAN</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-11-1997</td>
<td>25</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448231</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1991</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013065</td>
<td>ARIA OKTIA NURHANI</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-10-2006</td>
<td>16</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448253</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1992</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015913</td>
<td>KUSMIATI</td>
<td>'</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-02-1978</td>
<td>44</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443843</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1993</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015525</td>
<td>ATIKA SYAI`ATUL KHUSNA</td>
<td>'</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-08-1994</td>
<td>28</td>
<td>P</td>
<td>Perangkat Desa</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0001978443876</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1994</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009273</td>
<td>SUNARWIN</td>
<td>'</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-07-1959</td>
<td>63</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443909</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1995</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006686</td>
<td>MUSRINGAH</td>
<td>'</td>
<td>RT-</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-09-1962</td>
<td>60</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443911</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1996</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015915</td>
<td>JEMIRAH</td>
<td>'</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443922</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>1997</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015916</td>
<td>KIKY RIZKY AMANAH</td>
<td>'</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-07-1994</td>
<td>28</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443933</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>1998</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011664</td>
<td>RINI STIOWATI</td>
<td>'</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-04-1984</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443999</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>1999</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006631</td>
<td>NAUFAL FERNANDITYA AFARROS</td>
<td>'3503050102090001</td>
<td>DUSUN JUMOK, RT : 7,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-2009</td>
<td>13</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444034</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2000</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017380</td>
<td>RUSLAN</td>
<td>'</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-09-1968</td>
<td>54</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444045</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2001</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003882</td>
<td>MUDRIKAH</td>
<td>'3503055109680004</td>
<td>RT 7 RW 3</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-09-1968</td>
<td>54</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444056</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2002</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017382</td>
<td>MUJIATUN</td>
<td>'</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-11-1961</td>
<td>61</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444089</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2003</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013213</td>
<td>AFIF R A</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-04-2004</td>
<td>18</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444146</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2004</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013214</td>
<td>MASNGUDI</td>
<td>'</td>
<td>RT 08</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-11-1966</td>
<td>56</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444157</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2005</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012091</td>
<td>KARYATIN</td>
<td>'</td>
<td>RT 08 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-01-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444179</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2006</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017384</td>
<td>DENI SETIA BUDI</td>
<td>'</td>
<td>RT 07</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-11-1988</td>
<td>34</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002013995553</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2007</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024390</td>
<td>TUKINI</td>
<td>'</td>
<td>RT 8 RW 4</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1971</td>
<td>52</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665157003</td>
<td>131506010123Y001276</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2008</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020078</td>
<td>ALIFFIA RAHMA</td>
<td>'3503057007010001</td>
<td>DUSUN KRAJAN, RT : 1,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-07-2001</td>
<td>21</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978436474</td>
<td>131506010123Y001282</td>
<td align='center'>
Z34.0 </td>
<td align='center'>
<font color='black'>Supervision of normal first pregnancy</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2009</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004058</td>
<td>YULIATI</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665176871</td>
<td>131506010123Y001284</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2010</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013059</td>
<td>RISTA SYAHIRA CERELLIA</td>
<td>'</td>
<td>RT 1RW 1</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-04-2018</td>
<td>4</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002452664845</td>
<td>131506010123Y001286</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>2011</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020075</td>
<td>FITRIANA DWI RESTIANTI</td>
<td>'</td>
<td>RT 6 RW 3</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-03-1994</td>
<td>28</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036996536</td>
<td>131506010123Y001288</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>2012</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024395</td>
<td>PONIYEM</td>
<td>'</td>
<td>RT03 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-10-1959</td>
<td>63</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665180752</td>
<td>131506010123Y001278</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2013</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000346</td>
<td>MARSITI</td>
<td>'3503057112360006</td>
<td>DSN KRAJAN, RT : 002,RW :001 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1936</td>
<td>86</td>
<td>P</td>
<td>PERDAGANGAN</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665830653</td>
<td>131506010123Y001280</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>2014</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005064</td>
<td>ASMAWATI EKA SUSANTI</td>
<td>'3503055605930001</td>
<td>DUSUN JUMOK, RT : 9,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-05-1993</td>
<td>29</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>PONKESDES TUMPUK</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2015</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007916</td>
<td>PRAYOGA AGUNG PRISWANTO</td>
<td>'3503120701920001</td>
<td>DUSUN JUMOK, RT : 10,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-01-1992</td>
<td>31</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0001658192995</td>
<td>131506010123Y001267</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>2016</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015961</td>
<td>GANIKEM</td>
<td>'</td>
<td>RT 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-07-1953</td>
<td>69</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978451627</td>
<td>131506010123Y001309</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2017</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006364</td>
<td>REVA CINTA PUTRI YULIANI</td>
<td>'</td>
<td>RT 08 RW 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-07-2017</td>
<td>5</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PRAJURIT AD</td>
<td>'0002461157818</td>
<td>131506010123Y001271</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>2018</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007776</td>
<td>MUYATUN</td>
<td>'</td>
<td>RT 08 RW 3</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-04-1962</td>
<td>60</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444574</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2019</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004057</td>
<td>PUJI SETIOWATI</td>
<td>'3503054205820006</td>
<td>DUSUN KRAJAN, RT : 4,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-05-1982</td>
<td>40</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978453517</td>
<td>131506010123Y001266</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>2020</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016630</td>
<td>YATINI</td>
<td>'</td>
<td>RT 04</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-12-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978452753</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2021</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021551</td>
<td>NIKEN EKA MEILIA</td>
<td>'3503115205040003</td>
<td>RT 03 RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-05-2004</td>
<td>18</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002865198892</td>
<td></td>
<td align='center'>
Z34.0 </td>
<td align='center'>
<font color='black'>Supervision of normal first pregnancy</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2022</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015074</td>
<td>MURSINI</td>
<td>'</td>
<td>RT 01RW 01</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-11-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PONKESDES TUMPUK</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978448736</td>
<td>131506010123Y001297</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2023</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008455</td>
<td>MIALIFI BUDI HARTININGRUM</td>
<td>'</td>
<td>RT 008 RW 003</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-10-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PUSTU NGEPEH</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665864537</td>
<td>131506010123Y000017</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2024</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002927</td>
<td>MARTILAH</td>
<td>'3503055706660001</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-06-1966</td>
<td>56</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU NGEPEH</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665864368</td>
<td>131506010123Y000018</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2025</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000026</td>
<td>SUMINI</td>
<td>'</td>
<td>RT 14 RW 6</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-09-1956</td>
<td>66</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU NGEPEH</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999923</td>
<td>131506010123Y000021</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2026</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003703</td>
<td>UMAR</td>
<td>'</td>
<td>RT 14 RW 06</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1961</td>
<td>62</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU NGEPEH</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999912</td>
<td>131506010123Y000022</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2027</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017326</td>
<td>SINTO</td>
<td>'</td>
<td>RT 21 RW 9</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-01-1949</td>
<td>74</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>PUSTU NGEPEH</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666388552</td>
<td>131506010123Y000023</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2028</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001044</td>
<td>TUMIRAN</td>
<td>'</td>
<td>9/3 NGEPEH TUGU</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-11-1962</td>
<td>60</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU NGEPEH</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665922295</td>
<td>131506010123Y000025</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>2029</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002982</td>
<td>SAWAL</td>
<td>'3503051509610001</td>
<td>DUSUN BEJI, RT : 17,RW :7 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-09-1961</td>
<td>61</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU NGEPEH</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666372025</td>
<td>131506010123Y000027</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2030</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005313</td>
<td>PAITUN</td>
<td>'</td>
<td>RT 13 RW 5</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-12-1954</td>
<td>68</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>PUSTU NGEPEH</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665879343</td>
<td>131506010123Y000028</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>
<tr align="left" valign="top">
<td>2031</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016936</td>
<td>SUPRAPTO</td>
<td>'</td>
<td>RT. 11 RW. 3</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1971</td>
<td>51</td>
<td>L</td>
<td>Perdagangan</td>
<td>PUSTU NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067656783</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2032</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003628</td>
<td>YESIKA RAHMAWATI</td>
<td>' 3503054501880001</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-01-1988</td>
<td>35</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU NGEPEH</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665883797</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>2033</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014109</td>
<td>YATINEM</td>
<td>'</td>
<td>PRAMBON RT 49</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-10-1960</td>
<td>62</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978490362</td>
<td>131506010123Y000092</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2034</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002853</td>
<td>DAMIN</td>
<td>'</td>
<td>PRAMBON RT 49</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1957</td>
<td>65</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978490351</td>
<td>131506010123Y000093</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2035</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009485</td>
<td>KATIJO</td>
<td>'3503050412650001</td>
<td>PRAMBON, RT : 31,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-12-1965</td>
<td>57</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2036</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024013</td>
<td>YAHMU</td>
<td>'</td>
<td>PRAMBON RT 19/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-01-1952</td>
<td>71</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2037</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021100</td>
<td>SUMI</td>
<td>'3503056506500002</td>
<td>MLOKO, RT : 54,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-06-1950</td>
<td>72</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667119363</td>
<td>131506010123Y000094</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2038</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012616</td>
<td>ISTIKOMAH</td>
<td>'3503055712670001</td>
<td>TENGGAR, RT : 6,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-12-1967</td>
<td>55</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003080443342</td>
<td>131506010123Y000089</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2039</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024014</td>
<td>JADI</td>
<td>'</td>
<td>PRAMBON RT 52/11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-01-1972</td>
<td>51</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802752763</td>
<td>131506010123Y000088</td>
<td align='center'>
N39.0 </td>
<td align='center'>
<font color='red'>Urinary tract infection, site not specified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2040</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010328</td>
<td>MESIYAH</td>
<td>'</td>
<td>BANARAN 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-04-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665505764</td>
<td>131506010123Y000095</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2041</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004013</td>
<td>CICI SUSANTI</td>
<td>' </td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-11-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665506653</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2042</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024016</td>
<td>SUNARMI</td>
<td>'</td>
<td>PRAMBON RT 30/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-02-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067664106</td>
<td>131506010123Y000086</td>
<td align='center'>
H10.9 </td>
<td align='center'>
<font color='red'>Conjunctivitis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2043</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004170</td>
<td>DWI AGUSTININGSIH</td>
<td>'</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-08-1976</td>
<td>46</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. ADANG KRISTANTO, S. Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488347</td>
<td>131506010123Y000059</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2044</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002116</td>
<td>INSIYAH</td>
<td>'</td>
<td>PRAMBON RT 29/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002584965341</td>
<td>131506010123Y000049</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>2045</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009665</td>
<td>WILDAN MUHAMMAD RIF`AN</td>
<td>'</td>
<td>PRAMBON RT 36/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-08-2008</td>
<td>14</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002591822981</td>
<td>131506010123Y000055</td>
<td align='center'>
B01.9 </td>
<td align='center'>
<font color='red'>Varicella without complication</font> </td>

</tr>

<tr align="left" valign="top">


<td>2046</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021280</td>
<td>RENY PUJIATI</td>
<td>'</td>
<td>PRAMBON RT 36/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-05-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665540943</td>
<td>131506010123Y000052</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2047</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001011</td>
<td>JUBAIDI</td>
<td>'</td>
<td>PRAMBON RT 29/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-1968</td>
<td>54</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664402577</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2048</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004965</td>
<td>AHMAD RUBIANTO</td>
<td>'</td>
<td>PRAMBON RT 29/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-11-2001</td>
<td>21</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681898985</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2049</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024024</td>
<td>AGUS ARIANTO</td>
<td>'</td>
<td>PRAMBON RT 36/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-08-1980</td>
<td>42</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665346701</td>
<td>131506010123Y000050</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>
</tr>

<tr align="left" valign="top">


<td>2050</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024025</td>
<td>TARIKEM</td>
<td>'</td>
<td>PRAMBON RT 28/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-01-1955</td>
<td>68</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2051</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014381</td>
<td>ARIFIN</td>
<td>'</td>
<td>RT 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-12-1986</td>
<td>36</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802763304</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2052</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024034</td>
<td>NAILA</td>
<td>'</td>
<td>PRAMBON RT 33/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-01-2015</td>
<td>8</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</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>2053</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024035</td>
<td>ELVIRA</td>
<td>'</td>
<td>PRAMBON RT 22/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-01-2017</td>
<td>6</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2054</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001247</td>
<td>IKA BUDI SULISTYOWATI</td>
<td>'</td>
<td>PRAMBON RT 38/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-05-1988</td>
<td>34</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664417214</td>
<td>131506010123Y000171</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2055</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023369</td>
<td>MUSIYAH</td>
<td>'</td>
<td>PRAMBON RT 29/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1958</td>
<td>64</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970309914</td>
<td>131506010123Y000115</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2056</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001099</td>
<td>DARWANTO</td>
<td>'3503051108640001</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-08-1964</td>
<td>58</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666245158</td>
<td>131506010123Y000108</td>
<td align='center'>
J45 </td>
<td align='center'>
<font color='red'>Asthma</font> </td>

</tr>

<tr align="left" valign="top">


<td>2057</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005528</td>
<td>NUR LAILATUSOLATI</td>
<td>'</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-2006</td>
<td>16</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666248231</td>
<td>131506010123Y000109</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2058</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001597</td>
<td>MARHATI</td>
<td>'3505165003790004</td>
<td>DUSUN PAKEL, RT : 36,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-03-1979</td>
<td>43</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001887548253</td>
<td>131506010123Y000107</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>2059</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003210</td>
<td>LILIK TOERAH</td>
<td>'</td>
<td>PRAMBON RT 23/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-03-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802762088</td>
<td>131506010123Y000111</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2060</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024038</td>
<td>TUKINAH</td>
<td>'3503057112600041</td>
<td>DUSUN PAKEL, RT : 39,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-07-1960</td>
<td>62</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867871497</td>
<td>131506010123Y000113</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2061</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014090</td>
<td>SUMIRAH</td>
<td>'</td>
<td>PRAMBON RT 32</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-12-1955</td>
<td>67</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802755946</td>
<td>131506010123Y000118</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2062</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006054</td>
<td>SUSIATI</td>
<td>'</td>
<td>RT 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-12-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665288256</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2063</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012693</td>
<td>MUHAMMAD MISHBAAHUL `ULUUM</td>
<td>'</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-10-2019</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002902309244</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2064</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001226</td>
<td>SAINAH</td>
<td>'</td>
<td>BANARAN RT 7/4</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1942</td>
<td>80</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037004276</td>
<td>131506010123Y000158</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>
<tr align="left" valign="top">
<td>2065</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007808</td>
<td>MARIYAM</td>
<td>'</td>
<td>BANARAN RT 6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-12-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978461494</td>
<td>131506010123Y000160</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>2066</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002197</td>
<td>TINAYAH</td>
<td>'</td>
<td>PRAMBON RT 29/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-03-1981</td>
<td>41</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002638876239</td>
<td>131506010123Y000175</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>
</tr>

<tr align="left" valign="top">


<td>2067</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000962</td>
<td>KATEMO</td>
<td>'</td>
<td>PRAMBON RT39/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1950</td>
<td>72</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681644781</td>
<td>131506010123Y000174</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2068</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004071</td>
<td>SUMARTI</td>
<td>'</td>
<td>PRAMBON RT 21/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-05-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002729557708</td>
<td>131506010123Y000177</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2069</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009017</td>
<td>REHAN FAUZ NUR ROHMAN</td>
<td>'3503050611120001</td>
<td>DUSUN KRAJAN, RT : 15,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-11-2012</td>
<td>10</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970311163</td>
<td>131506010123Y000184</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2070</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024047</td>
<td>SUWITO</td>
<td>'3503052112650001</td>
<td>PRAMBON, RT : 29,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-12-1965</td>
<td>57</td>
<td>L</td>
<td>Perdagangan</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2071</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001676</td>
<td>YANIKEM</td>
<td>'</td>
<td>PRAMBON RT 5/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1953</td>
<td>69</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802751536</td>
<td>131506010123Y000186</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>2072</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008358</td>
<td>JALER ADIEF PANGESTU</td>
<td>'</td>
<td>PRAMBON RT 8/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-08-2003</td>
<td>19</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002455005014</td>
<td>131506010123Y000230</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>2073</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024061</td>
<td>SUTINI</td>
<td>'</td>
<td>PRAMBON RT 12/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-11-1977</td>
<td>45</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037015324</td>
<td>131506010123Y000229</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2074</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003153</td>
<td>BADAR</td>
<td>'</td>
<td>PRAMBON RT 9 /2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-02-1958</td>
<td>64</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666557201</td>
<td>131506010123Y000227</td>
<td align='center'>
K02.0 </td>
<td align='center'>
<font color='black'>Caries limited to enamel</font> </td>

</tr>

<tr align="left" valign="top">


<td>2075</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004259</td>
<td>ARVINZA DIRGANTARA ABIDIN</td>
<td>'3503051807180001</td>
<td>RT 5 RW 1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-07-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002905097736</td>
<td>131506010123Y000231</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2076</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001119</td>
<td>SRI HARTATIK</td>
<td>'3503055811780001</td>
<td>PRAMBON RT 4/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-11-1978</td>
<td>44</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664934512</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2077</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013640</td>
<td>LUDFI HAIKAL PRATAMA</td>
<td>'</td>
<td>PRAMBON RT 4/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-05-2004</td>
<td>18</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664934973</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2078</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001118</td>
<td>BUDIYONO</td>
<td>'</td>
<td>PRAMBON RT 4/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-06-1977</td>
<td>45</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664933735</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2079</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003591</td>
<td>DARMANTO</td>
<td>'</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-07-1985</td>
<td>37</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978486299</td>
<td>131506010123Y000209</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2080</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019637</td>
<td>PAIDJAH PAID</td>
<td>'3503055707540002</td>
<td>DUSUN PAKEL, RT : 27,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-07-1954</td>
<td>68</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003075864636</td>
<td>131506010123Y000211</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2081</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004488</td>
<td>SUDARMI</td>
<td>'</td>
<td>BANARAN RT 6/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-11-1964</td>
<td>58</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037004502</td>
<td>131506010123Y000212</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>
<tr align="left" valign="top">
<td>2082</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004505</td>
<td>NOVITA NORLITASARI</td>
<td>'</td>
<td>BANARAN RT 6/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1996</td>
<td>26</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037004535</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2083</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010877</td>
<td>DAROJI</td>
<td>'</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-03-1982</td>
<td>40</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664488382</td>
<td>131506010123Y000225</td>
<td align='center'>
K02.0 </td>
<td align='center'>
<font color='black'>Caries limited to enamel</font> </td>
</tr>

<tr align="left" valign="top">


<td>2084</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024070</td>
<td>RIZQIYA ZIYADATUN NUR KHAMIDAH</td>
<td>'</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-02-2018</td>
<td>4</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002430702562</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2085</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007420</td>
<td>ENDRI SETIYORINI</td>
<td>'</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-1998</td>
<td>24</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666699557</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2086</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024072</td>
<td>TUNIK</td>
<td>'</td>
<td>PRAMBON RT 40/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-01-1963</td>
<td>60</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2087</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004535</td>
<td>RAHIA ESTRI PAMBEKTI</td>
<td>'</td>
<td>PRAMBON RT 8/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-05-2013</td>
<td>9</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002455005532</td>
<td>131506010123Y000237</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>2088</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014011</td>
<td>RONI SAIFUL IMAM</td>
<td>'</td>
<td>PRAMBON RT 15</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-01-2010</td>
<td>13</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002190270069</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2089</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000905</td>
<td>YULI CAHYANTI</td>
<td>'</td>
<td>PRAMBON RT 15</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-07-2000</td>
<td>22</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002190270058</td>
<td>131506010123Y000253</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2090</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003391</td>
<td>ASTUTIK</td>
<td>'</td>
<td>PRAMBON RT 9/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-04-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666557324</td>
<td>131506010123Y000243</td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2091</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024074</td>
<td>KALISTA ANINDIYA</td>
<td>'</td>
<td>PRAMBON RT 29/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-08-2001</td>
<td>21</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002638421886</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2092</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024075</td>
<td>HAIKAL</td>
<td>'</td>
<td>PRAMBON RT 25/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-01-2016</td>
<td>7</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2093</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004085</td>
<td>ELLY EKA ANDRIYANI</td>
<td>'</td>
<td>PRAMBON RT 21/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-03-1997</td>
<td>25</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002729557449</td>
<td>131506010123Y000252</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>2094</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022977</td>
<td>ISMINI</td>
<td>'</td>
<td>PRAMBON RT 39/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1961</td>
<td>61</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003080444782</td>
<td>131506010123Y000246</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2095</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024082</td>
<td>NURSAID</td>
<td>'3522080802830001</td>
<td>DUSUN PAKEL, RT : 27,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-02-1983</td>
<td>39</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002857438776</td>
<td>131506010123Y000250</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>2096</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024083</td>
<td>MUKRI</td>
<td>'3503052503650001</td>
<td>TENGGAR, RT : 7,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-03-1965</td>
<td>57</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2097</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021261</td>
<td>DASRI</td>
<td>'</td>
<td>PRAMBON RTV 49/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-10-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665901573</td>
<td>131506010123Y000288</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2098</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024090</td>
<td>TUKIMIN</td>
<td>'</td>
<td>PRAMBO RT 49/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-06-1957</td>
<td>65</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665901382</td>
<td>131506010123Y000289</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>
<tr align="left" valign="top">
<td>2099</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024092</td>
<td>IMAM KUZAINI</td>
<td>'</td>
<td>PRAMBON RT 38/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-1985</td>
<td>37</td>
<td>L</td>
<td>WI</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003080448731</td>
<td>131506010123Y000326</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2100</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008009</td>
<td>LINDRA WANTI</td>
<td>'3504125111890001</td>
<td>RT 44 RW 9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-11-1989</td>
<td>33</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667312907</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>2101</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023621</td>
<td>SISWANTO</td>
<td>'</td>
<td>RT 24 RW 4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-09-1981</td>
<td>41</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666766168</td>
<td>131506010123Y000311</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2102</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002029</td>
<td>TUKIJAH</td>
<td>'3503050811500001</td>
<td>DUSUN PAKEL, RT : 41,RW :8 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-11-1950</td>
<td>72</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002159512029</td>
<td>131506010123Y000308</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2103</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024096</td>
<td>M IRSYD</td>
<td>'</td>
<td>PRAMBON RT 15/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-01-2012</td>
<td>11</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2104</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024099</td>
<td>RUSMIATI</td>
<td>'</td>
<td>PRAMBON RT 24/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-04-1986</td>
<td>36</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666766192</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2105</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024100</td>
<td>DIANA PATMA WATI</td>
<td>'</td>
<td>PRAMBON RT 24/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-03-2004</td>
<td>18</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666766629</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2106</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001797</td>
<td>SENEN</td>
<td>'3503050204590001</td>
<td>PRAMBON RT 39</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-04-1959</td>
<td>63</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802748408</td>
<td>131506010123Y000324</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2107</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003611</td>
<td>OKTA YULI PRASTIKA</td>
<td>'3503055410980002</td>
<td>PRAMBON RT 37/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-2000</td>
<td>22</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666554365</td>
<td>131506010123Y000320</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2108</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003610</td>
<td>YATIRAH</td>
<td>'</td>
<td>PRAMBON RT 37/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1968</td>
<td>54</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666553397</td>
<td>131506010123Y000322</td>
<td align='center'>
N39.0 </td>
<td align='center'>
<font color='red'>Urinary tract infection, site not specified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2109</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002736</td>
<td>MARYANI</td>
<td>'</td>
<td>PRAMBON RT 31/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-09-1982</td>
<td>40</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002681899031</td>
<td>131506010123Y000318</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2110</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002734</td>
<td>ENDAH SULISTIANI</td>
<td>'</td>
<td>PRAMBON RT 31/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-11-1998</td>
<td>24</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802761302</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2111</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020459</td>
<td>TONI PRASETYO</td>
<td>'</td>
<td>PRAMBON RT 37/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-01-1994</td>
<td>29</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666554297</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2112</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001478</td>
<td>EZA ATHARRAYHAN KASYAFANI</td>
<td>'</td>
<td>BANARAN RT 11/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-10-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002501110157</td>
<td>131506010123Y000325</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2113</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001762</td>
<td>KINI</td>
<td>'</td>
<td>PRAMBON RT 39/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-01-1940</td>
<td>83</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002681899288</td>
<td>131506010123Y000331</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2114</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024135</td>
<td>RIZKY</td>
<td>'</td>
<td>BANARAN RT 10/2</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-01-2028</td>
<td>-5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</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>2115</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002371</td>
<td>SINTARSIH</td>
<td>'3503054904750001</td>
<td>PRAMBON RTV14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-04-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802752008</td>
<td>131506010123Y000409</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>
</tr>

<tr align="left" valign="top">


<td>2116</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024136</td>
<td>KATEMI</td>
<td>'</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-01-1953</td>
<td>70</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2117</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004245</td>
<td>SUKARYATI</td>
<td>'</td>
<td>PRAMBON RT 22/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-05-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802762832</td>
<td>131506010123Y000414</td>
<td align='center'>
K02.0 </td>
<td align='center'>
<font color='black'>Caries limited to enamel</font> </td>

</tr>

<tr align="left" valign="top">


<td>2118</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001077</td>
<td>SUNTINI</td>
<td>'</td>
<td>PRAMBON RT 1/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1952</td>
<td>70</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666217877</td>
<td>131506010123Y000420</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2119</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007465</td>
<td>TUKINAH</td>
<td>'</td>
<td>PRAMBON RT 4/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-08-1942</td>
<td>80</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666011013</td>
<td>131506010123Y000419</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>2120</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010360</td>
<td>JEMARIN</td>
<td>'</td>
<td>PRAMBON RT 52</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-01-1945</td>
<td>78</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666070119</td>
<td>131506010123Y000415</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2121</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000484</td>
<td>PIPIN STIONO</td>
<td>'</td>
<td>RT 03 RW 01</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1982</td>
<td>40</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037006954</td>
<td>131506010123Y000428</td>
<td align='center'>
F20.0 </td>
<td align='center'>
<font color='black'>Paranoid schizophrenia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2122</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009855</td>
<td>PARMI</td>
<td>'3503054512710002</td>
<td>TENGGAR, RT : 8,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-12-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003079970594</td>
<td>131506010123Y000523</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2123</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024145</td>
<td>ADI SUWANTO</td>
<td>'</td>
<td>PRAMBON RT 30/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-10-1967</td>
<td>55</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666581343</td>
<td>131506010123Y000437</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2124</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018362</td>
<td>WATINI</td>
<td>'3503056405810001</td>
<td>PRAMBON, RT : 30,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-05-1981</td>
<td>41</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665864763</td>
<td>131506010123Y000485</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>2125</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024147</td>
<td>SUKAR</td>
<td>'</td>
<td>PRAMBOM 54/11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-01-1963</td>
<td>60</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
E11.0 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with
coma</font> </td>

</tr>

<tr align="left" valign="top">


<td>2126</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007954</td>
<td>SENEN</td>
<td>'3503053012510005</td>
<td>PRAMBON RT 38/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-04-1940</td>
<td>82</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665896094</td>
<td>131506010123Y000488</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2127</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005167</td>
<td>SITI NUR WIDAYATI</td>
<td>'</td>
<td>PRAMBON RT 44/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-04-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002472553157</td>
<td>131506010123Y000490</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>2128</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000806</td>
<td>MESINI</td>
<td>'</td>
<td>BANARAN RT12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-02-1959</td>
<td>63</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666315202</td>
<td>131506010123Y000494</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2129</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000805</td>
<td>SUNYOTO</td>
<td>'</td>
<td>BANARANRT 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-07-1955</td>
<td>67</td>
<td>L</td>
<td>Buruh Tani / Perkebunan</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666313334</td>
<td>131506010123Y000495</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2130</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010482</td>
<td>SUKRO</td>
<td>'</td>
<td>PRAMBON RT7/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-04-1961</td>
<td>61</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666515799</td>
<td>131506010123Y000505</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>
<tr align="left" valign="top">
<td>2131</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010510</td>
<td>MESINI</td>
<td>'3503055103690002</td>
<td>TENGGAR, RT : 7,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-03-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666516284</td>
<td>131506010123Y000496</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2132</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006423</td>
<td>GARINDRA ASGAR ARDIANSYAH</td>
<td>'</td>
<td>RT9TW5</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-2006</td>
<td>16</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666232479</td>
<td>131506010123Y000506</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>2133</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019730</td>
<td>FIORA ARFADHIA WIJAYA</td>
<td>'3503056904130003</td>
<td>KRAJAN, RT : 20,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-04-2013</td>
<td>9</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002746880471</td>
<td>131506010123Y000517</td>
<td align='center'>
H10.8 </td>
<td align='center'>
<font color='red'>Other conjunctivitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2134</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000855</td>
<td>KASIKEM</td>
<td>'</td>
<td>PRAMBON RT 21</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1942</td>
<td>80</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665606068</td>
<td>131506010123Y000518</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2135</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000792</td>
<td>MESINI</td>
<td>'3503054209560002</td>
<td>PRAMBON RT34/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-05-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666066071</td>
<td>131506010123Y000520</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2136</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001034</td>
<td>PATONAH</td>
<td>'</td>
<td>PRAMBON RT 40 /7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-02-1982</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. ADANG KRISTANTO, S. Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666727187</td>
<td>131506010123Y000521</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2137</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024151</td>
<td>FATIMATUL</td>
<td>'</td>
<td>PRAMBON RT 39/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-01-2028</td>
<td>-5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2138</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000779</td>
<td>PUTRI KARISMA</td>
<td>'</td>
<td>PRAMBON RT 54/11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-2004</td>
<td>19</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000666252786</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2139</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014545</td>
<td>ROIS SETYO WAHYUDI</td>
<td>'</td>
<td>RT 30</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-05-2001</td>
<td>21</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002685123369</td>
<td>131506010123Y000507</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>2140</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013470</td>
<td>MOH. NURUL HUDA</td>
<td>'3503051111820001</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-11-1982</td>
<td>40</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001728973956</td>
<td>131506010123Y000516</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2141</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002362</td>
<td>SIFADLI WARDANI</td>
<td>'</td>
<td>PRAMBON RT 28/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-10-2013</td>
<td>9</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001325498916</td>
<td>131506010123Y000526</td>
<td align='center'>
K29.6 </td>
<td align='center'>
<font color='red'>Other gastritis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2142</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004866</td>
<td>LAMENO</td>
<td>'</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-05-1960</td>
<td>62</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666038801</td>
<td>131506010123Y000525</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2143</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024170</td>
<td>MISIRAH</td>
<td>'</td>
<td>PRAMBON RT 44/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-01-1978</td>
<td>45</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2144</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004436</td>
<td>MUJIATI</td>
<td>'</td>
<td>RT 37 RW 06 PRAMBON TUGU</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-11-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002190268877</td>
<td>131506010123Y000528</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2145</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001682</td>
<td>MUSERI</td>
<td>'</td>
<td>PRAMBON 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-11-1947</td>
<td>75</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666286615</td>
<td>131506010123Y000529</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2146</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000863</td>
<td>PAERAH</td>
<td>'</td>
<td>BANARAN RT 11</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-08-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462089</td>
<td>131506010123Y000531</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2147</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005530</td>
<td>SAHRIL</td>
<td>'</td>
<td>BANARAN RT 6/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-06-1961</td>
<td>61</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037004298</td>
<td>131506010123Y000565</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>
</tr>

<tr align="left" valign="top">


<td>2148</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024172</td>
<td>SUMANI</td>
<td>'</td>
<td>PRAMBON RT 4/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-01-1988</td>
<td>35</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
F20.0 </td>
<td align='center'>
<font color='black'>Paranoid schizophrenia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2149</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002088</td>
<td>SARTINI</td>
<td>'3503057112580041</td>
<td>DUSUN KRAJAN, RT : 13,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1958</td>
<td>64</td>
<td>P</td>
<td>Perdagangan</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665933859</td>
<td>131506010123Y000534</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2150</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001844</td>
<td>SULI</td>
<td>'</td>
<td>PRAMBON RT 7/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-05-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002159512323</td>
<td>131506010123Y000564</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2151</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014196</td>
<td>AHMAD RIYANTO</td>
<td>'</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-12-1993</td>
<td>29</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011259194</td>
<td>131506010123Y000562</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2152</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011803</td>
<td>SUKAMTI</td>
<td>'</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1968</td>
<td>54</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011259183</td>
<td>131506010123Y000559</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2153</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014197</td>
<td>KADIRAN</td>
<td>'</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-03-1960</td>
<td>62</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003079971088</td>
<td>131506010123Y000560</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2154</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005175</td>
<td>SUMIATUN</td>
<td>'3503054107470031</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1947</td>
<td>75</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003011259172</td>
<td>131506010123Y000557</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2155</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024179</td>
<td>AFIK</td>
<td>'</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-01-2013</td>
<td>10</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2156</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024180</td>
<td>SABAR</td>
<td>'3503052103500002</td>
<td>DUSUN PAKEL, RT : 36,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-03-1950</td>
<td>72</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2157</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001513</td>
<td>MURTINI</td>
<td>'3503054811680001</td>
<td>PAKEL, RT : 32,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-11-1968</td>
<td>54</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000170070963</td>
<td>131506010123Y000546</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2158</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000147</td>
<td>KATRIYAH</td>
<td>'3503054101760001</td>
<td>RT 20 RW 04</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1976</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802765519</td>
<td>131506010123Y000553</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2159</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004738</td>
<td>MUHAMMAD AFNAN ASNAWI</td>
<td>'</td>
<td>PRAMBON RT 20/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-05-2015</td>
<td>7</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002681898647</td>
<td>131506010123Y000551</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>2160</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024182</td>
<td>NANAIK SETYOWATI</td>
<td>'</td>
<td>PRAMBON RT 31/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-01-1985</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2161</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004964</td>
<td>ISTIKOMAH</td>
<td>'</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-12-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802748959</td>
<td>131506010123Y000556</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2162</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001259</td>
<td>MARINEM</td>
<td>'</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1958</td>
<td>64</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037014143</td>
<td>131506010123Y000555</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2163</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004191</td>
<td>MUJI</td>
<td>'</td>
<td>PRAMBON RT 23/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-10-1950</td>
<td>72</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665792469</td>
<td>131506010123Y000606</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2164</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001030</td>
<td>SAMINI</td>
<td>'</td>
<td>PRAMBON RT 20/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665573613</td>
<td>131506010123Y000607</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>
</tr>

<tr align="left" valign="top">


<td>2165</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004233</td>
<td>KATINEM</td>
<td>'</td>
<td>PRAMBON RT 21/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-10-1945</td>
<td>77</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666587261</td>
<td>131506010123Y000611</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>2166</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011234</td>
<td>YUYUN ERMAWATI</td>
<td>'</td>
<td>RT 21</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-02-1994</td>
<td>28</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664518194</td>
<td>131506010123Y000614</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2167</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001148</td>
<td>SUTRISNI</td>
<td>'</td>
<td>PRAMBON RT 17/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-10-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802765903</td>
<td>131506010123Y000615</td>
<td align='center'>
E11.0 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with
coma</font> </td>

</tr>

<tr align="left" valign="top">


<td>2168</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004308</td>
<td>HAMZAH ABDILLAH</td>
<td>'3503052602190002</td>
<td>RT 02 RW 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-02-2019</td>
<td>3</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0002748801532</td>
<td>131506010123Y000617</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>2169</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003030</td>
<td>PARMI</td>
<td>'3503055201660003</td>
<td>DUSUN MLOKO, RT : RT52,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-01-1966</td>
<td>57</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003142880267</td>
<td>131506010123Y000618</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2170</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014433</td>
<td>SADINEM</td>
<td>'</td>
<td>PRAMBON RT 16</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-12-1947</td>
<td>75</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802753246</td>
<td>131506010123Y000622</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2171</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003770</td>
<td>SUPINI</td>
<td>'</td>
<td>RT 07</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-01-1973</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707122553</td>
<td>131506010123Y000636</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2172</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024207</td>
<td>RIZMA LAILMI AGUSTIN</td>
<td>'</td>
<td>PRAMBON RT 8/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-08-2004</td>
<td>18</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667072855</td>
<td>131506010123Y000639</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2173</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001166</td>
<td>NYAMUTI</td>
<td>'</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1966</td>
<td>56</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665988647</td>
<td>131506010123Y000640</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2174</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003238</td>
<td>RAFI RAMADHANI</td>
<td>'</td>
<td>PRAMBON RT 24</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-09-2010</td>
<td>12</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002013987543</td>
<td>131506010123Y000643</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>2175</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024208</td>
<td>NADIA</td>
<td>'</td>
<td>PRAMBON RT33/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-01-2011</td>
<td>12</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2176</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002367</td>
<td>JUREMI</td>
<td>'</td>
<td>PRAMBON RT 6/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-1962</td>
<td>60</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665348556</td>
<td>131506010123Y000644</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2177</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001613</td>
<td>AMAN</td>
<td>'3503052409510001</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1956</td>
<td>66</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667076062</td>
<td>131506010123Y000646</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2178</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001217</td>
<td>YUSLINTA AMELIA TASYAKURANTI</td>
<td>'</td>
<td>BANARAN RT 7/4</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-03-2003</td>
<td>19</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707122542</td>
<td>131506010123Y000703</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2179</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014122</td>
<td>ANGGY FEBRIANA</td>
<td>'</td>
<td>BANARAN RT7 RW4</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-02-2001</td>
<td>21</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001707122564</td>
<td>131506010123Y000705</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2180</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013210</td>
<td>WIDAYATI</td>
<td>'</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-07-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667070831</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2181</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014467</td>
<td>DIAH SUKMA ANGGRAINI</td>
<td>'</td>
<td>RT 08</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-07-2000</td>
<td>22</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667072743</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>2182</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018328</td>
<td>KATINO</td>
<td>'</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1965</td>
<td>57</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665988625</td>
<td>131506010123Y000711</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2183</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014115</td>
<td>FERIANA PUTRI</td>
<td>'3503056202040001</td>
<td>DUSUN KRAJAN, RT : 24,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-02-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000666245327</td>
<td>131506010123Y000710</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2184</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001179</td>
<td>RIRIN YUNITASARI</td>
<td>'</td>
<td>PRAMBON RT 24/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1999</td>
<td>23</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666244934</td>
<td>131506010123Y000707</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2185</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001966</td>
<td>ROHADI</td>
<td>'</td>
<td>PRAMBON RT 24/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1969</td>
<td>53</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666244192</td>
<td>131506010123Y000708</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2186</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014838</td>
<td>IKA RAHMAWATI</td>
<td>'</td>
<td>BANARAN RT 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-03-1992</td>
<td>30</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666266703</td>
<td>131506010123Y000709</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2187</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021444</td>
<td>SURANI</td>
<td>'3503051807700001</td>
<td>RT 02 RW 01 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-07-1970</td>
<td>52</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665820224</td>
<td>131506010123Y000692</td>
<td align='center'>
J45 </td>
<td align='center'>
<font color='red'>Asthma</font> </td>

</tr>

<tr align="left" valign="top">


<td>2188</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000816</td>
<td>BAGUS BUDI PRAYOGO</td>
<td>'</td>
<td>PRAMBON RT52/11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-05-2003</td>
<td>19</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666086861</td>
<td>131506010123Y000665</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2189</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017712</td>
<td>DESY EKA FERNANDA</td>
<td>'</td>
<td>PRAMBON RT 7/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-12-1998</td>
<td>24</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003142880559</td>
<td>131506010123Y000680</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>2190</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014542</td>
<td>RISKA WULANDARI</td>
<td>'</td>
<td>DUSUN PAKEL</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-10-2000</td>
<td>22</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665979412</td>
<td>131506010123Y000676</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2191</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002784</td>
<td>JAROT SANTOSO</td>
<td>'3503052402710003</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-02-1971</td>
<td>51</td>
<td>L</td>
<td>Perangkat Desa</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0001902404575</td>
<td>131506010123Y000655</td>
<td align='center'>
E11.0 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with
coma</font> </td>

</tr>

<tr align="left" valign="top">


<td>2192</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014543</td>
<td>WAWAN</td>
<td>'</td>
<td>RT 31</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1998</td>
<td>24</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000666749406</td>
<td>131506010123Y000706</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2193</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001714</td>
<td>SUPRIANTO</td>
<td>'3503050709630002</td>
<td>TAWANG, RT : 4,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-07-1963</td>
<td>59</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666297944</td>
<td>131506010123Y000683</td>
<td align='center'>
F20.0 </td>
<td align='center'>
<font color='black'>Paranoid schizophrenia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2194</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013191</td>
<td>MUHKHAMAD HATTA WIDIANTO</td>
<td>'</td>
<td>PRAMBON RT 8/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-07-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002269515745</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2195</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013930</td>
<td>ROLA FIINA TIKA</td>
<td>'</td>
<td>PRAMBON RT 47</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-04-2002</td>
<td>20</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0001902408412</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2196</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024224</td>
<td>CANDRA CAHYANI AGUNG</td>
<td>'</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-03-1994</td>
<td>28</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488606</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2197</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000832</td>
<td>SUTRISNO</td>
<td>'</td>
<td>PRAMBON RT14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-07-1971</td>
<td>51</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802751997</td>
<td>131506010123Y000716</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2198</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001933</td>
<td>YANI</td>
<td>'</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1952</td>
<td>70</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037015537</td>
<td>131506010123Y000721</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>
<tr align="left" valign="top">
<td>2199</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010451</td>
<td>SRI UTAMI</td>
<td>'3503054509850001</td>
<td>DUSUN TENGGAR, RT : 5,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-09-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002842486389</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2200</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000840</td>
<td>WIJIATI</td>
<td>'3503054502780001</td>
<td>PRAMBON RT 5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-1978</td>
<td>44</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666075609</td>
<td>131506010123Y000719</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>
</tr>

<tr align="left" valign="top">


<td>2201</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000740</td>
<td>SAIMAH</td>
<td>'</td>
<td>PRAMBON RT 14/03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-03-1952</td>
<td>70</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037015548</td>
<td>131506010123Y000720</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2202</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001475</td>
<td>YAHMI</td>
<td>'</td>
<td>PRAMBON RT 4/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1976</td>
<td>46</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664501498</td>
<td>131506010123Y000207</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>2203</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015641</td>
<td>MUHAMMAD MIFTAHUL HAQ</td>
<td>'</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-09-2010</td>
<td>12</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970311332</td>
<td>131506010123Y000724</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2204</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006487</td>
<td>SULIYAH</td>
<td>' </td>
<td>PRAMBON, RT : 29,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-05-1981</td>
<td>41</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666174328</td>
<td>131506010123Y000725</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2205</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021699</td>
<td>INDARWATI</td>
<td>'</td>
<td>RT 36 RW 6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-02-1984</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002190268473</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2206</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003404</td>
<td>RIFAN MUHAMMAD ALFRIANSAH</td>
<td>'</td>
<td>PRAMBON RT 36/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-05-2009</td>
<td>13</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002190268484</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2207</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009074</td>
<td>MARMI</td>
<td>' </td>
<td>KRAJAN, RT : 22,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-12-1960</td>
<td>62</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666060963</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>2208</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002679</td>
<td>EKAN ABDUL RAHMAN</td>
<td>'3503050403700001</td>
<td>PRAMBON, RT : 30,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-03-1970</td>
<td>52</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067664073</td>
<td>131506010123Y000730</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2209</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024236</td>
<td>IIKA</td>
<td>'</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-01-1997</td>
<td>26</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2210</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024237</td>
<td>MEISA</td>
<td>'</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-01-2028</td>
<td>-5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2211</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001472</td>
<td>MUYADI</td>
<td>'</td>
<td>BANARAN RT 06/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1956</td>
<td>66</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665475063</td>
<td>131506010123Y000755</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2212</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002074</td>
<td>JURIYAH</td>
<td>'35030554610650003</td>
<td>PRAMBON RT 16/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-10-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037014413</td>
<td>131506010123Y000751</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2213</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011079</td>
<td>BASIRAN</td>
<td>'</td>
<td>PRAMBIN RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1965</td>
<td>57</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666579295</td>
<td>131506010123Y000766</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2214</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024262</td>
<td>DANANG</td>
<td>'</td>
<td>BANARAN RT 7/4</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-01-1998</td>
<td>25</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</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>2215</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002216</td>
<td>NURYADI</td>
<td>'</td>
<td>BANARAN RT 7/4</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-10-1967</td>
<td>55</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978462067</td>
<td>131506010123Y000765</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>2216</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001231</td>
<td>AMIRAH</td>
<td>'</td>
<td>PRAMBON RT 36/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-12-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665908841</td>
<td>131506010123Y000824</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2217</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000705</td>
<td>SURATI</td>
<td>'</td>
<td>PRAMBON 21</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-06-1975</td>
<td>47</td>
<td>P</td>
<td>TANI</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002603069831</td>
<td>131506010123Y000825</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2218</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024268</td>
<td>KATIYEM</td>
<td>'</td>
<td>PRAMBON RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-02-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489732</td>
<td>131506010123Y000826</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2219</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024269</td>
<td>PAERAH</td>
<td>'</td>
<td>PRAMBON RT 38</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1950</td>
<td>72</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002593709897</td>
<td>131506010123Y000827</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2220</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011086</td>
<td>TATIK</td>
<td>'</td>
<td>PRAMBON RT 56/12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-05-1976</td>
<td>46</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665553341</td>
<td>131506010123Y000828</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2221</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024270</td>
<td>VELYA RISMA ANINDIA</td>
<td>'</td>
<td>PRAMBON RT 56</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-07-2013</td>
<td>9</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002608287614</td>
<td>131506010123Y000829</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2222</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003166</td>
<td>TUKIRAH</td>
<td>'</td>
<td>PRAMBON RT 18</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1964</td>
<td>58</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666219093</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2223</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017163</td>
<td>SUWITO</td>
<td>'3503052802570001</td>
<td>PRAMBON RT 13/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-02-1957</td>
<td>65</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802751907</td>
<td>131506010123Y000830</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2224</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001719</td>
<td>PARYATI</td>
<td>'</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666192216</td>
<td>131506010123Y000831</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2225</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020632</td>
<td>PAIMUN</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-12-1963</td>
<td>59</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666191856</td>
<td>131506010123Y000837</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2226</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004405</td>
<td>RINA VERAWATI</td>
<td>'3503055212860003</td>
<td>RT 7 RW 4</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-12-1986</td>
<td>36</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037008078</td>
<td>131506010123Y000769</td>
<td align='center'>
F20.0 </td>
<td align='center'>
<font color='black'>Paranoid schizophrenia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2227</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006474</td>
<td>WARINEM</td>
<td>'</td>
<td>PRAMBON RT 49/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-08-1959</td>
<td>63</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666278346</td>
<td>131506010123Y000840</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2228</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003653</td>
<td>NAVIDA AMALIYAH</td>
<td>'3503055205010006</td>
<td>SOOKO, RT : 157,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-05-2001</td>
<td>21</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978486828</td>
<td>131506010123Y000839</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2229</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024274</td>
<td>DAMI</td>
<td>'</td>
<td>PRAMBON RT 17/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1957</td>
<td>65</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664955796</td>
<td>131506010123Y000834</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2230</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010028</td>
<td>SUCI MINARSIH</td>
<td>'</td>
<td>BANARAN RT 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-12-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665487843</td>
<td>131506010123Y000835</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2231</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004412</td>
<td>SUNARMI</td>
<td>'3503054205760004</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-04-1976</td>
<td>46</td>
<td>P</td>
<td>Industri</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666286277</td>
<td>131506010123Y000838</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2232</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001250</td>
<td>RINAWATI</td>
<td>'</td>
<td>BANARAN RT 8/4</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-06-1993</td>
<td>29</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666273598</td>
<td>131506010123Y000784</td>
<td align='center'>
F20.0 </td>
<td align='center'>
<font color='black'>Paranoid schizophrenia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2233</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001839</td>
<td>BOIKEM</td>
<td>'</td>
<td>BANARAN RT 8/4</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-01-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666273352</td>
<td>131506010123Y000783</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2234</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023522</td>
<td>SULISTYANI</td>
<td>'3503055311880002</td>
<td>PAKEL, RT : 32,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-11-1988</td>
<td>34</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001373606381</td>
<td>131506010123Y000925</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>2235</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014007</td>
<td>SIMPEN RAHAYU</td>
<td>'</td>
<td>BANARAN RT6 RW3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-01-1973</td>
<td>50</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707122992</td>
<td>131506010123Y000929</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2236</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014039</td>
<td>GURIT PRIYANTO</td>
<td>'3503051304720001</td>
<td>PRAMBON RT 5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-04-1972</td>
<td>50</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002470186146</td>
<td>131506010123Y000928</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2237</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015744</td>
<td>SITI TRISNAWATI</td>
<td>'</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-04-1994</td>
<td>28</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802761087</td>
<td>131506010123Y000930</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2238</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024328</td>
<td>SLAMET</td>
<td>'</td>
<td>PRAMBON RT 7 /2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-06-1968</td>
<td>54</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666703427</td>
<td>131506010123Y000932</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2239</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024329</td>
<td>BINTI LESTARI</td>
<td>'</td>
<td>PRAMBON RT 41</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-04-1998</td>
<td>24</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802768682</td>
<td>131506010123Y000927</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2240</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024330</td>
<td>MARIYEM</td>
<td>'</td>
<td>PRAMBON RT 20/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-11-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802754517</td>
<td>131506010123Y000931</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2241</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006451</td>
<td>SUPINI</td>
<td>'</td>
<td>PRAMBON RT 49/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-12-1968</td>
<td>54</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666265252</td>
<td>131506010123Y000935</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2242</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005652</td>
<td>SEMI</td>
<td>'</td>
<td>BANARAN RT 5/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-07-1964</td>
<td>58</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802749578</td>
<td>131506010123Y000926</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2243</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004461</td>
<td>MINI</td>
<td>'</td>
<td>PRAMBON RT 20/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1958</td>
<td>64</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665921632</td>
<td>131506010123Y000842</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2244</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024339</td>
<td>M AFIK</td>
<td>'</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-01-2014</td>
<td>9</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2245</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004658</td>
<td>YUDA TRI PURWANTO</td>
<td>'3503050703950004</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-03-1995</td>
<td>27</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666710627</td>
<td>131506010123Y000891</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2246</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003833</td>
<td>WARSINI</td>
<td>'</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002900388317</td>
<td>131506010123Y000883</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2247</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012494</td>
<td>MUKIT</td>
<td>'3503051611800001</td>
<td>PRAMBON RTT 16/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-11-1980</td>
<td>42</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003111312262</td>
<td>131506010123Y000895</td>
<td align='center'>
F20.0 </td>
<td align='center'>
<font color='black'>Paranoid schizophrenia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2248</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001408</td>
<td>MARNI</td>
<td>'</td>
<td>PRAMBON RT29/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-11-1957</td>
<td>65</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665331039</td>
<td>131506010123Y000896</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2249</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001618</td>
<td>SURYONO</td>
<td>'3503051003790003</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-03-1979</td>
<td>43</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802770537</td>
<td>131506010123Y000881</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2250</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001619</td>
<td>ALLEZA MILLEKA NUR JULIA</td>
<td>'3503054407170001</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-07-2017</td>
<td>5</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003088304493</td>
<td>131506010123Y000880</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>2251</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000904</td>
<td>NUR`AINI</td>
<td>'</td>
<td>PRAMBON RT 15</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-02-1989</td>
<td>33</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002158256553</td>
<td>131506010123Y000899</td>
<td align='center'>
K02.0 </td>
<td align='center'>
<font color='black'>Caries limited to enamel</font> </td>

</tr>

<tr align="left" valign="top">


<td>2252</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003777</td>
<td>DINA RUKMAWATI</td>
<td>'</td>
<td>RT 23</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-08-1996</td>
<td>26</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802762101</td>
<td>131506010123Y000900</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2253</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016344</td>
<td>AUREL YUNISYA</td>
<td>'</td>
<td>BANARAN RT 07</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-06-2014</td>
<td>8</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002600273902</td>
<td>131506010123Y000872</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>
</tr>

<tr align="left" valign="top">


<td>2254</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006957</td>
<td>DAMILAH</td>
<td>'</td>
<td>PRAMBON RT 39/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-12-1961</td>
<td>61</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068424448</td>
<td>131506010123Y000869</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2255</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001527</td>
<td>AKMAL DWI NOVIANTO</td>
<td>'3503052411170001</td>
<td>KRAJAN, RT : 20,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-11-2017</td>
<td>5</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002313258445</td>
<td>131506010123Y000877</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2256</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002085</td>
<td>WASRI</td>
<td>'</td>
<td>RT 40 RW 07</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664521041</td>
<td>131506010123Y000878</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2257</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024352</td>
<td>NANIK SETYOWATI</td>
<td>'</td>
<td>PRAMBON RT 27/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-10-1984</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002842486334</td>
<td>131506010123Y000904</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2258</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024353</td>
<td>IXCELE</td>
<td>'</td>
<td>PRAMBON RT 9/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-01-2013</td>
<td>10</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2259</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024355</td>
<td>AZRIL</td>
<td>'</td>
<td>PRAMBON RT 41/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-01-2017</td>
<td>6</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2260</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002867</td>
<td>ROHMAT RIZRI RISALDI</td>
<td>'</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1996</td>
<td>26</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665821359</td>
<td>131506010123Y000952</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>2261</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007696</td>
<td>KUSMAN</td>
<td>'3503051206550001</td>
<td>TENGGAR, RT : 2,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-06-1955</td>
<td>67</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802754449</td>
<td>131506010123Y000949</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2262</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024372</td>
<td>FAREL</td>
<td>'</td>
<td>PRAMBON RT 30/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-01-2016</td>
<td>7</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2263</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001396</td>
<td>KATUNI</td>
<td>'</td>
<td>PRAMBON RT 38</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1970</td>
<td>52</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665793448</td>
<td>131506010123Y000951</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>2264</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024373</td>
<td>WANTI ASTUTI</td>
<td>'</td>
<td>PRAMNON RT 27/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-01-1984</td>
<td>39</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2265</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005287</td>
<td>KATEMI</td>
<td>'</td>
<td>PRAMBON RT 28/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-1945</td>
<td>78</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681644746</td>
<td>131506010123Y000964</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2266</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024378</td>
<td>CICIN</td>
<td>'</td>
<td>PRAMBON 18/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-01-2014</td>
<td>9</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2267</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001055</td>
<td>SAMINI</td>
<td>'</td>
<td>RT 14 RW 03</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-12-1970</td>
<td>52</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001975744091</td>
<td>131506010123Y000968</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2268</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024380</td>
<td>KALISTA</td>
<td>'</td>
<td>PRAMBON RT 25/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-01-2010</td>
<td>13</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2269</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022507</td>
<td>TUMI</td>
<td>'3503055512550001</td>
<td>DUSUN KRAJAN, RT : 15,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-12-1955</td>
<td>67</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802752728</td>
<td>131506010123Y000969</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2270</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001506</td>
<td>PADI</td>
<td>'</td>
<td>PRAMBON RT 15/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1942</td>
<td>80</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666290441</td>
<td>131506010123Y000970</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2271</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008163</td>
<td>MUYATIN</td>
<td>'3503055104710002</td>
<td>PAKEL, RT : 32,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-04-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666051063</td>
<td>131506010123Y000971</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>2272</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000417</td>
<td>MUNDARI</td>
<td>'</td>
<td>RT 12 RW 06</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-01-1954</td>
<td>69</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002456884541</td>
<td>131506010123Y000974</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>2273</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001133</td>
<td>MARIYEM</td>
<td>'</td>
<td>BANARAN RT2/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-05-1958</td>
<td>64</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002456884912</td>
<td>131506010123Y000973</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2274</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005998</td>
<td>DEWI EKA RAHAYU</td>
<td>'</td>
<td>PRAMBON RT 38/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-04-1997</td>
<td>25</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488584</td>
<td>131506010123Y000975</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2275</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024383</td>
<td>TURIYAH</td>
<td>'</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-08-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488505</td>
<td>131506010123Y000961</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>2276</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022187</td>
<td>ELMANESYA YULINDA DWI NUR A.</td>
<td>'</td>
<td>PRAMBON RT 40/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-02-2007</td>
<td>15</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011259587</td>
<td>131506010123Y000977</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>2277</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002613</td>
<td>BILQIST ASYIFA AL INSANI</td>
<td>'</td>
<td>PRAMBON RT 17 /3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-03-2012</td>
<td>10</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802759704</td>
<td>131506010123Y000978</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>2278</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012647</td>
<td>FITRI LESTARI</td>
<td>'3503056709990003</td>
<td>PRAMBON, RT : 31,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-09-1998</td>
<td>24</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000664485298</td>
<td>131506010123Y000980</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>2279</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000868</td>
<td>TRINAWATI</td>
<td>'</td>
<td>BANARAN RT 12</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-05-1981</td>
<td>41</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665509972</td>
<td>131506010123Y000982</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2280</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002031</td>
<td>SUPIN</td>
<td>' </td>
<td>PAKEL, RT : 40,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-10-1975</td>
<td>47</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665869151</td>
<td>131506010123Y000985</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>2281</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024399</td>
<td>PARNO</td>
<td>'</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-03-1963</td>
<td>59</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488527</td>
<td>131506010123Y000986</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>
<tr align="left" valign="top">
<td>2282</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024400</td>
<td>DJAINAH</td>
<td>'</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-01-1975</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488551</td>
<td>131506010123Y000989</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2283</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007250</td>
<td>SUMINAH</td>
<td>'3503054304480001</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-04-1948</td>
<td>74</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802750131</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2284</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001004</td>
<td>MUYAJI</td>
<td>'</td>
<td>RT 46 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-05-1972</td>
<td>50</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978896892</td>
<td>131506010123Y001104</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>2285</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004882</td>
<td>ELVI HIDAYATUL KHASANAH</td>
<td>'3503057001080002</td>
<td>MLOKO, RT : 59,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-01-2008</td>
<td>14</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665825095</td>
<td>131506010123Y001025</td>
<td align='center'>
A09.0 </td>
<td align='center'>
<font color='red'>Other and unspecified gastroenteritis and colitis of
infectious origin</font> </td>

</tr>

<tr align="left" valign="top">


<td>2286</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024406</td>
<td>SUDOKO</td>
<td>'3503050911850003</td>
<td>MLOKO, RT : 59,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-11-1985</td>
<td>37</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665824779</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2287</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007246</td>
<td>LASEMI</td>
<td>'3503054303610002</td>
<td>DESA BANARAN, RT : 7,RW :4 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-03-1961</td>
<td>61</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665284329</td>
<td>131506010123Y001058</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2288</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013411</td>
<td>SAMIYEM</td>
<td>'3503054703480001</td>
<td>TENGGAR, RT : 2,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-03-1948</td>
<td>74</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PEKERJA MANDIRI</td>
<td>'0002875865703</td>
<td></td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2289</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009479</td>
<td>AKLAM WAHYUDI</td>
<td>'</td>
<td>PRAMBON RT36</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-07-1971</td>
<td>51</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802763236</td>
<td>131506010123Y001068</td>
<td align='center'>
R53 </td>
<td align='center'>
<font color='black'>Malaise and fatigue</font> </td>

</tr>

<tr align="left" valign="top">


<td>2290</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002720</td>
<td>KARYATIN</td>
<td>'</td>
<td>PRAMBON RT 44/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-10-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978490193</td>
<td>131506010123Y001056</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2291</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007756</td>
<td>JAINATUN</td>
<td>'3503054801630001</td>
<td>RT 14 RW 3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-01-1963</td>
<td>60</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665311342</td>
<td>131506010123Y001054</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2292</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005236</td>
<td>GUNAWAN</td>
<td>'3503050905970001</td>
<td>SOOKO, RT : 42,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-05-1997</td>
<td>25</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707022629</td>
<td>131506010123Y001053</td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2293</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024417</td>
<td>BUSROL KAKIM</td>
<td>'</td>
<td>PRAMBON RT 37 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-04-1985</td>
<td>37</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002014083371</td>
<td>131506010123Y001052</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2294</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024418</td>
<td>SUMINI</td>
<td>'</td>
<td>PRAMBON 23/04</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-03-1977</td>
<td>45</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0000665981662</td>
<td></td>
<td align='center'>
K06.0 </td>
<td align='center'>
<font color='black'>Gingival recession</font> </td>

</tr>

<tr align="left" valign="top">


<td>2295</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000038</td>
<td>PAIMIN</td>
<td>'</td>
<td>RT 37 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1935</td>
<td>87</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666950872</td>
<td>131506010123Y001067</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2296</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006599</td>
<td>ALFI WAHYU PRATAMA</td>
<td>'</td>
<td>PRAMBON RT 25/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-07-1999</td>
<td>23</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707022462</td>
<td>131506010123Y001066</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2297</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005779</td>
<td>MESIYEM</td>
<td>'</td>
<td>PRAMBON RT 24/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-08-1960</td>
<td>62</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666685157</td>
<td>131506010123Y001065</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2298</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003900</td>
<td>MARDI</td>
<td>'</td>
<td>PRAMBON RT 5/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1945</td>
<td>77</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037015559</td>
<td>131506010123Y001064</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>2299</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008672</td>
<td>SUMIYATI</td>
<td>'3503055302610001</td>
<td>DUSUN KRAJAN, RT : 19,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-02-1961</td>
<td>61</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000077108084</td>
<td>131506010123Y001063</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2300</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024419</td>
<td>CINDI REGITA APRELIYANTI</td>
<td>' </td>
<td>KRAJAN, RT : 20,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-04-2003</td>
<td>19</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665345002</td>
<td>131506010123Y001062</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>2301</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004475</td>
<td>SITI MUDRIKAH</td>
<td>'</td>
<td>PRAMBON RT 3/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-03-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666071919</td>
<td>131506010123Y001061</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2302</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004014</td>
<td>TUMINEN</td>
<td>'3503057110500001</td>
<td>PAKEL, RT : 38,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-10-1960</td>
<td>62</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003068421693</td>
<td>131506010123Y001060</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2303</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019007</td>
<td>SATRIA AGENG PRIHAMBODO</td>
<td>'</td>
<td>PRAMBON RT 33/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-11-2010</td>
<td>12</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003049268152</td>
<td>131506010123Y001059</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>2304</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024424</td>
<td>MURTINI</td>
<td>'3503055312680001</td>
<td>SOOKO, RT : 157,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
N39.0 </td>
<td align='center'>
<font color='red'>Urinary tract infection, site not specified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2305</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024425</td>
<td>SITI RODIYAH</td>
<td>'3503054206710001</td>
<td>KRAJAN, RT : 22,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-06-1971</td>
<td>51</td>
<td>P</td>
<td>Perdagangan</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2306</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024081</td>
<td>MUHAMMAD YANU ARDI</td>
<td>'3503051101100001</td>
<td>MLOKO, RT :54 RW 11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-01-2010</td>
<td>13</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002013970127</td>
<td>131506010123Y001050</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2307</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024426</td>
<td>SUMIRAN</td>
<td>'3503050807650003</td>
<td>MLOKO, RT : 164,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-07-1965</td>
<td>57</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666722215</td>
<td>131506010123Y001049</td>
<td align='center'>
B86 </td>
<td align='center'>
<font color='red'>Scabies</font> </td>

</tr>

<tr align="left" valign="top">


<td>2308</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011932</td>
<td>AMELYA DESY FERNANDA</td>
<td>'</td>
<td>PRAMBON RT 40/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-12-2007</td>
<td>15</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664419677</td>
<td>131506010123Y001051</td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2309</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003245</td>
<td>WINARTI</td>
<td>'3503056911840001</td>
<td>KRAJAN, RT : 18,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-11-1984</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001428661495</td>
<td>131506010123Y001057</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>2310</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002811</td>
<td>JUPRIYANTO</td>
<td>'</td>
<td>BANARAN RT 11/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-1969</td>
<td>53</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666300363</td>
<td>131506010123Y001055</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2311</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005289</td>
<td>SUPRIHATI</td>
<td>'</td>
<td>PRAMBON RT 33/6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-09-1978</td>
<td>44</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003049268095</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2312</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019686</td>
<td>ITA SETYO RINI</td>
<td>'</td>
<td>PRAMBON RT 20/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-07-1984</td>
<td>38</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665344967</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2313</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008671</td>
<td>WAKIDI</td>
<td>'</td>
<td>RT - RW - </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-09-1951</td>
<td>71</td>
<td>L</td>
<td>Pensiunan</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000077108073</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>2314</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012321</td>
<td>NIZAM ALBY ALFARISKI</td>
<td>'</td>
<td>RT 51 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-10-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003105427138</td>
<td>131506010123Y001078</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>2315</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006050</td>
<td>LINA ASTUTI</td>
<td>'3503056103980003</td>
<td>RT 50 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-03-1998</td>
<td>24</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002014055739</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2316</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010534</td>
<td>SLAMET</td>
<td>'</td>
<td>PRAMBON RT 1/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-06-1965</td>
<td>57</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665954829</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2317</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009153</td>
<td>DHEFIN ARION FIRMANSYAH</td>
<td>'</td>
<td>PRAMBON RT 1/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-02-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002225552141</td>
<td>131506010123Y001094</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>2318</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013442</td>
<td>YATENI</td>
<td>'</td>
<td>PRAMBON RT 20/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1970</td>
<td>52</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666250672</td>
<td>131506010123Y001095</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2319</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005238</td>
<td>PAIJAH</td>
<td>'</td>
<td>BANARAN RT 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-11-1955</td>
<td>67</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037004849</td>
<td>131506010123Y001096</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2320</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005239</td>
<td>KASDI</td>
<td>'3503052003470001</td>
<td>BANARAN RT 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-03-1947</td>
<td>75</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037004838</td>
<td>131506010123Y001097</td>
<td align='center'>
H10.9 </td>
<td align='center'>
<font color='red'>Conjunctivitis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2321</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007471</td>
<td>SAIRAH</td>
<td>'3503054710580002</td>
<td>DUSUN PAKEL, RT : 27,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-10-1958</td>
<td>64</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037015831</td>
<td>131506010123Y001098</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2322</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005438</td>
<td>MUKINI</td>
<td>'</td>
<td>PRAMBON RT 27/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-02-1952</td>
<td>70</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037015829</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2323</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024440</td>
<td>AGUS SUPRIYANTO</td>
<td>'</td>
<td>PRAMBON RT 27/5</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-12-1996</td>
<td>26</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037015853</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2324</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005032</td>
<td>YOYOK PRATIWI</td>
<td>'3503050107880002</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1988</td>
<td>34</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001739100565</td>
<td>131506010123Y001099</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2325</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011818</td>
<td>WIJI</td>
<td>'</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-07-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003111310416</td>
<td>131506010123Y001100</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2326</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005398</td>
<td>YULI ASTUTI</td>
<td>'</td>
<td>PRAMBON RT 18/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-01-1970</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665824792</td>
<td>131506010123Y001102</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2327</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013654</td>
<td>NUR KHOLIL ROHMATULLAH</td>
<td>'</td>
<td>PRAMBON RT 18</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-07-2000</td>
<td>22</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665825815</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2328</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012045</td>
<td>MUNANDIR</td>
<td>'</td>
<td>PRAMBON RT 15</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-07-1967</td>
<td>55</td>
<td>L</td>
<td>Pegawai Negeri Sipil</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106777405</td>
<td>131506010123Y001103</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>2329</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001609</td>
<td>MUNAN</td>
<td>'3503050705540002</td>
<td>DUSUN KRAJAN, RT : 16,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-05-1954</td>
<td>68</td>
<td>L</td>
<td>Pensiunan</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106802594</td>
<td>131506010123Y001111</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2330</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001225</td>
<td>JAMI</td>
<td>'</td>
<td>PRAMBON RT14/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1956</td>
<td>66</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037014885</td>
<td>131506010123Y001112</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>2331</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023733</td>
<td>WARIYEM</td>
<td>'</td>
<td>PRAMBON T 40/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-04-1959</td>
<td>63</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011258979</td>
<td>131506010123Y001113</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2332</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024445</td>
<td>SUKAR</td>
<td>'</td>
<td>PRAMBON RT 54/11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-01-1963</td>
<td>60</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2333</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011703</td>
<td>DIAS BAYU PRAYOGO</td>
<td>'3503051512950001</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-12-1995</td>
<td>27</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011259216</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2334</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024448</td>
<td>CITRA WIDYA</td>
<td>'</td>
<td>PRAMBON RT 15/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-01-2018</td>
<td>5</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2335</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011891</td>
<td>ADI PURNOMO</td>
<td>'</td>
<td>PRAMBON RT 54</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-12-1986</td>
<td>36</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666253023</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2336</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005420</td>
<td>HAMDAN SYAFIUL UMAM</td>
<td>'3503052210170001</td>
<td>PRAMBON RT 54/11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-10-2017</td>
<td>5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002302290213</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2337</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007451</td>
<td>RIDWAN RADITIYA CIPTA MAHESA</td>
<td>'</td>
<td>PRAMBON 54/11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-06-2010</td>
<td>12</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666253157</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2338</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024423</td>
<td>HARYANTO</td>
<td>'3503050711580001</td>
<td>TENGGAR, RT : 1,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-11-1958</td>
<td>64</td>
<td>L</td>
<td>Tentara Nasional Indonesia (TNI)</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0002081283693</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2339</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024478</td>
<td>FAREL YANUAR PUTRA NUGROHO</td>
<td>'</td>
<td>PRAMBON RT 52</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-01-2012</td>
<td>11</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001917650362</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2340</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014286</td>
<td>MUJIANTO</td>
<td>'3503051208690003</td>
<td>TAWANG, RT : 3,RW :2 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-08-1969</td>
<td>53</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463349</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2341</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004070</td>
<td>SUGIARTI</td>
<td>'</td>
<td>BANARAN RT 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666266556</td>
<td>131506010123Y001193</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2342</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004993</td>
<td>MUNAWAN</td>
<td>'</td>
<td>BANARAN RT 12/6</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-04-1969</td>
<td>53</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666265331</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2343</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007418</td>
<td>SUPINI</td>
<td>'3503056112640001</td>
<td>DUSUN KRAJAN, RT : 19,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-12-1964</td>
<td>58</td>
<td>P</td>
<td>Pedagang</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0002032293183</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2344</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002698</td>
<td>ANISA RAHAYU</td>
<td>'3503114707990001</td>
<td>RT 34 RW 06</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-07-1999</td>
<td>23</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665965045</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2345</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022702</td>
<td>PUJIRAHAYU</td>
<td>'</td>
<td>PRAMBON RT 24/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-10-1995</td>
<td>27</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003259289834</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2346</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009822</td>
<td>TIARA NURFADILAH</td>
<td>'3503055211000002</td>
<td>DUSUN SOOKO, RT : 50,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-11-2000</td>
<td>22</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978490373</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2347</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023730</td>
<td>BUDI RAHAYU</td>
<td>'</td>
<td>PRAMBON RT 8/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-05-1989</td>
<td>33</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970310353</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>2348</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007929</td>
<td>SUPARNO</td>
<td>'3503050801670001</td>
<td>PAKEL, RT : 32,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-01-1967</td>
<td>56</td>
<td>L</td>
<td>Perdagangan</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001840043496</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2349</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024497</td>
<td>STEFHANIE SYAUQI THAFANA</td>
<td>'</td>
<td>BANARAN RT 09 RW 05</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-10-2017</td>
<td>5</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2350</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001657</td>
<td>KARYATIN</td>
<td>'</td>
<td>PRAMBON RT 15/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1970</td>
<td>52</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802752684</td>
<td>131506010123Y001199</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>2351</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021654</td>
<td>AVRILIA DELTA WILUJENG</td>
<td>'</td>
<td>PRAMBON RT 8/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-04-2007</td>
<td>15</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802763315</td>
<td>131506010123Y001200</td>
<td align='center'>
K02.0 </td>
<td align='center'>
<font color='black'>Caries limited to enamel</font> </td>

</tr>

<tr align="left" valign="top">


<td>2352</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006118</td>
<td>SULISTYOWATI</td>
<td>'</td>
<td>PRAMBON RT 8 2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-10-1986</td>
<td>36</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681897815</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2353</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004751</td>
<td>SITI KAMDIYAH</td>
<td>'</td>
<td>PRAMBON RT 12/3</td>
<td>PRAMBON</td>
<td>PRAMBON</td>
<td>SIDOARJO</td>
<td>12-01-1968</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802765723</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2354</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004339</td>
<td>KAHAR</td>
<td>'</td>
<td>PRAMBON RT 15/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-09-1955</td>
<td>67</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802752673</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2355</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014729</td>
<td>AHMAD SETU</td>
<td>'3503051204610003</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1961</td>
<td>61</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068090166</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2356</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000778</td>
<td>SUYATIN</td>
<td>'3503054812690001</td>
<td>DUSUN KRAJAN I, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-12-1969</td>
<td>53</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068090177</td>
<td>131506010123Y001201</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2357</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024276</td>
<td>KATIYAH</td>
<td>'</td>
<td>RT 015 RW 003</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1960</td>
<td>62</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002735131781</td>
<td>131506010123Y001202</td>
<td align='center'>
A09.0 </td>
<td align='center'>
<font color='red'>Other and unspecified gastroenteritis and colitis of
infectious origin</font> </td>

</tr>

<tr align="left" valign="top">


<td>2358</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003566</td>
<td>MAKIRAH</td>
<td>'</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-03-1961</td>
<td>61</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666286762</td>
<td>131506010123Y001203</td>
<td align='center'>
L20.9 </td>
<td align='center'>
<font color='red'>Atopic dermatitis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2359</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024506</td>
<td>YATI</td>
<td>'</td>
<td>PRAMBON RT 40 RW 07</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1944</td>
<td>79</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
L20.9 </td>
<td align='center'>
<font color='red'>Atopic dermatitis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2360</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002737</td>
<td>INTAN INDAH NUR MEI</td>
<td>'</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-05-2004</td>
<td>18</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802770559</td>
<td>131506010123Y001204</td>
<td align='center'>
N94.6 </td>
<td align='center'>
<font color='black'>Dysmenorrhoea, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2361</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003246</td>
<td>FEBBIAN RAFFA ASSEGAF</td>
<td>'</td>
<td>PRAMBON RT 12/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-2014</td>
<td>8</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707022383</td>
<td>131506010123Y001205</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>2362</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007317</td>
<td>AISYIFA ZAHRA NUR ASTUTI</td>
<td>'3503056411080003</td>
<td>DUSUN PAKEL, RT : 27,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-11-2008</td>
<td>14</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
B86 </td>
<td align='center'>
<font color='red'>Scabies</font> </td>

</tr>

<tr align="left" valign="top">


<td>2363</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013387</td>
<td>NABYLA LINDY MIFTAKHUL ASWARD</td>
<td>'</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-02-2009</td>
<td>13</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666279898</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2364</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005248</td>
<td>SRI HERLINA</td>
<td>'</td>
<td>PRAMBON RT 2/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-08-1979</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666279292</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>2365</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002711</td>
<td>SUKONO</td>
<td>'3503051505510001</td>
<td>RT 18 RW 3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-05-1951</td>
<td>71</td>
<td>L</td>
<td>Pensiunan</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106673477</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2366</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023965</td>
<td>ARIFIN</td>
<td>'</td>
<td>PRAMBON RT 39/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-06-1990</td>
<td>32</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002892235217</td>
<td>131506010123Y001183</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>
</tr>

<tr align="left" valign="top">


<td>2367</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010528</td>
<td>MIATUN</td>
<td>'</td>
<td>PRAMBON RT 39/7</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-03-1951</td>
<td>71</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002892235105</td>
<td>131506010123Y001184</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2368</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000807</td>
<td>MESELAN</td>
<td>'</td>
<td>PRAMBONRT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-08-1958</td>
<td>64</td>
<td>L</td>
<td>PE</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681899367</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2369</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007545</td>
<td>SUMIATUN</td>
<td>'</td>
<td>PRAMBON RT 21/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-09-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002155560333</td>
<td>131506010123Y001186</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2370</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006156</td>
<td>UMI NADIROH</td>
<td>'</td>
<td>PRAMBON RT 1/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-08-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666533193</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2371</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011076</td>
<td>SUKANI</td>
<td>'</td>
<td>PRAMBON RT 1/1</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-07-1969</td>
<td>53</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666533035</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2372</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013219</td>
<td>ARYA HENDRA SAPUTRA</td>
<td>'</td>
<td>PRAMBON RT 21</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-04-1995</td>
<td>27</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002155560355</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2373</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003027</td>
<td>ALWI FERDIANSAH</td>
<td>'</td>
<td>RT 17</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-02-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002921871789</td>
<td>131506010123Y001213</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2374</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024516</td>
<td>HERI WINARKO</td>
<td>'</td>
<td>PRAMBON RT 17/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-10-1983</td>
<td>39</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003088304932</td>
<td>131506010123Y001212</td>
<td align='center'>
L23.0 </td>
<td align='center'>
<font color='black'>Allergic contact dermatitis due to metals</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2375</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001876</td>
<td>LINDA ARISANTI</td>
<td>'3503056208950005</td>
<td>TENGGAR, RT : 3,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-08-1995</td>
<td>27</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802766443</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2376</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000733</td>
<td>TOINAH</td>
<td>'</td>
<td>PRAMBON RT 15</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-01-1942</td>
<td>81</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666229318</td>
<td>131506010123Y001210</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2377</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000964</td>
<td>ATTHAYA KHANZA FARIZA SESI</td>
<td>'</td>
<td>RT 07 RW 02</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-02-2020</td>
<td>2</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002921594927</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2378</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001489</td>
<td>SALSABIL TSAABITAH</td>
<td>'</td>
<td>PRAMBON RT 7/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-07-2008</td>
<td>14</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002776123721</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2379</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000963</td>
<td>SUSIATI</td>
<td>'</td>
<td>RT 07 RW 02</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-10-1985</td>
<td>37</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002776123315</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2380</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002749</td>
<td>NARENDRA ALZAHRAN</td>
<td>'</td>
<td>PRAMBON RT 7/2</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-05-2012</td>
<td>10</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002776123877</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2381</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014517</td>
<td>SAKUR</td>
<td>'</td>
<td>PRAMBON RT 19</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-07-1983</td>
<td>39</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666230422</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2382</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014421</td>
<td>KUNI SIFA`UR ROCHMAH</td>
<td>'</td>
<td>PRAMBON RT 19</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-02-2013</td>
<td>9</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002190268629</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2383</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000006</td>
<td>INEM RACHMAWATI</td>
<td>'</td>
<td>RT 19</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-05-1984</td>
<td>38</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002190268618</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>2384</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001020</td>
<td>MUYATIN</td>
<td>'</td>
<td>PRAMBON RT 17/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-02-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666486191</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2385</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020439</td>
<td>OKTAVIA RAHMADHANI</td>
<td>'</td>
<td>PRAMBON RT 17/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-10-2007</td>
<td>15</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003011261174</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>2386</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010903</td>
<td>LAMINI</td>
<td>'</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666579791</td>
<td>131506010123Y001217</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2387</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002670</td>
<td>SURATIN</td>
<td>'3503057006730002</td>
<td>DUSUN KRAJAN II, RT : 6,RW :3 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-06-1973</td>
<td>49</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978461742</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2388</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003763</td>
<td>ERVINA MAHARANI</td>
<td>'</td>
<td>RT 06</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978461753</td>
<td>131506010123Y001220</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>2389</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024523</td>
<td>ARJUNA</td>
<td>'</td>
<td>PRAMBON RT42/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-01-2028</td>
<td>-5</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU PRAMBON</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J45 </td>
<td align='center'>
<font color='red'>Asthma</font> </td>

</tr>

<tr align="left" valign="top">


<td>2390</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024006</td>
<td>MARTINI</td>
<td>'3503057112350016</td>
<td>RT 5 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1935</td>
<td>87</td>
<td>P</td>
<td>Perdagangan</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037001161</td>
<td>131506010123Y000045</td>
<td align='center'>
H81.3 </td>
<td align='center'>
<font color='red'>Other peripheral vertigo</font> </td>

</tr>

<tr align="left" valign="top">


<td>2391</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011676</td>
<td>SUTARMI</td>
<td>'3503057112530029</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1953</td>
<td>69</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665581432</td>
<td>131506010123Y000046</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2392</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019414</td>
<td>SELAN</td>
<td>'</td>
<td>RT 5 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-11-1962</td>
<td>60</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666152155</td>
<td>131506010123Y000004</td>
<td align='center'>
N40 </td>
<td align='center'>
<font color='black'>Hyperplasia of prostate</font> </td>

</tr>

<tr align="left" valign="top">


<td>2393</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003013</td>
<td>SUKATIN</td>
<td>'3503055404550001</td>
<td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-04-1955</td>
<td>67</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000077105801</td>
<td>131506010123Y000006</td>
<td align='center'>
H52.5 </td>
<td align='center'>
<font color='black'>Disorders of accommodation</font> </td>

</tr>

<tr align="left" valign="top">


<td>2394</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000015</td>
<td>SARNI</td>
<td>'3503053112420051</td>
<td>RT 4 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1942</td>
<td>80</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665920372</td>
<td>131506010123Y000005</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2395</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020020</td>
<td>PAIDI</td>
<td>'3503051506600002</td>
<td>DUSUN KEBONSARI, RT : 32,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-06-1960</td>
<td>62</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666981167</td>
<td>131506010123Y000044</td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2396</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009375</td>
<td>SITI NGAISAH</td>
<td>'3503054708550002</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-05-1955</td>
<td>67</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664932699</td>
<td>131506010123Y000037</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2397</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000020</td>
<td>SLAMET RIYADI</td>
<td>'8171020201530007</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-01-1953</td>
<td>70</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001077706146</td>
<td>131506010123Y000031</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2398</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000021</td>
<td>ISTRIATUN</td>
<td>'8171025503570005</td>
<td>RT 4 RW 2</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-03-1957</td>
<td>65</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001077706157</td>
<td>131506010123Y000033</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2399</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001963</td>
<td>KATMIATUN</td>
<td>'3503054107540005</td>
<td>DESA WINONG, RT : 5,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1954</td>
<td>68</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666105366</td>
<td>131506010123Y000013</td>
<td align='center'>
B20 </td>
<td align='center'>
<font color='black'>Human immunodeficiency virus [HIV] disease
resulting in infectious and parasitic diseases</font> </td>

</tr>

<tr align="left" valign="top">


<td>2400</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020390</td>
<td>MISRI</td>
<td>'3503054307510001</td>
<td>DESA WINONG, RT : 2,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-07-1951</td>
<td>71</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978468029</td>
<td>131506010123Y000024</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>
<tr align="left" valign="top">
<td>2401</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013523</td>
<td>SUKIRAH</td>
<td>'3503054509530001</td>
<td>DUSUN KEBONSARI, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-09-1953</td>
<td>69</td>
<td>P</td>
<td>Buruh Harian Lepas</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666161965</td>
<td>131506010123Y000061</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2402</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003488</td>
<td>HENDRATI ANGKAWIYANANINGSIH</td>
<td>'3503056105590001</td>
<td>RT. 06 RT. 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-05-1959</td>
<td>63</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106859777</td>
<td>131506010123Y000063</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>
</tr>

<tr align="left" valign="top">


<td>2403</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006406</td>
<td>SHODIQ ZAZULI</td>
<td>'3503111009550003</td>
<td>RT 6 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-09-1955</td>
<td>67</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106859766</td>
<td>131506010123Y000062</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2404</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003487</td>
<td>SUDARNO</td>
<td>'3503051106590001</td>
<td>DUSUN TOMPE, RT : 010,RW :004 </td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-06-1959</td>
<td>63</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106807329</td>
<td>131506010123Y000012</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2405</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024049</td>
<td>ABDUL MANAB</td>
<td>'3503051010420001</td>
<td>KEBONSARI, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-10-1942</td>
<td>80</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2406</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023218</td>
<td>SITI NUR AZIZAH</td>
<td>'3503056701820001</td>
<td>DSN KALIPINGGIR, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-01-1982</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707125231</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2407</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024050</td>
<td>ATIM</td>
<td>' </td>
<td>DSN KALIPINGGIR, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-02-1954</td>
<td>68</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0000665397404</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2408</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004833</td>
<td>SITI MUNAWAROH</td>
<td>'3503054711670001</td>
<td>DSN KALIPINGGIR, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-11-1967</td>
<td>55</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2409</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012039</td>
<td>SITI AMINAH</td>
<td>'3503057112410006</td>
<td>DUSUN SETONO, RT : 14,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1941</td>
<td>81</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666155845</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2410</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024051</td>
<td>SALIYAM</td>
<td>'3503055009450001</td>
<td>KEBONSARI, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-09-1945</td>
<td>77</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2411</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024052</td>
<td>NYAMIRATUN</td>
<td>'3503055307530001</td>
<td>DUSUN KEBON, RT : 22,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-07-1953</td>
<td>69</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0002802750039</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2412</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000211</td>
<td>ROHMAT</td>
<td>'3503050906620001</td>
<td>MOJO KIDUL, RT : 021,RW :008 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-06-1962</td>
<td>60</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001426211133</td>
<td>131506010123Y000026</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2413</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013366</td>
<td>JUMROTUL UMAMI</td>
<td>'3503054410870001</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-10-1987</td>
<td>35</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037002498</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2414</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024053</td>
<td>SUTIYAH</td>
<td>'3503057112650002</td>
<td>DUSUN KEBON, RT : 22,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1965</td>
<td>57</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2415</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024054</td>
<td>UMI SAPUROH H</td>
<td>'3503057112590003</td>
<td>KEBONSARI, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1959</td>
<td>63</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2416</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024055</td>
<td>SUKAMTO</td>
<td>'3503051002650001</td>
<td>DSN KALIPINGGIR, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-02-1965</td>
<td>57</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'0002420456556</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2417</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007127</td>
<td>SITI AISYAH</td>
<td>'3503054108650001</td>
<td>DUSUN KEBON, RT : 22,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-1965</td>
<td>57</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000666155035</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2418</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024056</td>
<td>MINTARSIH</td>
<td>'3503056608680002</td>
<td>DSN KALIPINGGIR, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-08-1968</td>
<td>54</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0002420456703</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2419</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013361</td>
<td>ARIK PUJIASTUTI</td>
<td>'3503054404850005</td>
<td>DUSUN SETONO, RT : 15,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-04-1985</td>
<td>37</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001171806502</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>2420</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024058</td>
<td>SUPINI</td>
<td>'3503056009580001</td>
<td>DUSUN KEBON, RT : 22,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-09-1958</td>
<td>64</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0000666987884</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2421</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024059</td>
<td>MAHMUDAH</td>
<td>' </td>
<td>DUSUN KALIPINGGIR, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-01-1976</td>
<td>46</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0000666070345</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>2422</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022632</td>
<td>SUMIATI</td>
<td>'3503056510400002</td>
<td>DSN. KALI PINGGIR, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-10-1940</td>
<td>82</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666661408</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2423</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004768</td>
<td>SITI FATIMAH</td>
<td>'3503055505680003.</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-05-1968</td>
<td>54</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978440581</td>
<td></td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2424</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024060</td>
<td>ANIS ZUMROTIN</td>
<td>'3503055905830006</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-05-1983</td>
<td>39</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0002802765071</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2425</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000723</td>
<td>PURWATI</td>
<td>'3503034702910001</td>
<td>DSN KALIPINGGIR, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-02-1991</td>
<td>31</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000663690317</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2426</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011542</td>
<td>SUHARTI</td>
<td>'3503055308820003</td>
<td>DUSUN GONDANG, RT : 22,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-08-1982</td>
<td>40</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002420472622</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2427</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008518</td>
<td>TUKIMIN</td>
<td>'3503050507500001</td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-07-1950</td>
<td>72</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978440445</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>2428</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011182</td>
<td>KATINAH</td>
<td>'3503055203620003</td>
<td>DUSUN KEBONSARI, RT : 29,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-03-1962</td>
<td>60</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2429</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006719</td>
<td>MUSIMIN</td>
<td>'</td>
<td>RT-</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1954</td>
<td>68</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978436349</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2430</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006699</td>
<td>TOBI`IN</td>
<td>'</td>
<td>RT-</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1957</td>
<td>65</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665736041</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>2431</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002449</td>
<td>SUTIKNO</td>
<td>'3503051910580002</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-10-1958</td>
<td>64</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106632336</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2432</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011620</td>
<td>MURSIYATI</td>
<td>'3503056111730001</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-11-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978440827</td>
<td></td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2433</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008953</td>
<td>SATIRAH</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1946</td>
<td>76</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001868382246</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2434</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002479</td>
<td>SULASIH</td>
<td>'3503055505570003</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-05-1957</td>
<td>65</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441064</td>
<td>Konseling</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2435</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008963</td>
<td>TUMI</td>
<td>'</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1947</td>
<td>75</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978440849</td>
<td>Konseling</td>
<td align='center'>
L20.9 </td>
<td align='center'>
<font color='red'>Atopic dermatitis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2436</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008899</td>
<td>KUSMEN</td>
<td>'</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-10-1960</td>
<td>62</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978440579</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2437</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009808</td>
<td>SARWINI</td>
<td>'3503057112400060</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1940</td>
<td>82</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802756183</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2438</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002429</td>
<td>SUBADI</td>
<td>'3275020104540001</td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1954</td>
<td>68</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0000196741991</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>
</tr>

<tr align="left" valign="top">


<td>2439</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005743</td>
<td>YATMINI</td>
<td>'3503054107580051</td>
<td>RT 11 RW 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1958</td>
<td>64</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000048418209</td>
<td>131506010123Y000056</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2440</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010136</td>
<td>MUYATI</td>
<td>'3503055604580001</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-04-1958</td>
<td>64</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441042</td>
<td>Konseling</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2441</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009828</td>
<td>TRI KUSMINI</td>
<td>'3503055107630001</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-07-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665788713</td>
<td>Konseling</td>
<td align='center'>
L20.9 </td>
<td align='center'>
<font color='red'>Atopic dermatitis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2442</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006211</td>
<td>SITI JUWARIYAH</td>
<td>'3503055211800003</td>
<td>DUSUN KEBON, RT : 34,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-11-1980</td>
<td>42</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037001699</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2443</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007097</td>
<td>SULASIH</td>
<td>'3503057112580058</td>
<td>DUSUN GONDANG, RT : 7,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1958</td>
<td>64</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001840488298</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2444</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017388</td>
<td>TUMISAH</td>
<td>'3503057012420005</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1942</td>
<td>80</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665615575</td>
<td>Konseling</td>
<td align='center'>
L20.9 </td>
<td align='center'>
<font color='red'>Atopic dermatitis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2445</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002428</td>
<td>SRI MUJI ASTUTI</td>
<td>'3275025706630001</td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-06-1963</td>
<td>59</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0000196742057</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2446</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007109</td>
<td>SUPRIHATIN</td>
<td>'3503055405690001</td>
<td>DUSUN GONDANG, RT : 7,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-05-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802754686</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2447</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000664</td>
<td>NURIYAH</td>
<td>'3503054406690001</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-06-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037008203</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2448</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008976</td>
<td>SULASMI</td>
<td>'3503057112500029</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1950</td>
<td>72</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441097</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2449</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024064</td>
<td>UMI HABIBAH</td>
<td>'3503055808720007</td>
<td>DUSUN KEBONSARI, RT : 30,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-08-1977</td>
<td>45</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2450</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004887</td>
<td>SUPARMI</td>
<td>'3503055204560002</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1956</td>
<td>66</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666953886</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2451</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009820</td>
<td>MUYATI</td>
<td>'3503057011570001</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-11-1957</td>
<td>65</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978437003</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2452</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009792</td>
<td>SUMARSIH</td>
<td>'3503057112610028</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1961</td>
<td>61</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978436608</td>
<td>Konseling</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2453</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018134</td>
<td>TUMPI RAHAYU</td>
<td>'3503055303550003</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-03-1955</td>
<td>67</td>
<td>P</td>
<td>Lainnya</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037008271</td>
<td>Konseling</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>2454</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003972</td>
<td>KARTIKA</td>
<td>'3503056702720001</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-02-1972</td>
<td>50</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665809738</td>
<td>Konseling</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2455</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011698</td>
<td>SUMILAH</td>
<td>'3503054107690021</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1969</td>
<td>53</td>
<td>P</td>
<td>Buruh Harian Lepas</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978436092</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2456</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000206</td>
<td>SITI CHODIJAH</td>
<td>'350305501060003</td>
<td>RT 5 RW 3</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-10-1960</td>
<td>62</td>
<td>P</td>
<td>Pensiunan</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106583365</td>
<td>131506010123Y000011</td>
<td align='center'>
Z47.9 </td>
<td align='center'>
<font color='black'>Orthopaedic follow-up care, unspecified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2457</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008520</td>
<td>KASMIJAH</td>
<td>'3503057112550053</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1955</td>
<td>67</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978437238</td>
<td>Konseling</td>
<td align='center'>
L20.9 </td>
<td align='center'>
<font color='red'>Atopic dermatitis, unspecified</font> </td>
</tr>

<tr align="left" valign="top">


<td>2458</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009811</td>
<td>MARLAN</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1931</td>
<td>91</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666925492</td>
<td>Konseling</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2459</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006703</td>
<td>RAMEN</td>
<td>'</td>
<td>RT-</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-10-1949</td>
<td>73</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978436316</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2460</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002454</td>
<td>SULATI</td>
<td>'3503055001370001</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-01-1937</td>
<td>86</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978440491</td>
<td>Konseling</td>
<td align='center'>
J02.9 </td>
<td align='center'>
<font color='red'>Acute pharyngitis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2461</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018327</td>
<td>MUTINI</td>
<td>'</td>
<td>RT 08 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1942</td>
<td>81</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802760931</td>
<td>Konseling</td>
<td align='center'>
J02.9 </td>
<td align='center'>
<font color='red'>Acute pharyngitis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2462</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008951</td>
<td>ISMINI</td>
<td>'</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1943</td>
<td>79</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665762984</td>
<td>Konseling</td>
<td align='center'>
J02.9 </td>
<td align='center'>
<font color='red'>Acute pharyngitis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2463</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008937</td>
<td>KATIYEM</td>
<td>'</td>
<td>RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1955</td>
<td>67</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441301</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2464</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008988</td>
<td>TUKIYEM</td>
<td>'</td>
<td>RT 2 RW 2</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-11-1948</td>
<td>74</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0002328114080</td>
<td></td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2465</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002445</td>
<td>NYONO</td>
<td>'3503051212590007</td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-12-1959</td>
<td>63</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978440118</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2466</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002648</td>
<td>BIBIT</td>
<td>' </td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-12-1948</td>
<td>74</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665742363</td>
<td>Konseling</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>2467</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002430</td>
<td>MISNI SANTOSO</td>
<td>'350305 </td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-08-1946</td>
<td>76</td>
<td>L</td>
<td>Lainnya</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106636959</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2468</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010494</td>
<td>SARLAN</td>
<td>'</td>
<td>RT 2 RW 2</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1940</td>
<td>82</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665760892</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2469</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024015</td>
<td>LAMI</td>
<td>'3503064111590002</td>
<td>RT 3 RW 1</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>01-11-1959</td>
<td>63</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003309854286</td>
<td>131506010123Y000054</td>
<td align='center'>
H10 </td>
<td align='center'>
<font color='red'>Conjunctivitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2470</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008949</td>
<td>SUPRIANIK</td>
<td>'</td>
<td>RT 04 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1958</td>
<td>64</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442572</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2471</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024133</td>
<td>TEGUH CAHYADI</td>
<td>'</td>
<td>RT 003 RW 001</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-07-1963</td>
<td>59</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666963191</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2472</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006405</td>
<td>SITI NUROHCHATIN</td>
<td>'3503056104610003</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-04-1961</td>
<td>61</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978437486</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2473</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006695</td>
<td>SAMURI</td>
<td>'</td>
<td>RT-</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-06-1936</td>
<td>86</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666959916</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2474</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002003</td>
<td>SIH MULYATI</td>
<td>'3503055007550001</td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-07-1955</td>
<td>67</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106634889</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>
<tr align="left" valign="top">
<td>2475</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002101</td>
<td>ESTUNINGSIH</td>
<td>'3503054402680001</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-02-1968</td>
<td>54</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106780757</td>
<td>Konseling</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>2476</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011727</td>
<td>SULASTRI</td>
<td>'</td>
<td>RT RW</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1954</td>
<td>68</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441536</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>
</tr>

<tr align="left" valign="top">


<td>2477</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008950</td>
<td>SARINEM</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1952</td>
<td>70</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978440456</td>
<td>Konseling</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>2478</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017694</td>
<td>LILIK SUMARTI</td>
<td>'</td>
<td>RT 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-02-1958</td>
<td>64</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442627</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2479</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008969</td>
<td>KASIH</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978440175</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2480</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008961</td>
<td>SALINEM</td>
<td>'</td>
<td>RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1948</td>
<td>74</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037008269</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2481</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021579</td>
<td>KATIRAH</td>
<td>'</td>
<td>RT 003 RW </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-1959</td>
<td>64</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002611113682</td>
<td>Konseling</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2482</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008954</td>
<td>MUYATI</td>
<td>'</td>
<td>RT 05 RW 02 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-01-1964</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001309550207</td>
<td>Konseling</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2483</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004891</td>
<td>SUPINGATUN</td>
<td>'3503057012370001</td>
<td>DUSUN KRAJAN, RT : 8,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1937</td>
<td>85</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978438498</td>
<td>Konseling</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2484</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003073</td>
<td>SUMINI</td>
<td>'3503055005540002</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-05-1954</td>
<td>68</td>
<td>P</td>
<td>Pedagang</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441143</td>
<td>Konseling</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2485</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003955</td>
<td>MUSRIPAH</td>
<td>'3503054708690006</td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-08-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001275494681</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>2486</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008939</td>
<td>SRIYATI</td>
<td>'</td>
<td>RT 04 RW 01</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1952</td>
<td>70</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442346</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2487</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011692</td>
<td>SITI MUAWANAH</td>
<td>'3503056711690001</td>
<td>DUSUN KRAJAN, RT : 4,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-11-1969</td>
<td>53</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442515</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2488</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008944</td>
<td>SUKARMINI</td>
<td>'</td>
<td>RT 03 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-12-1962</td>
<td>60</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978441244</td>
<td>Konseling</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2489</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008943</td>
<td>JEMARI</td>
<td>'3503053112570013</td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1957</td>
<td>65</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666382083</td>
<td>Konseling</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2490</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018138</td>
<td>MUNATUN</td>
<td>'3503054203530002</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-03-1953</td>
<td>69</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665758563</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2491</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002349</td>
<td>TITIN DWI SETIASIH</td>
<td>' </td>
<td>SANGGRAHAN, RT : 1,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-09-1975</td>
<td>47</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037008113</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2492</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009840</td>
<td>NETI SETIYO RAHAYU</td>
<td>'3503056408810001</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-08-1981</td>
<td>41</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442111</td>
<td>Konseling</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2493</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000656</td>
<td> KARYAWATI</td>
<td>'3503054306770002</td>
<td>DUSUN KRAJAN, RT : 5,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-06-1977</td>
<td>45</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001548252988</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>
</tr>

<tr align="left" valign="top">


<td>2494</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020911</td>
<td>SUMARTIN</td>
<td>'3503057012590007</td>
<td>DESA SUKOREJO, RT : 11,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1959</td>
<td>63</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665809571</td>
<td>Konseling</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2495</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008975</td>
<td>YATILAH</td>
<td>'3503057112620011</td>
<td>DUSUN KRAJAN, RT : 4,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1962</td>
<td>60</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Dian Kristiowati, A.Md. Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666941826</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2496</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002687</td>
<td>ISWATI</td>
<td>'3503056804570001</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-04-1988</td>
<td>34</td>
<td>P</td>
<td>Pensiunan</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106630299</td>
<td>Konseling</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>2497</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004692</td>
<td>SUTRI</td>
<td>'3503057112420025</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-12-1942</td>
<td>80</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978440502</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2498</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008959</td>
<td>MUJIASRI</td>
<td>'3503057012550004</td>
<td>DUSUN KRAJAN, RT : 4,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1955</td>
<td>67</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978442548</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2499</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002226</td>
<td>MULYONO</td>
<td>'3503050107480022</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1948</td>
<td>74</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978436878</td>
<td>131506010123Y000135</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2500</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020695</td>
<td>MARTINI</td>
<td>'3503055011400001</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-11-1940</td>
<td>82</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978458399</td>
<td>131506010123Y000032</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2501</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024000</td>
<td>BEJO</td>
<td>'3503052907530001</td>
<td>TENGGAR, RT : 3,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-07-1953</td>
<td>69</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2502</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021387</td>
<td>AHMAD KHOLIL</td>
<td>'3503051611570002</td>
<td>DUSUN KEBONSARI, RT : 26,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-11-1957</td>
<td>65</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666633701</td>
<td>131506010123Y000116</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>2503</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000046</td>
<td>MAINEM</td>
<td>'3503055204510002</td>
<td>RT 20 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1951</td>
<td>71</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000664940891</td>
<td>131506010123Y000126</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2504</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002798</td>
<td>MURDIONO</td>
<td>'3503050501610002</td>
<td>DUSUN KRAJAN, RT : 4,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-01-1961</td>
<td>62</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106538949</td>
<td>131506010123Y000105</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2505</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001654</td>
<td>KARMINI</td>
<td>'</td>
<td>RT 08 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-1957</td>
<td>65</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665583704</td>
<td>131506010123Y000112</td>
<td align='center'>
I50 </td>
<td align='center'>
<font color='black'>Heart failure</font> </td>

</tr>

<tr align="left" valign="top">


<td>2506</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000716</td>
<td>MUJALAL</td>
<td>'3503051004500002</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-04-1950</td>
<td>72</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665546308</td>
<td>131506010123Y000121</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2507</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001066</td>
<td>KAMARI</td>
<td>'</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-10-1945</td>
<td>77</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002328113812</td>
<td>Konseling</td>
<td align='center'>
J44.9 </td>
<td align='center'>
<font color='black'>Chronic obstructive pulmonary disease,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2508</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000113</td>
<td>SAMINI</td>
<td>'3503054703600001</td>
<td>RT35 RW 6</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-03-1960</td>
<td>62</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002472574094</td>
<td>131506010123Y000134</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>2509</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024039</td>
<td>MUGIO</td>
<td>'3503051012510002</td>
<td>RT 16 RW 3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1951</td>
<td>71</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666031004</td>
<td>131506010123Y000122</td>
<td align='center'>
K40.9 </td>
<td align='center'>
<font color='black'>Unilateral or unspecified inguinal hernia, without
obstruction or gangrene</font> </td>

</tr>

<tr align="left" valign="top">


<td>2510</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020433</td>
<td>NY. YATINI</td>
<td>'</td>
<td>RT 05 RW 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-07-1959</td>
<td>63</td>
<td>P</td>
<td>Pensiunan</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106769845</td>
<td>131506010123Y000132</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>
</tr>

<tr align="left" valign="top">


<td>2511</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008785</td>
<td>SUNARYO</td>
<td>'3503052911610002</td>
<td>RT 12 RW 5</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-11-1961</td>
<td>61</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI LANSIA</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106539333</td>
<td>131506010123Y000165</td>
<td align='center'>
K03.6 </td>
<td align='center'>
<font color='black'>Deposits [accretions] on teeth</font> </td>

</tr>

<tr align="left" valign="top">


<td>2512</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000177</td>
<td>MUJIANTO</td>
<td>'3503050107570005</td>
<td>RT 8 RW 3</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1957</td>
<td>65</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002423081845</td>
<td>131506010123Y000159</td>
<td align='center'>
I69 </td>
<td align='center'>
<font color='black'>Sequelae of cerebrovascular disease</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2513</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021223</td>
<td>UMARDANI</td>
<td>'3503050101570002</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1957</td>
<td>66</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665598914</td>
<td>131506010123Y000356</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2514</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019663</td>
<td>MUGIYEM</td>
<td>'3503054810520001</td>
<td>DUSUN GONDANG KIDUL, RT : 12,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-10-1952</td>
<td>70</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802755687</td>
<td>131506010123Y000205</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2515</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020308</td>
<td>ERNAWATI</td>
<td>'3503055805620001</td>
<td>DUSUN KRAJAN, RT : 13,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-05-1962</td>
<td>60</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106589013</td>
<td>131506010123Y000197</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2516</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000146</td>
<td>SUYATMI / YATMIATI</td>
<td>'3503055212620001</td>
<td>RT 19 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1962</td>
<td>60</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666252189</td>
<td>131506010123Y000190</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2517</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008938</td>
<td>TUMIRAH</td>
<td>'3503057112630059</td>
<td>RT 05 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002729557888</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2518</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024062</td>
<td>ROMDIYAH</td>
<td>'3503054605540001</td>
<td>DUSUN KEBONSARI, RT : 27,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-05-1954</td>
<td>68</td>
<td>P</td>
<td>Pedagang</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666147069</td>
<td>131506010123Y000198</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2519</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000288</td>
<td>MISIJAN</td>
<td>'3503051404540003</td>
<td>DSN KRAJAN, RT : 003,RW :001 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-04-1954</td>
<td>68</td>
<td>L</td>
<td>BURUH TANI/PERKEBUNAN</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001432052458</td>
<td>131506010123Y000203</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2520</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002470</td>
<td>WAGIYEM</td>
<td>'3503057112630058</td>
<td>DSN KRAJAN, RT : 3,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1963</td>
<td>59</td>
<td>P</td>
<td>Buruh Tani/Perkebunan</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2521</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005955</td>
<td>MARYANI</td>
<td>'3503050503050363</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-10-1967</td>
<td>55</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001976989634</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2522</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004874</td>
<td>SUGIANTI</td>
<td>'3503057012720003</td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1972</td>
<td>50</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978437385</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2523</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001480</td>
<td> MESINEM</td>
<td>'3503054407410001</td>
<td>DUSUN KEBONSARI, RT : 31,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-07-1941</td>
<td>81</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665054278</td>
<td>131506010123Y000213</td>
<td align='center'>
I50 </td>
<td align='center'>
<font color='black'>Heart failure</font> </td>

</tr>

<tr align="left" valign="top">


<td>2524</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022685</td>
<td>WARIYEM</td>
<td>'3503055012580001</td>
<td>NGLEGOK, RT : 19,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1958</td>
<td>64</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666053908</td>
<td>131506010123Y000265</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2525</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011860</td>
<td>SUJITO</td>
<td>'3503051009590002</td>
<td>DUSUN KEBONSARI, RT : 29,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-09-1959</td>
<td>63</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0001307680615</td>
<td>131506010123Y000314</td>
<td align='center'>
H10.9 </td>
<td align='center'>
<font color='red'>Conjunctivitis, unspecified</font> </td>

</tr>
<tr align="left" valign="top">
<td>2526</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000506</td>
<td>TUKIYEM</td>
<td>'3503057012430001</td>
<td>DUSUN CORAH MULYO, RT 006 RW 002</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1943</td>
<td>79</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666377199</td>
<td>131506010123Y000245</td>
<td align='center'>
M50.2 </td>
<td align='center'>
<font color='black'>Other cervical disc displacement</font> </td>

</tr>

<tr align="left" valign="top">


<td>2527</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001345</td>
<td>MARSIDI</td>
<td>'</td>
<td>RT 07 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-11-1951</td>
<td>71</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001840487692</td>
<td>131506010123Y000256</td>
<td align='center'>
G40 </td>
<td align='center'>
<font color='black'>Epilepsy</font> </td>
</tr>

<tr align="left" valign="top">


<td>2528</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005047</td>
<td>MARSIDI</td>
<td>'3503050705590001</td>
<td>RT 11 RW 3</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-05-1959</td>
<td>63</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665814104</td>
<td>131506010123Y000269</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>2529</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000060</td>
<td>PAIDI</td>
<td>'</td>
<td>RT 32 RW 08</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1960</td>
<td>62</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666981167</td>
<td>131506010123Y000263</td>
<td align='center'>
J45.9 </td>
<td align='center'>
<font color='red'>Asthma, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2530</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000173</td>
<td>RUKAYAH</td>
<td>'3503057112500039</td>
<td>RT 7 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1950</td>
<td>72</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666379776</td>
<td>131506010123Y000261</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2531</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003378</td>
<td>BOIMIN</td>
<td>'3503050607480001</td>
<td>RT 7 RW 3</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-07-1940</td>
<td>82</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001978443426</td>
<td>131506010123Y000255</td>
<td align='center'>
H11.0 </td>
<td align='center'>
<font color='black'>Pterygium</font> </td>

</tr>

<tr align="left" valign="top">


<td>2532</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015656</td>
<td>SUDIONO</td>
<td>'3503052801440001</td>
<td>DUSUN ETAN KALI, RT : 23,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-01-1944</td>
<td>78</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106762994</td>
<td>131506010123Y000254</td>
<td align='center'>
H02.1 </td>
<td align='center'>
<font color='black'>Ectropion of eyelid</font> </td>

</tr>

<tr align="left" valign="top">


<td>2533</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001356</td>
<td>WANDI</td>
<td>'3503050605600001</td>
<td>DUSUN PAKEL, RT : 33,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-05-1960</td>
<td>62</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0001085875301</td>
<td>131506010123Y000259</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2534</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005022</td>
<td>SAMENI</td>
<td>'35030505550002</td>
<td>RT 8 RW 3</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-05-1955</td>
<td>67</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978444563</td>
<td>131506010123Y000262</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>2535</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000658</td>
<td>MUSNI</td>
<td>'3503050710420003</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-10-1942</td>
<td>80</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665758091</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2536</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024084</td>
<td>SURYADI</td>
<td>'3503051606610001</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-06-1961</td>
<td>61</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011260375</td>
<td>131506010123Y000275</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2537</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024088</td>
<td>SUCIAMIK</td>
<td>'3503055903620001</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-03-1962</td>
<td>60</td>
<td>P</td>
<td>Perdagangan</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665662825</td>
<td>131506010123Y000260</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>2538</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001752</td>
<td>SUYATI</td>
<td>'3503055511540001</td>
<td>DESA GONDANG, RT : 8,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-1954</td>
<td>69</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665758697</td>
<td>131506010123Y000317</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2539</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001534</td>
<td>SUNARTI</td>
<td>'3503056010610004</td>
<td>RT 7 RW 4</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-10-1961</td>
<td>61</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001959287725</td>
<td>131506010123Y000305</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2540</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005516</td>
<td>SUNARTO</td>
<td>'3503051212540010</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-12-1954</td>
<td>68</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002729556551</td>
<td>131506010123Y000321</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2541</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002248</td>
<td>MISKUN</td>
<td>'3503053112590031</td>
<td>PAKEL, RT : 40,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1959</td>
<td>63</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068425348</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2542</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019703</td>
<td>SUMIATI</td>
<td>'3503065209590002</td>
<td>DUSUN SOKO, RT : 8,RW :2 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>12-09-1959</td>
<td>63</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681576032</td>
<td>131506010123Y000351</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>2543</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001730</td>
<td>TAMIRAN</td>
<td>'3503050206570001</td>
<td>ETAN KALI, RT : 22,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-06-1957</td>
<td>65</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665568551</td>
<td>131506010123Y000348</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2544</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000431</td>
<td>SRI ASTUTIK</td>
<td>'</td>
<td>RT 22 RW 06</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1962</td>
<td>60</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665569721</td>
<td>131506010123Y000352</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2545</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006404</td>
<td>KAYADI</td>
<td>'3503053112370023</td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1937</td>
<td>85</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665613235</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2546</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019256</td>
<td>KATIYAH</td>
<td>'</td>
<td>RT 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-11-1969</td>
<td>53</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665718243</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2547</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009796</td>
<td>SUNARTI</td>
<td>' </td>
<td>DUSUN KRAJAN, RT : 6,RW :3 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-08-1962</td>
<td>60</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665736344</td>
<td>Konseling</td>
<td align='center'>
z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2548</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001728</td>
<td>KADIMUN</td>
<td>'3503053012550005</td>
<td>DUSUN CORAH MULYO, RT : 1,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1955</td>
<td>67</td>
<td>L</td>
<td>Industri</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001849714479</td>
<td>131506010123Y000385</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2549</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005213</td>
<td>SUNARMI</td>
<td>'3503056701610001</td>
<td>DESA GONDANG, RT : 13,RW :3 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-01-1961</td>
<td>61</td>
<td>P</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001328156831</td>
<td>131506010123Y000371</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2550</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007100</td>
<td>SUROTO</td>
<td>'3503053010500002</td>
<td>DESA GONDANG, RT : 8,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-10-1950</td>
<td>72</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002464948034</td>
<td>131506010123Y000372</td>
<td align='center'>
J44.9 </td>
<td align='center'>
<font color='black'>Chronic obstructive pulmonary disease,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2551</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011897</td>
<td>MUAROFAH</td>
<td>'3503054107460022</td>
<td>DUSUN KEBONSARI, RT : 32,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1946</td>
<td>76</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003256640471</td>
<td>131506010123Y000396</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2552</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007129</td>
<td>MUTINI</td>
<td>'3503055012620007</td>
<td>DUSUN SETONO, RT : 14,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1962</td>
<td>60</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665791503</td>
<td>131506010123Y000399</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2553</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002295</td>
<td>TASNO</td>
<td>'3503055202470002</td>
<td>DUSUN KRAJAN, RT : 16,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-02-1947</td>
<td>75</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002740081329</td>
<td>131506010123Y000391</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2554</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000033</td>
<td>SUMADI</td>
<td>'3578080611510001</td>
<td>RT 18 RW 3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-11-1951</td>
<td>71</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000787191041</td>
<td>131506010123Y000413</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2555</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024139</td>
<td>LASDI</td>
<td>'3503050510510001</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-10-1951</td>
<td>71</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666231941</td>
<td>131506010123Y000440</td>
<td align='center'>
H66.3 </td>
<td align='center'>
<font color='black'>Other chronic suppurative otitis media</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2556</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002284</td>
<td>MUJIRAN</td>
<td>'3503060705500002</td>
<td>DUSUN JAMPI, RT : 2,RW :1 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>07-05-1950</td>
<td>72</td>
<td>L</td>
<td>Tukang Kayu</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001277303815</td>
<td>131506010123Y000425</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2557</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024141</td>
<td>PAITO</td>
<td>'3503051003620001</td>
<td>RT 9 RW 5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-03-1962</td>
<td>60</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003300501622</td>
<td>131506010123Y000439</td>
<td align='center'>
G40 </td>
<td align='center'>
<font color='black'>Epilepsy</font> </td>
</tr>

<tr align="left" valign="top">


<td>2558</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001629</td>
<td>SIYONO</td>
<td>'3503053112530036</td>
<td>PRAMBON RT 14/3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1953</td>
<td>69</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037014874</td>
<td>131506010123Y000445</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2559</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002355</td>
<td>SULAMAH</td>
<td>'3503054405540001</td>
<td>DUSUN KEBONSARI, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-05-1954</td>
<td>68</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037002869</td>
<td>131506010123Y000444</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2560</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000032</td>
<td> YAMINI</td>
<td>'3503055501400001</td>
<td>RT 24 RW05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-1940</td>
<td>83</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666218722</td>
<td>131506010123Y000451</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>2561</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000643</td>
<td>TIRAH</td>
<td>'3503055501460001</td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-01-1946</td>
<td>77</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978437598</td>
<td>131506010123Y000438</td>
<td align='center'>
I11 </td>
<td align='center'>
<font color='black'>Hypertensive heart disease</font> </td>

</tr>

<tr align="left" valign="top">


<td>2562</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000049</td>
<td>PARMI</td>
<td>'3503056701530001</td>
<td>RT 19 RW 8</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-01-1953</td>
<td>69</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867872724</td>
<td>131506010123Y000456</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2563</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001201</td>
<td>SUROSO</td>
<td>'3503051406590002</td>
<td>DUSUN KRAJAN, RT : 5,RW :2 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-06-1959</td>
<td>63</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978454698</td>
<td>131506010123Y000498</td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2564</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014817</td>
<td>WIDAYATI</td>
<td>'3503055506540002</td>
<td>RT 03 RW 01</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-06-1954</td>
<td>68</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106820234</td>
<td>131506010123Y000512</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2565</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000184</td>
<td>BOIMIN</td>
<td>'3503053108540001</td>
<td>DUSUN CORAH MULYO, RT : 005,RW :002 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-08-1954</td>
<td>68</td>
<td>L</td>
<td>PENSIUNAN</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106751474</td>
<td>131506010123Y000447</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2566</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000123</td>
<td>MARSAD</td>
<td>'3503050204590002</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-04-1959</td>
<td>63</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001978452685</td>
<td>131506010123Y000491</td>
<td align='center'>
R33 </td>
<td align='center'>
<font color='black'>Retention of urine</font> </td>

</tr>

<tr align="left" valign="top">


<td>2567</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017849</td>
<td>SUDARTO</td>
<td>'</td>
<td>RT 05 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-06-1961</td>
<td>61</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106769799</td>
<td>131506010123Y000480</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>2568</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000707</td>
<td>MARYONO</td>
<td>'3503050107480014</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1948</td>
<td>74</td>
<td>L</td>
<td>Perdagangan</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037003354</td>
<td>131506010123Y000476</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2569</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020652</td>
<td>YATEMI</td>
<td>'3503056110400001</td>
<td>RT 27 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-10-1940</td>
<td>82</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011259082</td>
<td>131506010123Y000457</td>
<td align='center'>
I63.9 </td>
<td align='center'>
<font color='black'>Cerebral infarction, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2570</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004276</td>
<td>SAMIRAH</td>
<td>'3503055904400001</td>
<td>DESA GONDANG, RT : 13,RW :3 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-04-1960</td>
<td>62</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001963463681</td>
<td>131506010123Y000459</td>
<td align='center'>
I11 </td>
<td align='center'>
<font color='black'>Hypertensive heart disease</font> </td>

</tr>

<tr align="left" valign="top">


<td>2571</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003608</td>
<td>PALUPI</td>
<td>'3503064202500001</td>
<td>RT 3 RW 1</td>
<td>KERJO</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>02-02-1950</td>
<td>72</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106669271</td>
<td>131506010123Y000471</td>
<td align='center'>
I50 </td>
<td align='center'>
<font color='black'>Heart failure</font> </td>

</tr>

<tr align="left" valign="top">


<td>2572</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009164</td>
<td>JUNARIN</td>
<td>'</td>
<td>RT 45</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-09-1951</td>
<td>71</td>
<td>L</td>
<td>Buruh Tani / Perkebunan</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978487651</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>
</tr>

<tr align="left" valign="top">


<td>2573</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001789</td>
<td>SINTO</td>
<td>'</td>
<td>PRAMBON RT 49</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-03-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978490283</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>2574</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015672</td>
<td>PAINAH</td>
<td>'3503056408700001</td>
<td>DUSUN SOKO, RT : 49,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-08-1978</td>
<td>44</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666567268</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>2575</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023638</td>
<td>SUMI</td>
<td>'</td>
<td>RT 42</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-06-1958</td>
<td>64</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665806544</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2576</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019573</td>
<td>GINAH</td>
<td>'3503055605400001</td>
<td>DUSUN SOKO, RT : 49,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-05-1940</td>
<td>82</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</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>2577</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018336</td>
<td>PAINEM</td>
<td>'3503055205570005</td>
<td>DUSUN SOOKO, RT : 50,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-05-1957</td>
<td>65</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978490406</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2578</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006482</td>
<td>YAHDI</td>
<td>'</td>
<td>PRAMBON RT 49/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-12-1948</td>
<td>74</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978490259</td>
<td>131506010123Y000426</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2579</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010871</td>
<td>PAELAH</td>
<td>'</td>
<td>PRAMBON RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-11-1959</td>
<td>63</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978490079</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2580</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011890</td>
<td>DJEMANGIN</td>
<td>'3503050209500001</td>
<td>DUSUN SOOKO, RT : 50,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-09-1950</td>
<td>72</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667100114</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2581</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009169</td>
<td>TOINEM</td>
<td>'</td>
<td>RT 048 RW 000</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1940</td>
<td>83</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037013669</td>
<td></td>
<td align='center'>
L20.9 </td>
<td align='center'>
<font color='red'>Atopic dermatitis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2582</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000798</td>
<td>GEMI</td>
<td>'</td>
<td>PRAMBON RT 47/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-04-1965</td>
<td>57</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666391948</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2583</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015677</td>
<td>SUMIDI</td>
<td>'</td>
<td>RT50</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-05-1953</td>
<td>69</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665806509</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>2584</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000698</td>
<td>SUWITO</td>
<td>'3503053012880001</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1988</td>
<td>34</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2585</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018344</td>
<td>SUTARMI</td>
<td>' </td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1945</td>
<td>77</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665785585</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2586</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024201</td>
<td>MESINI</td>
<td>'3503054801450002</td>
<td>DUSUN MLOKO, RT : 15,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-01-1945</td>
<td>78</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0000667145665</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2587</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024202</td>
<td>LASMI</td>
<td>'3503056305570001</td>
<td>DUSUN PAKEL, RT : 35,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-05-1957</td>
<td>65</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0002190269801</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2588</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024203</td>
<td>SUMINI</td>
<td>' </td>
<td>KRAJAN, RT : 23,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-03-1977</td>
<td>45</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2589</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024204</td>
<td>TUKIRAH</td>
<td>'3503054701600001</td>
<td>DUSUN PAKEL, RT : 45,RW :8 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-01-1960</td>
<td>63</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0002158256362</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2590</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024205</td>
<td>NYAMIATUN</td>
<td>'3503054309720001-488264</td>
<td>DUSUN SOOKO, RT : 50,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-02-1972</td>
<td>50</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</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>2591</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018343</td>
<td>MUGIMIN</td>
<td>'3503053112550063</td>
<td>SOOKO, RT : 156,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1955</td>
<td>67</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978486749</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>
<tr align="left" valign="top">
<td>2592</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018992</td>
<td>NANI</td>
<td>'</td>
<td>RT 42</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1963</td>
<td>59</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068048013</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>2593</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002653</td>
<td>KASRIATI</td>
<td>'3503054107600002</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1960</td>
<td>62</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037001341</td>
<td>131506010123Y000536</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>
</tr>

<tr align="left" valign="top">


<td>2594</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024169</td>
<td>MUSINI</td>
<td>'3503057112530037</td>
<td>RT 21 RW 5</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1953</td>
<td>69</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0000666222895</td>
<td>131506010123Y000542</td>
<td align='center'>
I63 </td>
<td align='center'>
<font color='black'>Cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2595</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003923</td>
<td>LASMINI</td>
<td>'350305 </td>
<td>DUSUN KEBONSARI, RT : 31,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-11-1959</td>
<td>63</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000107539299</td>
<td>131506010123Y000538</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2596</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008337</td>
<td>MUKRIANTO</td>
<td>'3503050201630002</td>
<td>KRAJAN, RT : 2,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-01-1963</td>
<td>60</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036999135</td>
<td>131506010123Y000545</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2597</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023952</td>
<td>SUMINI</td>
<td>'3503057112530022</td>
<td>DSN MOJO KIDUL, RT : 022,RW :008 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1953</td>
<td>69</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003290596907</td>
<td>131506010123Y000549</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2598</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002583</td>
<td>MARSIYAH</td>
<td>'3503056403500001</td>
<td>RT 08 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-03-1950</td>
<td>72</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665906038</td>
<td>131506010123Y000535</td>
<td align='center'>
I50 </td>
<td align='center'>
<font color='black'>Heart failure</font> </td>

</tr>

<tr align="left" valign="top">


<td>2599</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000468</td>
<td>SUKADI</td>
<td>'3503050607450001</td>
<td>DUSUN SETONO, RT 14 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-07-1945</td>
<td>77</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665392443</td>
<td>131506010123Y000550</td>
<td align='center'>
A09.9 </td>
<td align='center'>
<font color='red'>Gastroenteritis and colitis of unspecified
origin</font> </td>

</tr>

<tr align="left" valign="top">


<td>2600</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012641</td>
<td>SUJONO</td>
<td>'3503061512470002</td>
<td>NGENTRONG, RT : 14,RW :3 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>15-12-1947</td>
<td>75</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002253217994</td>
<td>131506010123Y000552</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>2601</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014721</td>
<td>SUMARMI</td>
<td>'3503057011510001</td>
<td>DUSUN SELOMUNDING, RT : 4,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-11-1951</td>
<td>71</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665975902</td>
<td>131506010123Y000568</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>2602</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021884</td>
<td>SUPARNO</td>
<td>'3503050806590002</td>
<td>TENGGAR, RT : 6,RW :1 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-06-1959</td>
<td>63</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665545026</td>
<td>131506010123Y000561</td>
<td align='center'>
A15 </td>
<td align='center'>
<font color='red'>Respiratory tuberculosis, bacteriologically and
histologically confirmed</font> </td>

</tr>

<tr align="left" valign="top">


<td>2603</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010771</td>
<td>MARYATUN</td>
<td>'3503055809630003</td>
<td>RT 10 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-09-1963</td>
<td>59</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002014056909</td>
<td>131506010123Y000597</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2604</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000557</td>
<td>WARIA</td>
<td>'3503056107630001</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-07-1963</td>
<td>59</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666160165</td>
<td>131506010123Y000596</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2605</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019782</td>
<td>MUNISAH</td>
<td>'3503054107490025</td>
<td>DUSUN TENGGAR, RT : 11,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1949</td>
<td>73</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664966618</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2606</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005812</td>
<td>SIRAN</td>
<td>'35030506075400002</td>
<td>RT 04 RW 02</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-09-1954</td>
<td>68</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0000076621353</td>
<td>131506010123Y000598</td>
<td align='center'>
N40 </td>
<td align='center'>
<font color='black'>Hyperplasia of prostate</font> </td>

</tr>
<tr align="left" valign="top">
<td>2607</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011280</td>
<td>SUMINI</td>
<td>'3503056607570001</td>
<td>RT 01 RW 01</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-07-1957</td>
<td>65</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002767516424</td>
<td>131506010123Y000600</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2608</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014824</td>
<td>YATIN</td>
<td>'3503057112400084</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1940</td>
<td>82</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002732106093</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>
</tr>

<tr align="left" valign="top">


<td>2609</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010918</td>
<td>MUTIYAH</td>
<td>'3503057012330002</td>
<td>DUSUN ETAN KALI, RT : 25,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1933</td>
<td>89</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</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>2610</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005243</td>
<td>MUKAWAN</td>
<td>'3503051207620004</td>
<td>ETAN KALI, RT : 22,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-07-1962</td>
<td>60</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665562453</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2611</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009729</td>
<td>WATINI</td>
<td>'3503050312600001-507846</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-12-1960</td>
<td>62</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Hamidah A.md, Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2612</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000126</td>
<td>ISMIRAH</td>
<td>'3503055207600008</td>
<td>DUSUN KEBONSARI, RT : 032,RW :008 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-07-1960</td>
<td>62</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001266022877</td>
<td>131506010123Y000702</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2613</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012299</td>
<td>KUWAT</td>
<td>'3503050611510002</td>
<td>DUSUN TENGGAR, RT : 10,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-11-1951</td>
<td>71</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666749845</td>
<td>131506010123Y000704</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2614</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022528</td>
<td>MUSERI</td>
<td>'3503051211470001</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-11-1947</td>
<td>75</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666286615</td>
<td>131506010123Y000701</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2615</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000045</td>
<td>SUPARNO</td>
<td>'3503052304480001</td>
<td>RT 05 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-04-1948</td>
<td>74</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978459997</td>
<td>131506010123Y000656</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2616</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002836</td>
<td>TUMINEM</td>
<td>'3503057012400009</td>
<td>RT 4 RW 2</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1940</td>
<td>82</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037005446</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2617</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000734</td>
<td>PANITO</td>
<td>'</td>
<td>RT 05 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1953</td>
<td>69</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037001339</td>
<td>131506010123Y000651</td>
<td align='center'>
H25.9 </td>
<td align='center'>
<font color='black'>Senile cataract, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2618</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007691</td>
<td>MUJADI</td>
<td>'3503052201610001</td>
<td>RT 3 RW 1</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-01-1961</td>
<td>62</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003084505413</td>
<td>131506010123Y000717</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2619</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024229</td>
<td>SUMIRAN</td>
<td>'3503051405500001</td>
<td>DUSUN KEBONSARI, RT : 30,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-05-1950</td>
<td>72</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978455521</td>
<td>131506010123Y000734</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2620</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024231</td>
<td>TUMINI</td>
<td>'357828700661066</td>
<td>RT 2 RW 4</td>
<td>ASEM ROWO</td>
<td>ASEM ROWO</td>
<td>KOTA SURABAYA</td>
<td>30-06-1961</td>
<td>61</td>
<td>L</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2621</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002764</td>
<td>MUKIN</td>
<td>'3503050712620001</td>
<td>DUSUN GERBO, RT : 15,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-12-1962</td>
<td>60</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>drg.ASTINIA WIDYASTUTI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665872806</td>
<td>131506010123Y000778</td>
<td align='center'>
K05.3 </td>
<td align='center'>
<font color='black'>Chronic periodontitis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2622</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019682</td>
<td>MUJIRAN</td>
<td>'3503052303620001</td>
<td>DESA WINONG, RT : 2,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-03-1962</td>
<td>60</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665679453</td>
<td>131506010123Y000782</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2623</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001838</td>
<td>ENDANG WARSINI</td>
<td>'3503055612720002</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-12-1972</td>
<td>50</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
L20.9 </td>
<td align='center'>
<font color='red'>Atopic dermatitis, unspecified</font> </td>

</tr>
<tr align="left" valign="top">
<td>2624</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003889</td>
<td>SUMONO</td>
<td>'3503050512700005</td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-12-1970</td>
<td>52</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665772208</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2625</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015770</td>
<td>CHOIRI</td>
<td>'350305</td>
<td>DUSUN GONDANG, RT : 9,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-09-1954</td>
<td>68</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106793717</td>
<td>131506010123Y000787</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>2626</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000232</td>
<td>ISERI</td>
<td>'3503053006620002</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-06-1962</td>
<td>60</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001381075424</td>
<td>131506010123Y000791</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2627</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009731</td>
<td>MUJIONO</td>
<td>'3503050401620001</td>
<td>DUSUN JUMOK, RT : 6,RW :3 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-01-1962</td>
<td>61</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978443123</td>
<td>131506010123Y000777</td>
<td align='center'>
J44.9 </td>
<td align='center'>
<font color='black'>Chronic obstructive pulmonary disease,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2628</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001807</td>
<td>SURATUN</td>
<td>'3503064107520025</td>
<td>DUSUN JAMPI, RT : 3,RW :1 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>01-07-1952</td>
<td>70</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002228155244</td>
<td>131506010123Y000780</td>
<td align='center'>
I50 </td>
<td align='center'>
<font color='black'>Heart failure</font> </td>

</tr>

<tr align="left" valign="top">


<td>2629</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019098</td>
<td>NAJAMUDIN</td>
<td>'3503051903580001</td>
<td>DUSUN KEBONSARI, RT : 27,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-03-1958</td>
<td>64</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707124656</td>
<td>131506010123Y000907</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2630</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002478</td>
<td>DJAMIRAH</td>
<td>'</td>
<td>RT 14 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-08-1943</td>
<td>79</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0000106620794</td>
<td>131506010123Y000843</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2631</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001450</td>
<td>NASIB TRISNOWIYONO</td>
<td>'</td>
<td>RT 08 RW 03</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-10-1945</td>
<td>77</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000002879627</td>
<td>131506010123Y000844</td>
<td align='center'>
N40 </td>
<td align='center'>
<font color='black'>Hyperplasia of prostate</font> </td>

</tr>

<tr align="left" valign="top">


<td>2632</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004059</td>
<td>MISKAT</td>
<td>'3503050107590029</td>
<td>PRAMBON, RT : 30,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1959</td>
<td>63</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665908997</td>
<td>131506010123Y000846</td>
<td align='center'>
J44.9 </td>
<td align='center'>
<font color='black'>Chronic obstructive pulmonary disease,
unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2633</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001835</td>
<td>SAMIRAH</td>
<td>'3503054112510001</td>
<td>ETAN KALI, RT : 24,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1951</td>
<td>71</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665567921</td>
<td>131506010123Y000908</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>2634</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009253</td>
<td>AMAN</td>
<td>'3503050801520002</td>
<td>DUSUN BANARAN, RT : 9,RW :5 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-01-1952</td>
<td>71</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002458261282</td>
<td>131506010123Y000866</td>
<td align='center'>
L28.1 </td>
<td align='center'>
<font color='black'>Prurigo nodularis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2635</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000374</td>
<td>SAMIJAH</td>
<td>'3503057112560019</td>
<td>KRAJAN, RT : 017,RW :003 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1956</td>
<td>66</td>
<td>P</td>
<td>PETANI/PEKEBUN</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037014244</td>
<td>131506010123Y000847</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2636</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001970</td>
<td>ABU SUJAK</td>
<td>'3577016610550001</td>
<td>RT 30 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-10-1955</td>
<td>67</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001151452574</td>
<td>131506010123Y000890</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2637</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006654</td>
<td>SUPARMI</td>
<td>' </td>
<td>SANGGRAHAN, RT : 2,RW :1 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1955</td>
<td>67</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037008236</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2638</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000141</td>
<td>MAKINEM</td>
<td>'3503055408490001</td>
<td>RT 18 RW 7</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-08-1949</td>
<td>73</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>
<tr align="left" valign="top">
<td>2639</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021722</td>
<td>MABENI</td>
<td>'3503050805500003</td>
<td>KRAJAN, RT : 18,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-05-1950</td>
<td>72</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106802021</td>
<td>131506010123Y000867</td>
<td align='center'>
I50.0 </td>
<td align='center'>
<font color='black'>Congestive heart failure</font> </td>

</tr>

<tr align="left" valign="top">


<td>2640</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000579</td>
<td>SUKONO</td>
<td>'</td>
<td>RT 09 RW 03</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-10-1959</td>
<td>63</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037006166</td>
<td>131506010123Y000871</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>
</tr>

<tr align="left" valign="top">


<td>2641</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023902</td>
<td>BOYADI</td>
<td>'3503053112520031</td>
<td>DUSUN TENGGAR, RT : 11,RW :2 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1952</td>
<td>70</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003080447212</td>
<td>131506010123Y000893</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2642</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018150</td>
<td>MISDI</td>
<td>'3503053112580012</td>
<td>DUSUN KRAJAN, RT : 12,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1958</td>
<td>64</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003279344365</td>
<td>131506010123Y000865</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2643</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000093</td>
<td> SRINGAH</td>
<td>'3503055207560001</td>
<td>RT 19 RW 5</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-07-1956</td>
<td>66</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001281625661</td>
<td>131506010123Y000897</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2644</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010236</td>
<td>SUTINAH</td>
<td>'3503054608480001</td>
<td>DSN ETAN KALI, RT : 17,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-08-1948</td>
<td>74</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665621223</td>
<td>131506010123Y000909</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2645</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000821</td>
<td>BAMBANG EKO CAHYONO</td>
<td>'</td>
<td>RT 19 RW 05</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-07-1959</td>
<td>63</td>
<td>L</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106802706</td>
<td>131506010123Y000910</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>2646</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003341</td>
<td>WARSIMUN</td>
<td>'3503053112510030</td>
<td>RT 14 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1951</td>
<td>71</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002203263483</td>
<td>131506010123Y000868</td>
<td align='center'>
I50.0 </td>
<td align='center'>
<font color='black'>Congestive heart failure</font> </td>

</tr>

<tr align="left" valign="top">


<td>2647</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010963</td>
<td>MURTINI</td>
<td>'3503054204540002</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-04-1954</td>
<td>68</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002203263909</td>
<td>131506010123Y000870</td>
<td align='center'>
I50.0 </td>
<td align='center'>
<font color='black'>Congestive heart failure</font> </td>

</tr>

<tr align="left" valign="top">


<td>2648</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009068</td>
<td>WATINI</td>
<td>'3503054505560001</td>
<td>RT 18 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-05-1956</td>
<td>66</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665848067</td>
<td>131506010123Y000912</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2649</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008833</td>
<td>MESIYO</td>
<td>'3503062502470002</td>
<td>RT 17 TRW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-02-1947</td>
<td>75</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003099144677</td>
<td>131506010123Y000874</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2650</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004530</td>
<td>SUKARNI</td>
<td>'3503053112480014</td>
<td>DUSUN KRAJAN, RT : 15,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1948</td>
<td>74</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002291225141</td>
<td>131506010123Y000876</td>
<td align='center'>
I50.0 </td>
<td align='center'>
<font color='black'>Congestive heart failure</font> </td>

</tr>

<tr align="left" valign="top">


<td>2651</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006838</td>
<td>PATONAH</td>
<td>'3503064109530001</td>
<td>RT 14 RW 03</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>01-09-1953</td>
<td>69</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002253218501</td>
<td>131506010123Y000914</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2652</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001440</td>
<td>SUTJIPTO</td>
<td>'3503050406510002</td>
<td>DUSUN CORAH MULYO, RT : 8,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-06-1951</td>
<td>71</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106771026</td>
<td>131506010123P000882</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2653</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006434</td>
<td>SUKAYAH</td>
<td>'3503055804610001</td>
<td>DUSUN BENGGLE, RT : 12,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-04-1961</td>
<td>61</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978465195</td>
<td>131506010123Y000919</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2654</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004086</td>
<td>SLAMET</td>
<td>'3503050512600003</td>
<td>RT 14 RW 4</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-12-1960</td>
<td>62</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2655</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007371</td>
<td>SAPUAN</td>
<td>'3503051502610002</td>
<td>DSN ETAN KALI, RT : 17,RW :5 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-02-1961</td>
<td>61</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003068051602</td>
<td>131506010123Y000984</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2656</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000042</td>
<td>SAMSUL HADI</td>
<td>'3503053012450008</td>
<td>RT 5 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-12-1945</td>
<td>77</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002518640201</td>
<td>131506010123Y000983</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2657</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000606</td>
<td>SUPINI</td>
<td>'3503054107580022</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1958</td>
<td>64</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003108032302</td>
<td>131506010123Y000981</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>
</tr>

<tr align="left" valign="top">


<td>2658</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018717</td>
<td>UYE</td>
<td>'3503051109570001</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-09-1957</td>
<td>65</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067902663</td>
<td>131506010123Y000979</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2659</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020542</td>
<td>WARISAH</td>
<td>'3503054401590001</td>
<td>DUSUN KEBONSARI, RT : 31,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-01-1959</td>
<td>64</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665418025</td>
<td>131506010123Y000972</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2660</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003680</td>
<td>SUMINI</td>
<td>'3503054101610001</td>
<td>DSN KRAJAN, RT : 2,RW :1 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1961</td>
<td>62</td>
<td>P</td>
<td>Perdagangan</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2661</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004537</td>
<td>SITI AWALIYAH</td>
<td>'3503055407570001</td>
<td>DUSUN KALIPINGGIR, RT : 18,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-07-1957</td>
<td>65</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002865185662</td>
<td>131506010123Y000976</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2662</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012312</td>
<td>MUKONO</td>
<td>'3503051011480002</td>
<td>DESA GONDANG, RT : 8,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-11-1943</td>
<td>79</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003130325291</td>
<td>131506010123Y000988</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>2663</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006458</td>
<td>KATEMI</td>
<td>'3503057112560025</td>
<td>RT 06 RW 02</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1956</td>
<td>66</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2664</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024397</td>
<td>MUKARI</td>
<td>'3503051004560001</td>
<td>DUSUN KEBONSARI, RT : 31,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-04-1956</td>
<td>66</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
H10.9 </td>
<td align='center'>
<font color='red'>Conjunctivitis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2665</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002200</td>
<td>SUTAJI</td>
<td>'</td>
<td>RT 10 RW 02</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1949</td>
<td>73</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037002588</td>
<td>131506010123Y000446</td>
<td align='center'>
I25.2 </td>
<td align='center'>
<font color='black'>Old myocardial infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2666</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000168</td>
<td>SUTIYEM</td>
<td>'3503054101500002</td>
<td>RT 14 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1950</td>
<td>73</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037003321</td>
<td>131506010123Y001020</td>
<td align='center'>
H52 </td>
<td align='center'>
<font color='red'>Disorders of refraction and accommodation</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2667</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000052</td>
<td>SULAS</td>
<td>'3503057112550040</td>
<td>RT 7 RW 2</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1955</td>
<td>67</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666398621</td>
<td>131506010123Y001037</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2668</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001006</td>
<td>SUPARMI</td>
<td>'</td>
<td>RT 13 RW 04</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-10-1960</td>
<td>62</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666056889</td>
<td>131506010123Y001036</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2669</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022773</td>
<td>TUKINI</td>
<td>'3503057112530010</td>
<td>TAWANG, RT : 1,RW :1 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1953</td>
<td>69</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665534169</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2670</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001805</td>
<td>SUBARYADI</td>
<td>'3503051001520001</td>
<td>DUSUN CORAH MULYO, RT : 2,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-01-1952</td>
<td>71</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665482768</td>
<td>131506010123Y001032</td>
<td align='center'>
I50 </td>
<td align='center'>
<font color='black'>Heart failure</font> </td>

</tr>

<tr align="left" valign="top">


<td>2671</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006724</td>
<td>MUSIMIN (2)</td>
<td>'3503053112450035</td>
<td>RT 009 RW 003</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1945</td>
<td>77</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666420761</td>
<td>131506010123Y001033</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2672</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010147</td>
<td>SUMIATIN</td>
<td>'3503057112570037</td>
<td>RT 15/04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1957</td>
<td>65</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000666072617</td>
<td>131506010123Y001038</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2673</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011895</td>
<td>SIMUN</td>
<td>'3503051007420001</td>
<td>NGLEGOK, RT : 8,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-07-1942</td>
<td>80</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665602828</td>
<td>131506010123Y001039</td>
<td align='center'>
R33 </td>
<td align='center'>
<font color='black'>Retention of urine</font> </td>

</tr>

<tr align="left" valign="top">


<td>2674</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010424</td>
<td>MARJITO</td>
<td>'3503052010570003</td>
<td>DUSUN KRAJAN, RT : 10,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-10-1957</td>
<td>65</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978438847</td>
<td>131506010123Y001080</td>
<td align='center'>
I50.0 </td>
<td align='center'>
<font color='black'>Congestive heart failure</font> </td>

</tr>
<tr align="left" valign="top">
<td>2675</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000389</td>
<td>MURTI</td>
<td>'</td>
<td>RT 04 RW 02</td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-10-1959</td>
<td>63</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002296281464</td>
<td>131506010123Y001081</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2676</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019560</td>
<td>KASIRAH</td>
<td>'3503055207520001</td>
<td>NGLEGOK, RT : 10,RW :4 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-07-1952</td>
<td>70</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665880838</td>
<td>131506010123Y001082</td>
<td align='center'>
I50 </td>
<td align='center'>
<font color='black'>Heart failure</font> </td>
</tr>

<tr align="left" valign="top">


<td>2677</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008228</td>
<td>MOEKADI A</td>
<td>'</td>
<td>RT 06 RW 03</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1939</td>
<td>83</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI LANSIA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0000076619992</td>
<td>131506010123Y001085</td>
<td align='center'>
H52.5 </td>
<td align='center'>
<font color='black'>Disorders of accommodation</font> </td>

</tr>

<tr align="left" valign="top">


<td>2678</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008586</td>
<td>MURJATIN</td>
<td>'3503056404450001</td>
<td>-</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-04-1945</td>
<td>77</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0000076620148</td>
<td>131506010123Y001086</td>
<td align='center'>
E11.6 </td>
<td align='center'>
<font color='black'>Non-insulin-dependent diabetes mellitus with other
specified complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2679</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006224</td>
<td>SUMIYATI</td>
<td>'3503054108540002</td>
<td>RT 01 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-1954</td>
<td>68</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106529523</td>
<td>131506010123Y001125</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2680</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006169</td>
<td>MARIJAH</td>
<td>'3503056612520001</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-12-1952</td>
<td>70</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666632035</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2681</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003655</td>
<td>BARI</td>
<td>'3503051511500001</td>
<td>DUSUN KRAJAN, RT : 12,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-11-1950</td>
<td>72</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665892066</td>
<td>131506010123Y001092</td>
<td align='center'>
F41 </td>
<td align='center'>
<font color='black'>Other anxiety disorders</font> </td>

</tr>

<tr align="left" valign="top">


<td>2682</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020648</td>
<td>MRAKIH</td>
<td>' </td>
<td>DUSUN KASIHAN, RT : 27,RW :12 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-06-1951</td>
<td>71</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666101013</td>
<td>131506010123Y001130</td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2683</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024192</td>
<td>BONARI</td>
<td>' 3503053112590034</td>
<td>DSN KRAJAN, RT : 004,RW :002 </td>
<td>TEGAREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1959</td>
<td>63</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665684425</td>
<td>131506010123Y001123</td>
<td align='center'>
T14.0 </td>
<td align='center'>
<font color='red'>Superficial injury of unspecified body region</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2684</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002373</td>
<td>SUPARTINI</td>
<td>'3503057112490016</td>
<td>DUSUN KRAJAN, RT : 8,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1949</td>
<td>73</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>Sri Nurhidayati,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978460335</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2685</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004422</td>
<td>SUYATI</td>
<td>'3503055707550001</td>
<td>DUSUN KALIPINGGIR, RT : 18,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-07-1955</td>
<td>67</td>
<td>P</td>
<td>Guru</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106823957</td>
<td>131506010123Y001122</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2686</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001511</td>
<td>TUMINI</td>
<td>'3503054404570001</td>
<td>DUSUN KRAJAN, RT : 5,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-04-1957</td>
<td>65</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2687</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012763</td>
<td>MENIR</td>
<td>'3503057112510001</td>
<td>RT 007 RW 002</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1951</td>
<td>71</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666998548</td>
<td>131506010123Y001120</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>2688</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001367</td>
<td>SUSANTO</td>
<td>'3503051401480001</td>
<td>DUSUN CORAH MULYO, RT : 5,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-01-1948</td>
<td>75</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106703638</td>
<td>131506010123Y001161</td>
<td align='center'>
R33 </td>
<td align='center'>
<font color='black'>Retention of urine</font> </td>

</tr>

<tr align="left" valign="top">


<td>2689</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023622</td>
<td>SEMI</td>
<td>'6471055212620018</td>
<td>RT 5 RW 1</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-12-1962</td>
<td>60</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003296780965</td>
<td>131506010123Y001174</td>
<td align='center'>
A15.0 </td>
<td align='center'>
<font color='red'>Tuberculosis of lung, confirmed by sputum microscopy
with or without culture</font> </td>

</tr>

<tr align="left" valign="top">


<td>2690</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002839</td>
<td>SULIKAH</td>
<td>'</td>
<td>RT 1 RW 1</td>
<td>SUMBER</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>25-02-1976</td>
<td>46</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002283220473</td>
<td>131506010123Y001147</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2691</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021845</td>
<td>SAMIRAH</td>
<td>'3503054310480001</td>
<td>DUSUN PONGGOK, RT : 24,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-10-1948</td>
<td>74</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666083632</td>
<td>131506010123Y001165</td>
<td align='center'>
H40.9 </td>
<td align='center'>
<font color='black'>Glaucoma, unspecified</font> </td>
</tr>

<tr align="left" valign="top">


<td>2692</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002520</td>
<td>SUMADI</td>
<td>'3503051007570003</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-07-1957</td>
<td>65</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002744299484</td>
<td>131506010123Y001233</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2693</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000043</td>
<td>PARTINI</td>
<td>'</td>
<td>RT 19 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-11-1956</td>
<td>66</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664933342</td>
<td>131506010123Y001234</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2694</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012148</td>
<td>SUPRIHATIN</td>
<td>' 3503054309560001</td>
<td>DESA WINONG, RT : 1,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-09-1956</td>
<td>66</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037006774</td>
<td>131506010123Y001222</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2695</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000135</td>
<td>USUP</td>
<td>'3503051210440001</td>
<td>RT 29 RW 7</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-10-1944</td>
<td>78</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666264576</td>
<td>131506010123Y001227</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2696</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000355</td>
<td>TUKIYEM</td>
<td>'3503055205510002</td>
<td>RT 02 RW 02</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-05-1951</td>
<td>71</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002328114082</td>
<td>131506010123Y001230</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>2697</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009783</td>
<td>SURATI</td>
<td>'3503054112610003</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1961</td>
<td>61</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003068159545</td>
<td>131506010123Y001229</td>
<td align='center'>
A15.8 </td>
<td align='center'>
<font color='red'>Other respiratory tuberculosis, confirmed
bacteriologically and histologically</font> </td>

</tr>

<tr align="left" valign="top">


<td>2698</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002005</td>
<td>SUWARNI</td>
<td>'3503051512470002</td>
<td>DUSUN KEBONSARI, RT : 29,RW :7 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-12-1947</td>
<td>75</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978455407</td>
<td>131506010123Y001231</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2699</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000410</td>
<td>SUPARNO</td>
<td>'</td>
<td>DUDUN KRAJAN, RT 05 RW 01</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1956</td>
<td>66</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802748004</td>
<td>131506010123Y001232</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2700</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010857</td>
<td>MINAH</td>
<td>'3503054107470042</td>
<td>DUSUN GERBO, RT : 14,RW :6 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1947</td>
<td>75</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665897769</td>
<td>131506010123Y001188</td>
<td align='center'>
R51 </td>
<td align='center'>
<font color='red'>Headache</font> </td>

</tr>

<tr align="left" valign="top">


<td>2701</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004731</td>
<td>SRI SUKATMI MAMIK</td>
<td>'3503056707590001</td>
<td>RT 07 RW 02</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-07-1959</td>
<td>63</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001799296571</td>
<td>131506010123Y001236</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2702</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000024</td>
<td>SUJAK</td>
<td>'3503050508510001</td>
<td>RT 5 RW 2</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-08-1951</td>
<td>71</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860462866</td>
<td>131506010123Y001235</td>
<td align='center'>
Z03.0 </td>
<td align='center'>
<font color='black'>Observation for suspected tuberculosis</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2703</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007133</td>
<td>SUMINI</td>
<td>'3503057112550001</td>
<td>DUSUN GONDANG KIDUL, RT : 10,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1955</td>
<td>67</td>
<td>P</td>
<td>Pedagang</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002470697471</td>
<td>131506010123Y001207</td>
<td align='center'>
I25 </td>
<td align='center'>
<font color='black'>Chronic ischaemic heart disease</font> </td>

</tr>

<tr align="left" valign="top">


<td>2704</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000311</td>
<td>EDDY SURYADI</td>
<td>'3503050912580001</td>
<td>ETAN KALI, RT : 021,RW :005 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-12-1958</td>
<td>64</td>
<td>L</td>
<td>KARYAWAN SWASTA</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002063469532</td>
<td>131506010123Y001209</td>
<td align='center'>
H25.9 </td>
<td align='center'>
<font color='black'>Senile cataract, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2705</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013886</td>
<td>SUBARNO</td>
<td>'3503052611610001</td>
<td>RT 18 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-11-1961</td>
<td>61</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666407542</td>
<td>131506010123Y001216</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2706</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004746</td>
<td>HARDOJO</td>
<td>'</td>
<td>RT 04 RW 02</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-09-1953</td>
<td>69</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106514774</td>
<td>131506010123Y001226</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>
<tr align="left" valign="top">
<td>2707</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001245</td>
<td>SUKAMTO</td>
<td>'3503050706470001</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-06-1947</td>
<td>75</td>
<td>L</td>
<td>Lainnya</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002032471056</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2708</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009893</td>
<td>SUKARTI</td>
<td>'3503057112520026</td>
<td>DUSUN KRAJAN, RT : 16,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1952</td>
<td>70</td>
<td>P</td>
<td>Perdagangan</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003177400904</td>
<td>131506010123Y001224</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>
</tr>

<tr align="left" valign="top">


<td>2709</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016101</td>
<td>JEMINAH</td>
<td>'3503057011460002</td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-11-1946</td>
<td>76</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI LANSIA</td>
<td>FEBY AYU VERNANDA,A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666979762</td>
<td>131506010123Y001258</td>
<td align='center'>
M79.1 </td>
<td align='center'>
<font color='black'>Myalgia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2710</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017189</td>
<td>SUTARLAN</td>
<td>'3503050801630001</td>
<td>DUSUN BENGGLE, RT : 11,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-01-1963</td>
<td>60</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002470490302</td>
<td>131506010123Y001291</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2711</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009627</td>
<td>KARSINI</td>
<td>'3503054509540001</td>
<td>RT 023 RW 006</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-09-1954</td>
<td>68</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666086455</td>
<td>131506010123Y001304</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2712</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000633</td>
<td>JEMATUN</td>
<td>'3503055012560004</td>
<td>DUSUN KRAJAN, RT : 14,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1956</td>
<td>66</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667077592</td>
<td>131506010123Y001283</td>
<td align='center'>
E11.9 </td>
<td align='center'>
<font color='red'>Non-insulin-dependent diabetes mellitus without
complications</font> </td>

</tr>

<tr align="left" valign="top">


<td>2713</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020640</td>
<td>LEMU</td>
<td>'5207080911590001</td>
<td>RT 12 RW 04</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-11-1959</td>
<td>63</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001963863742</td>
<td>131506010123Y001306</td>
<td align='center'>
I69.3 </td>
<td align='center'>
<font color='black'>Sequelae of cerebral infarction</font> </td>

</tr>

<tr align="left" valign="top">


<td>2714</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005833</td>
<td>MISRI</td>
<td>'3503055202570001</td>
<td>DUSUN GONDANG, RT : 16,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-02-1957</td>
<td>65</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978457973</td>
<td>131506010123Y001300</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>2715</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000267</td>
<td>SUTARTI</td>
<td>'</td>
<td>RT 28 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1961</td>
<td>61</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665606709</td>
<td>131506010123Y001307</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2716</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004046</td>
<td>SUPATMI</td>
<td>'3503067112610061</td>
<td>RT 3 RW 1</td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>31-12-1961</td>
<td>61</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002431074688</td>
<td>131506010123Y001298</td>
<td align='center'>
R50 </td>
<td align='center'>
<font color='black'>Fever of other and unknown origin</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2717</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024073</td>
<td>SUMARMI</td>
<td>'3503056804470001</td>
<td>DUSUN BENGGLE, RT : 11,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-04-1947</td>
<td>75</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802761133</td>
<td>131506010123Y000726</td>
<td align='center'>
M13.0 </td>
<td align='center'>
<font color='black'>Polyarthritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2718</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001690</td>
<td>TUMINI</td>
<td>'3503054701600002</td>
<td>DUSUN KRAJAN, RT : 11,RW :3 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-01-1960</td>
<td>63</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665910033</td>
<td>131506010123Y001294</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2719</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000416</td>
<td>PANIRAN</td>
<td>'3503051212500004</td>
<td>KRAJAN, RT : 018,RW :003 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-12-1950</td>
<td>72</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665764749</td>
<td></td>
<td align='center'>
I50 </td>
<td align='center'>
<font color='black'>Heart failure</font> </td>

</tr>

<tr align="left" valign="top">


<td>2720</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000235</td>
<td>UMIATI</td>
<td>'3503054503590001</td>
<td>RT 21 RW 05</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-03-1959</td>
<td>63</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802749512</td>
<td>131506010123Y001310</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2721</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003265</td>
<td>JAITUN</td>
<td>'3503056709360001</td>
<td>DUSUN KEBONSARI, RT : 32,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-09-1936</td>
<td>86</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978455892</td>
<td>131506010123Y001131</td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2722</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000061</td>
<td>FATIMAH</td>
<td>'3503055309510001</td>
<td>RT 7 RW 3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-09-1951</td>
<td>71</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>VETERAN</td>
<td>'0000076414206</td>
<td>131506010123Y001265</td>
<td align='center'>
N39 </td>
<td align='center'>
<font color='red'>Other disorders of urinary system</font> </td>

</tr>

<tr align="left" valign="top">


<td>2723</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017265</td>
<td>MESINEM</td>
<td>'</td>
<td>BANARAN RT6/3</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-04-1949</td>
<td>73</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978461562</td>
<td>131506010123Y001308</td>
<td align='center'>
Z03.0 </td>
<td align='center'>
<font color='black'>Observation for suspected tuberculosis</font>
</td>
</tr>

<tr align="left" valign="top">


<td>2724</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024562</td>
<td>MUKIRAH</td>
<td>'3503054308590001</td>
<td>DUSUN KRAJAN, RT : 7,RW :4 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-08-1959</td>
<td>63</td>
<td>P</td>
<td>Pedagang</td>
<td>POLI LANSIA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978437914</td>
<td>131506010123Y001264</td>
<td align='center'>
M48.05 </td>
<td align='center'>
<font color='black'>Spinal stenosis, thoracolumbar region</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2725</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023549</td>
<td>MARMI</td>
<td>'</td>
<td>RT 59 RW 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-02-1985</td>
<td>37</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLI K.B</td>
<td>DIANTI DWI PANGESTUTI, A.MD.KEB</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665334336</td>
<td></td>
<td align='center'>
Z30.9 </td>
<td align='center'>
<font color='black'>Contraceptive management, unspecified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2726</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016709</td>
<td>NITA NURROHMAH</td>
<td>'3503054802910003</td>
<td>DUSUN BANGGLE, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-02-1991</td>
<td>31</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI K.B</td>
<td>DIANTI DWI PANGESTUTI, A.MD.KEB</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666370484</td>
<td>131506010123Y000293</td>
<td align='center'>
Z30.9 </td>
<td align='center'>
<font color='black'>Contraceptive management, unspecified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2727</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024036</td>
<td>RUSMINI</td>
<td>'3503055212700006</td>
<td>RT 10 RW 4</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-12-1970</td>
<td>52</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K.B</td>
<td>DIANTI DWI PANGESTUTI, A.MD.KEB</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666370091</td>
<td>131506010123Y000294</td>
<td align='center'>
Z30.9 </td>
<td align='center'>
<font color='black'>Contraceptive management, unspecified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2728</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008453</td>
<td>ITSNA MUKMINATIN</td>
<td>'3503106706000001</td>
<td> RT : 35,RW :06 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-06-2000</td>
<td>22</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI K.B</td>
<td>DIANTI DWI PANGESTUTI, A.MD.KEB</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002266717083</td>
<td>131506010123Y000295</td>
<td align='center'>
Z30.9 </td>
<td align='center'>
<font color='black'>Contraceptive management, unspecified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2729</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008883</td>
<td>SURATI</td>
<td>'3503054607730001</td>
<td>PRAMBON RT 23/4</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-07-1973</td>
<td>49</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K.B</td>
<td>DIANTI DWI PANGESTUTI, A.MD.KEB</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665318463</td>
<td>131506010123Y000296</td>
<td align='center'>
Z30.9 </td>
<td align='center'>
<font color='black'>Contraceptive management, unspecified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2730</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001156</td>
<td>FIFI NUR`AINI</td>
<td>'3506225209870003</td>
<td>PAKEL, RT : 32,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-09-1987</td>
<td>35</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K.B</td>
<td>SIH WAHYUDIATI,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z30.9 </td>
<td align='center'>
<font color='black'>Contraceptive management, unspecified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2731</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003835</td>
<td>ALFI NURAIDA</td>
<td>'3503056005840001</td>
<td>DUSUN CORAH MULYO, RT : 3,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-05-1984</td>
<td>38</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K.B</td>
<td>DIANTI DWI PANGESTUTI, A.MD.KEB</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001707022045</td>
<td>131506010123Y000298</td>
<td align='center'>
Z30.9 </td>
<td align='center'>
<font color='black'>Contraceptive management, unspecified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2732</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010653</td>
<td>LENI WIDIYA RESTU</td>
<td>'3503056208950004</td>
<td>DUSUN KRAJAN, RT : 12,RW :6 </td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-08-1995</td>
<td>27</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2733</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024063</td>
<td>ISTI ROHMAH</td>
<td>'3503054811700001</td>
<td>DESA WINONG KECAMATAN TUGU, RT : 1,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-11-1970</td>
<td>52</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI K.B</td>
<td>DIANTI DWI PANGESTUTI, A.MD.KEB</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037007617</td>
<td>131506010123Y000234</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>2734</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024069</td>
<td>ERVI SETYAWATI (1)</td>
<td>'3402175207820002</td>
<td>RT 022 RW 000</td>
<td>ARGOREJO</td>
<td>SEDAYU</td>
<td>BANTUL</td>
<td>12-07-1982</td>
<td>40</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K.B</td>
<td>DIANTI DWI PANGESTUTI, A.MD.KEB</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001847417859</td>
<td>131506010123Y000654</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>2735</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010019</td>
<td>SUGIARTI</td>
<td>'3503054202850003</td>
<td>DUSUN PONGGOK, RT : 21,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-02-1985</td>
<td>37</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2736</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024077</td>
<td>BAMBANG HARIADI</td>
<td>'3503050502790001</td>
<td>DUSUN PONGGOK, RT : 23,RW :10 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-02-1979</td>
<td>43</td>
<td>L</td>
<td>Buruh Harian Lepas</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2737</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002992</td>
<td>MUJIATIK</td>
<td>'3503054505790001</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-05-1979</td>
<td>43</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI K.B</td>
<td>DIANTI DWI PANGESTUTI, A.MD.KEB</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666315178</td>
<td>131506010123Y000659</td>
<td align='center'>
Z30.9 </td>
<td align='center'>
<font color='black'>Contraceptive management, unspecified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2738</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024118</td>
<td>IMAM SUJOKO</td>
<td>' 3503050709920002</td>
<td>DUSUN MLOKO, RT : 55,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-09-1992</td>
<td>30</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037015526</td>
<td>131506010123Y000365</td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2739</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024119</td>
<td>ELA KRISNAWATI</td>
<td>'3503056103010001</td>
<td>DUSUN MLOKO, RT : 55,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-03-2001</td>
<td>21</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000666214154</td>
<td>131506010123Y000366</td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2740</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024132</td>
<td>KRISTIANA R</td>
<td>'3503114308940003</td>
<td>JL.RA KARTINI, RT : 020,RW :006 </td>
<td>SUMBERGEDONG</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>03-08-1994</td>
<td>28</td>
<td>P</td>
<td>WIRASWASTA</td>
<td>POLI K.B</td>
<td>SIH WAHYUDIATI,A.Md.Keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0001706086833</td>
<td></td>
<td align='center'>
Z30.1 </td>
<td align='center'>
<font color='black'>Insertion of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>2741</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013567</td>
<td>MUJIATI</td>
<td>'3503054710840005</td>
<td>DUSUN KEBONSARI, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-10-1984</td>
<td>38</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI K.B</td>
<td>DIANTI DWI PANGESTUTI, A.MD.KEB</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665695776</td>
<td>131506010123Y000667</td>
<td align='center'>
Z30.9 </td>
<td align='center'>
<font color='black'>Contraceptive management, unspecified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2742</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008528</td>
<td>ITA ANDRIANI</td>
<td>'3503055001790001</td>
<td>KRAJAN, RT : 17,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-01-1979</td>
<td>44</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002802764777</td>
<td>131506010123Y000669</td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2743</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024176</td>
<td>SUWITO</td>
<td>'3216192407790004</td>
<td>RT 4 RW 11</td>
<td>CIANTRA</td>
<td>CIKARANG SELATAN</td>
<td>BEKASI</td>
<td>24-07-1979</td>
<td>43</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0001895073906</td>
<td></td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2744</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001769</td>
<td>KOMSIATI</td>
<td>'3503054406720005</td>
<td>DUSUN SETONO, RT : 14,RW :4 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-06-1972</td>
<td>50</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K.B</td>
<td>DIANTI DWI PANGESTUTI, A.MD.KEB</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665474264</td>
<td>131506010123Y000670</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>2745</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024178</td>
<td>DWI RAHAYU</td>
<td>'3503055107990001</td>
<td>RT 55 RW 11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-04-1998</td>
<td>24</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000667152865</td>
<td>131506010123Y000671</td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2746</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024213</td>
<td>PRISTICA PRIHANDINI SUKMA</td>
<td>'3503054607960001</td>
<td>DUSUN CORAH MULYO, RT : 7,RW :2 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-07-1996</td>
<td>26</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>'0000665662893</td>
<td>131506010123Y000772</td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2747</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024220</td>
<td>AGI WINDRA PURNOMO</td>
<td>'3505121808000001</td>
<td>RT 2 RW 7</td>
<td>SUTOJAYAN</td>
<td>SUTOJAYAN</td>
<td>BLITAR</td>
<td>18-08-2000</td>
<td>22</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>
</tr>

<tr align="left" valign="top">


<td>2748</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024219</td>
<td>EVI TARIANI</td>
<td>' 3503056207010001</td>
<td>KRAJAN, RT : 20,RW :4 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-07-2001</td>
<td>21</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665386817</td>
<td>131506010123Y001028</td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2749</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024332</td>
<td>SUKIRAH</td>
<td>'3502057006420001</td>
<td>RT 2 RW 2</td>
<td>TEMPURAN</td>
<td>SAWOO</td>
<td>PONOROGO</td>
<td>30-06-1942</td>
<td>80</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001701806488</td>
<td>131506010123Y000887</td>
<td align='center'>
Z30.1 </td>
<td align='center'>
<font color='black'>Insertion of (intrauterine) contraceptive
device</font> </td>

</tr>

<tr align="left" valign="top">


<td>2750</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024335</td>
<td>MEILIANA WIJI LESTARI</td>
<td>'3503054505930001</td>
<td>DUSUN KRAJAN, RT : 14,RW :4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-05-1993</td>
<td>29</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106818107</td>
<td>131506010123Y000888</td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2751</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005006</td>
<td>MESINI</td>
<td>'3503054107690037</td>
<td>PRAMBON RT 51/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1969</td>
<td>53</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2752</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022707</td>
<td>SATAM</td>
<td>'3503051609640002</td>
<td>RT 54 RW 011</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-09-1964</td>
<td>58</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2753</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024336</td>
<td>PANJI WIJAYANTO</td>
<td>'3503111206940004</td>
<td>RT 1 RW 1</td>
<td>SURODAKAN</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>12-06-1994</td>
<td>28</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0000106525269</td>
<td>131506010123Y000889</td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2754</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024342</td>
<td>DENY CAHYONO</td>
<td>'3503050806960002</td>
<td>RT 003 RW 001</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-06-1996</td>
<td>26</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2755</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024343</td>
<td>IKA MEILIASARI</td>
<td>'3503054805000001</td>
<td>JATEN, RT : 020,RW :004 </td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-05-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2756</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004128</td>
<td>OKTAVIA FITRI PRAMESTI </td>
<td>'</td>
<td>RT 17 RW 7</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-10-2006</td>
<td>16</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI K.B</td>
<td>SIH WAHYUDIATI,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665899738</td>
<td>131506010123Y000898</td>
<td align='center'>
Z30.9 </td>
<td align='center'>
<font color='black'>Contraceptive management, unspecified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2757</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012955</td>
<td>ENDAH YULIANI</td>
<td>'3503055306970003</td>
<td>DUSUN PAKEL, RT : 34,RW :6 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-06-1997</td>
<td>25</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2758</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024356</td>
<td>LINDA KUSNITA SARI</td>
<td>'3503094107900036</td>
<td>RT 7 RW 3</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1990</td>
<td>32</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K.B</td>
<td>Ulik Tri Wahyuni,Amd.keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003276978388</td>
<td>131506010123Y001014</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>2759</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024357</td>
<td>JARNO</td>
<td>'3506161806900001</td>
<td>RT 7 RW 3</td>
<td>SUMURUP</td>
<td>BENDUNGAN</td>
<td>TRENGGALEK</td>
<td>18-06-1990</td>
<td>32</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLI K.B</td>
<td>Ulik Tri Wahyuni,Amd.keb</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002598237246</td>
<td>131506010123Y001015</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>2760</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024367</td>
<td>SUMANI</td>
<td>'3503053112800018</td>
<td>RT 54 RW 11</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-10-1979</td>
<td>43</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI K.B</td>
<td>Istirohmawati,S.S.T.</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2761</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024368</td>
<td>DWI SUSANTI</td>
<td>'3503095807910001</td>
<td>RT 58 RW 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-07-1991</td>
<td>31</td>
<td>P</td>
<td>WIRASWASTA</td>
<td>POLI K.B</td>
<td>Istirohmawati,S.S.T.</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2762</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002482</td>
<td>WINARSIH</td>
<td>'3503055009750005</td>
<td>, RT : 023,RW :0076</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-09-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K.B</td>
<td>Ulik Tri Wahyuni,Amd.keb</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665427306</td>
<td>131506010123Y001105</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>2763</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005429</td>
<td>SITI NURHIDAYATI</td>
<td>'3503055011830001</td>
<td>DUSUN KEBON, RT : 20,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-11-1983</td>
<td>39</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K.B</td>
<td>Ulik Tri Wahyuni,Amd.keb</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664941025</td>
<td>131506010123Y001107</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>2764</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024197</td>
<td>MUHAMMAD HAIS LATIF</td>
<td>' 3503050707970002</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-07-1997</td>
<td>25</td>
<td>L</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI K.B</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666206324</td>
<td>131506010123Y001004</td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2765</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024421</td>
<td>MUNI ASTUTIK</td>
<td>'9202044407870003</td>
<td>RT 17 RW 07</td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-07-1987</td>
<td>35</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2766</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024422</td>
<td>SUNARDI</td>
<td>'3503141212740001</td>
<td>RT 14 RW 02</td>
<td>GAMPING</td>
<td>SURUH</td>
<td>TRENGGALEK</td>
<td>12-12-1974</td>
<td>48</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2767</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002122</td>
<td>SITI MARPUAH</td>
<td>'3503055609720002</td>
<td>RT 27 RW 12</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-09-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K.B</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665871715</td>
<td>Konseling</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>2768</td>
<td>22-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016170</td>
<td>IDA WALIATUK KHARIYAH</td>
<td>'3503055706870004</td>
<td>DESA GONDANG, RT : 8,RW :2 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-06-1987</td>
<td>35</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI K.B</td>
<td>DIANTI DWI PANGESTUTI, A.MD.KEB</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666254428</td>
<td>131506010123Y000903</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>2769</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024553</td>
<td>VIVI OKTAVIANI</td>
<td>'3503054310950002</td>
<td>RT 19 RW 3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-10-1995</td>
<td>27</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'0000666519276</td>
<td></td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2770</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024554</td>
<td>SAPUAT</td>
<td>'3503052307960002</td>
<td>DUSUN PAKEL, RT : 25,RW :5 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-07-1996</td>
<td>26</td>
<td>L</td>
<td>Buruh Harian Lepas</td>
<td>POLI K.B</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0002918212031</td>
<td></td>
<td align='center'>
Z23.5 </td>
<td align='center'>
<font color='red'>Need for immunization against tetanus alone</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2771</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011531</td>
<td>WILDA ADNIN HAMID</td>
<td>'3503054206080001</td>
<td>DUSUN KRAJAN, RT : 15,RW :3 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-06-2008</td>
<td>14</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002906175238</td>
<td>131506010123Y000010</td>
<td align='center'>
H52.5 </td>
<td align='center'>
<font color='black'>Disorders of accommodation</font> </td>
</tr>

<tr align="left" valign="top">


<td>2772</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000748</td>
<td>RIZKI AUULIA</td>
<td>'</td>
<td>RT 04 RW 02</td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-11-2011</td>
<td>11</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2773</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012340</td>
<td>SALIMA BIMUHYIL INAYATI</td>
<td>'</td>
<td>RT 16 RW 4 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-05-2009</td>
<td>13</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002161669577</td>
<td>131506010123Y000098</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2774</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004925</td>
<td>RINDA MAULIDA FAIZHA</td>
<td>'3503056103080002</td>
<td>DUSUN ETAN KALI, RT : 23,RW :6 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-03-2008</td>
<td>14</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802754181</td>
<td>131506010123Y000040</td>
<td align='center'>
L30.9 </td>
<td align='center'>
<font color='red'>Dermatitis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2775</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003722</td>
<td>NAUFAL JAUHARI</td>
<td>'3503052004110001</td>
<td>DESA SUKOREJO, RT : 11,RW :5 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-04-2011</td>
<td>11</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R11 </td>
<td align='center'>
<font color='red'>Nausea and vomiting</font> </td>

</tr>

<tr align="left" valign="top">


<td>2776</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024087</td>
<td>AYANA ICEZ WERNER DAE</td>
<td>'3503055805120003</td>
<td>RT 011 RW 003</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-05-2012</td>
<td>10</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0001707022102</td>
<td>131506010123Y000283</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>2777</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024045</td>
<td>NAGATA DELVIONEL ZAQY SAMUDRA</td>
<td>'3503052401110001</td>
<td>RT 16 RW 4</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-01-2011</td>
<td>12</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003256697834</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2778</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019410</td>
<td>M. ABBAD SYAUQON WAFA</td>
<td>'3503052109090001</td>
<td>DUSUN KEBON, RT : 33,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-09-2009</td>
<td>13</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665752972</td>
<td>131506010123Y000339</td>
<td align='center'>
B86 </td>
<td align='center'>
<font color='red'>Scabies</font> </td>

</tr>

<tr align="left" valign="top">


<td>2779</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024126</td>
<td>MAWAR ROYKHANAH NUR NABILA</td>
<td>'3503065002060001</td>
<td>NGENTRONG, RT : 14,RW :3 </td>
<td>NGENTRONG</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>10-02-2006</td>
<td>16</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
L50.9 </td>
<td align='center'>
<font color='red'>Urticaria, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2780</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007367</td>
<td>SARAH ALFATUNISA</td>
<td>'3503055207080002</td>
<td>DUSUN CORAH MULYO, RT : 3,RW :1 </td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-07-2008</td>
<td>14</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002305250133</td>
<td>131506010123Y000392</td>
<td align='center'>
H91.9 </td>
<td align='center'>
<font color='black'>Hearing loss, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2781</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021116</td>
<td>JIHAN KAMELIA KHUSNA</td>
<td>'3503056608090001</td>
<td>DUSUN KRAJAN, RT : 6,RW :1 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-08-2009</td>
<td>13</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2782</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019332</td>
<td>BUNGA NURSANTI LARAS WIGUNANI</td>
<td>'3503054606060003</td>
<td>BEJI, RT : 18,RW :8 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-06-2006</td>
<td>16</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802749027</td>
<td>131506010123Y000489</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>2783</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002291</td>
<td>RINJA ARUL IRFANSYAH</td>
<td>'3503052411080003</td>
<td>DUSUN KEBON, RT : 34,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-11-2008</td>
<td>14</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665011451</td>
<td>131506010123Y000575</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>2784</td>
<td>10-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024080</td>
<td>TRI ATMAJATUL KAMILAH</td>
<td>'3503054107060001</td>
<td>RT 22 RW 6</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-06-2006</td>
<td>16</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0000666668384</td>
<td></td>
<td align='center'>
T30.1 </td>
<td align='center'>
<font color='red'>Burn of first degree, body region unspecified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2785</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003976</td>
<td>KAMILIYATUL HUSNA</td>
<td>'3503055308080001</td>
<td>MOJO KIDUL, RT : 021,RW :008 </td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-08-2008</td>
<td>14</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0003071461151</td>
<td>131506010123Y000593</td>
<td align='center'>
Z47.9 </td>
<td align='center'>
<font color='black'>Orthopaedic follow-up care, unspecified</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2786</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020175</td>
<td>SILVENA PUTRI AGUSTIN</td>
<td>'35030557080800001</td>
<td>RT. 1 RW.1</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-08-2008</td>
<td>14</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0001896653125</td>
<td>131506010123Y000698</td>
<td align='center'>
H61 </td>
<td align='center'>
<font color='red'>Other disorders of external ear</font> </td>
</tr>

<tr align="left" valign="top">


<td>2787</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020120</td>
<td>IKA IRGI MAULANA</td>
<td>'</td>
<td>RT40 RW07</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-11-2010</td>
<td>12</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2788</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020599</td>
<td>MUHAMMAD ULINNUHA MUSTAQIM</td>
<td>'3503050911080001</td>
<td>KRAJAN, RT : 1,RW :1 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-11-2008</td>
<td>14</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666038147</td>
<td>131506010123Y000740</td>
<td align='center'>
K29.7 </td>
<td align='center'>
<font color='red'>Gastritis, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2789</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012358</td>
<td>IQBAL ABDUSSUKUR</td>
<td>'3503051605060002</td>
<td>DUSUN KEBONSARI, RT : 31,RW :8 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-05-2006</td>
<td>16</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665445475</td>
<td>131506010123Y000739</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>2790</td>
<td>13-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000234</td>
<td>AHMAD DHUAN APRYDA</td>
<td>'3503052604050001</td>
<td>RT 3 RW 2</td>
<td>BANARAN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-04-2005</td>
<td>17</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>Dian Argawati, A.Md.Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978463204</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2791</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010651</td>
<td>PEDRO APRIANO PUTRA</td>
<td>'</td>
<td>RT 09 RW 03</td>
<td>NGLONGSOR</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-04-2012</td>
<td>10</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001917650283</td>
<td>131506010123Y000798</td>
<td align='center'>
Z48.0 </td>
<td align='center'>
<font color='black'>Attention to surgical dressings and sutures</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2792</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024334</td>
<td>AHMAD IQBAL FAHRURROZI</td>
<td>'3503053007080002</td>
<td>KEBONSARI, RT : 21,RW :5 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-07-2008</td>
<td>14</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2793</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003483</td>
<td>ANNAS SHOBIH ALWAFA</td>
<td>'3503051307090001</td>
<td>DUSUN GONDANG, RT : 22,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-07-2009</td>
<td>13</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002420472789</td>
<td>131506010123Y000892</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>2794</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018631</td>
<td>EGGA FATICHUL ICHSAN</td>
<td>'3503052809120001</td>
<td>RT 08 RW 03</td>
<td>JAMBU</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-09-2012</td>
<td>10</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003262567408</td>
<td>131506010123Y000875</td>
<td align='center'>
B20 </td>
<td align='center'>
<font color='black'>Human immunodeficiency virus [HIV] disease
resulting in infectious and parasitic diseases</font> </td>

</tr>

<tr align="left" valign="top">


<td>2795</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022798</td>
<td>SENANDUNG NACITA S. M.</td>
<td>'3503054305120001</td>
<td>DESA DERMOSARI RT 05/ RW 02 KECAMATAN TUGU KAB. TRENGGALEK, RT :
005,RW :002 </td>
<td>DERMOSARI</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-05-2012</td>
<td>10</td>
<td>P</td>
<td>BELUM/TIDAK BEKERJA</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</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>2796</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024374</td>
<td>RISKI WAHYU RAHMADANI</td>
<td>'3503031507050001</td>
<td>RT 05 RW 02 </td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>15-07-2005</td>
<td>17</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z48.8 </td>
<td align='center'>
<font color='black'>Other specified surgical follow-up care</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2797</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000487</td>
<td>KHARISMA YOGA DWI NUGROHO</td>
<td>'3503052007050001</td>
<td>DUSUN KALIPINGGIR, RT : 018,RW :005 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-07-2005</td>
<td>17</td>
<td>L</td>
<td>PELAJAR/MAHASISWA</td>
<td>POLI REMAJA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000172185761</td>
<td>131506010123Y000993</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>2798</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003470</td>
<td>AZKADINA KANIA EL HAYFA</td>
<td>'3503054908110001</td>
<td>RT 12 RW 3</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-08-2011</td>
<td>11</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT DIPERBANTUKAN</td>
<td>'0001860559301</td>
<td>131506010123Y000990</td>
<td align='center'>
R50.9 </td>
<td align='center'>
<font color='black'>Fever, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2799</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002835</td>
<td>ROBITH ROSYADIF FAIZ</td>
<td>'</td>
<td>RT 4 RW 2</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-2009</td>
<td>13</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037005435</td>
<td>131506010123Y001109</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>2800</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024394</td>
<td>MAYADA NURHAMIDAH</td>
<td>'3503054707050001</td>
<td>DUSUN KALIPINGGIR, RT : 23,RW :6 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-07-2005</td>
<td>17</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Reza Suzana</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K30 </td>
<td align='center'>
<font color='red'>Dyspepsia</font> </td>

</tr>

<tr align="left" valign="top">


<td>2801</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011300</td>
<td>NADIA OLIVIA DEVITASARI</td>
<td>'3503056910090001</td>
<td>RT 09 RW 03</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-10-2009</td>
<td>13</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707126423</td>
<td>131506010123Y001017</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>2802</td>
<td>18-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020750</td>
<td>KRISNA NAUFAL SYAIQHU R</td>
<td>'</td>
<td>RT 11 RW 04</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-04-2010</td>
<td>12</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
A09.9 </td>
<td align='center'>
<font color='red'>Gastroenteritis and colitis of unspecified
origin</font> </td>

</tr>

<tr align="left" valign="top">


<td>2803</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019083</td>
<td>FARDANI ULYA TRIANANDA</td>
<td>'3503055503090001</td>
<td>DUSUN JUMOK, RT : 9,RW :4 </td>
<td>TUMPUK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-03-2009</td>
<td>13</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
H60.9 </td>
<td align='center'>
<font color='red'>Otitis externa, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2804</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004625</td>
<td>VIOLA DEWI NOVITA</td>
<td>'</td>
<td>RT 25</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-11-2007</td>
<td>15</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Reza Suzana</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>2805</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024496</td>
<td>TAUFIQUR ROHMAN</td>
<td>' 3503030207090003</td>
<td> RT : 38,RW :16 </td>
<td>SIDOMULYO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>02-07-2009</td>
<td>13</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665593042</td>
<td>131506010123Y001171</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>2806</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000327</td>
<td>JUVITA DWI OKTAFIA</td>
<td>'</td>
<td>RT 18 RW 08</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-10-2010</td>
<td>12</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666409151</td>
<td>131506010123Y001179</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>2807</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008112</td>
<td>RAFA IZZYAN MAULANA</td>
<td>'3503052505120001</td>
<td>NGLEGOK, RT : 9,RW :3 </td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-05-2012</td>
<td>10</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>Miagus Kristanti,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802745102</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2808</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024218</td>
<td>AMELIA SEPTI WULANDARI</td>
<td>'</td>
<td>RT 18 RW 07</td>
<td>DUREN</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-01-2006</td>
<td>17</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z48.0 </td>
<td align='center'>
<font color='black'>Attention to surgical dressings and sutures</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2809</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>024391</td>
<td>GALIH DWI NURAINI</td>
<td>'3503115711050001</td>
<td>RT 27 RW 07</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-11-2005</td>
<td>17</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001847130581</td>
<td>131506010123Y001228</td>
<td align='center'>
A01.0 </td>
<td align='center'>
<font color='red'>Typhoid fever</font> </td>

</tr>

<tr align="left" valign="top">


<td>2810</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009603</td>
<td>SYAHNA NADIA FAZA AULIA</td>
<td>'</td>
<td>RT 009 RW 002</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-06-2008</td>
<td>14</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Nonong Puspowicahyo</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666080976</td>
<td>131506010123Y001223</td>
<td align='center'>
F98.9 </td>
<td align='center'>
<font color='black'>Unspecified behavioural and emotional disorders
with onset usually occurring in childhood and adolescence</font> </td>

</tr>

<tr align="left" valign="top">


<td>2811</td>
<td>21-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006466</td>
<td>MIFTAQUL LAILI JANATUL AFIFAH</td>
<td>'3503056601060001</td>
<td>RT 1 RW 1</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-01-2006</td>
<td>16</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI REMAJA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978466433</td>
<td></td>
<td align='center'>
R53 </td>
<td align='center'>
<font color='black'>Malaise and fatigue</font> </td>

</tr>

<tr align="left" valign="top">


<td>2812</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009954</td>
<td>MONIKCA PERMATA SALSABILA</td>
<td>'3503056508080002</td>
<td>MLOKO, RT : 53,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-08-2008</td>
<td>14</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666224414</td>
<td>131506010123Y001250</td>
<td align='center'>
Z03 </td>
<td align='center'>
<font color='black'>Medical observation and evaluation for suspected
diseases and conditions</font> </td>
</tr>

<tr align="left" valign="top">


<td>2813</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>019697</td>
<td>MISKA NAZULA APRILIA</td>
<td>'3503057004090002</td>
<td>DUSUN GONDANG KIDUL, RT : 12,RW :3 </td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-04-2009</td>
<td>13</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003177490364</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>2814</td>
<td>24-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>023992</td>
<td>REYMOND LANGGENG DIMANTORO</td>
<td>'3503051204120003</td>
<td>RT 24 RW 10</td>
<td>NGEPEH</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-2012</td>
<td>10</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI REMAJA</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0001388727246</td>
<td>131506010123Y001259</td>
<td align='center'>
Q54.9 </td>
<td align='center'>
<font color='black'>Hypospadias, unspecified</font> </td>

</tr>

<tr align="left" valign="top">


<td>2815</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002098</td>
<td>SAMSUDIN</td>
<td>'3503053001490001</td>
<td>DESA WINONG KECAMATAN TUGU, RT : 1,RW :1 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-01-1949</td>
<td>73</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978466286</td>
<td>131506010123Y000368</td>
<td align='center'>
I10 </td>
<td align='center'>
<font color='red'>Essential (primary) hypertension</font> </td>

</tr>

<tr align="left" valign="top">


<td>2816</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008854</td>
<td>MUCH. BADJURI</td>
<td>'350305 </td>
<td>RT 11 RW 04</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-06-1947</td>
<td>75</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106637354</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2817</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012433</td>
<td>TUTI FATIMAH</td>
<td>'</td>
<td>RT</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-04-1984</td>
<td>38</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002260339209</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2818</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014864</td>
<td>LASMIATI</td>
<td>'3503055912503001</td>
<td>DUSUN WINONG, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-12-1953</td>
<td>69</td>
<td>P</td>
<td>Lainnya</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K29.1 </td>
<td align='center'>
<font color='red'>Other acute gastritis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2819</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017867</td>
<td>BAMBANG SAIFUL</td>
<td>'3503050703630001</td>
<td>DESA WINONG, RT : 8,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-03-1963</td>
<td>59</td>
<td>L</td>
<td>Lainnya</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0000106815971</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2820</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012730</td>
<td>NURKOLIS</td>
<td>'3503050107810024</td>
<td>DUSUN TLOGOREJO, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1981</td>
<td>41</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666107133</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2821</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005350</td>
<td>RIZA NORA NURBAITI</td>
<td>' </td>
<td>DUSUN BENGGLE, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-05-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037005391</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2822</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014685</td>
<td>SUKESI</td>
<td>' </td>
<td>DUSUN BENGGLE, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-01-1971</td>
<td>52</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037005378</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2823</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015788</td>
<td>KOTOT WINARNO</td>
<td>'3503051303690001</td>
<td>DUSUN BENGGLE, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-03-1969</td>
<td>53</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037005367</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2824</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016928</td>
<td>SULANI</td>
<td>'3503051204620001</td>
<td>DUSUN BENGGLE, RT : 11,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-04-1962</td>
<td>60</td>
<td>L</td>
<td>Buruh Harian Lepas</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666120374</td>
<td>131506010123Y000386</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>2825</td>
<td>07-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016929</td>
<td>TUMINATUN</td>
<td>' </td>
<td>DUSUN BENGGLE, RT : 11,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-08-1968</td>
<td>54</td>
<td>P</td>
<td>Lainnya</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665684651</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2826</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005227</td>
<td>SUJARNO</td>
<td>'3503050710690001</td>
<td>RT 5 RW 2</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-10-1969</td>
<td>53</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665913486</td>
<td>131506010123Y000629</td>
<td align='center'>
M79.01 </td>
<td align='center'>
<font color='black'>Rheumatism, unspecified, shoulder region</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2827</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004855</td>
<td>SARITUN</td>
<td>'</td>
<td>RT 5 RW 2</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-06-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665913789</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2828</td>
<td>11-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018220</td>
<td>SUNAR</td>
<td>'3503051504570002</td>
<td>DESA WINONG, RT : 7,RW :3 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-04-1957</td>
<td>65</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666373408</td>
<td>131506010123Y000630</td>
<td align='center'>
K29.1 </td>
<td align='center'>
<font color='red'>Other acute gastritis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2829</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016686</td>
<td>LAMITUN</td>
<td>' </td>
<td>DUSUN BENGGLE, RT : 11,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-07-1952</td>
<td>70</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666269717</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>
<tr align="left" valign="top">
<td>2830</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016685</td>
<td>MISERI</td>
<td>' </td>
<td>DUSUN BENGGLE, RT : 11,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-08-1949</td>
<td>73</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666269414</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2831</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018469</td>
<td>YASIN FATKUROZZI</td>
<td>' </td>
<td>DUSUN TLOGOREJO, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-04-1995</td>
<td>27</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665939349</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>
</tr>

<tr align="left" valign="top">


<td>2832</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002923</td>
<td>SUPRIHATIN</td>
<td>'3503056506870002</td>
<td>DUSUN TLOGOREJO, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-06-1987</td>
<td>35</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978468299</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2833</td>
<td>19-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017792</td>
<td>LAILIYAH</td>
<td>' </td>
<td>DUSUN TLOGOREJO, RT : 6,RW :2 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-04-1968</td>
<td>54</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665938833</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2834</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016687</td>
<td>MULYONO</td>
<td>'3503051606700003</td>
<td>DUSUN BANGGLE, RT : 10,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-03-1967</td>
<td>55</td>
<td>L</td>
<td>Wiraswasta</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978464396</td>
<td>131506010123Y001194</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>2835</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016355</td>
<td>SUGIARTO</td>
<td>'</td>
<td>RT 01 RW 01</td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-05-1977</td>
<td>45</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978466657</td>
<td>131506010123Y001195</td>
<td align='center'>
M79.01 </td>
<td align='center'>
<font color='black'>Rheumatism, unspecified, shoulder region</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2836</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004366</td>
<td>MANAP</td>
<td>'3503051107550001</td>
<td>DUSUN BENGGLE, RT : 12,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-07-1955</td>
<td>67</td>
<td>L</td>
<td>Lainnya</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978465151</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2837</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010887</td>
<td>TUMIJAN</td>
<td>' </td>
<td>DUSUN SANGGRAHAN, RT : 3,RW :2 </td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-10-1955</td>
<td>67</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665788149</td>
<td>131506010123Y001197</td>
<td align='center'>
K29.1 </td>
<td align='center'>
<font color='red'>Other acute gastritis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2838</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014189</td>
<td>SUPARTI</td>
<td>'</td>
<td>RT 3 RW 2</td>
<td>SUKOREJO</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1961</td>
<td>61</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665788274</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>2839</td>
<td>20-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012294</td>
<td>SUMARMI</td>
<td>'3503056006600003</td>
<td>DUSUN BENGGLE, RT : 12,RW :4 </td>
<td>WINONG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-06-1960</td>
<td>62</td>
<td>P</td>
<td>Wiraswasta</td>
<td>PUSTU WINONG</td>
<td>Dian Eka Permana,A.Md.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
M79.01 </td>
<td align='center'>
<font color='black'>Rheumatism, unspecified, shoulder region</font>
</td>

</tr>

<tr align="left" valign="top">


<td>2840</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006581</td>
<td>KASUM</td>
<td>'</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-04-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489563</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2841</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015446</td>
<td>SUGIANTO</td>
<td>'3503052310650001</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-10-1965</td>
<td>57</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489495</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2842</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015450</td>
<td>SAMSIAH</td>
<td>'3503055011730001</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-11-1973</td>
<td>49</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665361617</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2843</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011093</td>
<td>MUYONO</td>
<td>'</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-06-1960</td>
<td>62</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489642</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2844</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010052</td>
<td>SARIANTO</td>
<td>'3503050107680022</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1968</td>
<td>54</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978490013</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>
<tr align="left" valign="top">
<td>2845</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015480</td>
<td>MESIKEM</td>
<td>'3503057112500024</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1950</td>
<td>72</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037013941</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2846</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002931</td>
<td>WANDI</td>
<td>'3503051007730004</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-07-1973</td>
<td>49</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489618</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2847</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002930</td>
<td>NURHIDAYAH</td>
<td>'3503054705680003</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-05-1968</td>
<td>54</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489629</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2848</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002936</td>
<td>SULAMI</td>
<td>'3503055312720002</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-12-1972</td>
<td>50</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489664</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2849</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015402</td>
<td>MAYAR</td>
<td>'3503050508680004</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-08-1968</td>
<td>54</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978490035</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2850</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015405</td>
<td>ENDAH DWININGSIH</td>
<td>'3503054608040001</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-08-2004</td>
<td>18</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978490057</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2851</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006977</td>
<td>MINTEN SETYO UTAMI</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-03-1981</td>
<td>41</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489978</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2852</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015411</td>
<td>YETI FITRIA WARDANA</td>
<td>'3503056111040001</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-11-2004</td>
<td>18</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489989</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2853</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015415</td>
<td>SUWARNO</td>
<td>'3503050805820003</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-05-1982</td>
<td>40</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489967</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2854</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007012</td>
<td>SUGITO</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-1973</td>
<td>49</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489675</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2855</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015301</td>
<td>BOINEM</td>
<td>' </td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-08-1963</td>
<td>59</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664975721</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2856</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015431</td>
<td>MESINEM</td>
<td>'3503056802610001</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-02-1961</td>
<td>61</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666567909</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2857</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015434</td>
<td>SUYANTO</td>
<td>'3503050710570002</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-10-1957</td>
<td>65</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666567663</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>
</tr>

<tr align="left" valign="top">


<td>2858</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013221</td>
<td>SELVIA ISTIQOMA NUR OKTAVIA</td>
<td>'</td>
<td>RT RW </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-10-1993</td>
<td>29</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489631</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2859</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013223</td>
<td>NURJANAH</td>
<td>'</td>
<td>RT RW </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-06-1985</td>
<td>37</td>
<td>P</td>
<td>ME</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664498686</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2860</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002916</td>
<td>WULAN RAHMAWATI</td>
<td>'3503056701970002</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-01-1997</td>
<td>25</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666096693</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2861</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004632</td>
<td>MISTINI</td>
<td>'</td>
<td>RT 47</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-03-1983</td>
<td>39</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666531731</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2862</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002311</td>
<td>SANTI WAHYUNI</td>
<td>'</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-10-1995</td>
<td>27</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666040792</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2863</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007602</td>
<td>ERNI OKTAVIA</td>
<td>'3503056910950001</td>
<td>RT 46 RW 9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-10-1995</td>
<td>27</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488696</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2864</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007608</td>
<td>DEVI SUCIATI</td>
<td>'3503054712930001</td>
<td>RT 46 RW 9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-12-1993</td>
<td>29</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664971478</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2865</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001314</td>
<td>ROHMATUN</td>
<td>'3503055510830003</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-10-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037013715</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2866</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013235</td>
<td>RISA DANIATI</td>
<td>'</td>
<td>RT RW </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-08-2000</td>
<td>22</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488336</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2867</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013236</td>
<td>SANIATUL HASANAH</td>
<td>'</td>
<td>RT RW </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-09-1998</td>
<td>24</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488404</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2868</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013237</td>
<td>RIRIN NOVITASARI</td>
<td>'</td>
<td>RT RW </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-12-1994</td>
<td>28</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037014097</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>
</tr>

<tr align="left" valign="top">


<td>2869</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002738</td>
<td>PONISIH</td>
<td>'3503055704830007</td>
<td>RT 47 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-04-1983</td>
<td>39</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970310937</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2870</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007344</td>
<td>TSANIA LAILATUN NAFI`AH</td>
<td>'3503055708190001</td>
<td>RT 48 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-08-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002885137637</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2871</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013239</td>
<td>ARASELY SALSABELA MASHEL</td>
<td>'</td>
<td>RT RW </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-04-2018</td>
<td>4</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002446311756</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2872</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005304</td>
<td>ARKANA RAFFASYA ZICO</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-11-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002620284344</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2873</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013241</td>
<td>RENIATI</td>
<td>'</td>
<td>RT RW </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-01-1995</td>
<td>28</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002729557642</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2874</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005391</td>
<td>KUNTARIANI</td>
<td>'3503054301010001</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-09-2000</td>
<td>22</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867872689</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2875</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002022</td>
<td>FITRI RAHMAWATI</td>
<td>'3503054802970002</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-02-1997</td>
<td>25</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488832</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2876</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011245</td>
<td>RAISYA CANTYA FARIZZA</td>
<td>'</td>
<td>RT 51</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-12-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002913088195</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2877</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013395</td>
<td>CLARITA AUDIYA QURROTUL FALISA</td>
<td>'</td>
<td>PRAMBON RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-12-2018</td>
<td>4</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002621572481</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2878</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016276</td>
<td>ELVINA AYRA ALFARISKI</td>
<td>'</td>
<td>RT 45</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-04-2019</td>
<td>3</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002762071389</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2879</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004134</td>
<td>FINA PATMAWATI</td>
<td>'3503057004980002</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-04-1998</td>
<td>24</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037012286</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>
<tr align="left" valign="top">
<td>2880</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000300</td>
<td>EKA ANJARWATI</td>
<td>'3503055103990002</td>
<td>RT 48 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-04-1999</td>
<td>23</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665853276</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2881</td>
<td>02-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012318</td>
<td>ALTHAVIA PUTRI G</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-12-2020</td>
<td>2</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003063680234</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2882</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002499</td>
<td>JARIYAH</td>
<td>'</td>
<td>PRAMBON 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-05-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978487537</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2883</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013579</td>
<td>EDI SETIAWAN</td>
<td>'3503050905830002</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-05-1983</td>
<td>39</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489451</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2884</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006009</td>
<td>SUWANTI</td>
<td>'3503054802830001</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>08-02-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000099765483</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2885</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014561</td>
<td>MESELAN</td>
<td>'</td>
<td>KALONGAN</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-03-1979</td>
<td>43</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665773165</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2886</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015558</td>
<td>INDRA RENA LEVIANICA</td>
<td>'3503056710880002</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-10-1988</td>
<td>34</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002583129778</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2887</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001581</td>
<td>MITA LIANA SARI</td>
<td>'</td>
<td>RT 58 RW 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-07-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002014093833</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2888</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003752</td>
<td>WARSINI</td>
<td>'3503056209710001</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-09-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489102</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2889</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006002</td>
<td>TOTOK HARIANTO</td>
<td>'</td>
<td>RT 47</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-12-1995</td>
<td>27</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002159512154</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2890</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015657</td>
<td>SULIS STYOWATI</td>
<td>'3503054207860002</td>
<td>MLOKO, RT : 53,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-07-1986</td>
<td>36</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867872961</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2891</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015978</td>
<td>SUKARNI</td>
<td>' </td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-12-1974</td>
<td>48</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665873256</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2892</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002937</td>
<td>SADILAH</td>
<td>'3503056911610001</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-11-1961</td>
<td>61</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002036474706</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>
</tr>

<tr align="left" valign="top">


<td>2893</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001457</td>
<td>PAITUN</td>
<td>'</td>
<td>PRAMBON RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1967</td>
<td>55</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488729</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2894</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016562</td>
<td>PARTI</td>
<td>'</td>
<td>RT 59</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-06-1989</td>
<td>33</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665841778</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2895</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002702</td>
<td>VIVIA VALENTINA A</td>
<td>'353055212120001</td>
<td>RT 59 RW 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-12-2012</td>
<td>10</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002583397236</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2896</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016567</td>
<td>SUPARMI</td>
<td>'</td>
<td>RT 51</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-02-1985</td>
<td>37</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664925984</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2897</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005966</td>
<td>LAMITUN</td>
<td>'</td>
<td>PRAMBON RT 47/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-07-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666698894</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2898</td>
<td>03-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001253</td>
<td>SUNARTI</td>
<td>'</td>
<td>RT 48 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-11-1986</td>
<td>36</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002014098254</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2899</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002871</td>
<td>DAMIATI</td>
<td>'</td>
<td>RT 44</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-03-1975</td>
<td>47</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666269245</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2900</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002659</td>
<td>MARYATI</td>
<td>'</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-06-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978490024</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2901</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002920</td>
<td>ULFA RIDHATUL MAHMUDAH</td>
<td>'</td>
<td>RT 56</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-05-2010</td>
<td>12</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666274904</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2902</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002935</td>
<td>WAGIRAH</td>
<td>'3503054109660001</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-09-1966</td>
<td>56</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489473</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2903</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002945</td>
<td>WINARTI</td>
<td>'3503054508760001</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-08-1976</td>
<td>46</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489822</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>
<tr align="left" valign="top">
<td>2904</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000877</td>
<td>ERLINA FAUZIANA</td>
<td>'</td>
<td>RT 56 RW 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-01-1989</td>
<td>34</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665607137</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2905</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003764</td>
<td>PAIDJAH</td>
<td>'3503057112530012</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1953</td>
<td>69</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002158256441</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2906</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003768</td>
<td>KATIYEM</td>
<td>'</td>
<td>RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-05-1966</td>
<td>56</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867872948</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2907</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003771</td>
<td>ISMADI</td>
<td>'</td>
<td>RT 45</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-03-1964</td>
<td>58</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978487921</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2908</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001912</td>
<td>SUMARTIN</td>
<td>'</td>
<td>PRAMBON RT 47/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-07-1972</td>
<td>50</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489089</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2909</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004192</td>
<td>SUMAJI</td>
<td>'3503052110840002</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-10-1984</td>
<td>38</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002035587565</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2910</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005305</td>
<td>RESTU ADITYA</td>
<td>'</td>
<td>RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-09-2001</td>
<td>21</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488224</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2911</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005020</td>
<td>WARSINI</td>
<td>'</td>
<td>RT 56</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-10-1989</td>
<td>33</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666194387</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2912</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005286</td>
<td>SARTIN</td>
<td>'</td>
<td>RT 43</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-11-1984</td>
<td>38</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978486964</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2913</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005299</td>
<td>HIDAYATUL MAHMUDAH</td>
<td>'</td>
<td>RT 43</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-08-1994</td>
<td>28</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000663868629</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2914</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004868</td>
<td>SOINEM</td>
<td>'</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-11-1955</td>
<td>67</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488257</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2915</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003747</td>
<td>MARSINI</td>
<td>'3503055205710001</td>
<td>SOOKO, RT : 45,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-05-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978487471</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2916</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005987</td>
<td>INDRA CAHYANTI</td>
<td>'</td>
<td>RT 47</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>06-08-1999</td>
<td>23</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002013997432</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>
</tr>

<tr align="left" valign="top">


<td>2917</td>
<td>04-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004867</td>
<td>JALIMANTO</td>
<td>'</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-07-1969</td>
<td>53</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488202</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2918</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001460</td>
<td>YAHNI</td>
<td>'</td>
<td>PRAMBON RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1965</td>
<td>57</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488707</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2919</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007013</td>
<td>HENDRI KURNIAWAN</td>
<td>'</td>
<td>RT 47</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-06-2008</td>
<td>14</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970310948</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2920</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006013</td>
<td>SUTI</td>
<td>'</td>
<td>RT50</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1956</td>
<td>66</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978491227</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2921</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006111</td>
<td>M. NIZAR PUTRA FEBRIANSYAH</td>
<td>'</td>
<td>PRAMBON RT 41</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-02-2004</td>
<td>18</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037015122</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2922</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011800</td>
<td>KARTIWIANI</td>
<td>'</td>
<td>RT 56</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-12-1989</td>
<td>33</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664964019</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2923</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006840</td>
<td>DUWI NURCAHYANTI</td>
<td>'3503055702950001</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-02-1995</td>
<td>27</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489438</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2924</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011095</td>
<td>UYE</td>
<td>'</td>
<td>PRAMBON RT 47/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-09-1957</td>
<td>65</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067902663</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2925</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001661</td>
<td>SUPRIHATIN</td>
<td>'</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>18-04-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978487796</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2926</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010448</td>
<td>ANING FARIDA EVI</td>
<td>'3503045712900002</td>
<td>DUSUN MLOKO, RT : 57,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-12-1990</td>
<td>32</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664907646</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2927</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003552</td>
<td>MARSA PRAMADANI</td>
<td>'3503055704020001</td>
<td>RT 45 RW 8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-04-2002</td>
<td>20</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666285862</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>
</tr>

<tr align="left" valign="top">


<td>2928</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003384</td>
<td>DESI RATNA SARI</td>
<td>'3503054110990002</td>
<td>MLOKO, RT : 59,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1999</td>
<td>23</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802763473</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2929</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010971</td>
<td>LAINEM</td>
<td>'</td>
<td>RT 046 RW -</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-07-1956</td>
<td>66</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802749422</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2930</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011796</td>
<td>MESENI</td>
<td>'</td>
<td>RT 47</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-12-1957</td>
<td>65</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002036470724</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2931</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005202</td>
<td>SUPARNO</td>
<td>'</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-12-1968</td>
<td>54</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978487875</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2932</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011973</td>
<td>SUNARTI</td>
<td>'</td>
<td>RT 45</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1969</td>
<td>53</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978487897</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2933</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010966</td>
<td>YADIRAN</td>
<td>'</td>
<td>RT 046 RW -</td>
<td>PRAMBON</td>
<td>PRAMBON</td>
<td>SIDOARJO</td>
<td>09-03-1959</td>
<td>63</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037013849</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2934</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007010</td>
<td>MUTI</td>
<td>'</td>
<td>RT 47</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1965</td>
<td>57</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067902718</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2935</td>
<td>05-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003741</td>
<td>AISYAH SILMI AFIQA</td>
<td>'</td>
<td>RT 47</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-05-2017</td>
<td>5</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002246111763</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2936</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>012128</td>
<td>MISWANTO</td>
<td>'3503050112580002</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1958</td>
<td>64</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003067630694</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2937</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002270</td>
<td>MARSIYEM</td>
<td>'</td>
<td>PRAMBON RT 50/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1952</td>
<td>70</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037015818</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2938</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013040</td>
<td>YAHMI</td>
<td>'</td>
<td>RT 54</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>24-11-1975</td>
<td>47</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666584774</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>
<tr align="left" valign="top">
<td>2939</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013042</td>
<td>SITI AISAH</td>
<td>'</td>
<td>RT 54</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-12-1998</td>
<td>24</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666585156</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2940</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002379</td>
<td>SUPANDI</td>
<td>'</td>
<td>PRAMBON RT 44/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-11-1965</td>
<td>57</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665355576</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2941</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013097</td>
<td>NYAMINI</td>
<td>'</td>
<td>RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-08-1969</td>
<td>53</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489372</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2942</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013552</td>
<td>RETNO WULANDARI</td>
<td>'</td>
<td>RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-05-2003</td>
<td>19</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489113</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2943</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001000</td>
<td>ULIFATIN</td>
<td>'</td>
<td>RT 43 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-09-1989</td>
<td>33</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681644601</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2944</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013584</td>
<td>HENI NOVIAWATI</td>
<td>'</td>
<td>RT 45</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-03-1990</td>
<td>32</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0001310762777</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2945</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002948</td>
<td>SUPRAPTO</td>
<td>' </td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-06-1989</td>
<td>33</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037013862</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2946</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002314</td>
<td>WIDJIATI</td>
<td>'3503055009850005</td>
<td>SOOKO, RT : 46,RW :9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-09-1985</td>
<td>37</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011258687</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2947</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014219</td>
<td>FITO ASKA RAMADHAN</td>
<td>'</td>
<td>RT 46</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-05-2018</td>
<td>4</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002459455986</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2948</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006480</td>
<td>SRIANI</td>
<td>'3503055509910003</td>
<td>MLOKO, RT : 164,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-09-1991</td>
<td>31</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867872465</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2949</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014778</td>
<td>SUTARMI</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1945</td>
<td>77</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665785585</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2950</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001533</td>
<td>KEVIN FERDI ALFIANO</td>
<td>'</td>
<td>PRAMBON RT 47/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-02-2012</td>
<td>10</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860462809</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2951</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002721</td>
<td>SUKIRMAN</td>
<td>'</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-05-1952</td>
<td>70</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978487739</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>
</tr>

<tr align="left" valign="top">


<td>2952</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014736</td>
<td>BUDIONO</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-11-1998</td>
<td>24</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666210328</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2953</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005978</td>
<td>TITIN</td>
<td>'</td>
<td>PRAMBON RT 58 RW 12</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>23-10-1993</td>
<td>29</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001975776917</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2954</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001059</td>
<td>FENDI VIONO</td>
<td>'</td>
<td>RT 48 RW 10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>14-04-1984</td>
<td>38</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000099765472</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2955</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005281</td>
<td>WIWIK</td>
<td>'</td>
<td>RT 51</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-04-1978</td>
<td>44</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978490992</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2956</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>015039</td>
<td>ALENTA ALFIOLA NAURAAZKAZIA</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>26-01-2011</td>
<td>11</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002636434732</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2957</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003399</td>
<td>DIANA</td>
<td>'</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-03-1992</td>
<td>30</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488292</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2958</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002658</td>
<td>SINTOWATI</td>
<td>'</td>
<td>PRAMBON 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-08-1971</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489506</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2959</td>
<td>06-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003758</td>
<td>MARDIAH</td>
<td>' </td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-01-1971</td>
<td>52</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665555556</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2960</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002940</td>
<td>BIBIT WINARTI</td>
<td>'3503057112670033</td>
<td>RT 47 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1965</td>
<td>57</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665817592</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2961</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000775</td>
<td>RUMIATI</td>
<td>'</td>
<td>PRAMBON RT 44/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-09-1974</td>
<td>48</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665357962</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2962</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004610</td>
<td>SULASMINI</td>
<td>'3503056703890002</td>
<td>MLOKO, RT : 164,RW :11 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-03-1989</td>
<td>33</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665804777</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>
<tr align="left" valign="top">
<td>2963</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017471</td>
<td>RADIT GALIH ARDHA SAPUTRA</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-11-2009</td>
<td>13</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802747238</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2964</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003398</td>
<td>MARSONO</td>
<td>'3503050901580001</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-01-1958</td>
<td>65</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488279</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2965</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003142</td>
<td>WAHYUNI</td>
<td>'3503054911970001</td>
<td>SOOKO, RT : 157,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>29-11-1997</td>
<td>25</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667058782</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2966</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017062</td>
<td>YATENI</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-05-1973</td>
<td>49</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802760018</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2967</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>007505</td>
<td>FARID SYARIFUDDIN AL-ISHAQI</td>
<td>'</td>
<td>PRAMBON RT 42/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>27-04-2016</td>
<td>6</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002221972806</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2968</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>017903</td>
<td>SULASTRI</td>
<td>'</td>
<td>RT 42</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-01-1972</td>
<td>51</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978486705</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2969</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>010737</td>
<td>REIVANO ADITIYA IBNU HABIBI</td>
<td>'3503051903140003</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-03-2014</td>
<td>8</td>
<td>L</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802765317</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2970</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013775</td>
<td>CINTYA LIANA PUTRI</td>
<td>'</td>
<td>PRAMBON RT 49</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>07-06-2011</td>
<td>11</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802760637</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2971</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>020612</td>
<td>UTAMI</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1969</td>
<td>53</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489912</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2972</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021448</td>
<td>MESIRAN</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1960</td>
<td>62</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489923</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2973</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021449</td>
<td>MUJAIT</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>15-06-1968</td>
<td>54</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489899</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2974</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021451</td>
<td>DIMAS MUFIDATUS M</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>03-11-2002</td>
<td>20</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489901</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2975</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>018340</td>
<td>SOIJEM</td>
<td>'</td>
<td>RT 046 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-03-1955</td>
<td>67</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489765</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>
</tr>

<tr align="left" valign="top">


<td>2976</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014777</td>
<td>MISTINI</td>
<td>'</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-02-1980</td>
<td>42</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0001312831798</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2977</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013909</td>
<td>SUMARTIN</td>
<td>'</td>
<td>PRAMBON RT 45</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-04-1978</td>
<td>44</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664479639</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2978</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>011769</td>
<td>MARYATI</td>
<td>'3503055308750003</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-08-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802763045</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2979</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005126</td>
<td>SUNARNO</td>
<td>'3503051903740002</td>
<td>DUSUN SOOKO, RT : 47,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-03-1974</td>
<td>48</td>
<td>L</td>
<td>Karyawan BUMD</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802763034</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2980</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021452</td>
<td>AMIRUL ICHSAN</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-08-1997</td>
<td>25</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489811</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2981</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>021454</td>
<td>NANANG SAFI `I</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-04-1991</td>
<td>31</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867872239</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2982</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005088</td>
<td>TRI UTAMI</td>
<td>'</td>
<td>PRAMBON RT 41/8</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>17-08-1983</td>
<td>39</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664404298</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2983</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>014788</td>
<td>SUWARNI</td>
<td>'</td>
<td>RT 41</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-01-1957</td>
<td>65</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665926896</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2984</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>009149</td>
<td>MESIKEM</td>
<td>'</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>09-01-1941</td>
<td>82</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666301083</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2985</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016607</td>
<td>MUHAMMAD ILHAM AL AZIZ</td>
<td>'</td>
<td>RT 53</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-10-2020</td>
<td>2</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003067050767</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2986</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002969</td>
<td>SUNARTI</td>
<td>'3503056210880004</td>
<td>PAKEL, RT : 38,RW :7 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>22-10-1988</td>
<td>34</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665982729</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>
</tr>

<tr align="left" valign="top">


<td>2987</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003751</td>
<td>SINI</td>
<td>' </td>
<td>DUSUN MLOKO, RT : 57,RW :12 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-11-1970</td>
<td>52</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666254171</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2988</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022061</td>
<td>KALAM</td>
<td>'3503050203640001</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-01-1967</td>
<td>56</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665593569</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2989</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>022062</td>
<td>NATAK</td>
<td>'3503053105640001</td>
<td>SOOKO, RT : 48,RW :10 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-05-1964</td>
<td>58</td>
<td>L</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489416</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2990</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004181</td>
<td>KASINI</td>
<td>'3503054204690001</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>02-04-1969</td>
<td>53</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666039172</td>
<td>131506010123Y000522</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2991</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002824</td>
<td>DAMAR</td>
<td>'</td>
<td>PRAMBON RT 44</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-08-1947</td>
<td>75</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0002737770074</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2992</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>005982</td>
<td>TRIMURTI</td>
<td>'</td>
<td>RT 45</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>25-01-1973</td>
<td>49</td>
<td>P</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978487954</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2993</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004656</td>
<td>SUKATMI</td>
<td>'3503054805560001</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-07-1956</td>
<td>66</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001037014784</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2994</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>016558</td>
<td>TUKINI</td>
<td>'</td>
<td>RT 42</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1957</td>
<td>65</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978486751</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2995</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003397</td>
<td>RUMINI</td>
<td>'</td>
<td>PRAMBON RT 46/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-07-1960</td>
<td>62</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488281</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2996</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001828</td>
<td>DARUNI</td>
<td>'</td>
<td>PRAMBON RT 48/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-10-1964</td>
<td>58</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978490147</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2997</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>006993</td>
<td>WARIMIN</td>
<td>'</td>
<td>RT 48</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>31-12-1940</td>
<td>82</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665785078</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>
<tr align="left" valign="top">
<td>2998</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004657</td>
<td>TUKIYEM</td>
<td>'</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>01-02-1956</td>
<td>66</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666710021</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>2999</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>008242</td>
<td>MARDIYAH</td>
<td>'3503055104750004</td>
<td>SOOKO, RT : 44,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>11-04-1975</td>
<td>47</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666231726</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>3000</td>
<td>09-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003283</td>
<td>SAMUJI</td>
<td>'</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>12-06-1965</td>
<td>57</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489541</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>3001</td>
<td>12-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001152</td>
<td>MARTINAH</td>
<td>'</td>
<td>PRAMBON RT 45/9</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>20-04-1976</td>
<td>46</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000667058736</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>3002</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>001718</td>
<td>ABDUL SHOMAD</td>
<td>'</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-06-1980</td>
<td>42</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860463935</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>3003</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>013238</td>
<td>SURYANA</td>
<td>'</td>
<td>RT RW </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>05-01-1990</td>
<td>33</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666192251</td>
<td>131506010123Y000841</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>3004</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000956</td>
<td>SUNARSIH</td>
<td>'3503054407870003</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-07-1987</td>
<td>35</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003111283135</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>3005</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>003240</td>
<td>SULIK YULIANI</td>
<td>'</td>
<td>PRAMBON RT 48 /10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>04-01-1980</td>
<td>43</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLINDES PRAMBON 2</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489686</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>3006</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004467</td>
<td>OKTAVIA ASMARAWATI</td>
<td>'</td>
<td>PRAMBON RT 48/10</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>16-10-2002</td>
<td>20</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES PRAMBON 2</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978489697</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>3007</td>
<td>14-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>000682</td>
<td>SLAMET</td>
<td>'</td>
<td>RT 45 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>28-02-1965</td>
<td>57</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>FERA DANIATI,Amd.Keb</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666675483</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>3008</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002910</td>
<td>MUYATI</td>
<td>'3503055302740001</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>13-02-1974</td>
<td>48</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLINDES PRAMBON 2</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488235</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
<font color='black'>General medical examination</font> </td>

</tr>

<tr align="left" valign="top">


<td>3009</td>
<td>16-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>002631</td>
<td>FAHRI DWI APRILIA</td>
<td>'3503051904110003</td>
<td>RT 45 RW 09</td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>19-04-2011</td>
<td>11</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLINDES PRAMBON 2</td>
<td>Ns. Toto Priyanto, S.Kep.</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002596006596</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>

<tr align="left" valign="top">


<td>3010</td>
<td>17-01-2023</td>
<td>PUSKESMAS TUGU</td>
<td>004604</td>
<td>RIKA SEPTIANI</td>
<td>'3503055009970001</td>
<td>SOOKO, RT : 46,RW :9 </td>
<td>PRAMBON</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>10-09-1997</td>
<td>25</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLINDES PRAMBON 2</td>
<td>dr. Reza Suzana</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978488718</td>
<td>131506010123Y000987</td>
<td align='center'>
Z00 </td>
<td align='center'>
<font color='black'>General examination and investigation of persons
without complaint and reported diagnosis</font> </td>

</tr>
</table>

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