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Timestamp TANGGA JENIS NOMOR REKAM NAMA PENGUNJUNG NOMOR INDUK

KUNJUNGAN KARTU MEDIK KEPENDUDUKAN (NIK)

2/1/2023 8:12:40 2/1/2023 BPJS 11060001 Tristan G Senda Bili -


2/1/2023 8:16:48 2/1/2023 BPJS 1713668 Maria Oktavia Mimin 5319066510010001
2/1/2023 8:20:23 2/1/2023 UMUM 14009603 Elovinan Dae Pandie -
2/1/2023 8:23:11 2/1/2023 BPJS 1250003 Andreas Ngongo Londe 5371030501660003
2/1/2023 8:26:24 2/1/2023 BPJS 1250002 Lambertus Tamu Rob 5371031904650002
2/1/2023 8:34:43 2/1/2023 BPJS 11092701 Nelci Nggelan 5371036505440003
2/1/2023 8:47:28 2/1/2023 BPJS 1710658 Thofilus Nunu 5312122006002002
2/1/2023 8:49:46 2/1/2023 UMUM 17137667 Magdalena Banunaek 5302176405990002
2/1/2023 8:59:34 2/1/2023 BPJS 1711295 Alexander Tapatab 5371030101940009
2/1/2023 9:04:25 2/1/2023 BPJS 1103920 Amelia Anin 5371037108060002
2/1/2023 9:06:50 2/1/2023 BPJS 1711245 Femi Maria Talan 5371035802940006
2/1/2023 9:09:39 2/1/2023 BPJS 111477 Yuliani Bete Mao 5371035707020003
2/1/2023 9:12:26 2/1/2023 UMUM 11577501 Etri Y Seni 5371036212790003
2/1/2023 9:18:51 2/1/2023 BPJS 111570 Arelina S.Panie 5303054408630002
2/1/2023 9:32:01 2/1/2023 BPJS 17047802 Nona Loar Maria 5301216707570001
2/1/2023 9:35:52 2/1/2023 BPJS 161052 Vitlani Robrihas 5371024202020005
2/1/2023 9:51:23 2/1/2023 BPJS 12040901 Yeni Yacoba Fanggi -
2/1/2023 9:54:26 2/1/2023 BPJS 130114 Frida Adriana K Manu 537103460280004
2/1/2023 10:09:45 2/1/2023 BPJS 13857901 Rote S.Nupe Katu 5371036104680001
2/1/2023 10:13:02 2/1/2023 BPJS 1240901 Yeni Yacoba Fanggi 5371036707830016
2/1/2023 11:27:22 2/1/2023 BPJS 1715768 Clarisa Rambu Ata Liwu 5317055908030001
2/1/2023 11:31:06 2/1/2023 UMUM 1106401 Rinaldi D.P.Lopo 5371032901940004
2/1/2023 11:57:47 2/1/2023 BPJS 1712751 Herman F.Fereira 5302050804870003
2/1/2023 12:00:04 2/1/2023 UMUM 1713769 Novi Santi Kause 5302116111010002
2/1/2023 12:03:14 2/1/2023 BPJS 120520 Ridolf Talaan 53710322002670004
2/1/2023 12:10:28 2/1/2023 BPJS 176401 Metihlda Dahut 5319014303960002
2/1/2023 12:12:56 2/1/2023 BPJS 121325 irfansyh mustafa 537103040300003
2/1/2023 13:28:03 2/1/2023 BPJS Lapas Markus Snae 530215090590001
JENIS UMUR TANGGAL LAHIR ALAMAT ( Kelurahan, TEKANAN TINGGI BERAT LINGKAR
KELAMIN RT/RW ) DARAH BADAN BADAN PERUT

L 6 31 November 2015 Lasiana 1/1 90/60 120.1 23 60


P 21 25 Otober 2001 Oesapa 116/64 150 43 63
L 5 26-12-2017 Oesapa 90/60 112 19 53
L 56 05-01-1966 Oesapa 12/5 146/67 155 78 109
L 56 01-juni-1966 Oesapa 5/11 157/78 150 48 69
P 74 25-05-19 Lasiana 20/05 134/101 121 30 71
L 22 20-06-2000 Oesapa 124/83 170 57 69
P 22 24-05-2000 Oesapa 118/76 150.6 42.5 73.5
L 29 1 Januari 1994 Oesapa Barat 12/4 120/70 163 65 88
P 16 31-8-2006 Lasiana 9/9 115/72 146 41 65
P 29 18- Feb-1994 Oesapa Barat 104/78 150.5 66 67
P 19 17 Juli 2002 Lasiana 8/3 115/70 155 51 67
P 43 22-12-1979 Lasiana 24/6 129/87 152 72 92
P 58 04-08-1963 Lasiana 90/60 139 42 85
P 61 27-07-1957 Oesapa 5/3 170/99 150 56 100
P 21 02/02/2002 Lasiana 25/6 115/86 155 54 76
P 33 27-7-1983 Oesapa 12/05 84/60 157.3 44 71
P 42 6 Februari 1980 Oesapa 16/6 113/74 152 47 64
P 52 21-4-1968 oesapa barat 10/4 149/99 149.7 75.5 109
P 39 27-7-1983 oesapa 12/05 84/60 157 34 71
P 21 19-08-2003 oesapa 138/75 157 70 77
L 28 29-01-1994 Lasiana 35/2 103/81 161 50 79
L 47 08-04-1987 Alak 130/93 163 78 76
P 21 21-11-2001 Oesapa 93/74 149 49 60
L 54 22-02-1967 Oesapa 130/93 163 85 100
L 26 3-3-1996 Lasiana 108/69 146 40 64
L 22 4 maret 2000 oesapa 25/9 132/86 166 60 72
L 32 9 juni 1990 lapas 110/80 163 43 67
DIAGNOSA / KODE ICD 10 PENGOBATAN RUJUK

ISPA dan Vomitus Paracetamol,Donperidon , dan Ambroxol TIDAK


Urtikaria Dexa,Ctm,Vit C dan Saleb Betametasone TIDAK
Dengue Fever Paracetamol,GG,CTM TIDAK
DKA CTM,vit b com ,Hidrocartison TIDAK
Dispepsia Syndrom dan HT Antasida ,Ranitidin,Vit B com,Amlodipin TIDAK
HT grade II dan Susp LBP Amlodipin ,Na.Diclofenat dan Vit B com TIDAK
ISPA Paracetamol,Abroxol,CTM TIDAK
Febris dan DKA Paracetamol,CTM,Dexa TIDAK
LImfoma Rujuk Spesialis Bedah Onkologi - W.Z Yohanes Kupang TIDAK
Otalgia Amox,asmef dan Vit C TIDAK
ISPA GG,CTM,Vit C,Paracetamol TIDAK
Hidradenitis Supurativa Amoxcilin,Dexa,Asmef TIDAK
Vulvadine Nadic,vit C TIDAK
CKD Rujuk SP.PD RS Leona YA
LBP Rujuk Spesialis Saraf YA
ISPA GG,CTM,Vitamin C TIDAK
Dermatitis saleb betametasone,vit c TIDAK
Susp Anemia RIngan SF dan Vit B com TIDAK
Myalgia piroxicam,vit b com TIDAK
Dermatitis Saleb betametasone,vit c TIDAK
Chest Disconform Rujuk Spesialis Paru RS LEona YA
Dispepsia Syndrom Antasida dan Ranitidin TIDAK
Otitis Media Akut Rujuk THT RS Bhayangkara YA
A49.9 Pct ,Ranitidin,Vit b com,Amox TIDAK
Presbiopi Rujuk RS Kartini Spesialis Mata YA
Gastritis Kronik Rujuk Poli Penyakit Dalam RS S.K Lerik YA
ispa pct,amox,antasida,vit c TIDAK
B20 Rujuk Spesilis Penyakit Dalam S.K Lerik YA
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG NOMOR INDUK
KUNJUNGAN KARTU KEPENDUDUKAN (NIK)
MEDIK
2/2/2023 7:48:57 2/2/2023 BPJS 12.2397 Selfince ndolu 5371034509650002
2/2/2023 7:52:00 2/2/2023 BPJS 11.0755 Orpa bule logo 5371031310610002
2/2/2023 7:59:28 2/2/2023 BPJS 17,125 Katarina bay 5316401040001
2/2/2023 8:02:20 2/2/2023 BPJS 11,220 Metusalak bagaisar 3404022905620001
2/2/2023 8:06:36 2/2/2023 BPJS 12.1236 Yunus manu 53710313006530001
2/2/2023 8:34:48 2/2/2023 BPJS 130,146 Herlofina henuk 5371035808600003
2/2/2023 8:37:38 2/2/2023 BPJS 130434.01 Chontantina Lalay Tungga 5371036410680002
2/2/2023 8:41:23 2/2/2023 BPJS 12.1150 Eksal anunut 5371032807120003
2/2/2023 8:45:08 2/2/2023 BPJS 11.0697 Linus letmau 5371032112410001
2/2/2023 8:48:49 2/2/2023 BPJS 170543.01 Anita S. Lay -
2/2/2023 8:49:35 2/2/2023 UMUM 12.2847 Rita lalangsir -
2/2/2023 8:54:58 2/2/2023 UMUM 12.2847 Lionel lalangsir -
2/2/2023 9:01:13 2/2/2023 BPJS 11.0308.01 Yoridna Foni Ndun 5371035306760007
2/2/2023 9:02:15 2/2/2023 UMUM 17,134 Venina lende 5318036103040002
2/2/2023 9:08:56 2/2/2023 BPJS 171,376 Sostenes mau weni 5305160109010001
2/2/2023 9:16:24 2/2/2023 BPJS 130,163 Yotiana damu 5372034709820004
2/2/2023 9:48:47 2/2/2023 BPJS 12.1221 Yermy E. Willa 53710305122040005
2/2/2023 9:54:47 2/2/2023 UMUM 150,346 delfi kabnani 5371035512
2/2/2023 9:58:01 2/2/2023 BPJS 171,374 fransiskus bili 5312123112020006
2/2/2023 10:02:23 2/2/2023 UMUM 123172.01 Rini Hanas -
2/2/2023 10:03:00 2/2/2023 BPJS 17,136 reson maro 530501246040001
2/2/2023 10:04:33 2/2/2023 BPJS 1713777 Apriyanti Rambu Aha 5311164504030003
2/2/2023 10:08:49 2/2/2023 UMUM 12.0965 biljio fang 5371032108130004
2/2/2023 10:13:14 2/2/2023 BPJS 12.1170 dorkas mone -
2/2/2023 10:17:21 2/2/2023 BPJS 110809 Sitilia Mimul 5371034101850015
2/2/2023 10:17:39 2/2/2023 UMUM 12.1170 kelen tamelab -
2/2/2023 10:22:19 2/2/2023 BPJS 1710906.01 Maria A. Wolla 5318084309000001
2/2/2023 10:24:02 2/2/2023 BPJS 12,420 marselina toja -
2/2/2023 10:26:39 2/2/2023 UMUM 1713781 Anima Tefa -
2/2/2023 10:29:26 2/2/2023 BPJS 1799801 Aman A. Nenobahan 5371030108800010
2/2/2023 10:30:06 2/2/2023 BPJS 12.0550 romandus bana -
2/2/2023 10:31:53 2/2/2023 BPJS 1713773 Maria Susana Malo 5318036805970004
2/2/2023 10:33:31 2/2/2023 BPJS 1713772 Inri Fallo 5302315701040001
2/2/2023 10:34:02 2/2/2023 UMUM 176,386 ardo bessie -
2/2/2023 10:36:14 2/2/2023 UMUM 179262.01 Magdalena Barakaho 53011150005800003
2/2/2023 10:37:17 2/2/2023 UMUM 17,638 ameliance lafu 5302174108750001
2/2/2023 10:38:50 2/2/2023 UMUM 1713090 Iren Fallo -
2/2/2023 10:41:12 2/2/2023 UMUM 1712421.01 Martha Jama Nuna 5318066703930002
2/2/2023 10:42:02 2/22/2023 BPJS 12.3546 niken parikaes 5371032707950001
2/2/2023 10:46:42 2/22/2023 BPJS 12.2336 gloria naimasus 5371037005150003
2/2/2023 10:50:30 2/2/2023 BPJS 1,713,781 desri ndun 5314026412980001
2/2/2023 10:54:45 2/2/2023 UMUM 17,137 diani 5311035312030001
2/2/2023 11:01:01 2/2/2023 BPJS 11.1517 siti reyhan 5371035308980003
2/2/2023 11:14:22 2/2/2023 BPJS 171,377 nikmat taneo 5371031409950001
2/2/2023 11:17:51 2/22/2023 BPJS 12.1390 algioro asa -
2/2/2023 11:21:30 2/2/2023 BPJS 131,009 dians napa 5371030105890008
2/2/2023 11:23:07 2/2/2023 UMUM 130285.01 Viktor Otemusu 5371033009820006
2/2/2023 11:25:37 2/2/2023 BPJS 123076 Fernando Nabunome 5371032011050006
2/2/2023 11:26:09 2/2/2023 BPJS 11.0510 yakoba mesah 5371036003470001
2/2/2023 11:28:06 2/2/2023 BPJS 122825.01 Samuel Lado 5371033108600004
2/2/2023 11:29:05 2/2/2023 UMUM 11.0346 muhamad risky -
2/2/2023 11:33:13 2/2/2023 BPJS 11.1044 frengki mesah -
2/2/2023 12:03:41 2/2/2023 UMUM 1,713,783 Maria Paula Martins Kune 5371016901000001
JENIS TANGGAL ALAMAT ( Kelurahan, TEKANAN TINGGI BERAT LINGKAR
KELAMIN UMUR LAHIR RT/RW ) DARAH BADAN BADAN PERUT

P 54 1/9/65 Oesapa 180/118 146 49 82


P 59 13/10/61 Lasiana 136/78 172 81 95
P 19 24/1/21 Lasiana 107/78 162 50 78
L 63 29/5/62 Lasiana 146/78 154 64 94
L 67 13/6/53 Oesapa 159/85 157 59 92
P 59 18/8/60 Obar 168/85 142 53 93
P 54 24-10-1968 Kelapa Lima,003/002 151/96 150 61 92
L 10 27/7/12 Oesapa 90/50 134 25 54
L 81 1/12/45 Oesapa 149/85 164 55 80
P 25 10-03-1997 Oesapa,016/006 120/70 161 75 99
P 37 30/1/82 Oesapa 173/126 155 67 93
L 7 10/2/16 Lasiana 90/50 118 20 53
P 46 13-07-1976 Lasiana,027/007 163/93 153 65 88
P 18 21/3/2004 Oesapa 114/78 139 38 79
L 22 9/9/2000 Lasiana 140/75 163 58 83
P 37 7/10/82 Obar 120/80 158 44 70
L 18 01-12-2004 Oesapa 127/87 153 45 67
P 8 14/12/14 kelapa lima 90/50 110 27 49
L 20 31/12/2002 oesapa 105/71 158 45 76
P 28 05-05-1992 oesapa,029/009 145/107 151 65 88
L 18 24/6/2004 lasiana 144/82 172 65 74
P 19 05-04-2003 liliba 110/83 160 54 78
L 9 21/8/13 oesapa 12/5 90/50 120 19 48
P 55 1/12/73 oesapa 124/86 145 68 94
P 38 01-01-1985 Lasiana,035/002 123/89 153 64 82
L 7 23/2/16 oesapa 90/50 120 30 74
P 22 03-09-2000 liliba 119/81 156 65 92
P 34 4/2/89 oesapa 9/3 105/70 145 55 83
P 23 18-08-2009 Penfui Timur 113/82 148 47 64
L 42 01-08-1980 Lasiana,011/003 118/86 164 66 101
L 32 5/6/90 oesapa 15/6 113/77 156 49 78
P 25 28-05-1997 Oesapa 90/60 150 44 71
P 19 17-01-2004 Oesapa 121/82 151 55 82
L 7 16/3/16 oesapa 90/50 107 15 54
P 37 10-05-1984 Oesapa,021/008 114/88 142 51 88
P 44 1/8/75 oesapa 120/70 150 52 82
P 7 07-02-2016 Oesapa 90/60 114.5 15.5 -
P 27 26-06-1995 Oesapa,016/006 97/70 145 45 64
P 27 27/7/95 oesapa 133/93 167 49 76
P 7 30/5/15 oesapa 90/50 125 23 57
P 25 24/12/98 obar 132/97 150 49 89
P 19 13/12/2003 oesapa 115/93 166 39 65
P 23 13/6/98 lasiana 114/79 157 58 82
L 27 14/9/95 oebobo 148/99 160 64 88
L 5 17/6/17 oesapa 90/50 110 16 43
L 33 1/5/89 oespa 134/88 161 65 89
L 40 30-09-1982 Oesapa Barat 129/66 169 68 90
L 17 20-11-2005 Oesapa 033/011 133/91 161 45 61
P 75 20/3/47 lasiana 177/76 150 47 80
L 62 31-08-1960 Oesapa 006/002 150/90 172 60 82
L 4 - lasian 90/50 113 19 36
L 56 1/2/65 lasiana 135 157 61 98
P 23 29/01/2000 Lasiana 122/76 149 59 76
DIAGNOSA / KODE ICD 10 PENGOBATAN RUJUK

HT + Amlodipin,captopril,pct,oxy Berobat jlan


Oa Rujuk YA
Anemia aplastik Rujuk YA
Hepatomegaly Rujuk YA
Cad Rujuk YA
Ht Amlodipin,bcom TIDAK
HT,DM amlo,metformin,bc TIDAK
Febris Pct,vitc Berobat jalan
hhd+ ht Rujuk YA
Vl Laseratum Genta Sk,dexa TIDAK
Ispa + igronail Ambrox,ctm,bcom,salep micona Berobat jalan
Gea Oralit,dompe TIDAK
Vertigo,Dyspepsia,HT betahystin,omz,vit bC,amlodipin TIDAK
Febris + dispepesia Pct,ambroxol,omz,bcom Berobat jalan
Va Pct,cipro Berobat jalan
Polineuropaty Bcom,nadic Berobat
Keratitis Rujukan YA
ispa ambroxol,pct,ondan,antasid,ctm,dexa TIDAK
mialgia asmef,bcom TIDAK
Corpal Tanel Syndrom Na diclo,vit B12 TIDAK
serum prop rujuk YA
Lympadenopaty vit c TIDAK
ektina ctm,salep oxy TIDAK
ispa pct,ambroxol,dexa,ctm,vitc TIDAK
Abses Obat lanjut TIDAK
ispa pct,gg,dexa,ctm TIDAK
ISPA,Dyspepsia Antas,PCT,Ambrox,CTM TIDAK
cephalgia + ispa +dispepsia ibuprofen,ctm,bcom,omz TIDAK
Urtikaria Ceterizin,Dexa,asmef TIDAK
ISPA,Myalgia Pct,Ambroxol,Ctm,Bc TIDAK
vertigi + dispepsia bethahistin,omz,bcom,ranit TIDAK
dyspepsia,Febris Omz,ranit,Pct TIDAK
Conjungtivitis Oxy Sm TIDAK
scabies dexa,ctm,permetin TIDAK
TFA Amox,Dexa,Ctm,Vit c,PCT TIDAK
scabies permetin,ceterizini,dexa TIDAK
ISPA Ambrox,Vit BC TIDAK
Atralgia,Dyspepsia Pirox,Omz,PCT,Vit B12 TIDAK
bronkitis ambroxol,mp,vitc TIDAK
ispa pct,ctm,dexa,vitc TIDAK
ispa +dispesia +dermatitis ambroxol,antasida,hydrokorti slp,bco TIDAK
hordeolum dexa,asmef,vitc TIDAK
febris pct,bcom,amox, TIDAK
dispepsia+pitiriasis ambroxol,omz,ranit,salp miko TIDAK
ispa gg,ctm,amox,vitc TIDAK
oma asmef,dexa,amox TIDAK
Myalgia na diclo,vit bc TIDAK
Febris Pct,vit c TIDAK
ht +hiperuresemia ranitidin,allopurinol,nadic,amlodipin,bcom TIDAK
OA Genu,HT Amlo,pirox,Metpred,ranit TIDAK
post heacting - TIDAK
abses perianal rujuk YA
ISPA GG. Asmef, Dexa, Vit BC TIDAK
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG NOMOR INDUK JENIS
KUNJUNGAN KARTU KEPENDUDUKAN (NIK) KELAMIN
MEDIK
2/3/2023 8:00:32 1/27/2023 BPJS 12.1230 Febriani mauko 530506002020001 P
2/3/2023 8:07:01 2/3/2023 UMUM 12,355 Rian neno - L
2/3/2023 8:09:43 2/3/2023 UMUM 11.2697 Yuliana mapada 5371035106840006 P
2/3/2023 8:13:04 2/3/2023 BPJS 12.2438 Fiodora 5371034602060001 P
2/3/2023 8:18:23 2/3/2023 BPJS 12.2438 Mariance samadara 53710343730003 P
2/3/2023 8:20:41 2/3/2023 BPJS 11.0351 Yosua loe - L
2/3/2023 8:24:14 2/3/2023 BPJS 17,984 Amelda missa 5371035410950001 P
2/3/2023 8:27:55 2/3/2023 BPJS 130,827 Yunita ndun 5371036705010001 P
2/3/2023 8:30:50 2/3/2023 UMUM 179,622 Ananda uskono 5303185806980001 P
2/3/2023 8:33:52 2/3/2023 BPJS 11.0456 Wati sutarto - P
2/3/2023 8:37:11 2/3/2023 BPJS 11,456 Brandon sutarto - L
2/3/2023 8:40:52 2/3/2023 UMUM 17,137 Johanes bulan 531405704860001 L
2/3/2023 8:43:43 2/3/2023 UMUM 17.13 Tarmiatun 3524084912590001 P
2/3/2023 8:45:58 2/3/2023 BPJS 17,137 Maria soik 5304125103590001 P
2/3/2023 8:49:02 2/3/2023 BPJS 11.2699 Loisa nubatonis 5371037004970003 P
2/3/2023 8:54:18 2/3/2023 BPJS 130,175 Imanuel nafie 5371031903030002 L
2/3/2023 8:56:46 2/3/2023 BPJS 12.1313 Muhamad kaka - L
2/3/2023 8:59:03 2/3/2023 BPJS 11.1425 Azka biaf - L
2/3/2023 9:01:18 2/3/2023 BPJS 12.3349 Yuliana dira 5371034106620003 P
2/3/2023 9:09:55 2/3/2023 UMUM 12.0969 Alvaro bria - L
2/3/2023 9:12:53 2/3/2023 BPJS 130,256 Hermindo lama 5371030102970004 L
2/3/2023 9:15:02 2/3/2023 UMUM 12.3845 Waldtrudis nahak - P
2/3/2023 9:18:46 2/3/2023 UMUM 17,137 Zakarinus 5303012910910001 L
2/3/2023 9:21:55 2/3/2023 UMUM 17,137 Astri 7371134807000009 P
2/3/2023 9:24:26 2/3/2023 BPJS 12.1952 Jhonparerungan - L
2/3/2023 9:28:50 2/3/2023 UMUM 12.4662 Jakson lesbuke - L
2/3/2023 9:46:41 2/3/2023 BPJS 12.2949 Egidius andi 5372031808910003 L
2/3/2023 9:49:06 2/3/2023 BPJS 12.3603 Aprilia fola 5371034404020003 P
2/3/2023 9:52:07 2/3/2023 BPJS 12.0092 Andirisnan muloko 5371032103870004 L
2/3/2023 9:54:42 2/3/2023 BPJS 171,311 Antonia puasgay 5305025308540001 P
2/3/2023 10:00:58 2/3/2023 UMUM 179,077 Felix benes 5301122602920002 L
2/3/2023 10:05:05 2/3/2023 UMUM 17,137 Maria yuliana 5303086404960002 P
2/3/2023 10:10:25 2/3/2023 BPJS 17,137 Yosefina fernandes 5307054103050003 P
2/3/2023 10:14:38 2/3/2023 BPJS 12.5008 5320016906640001 Cristina ate P
2/3/2023 10:16:50 2/3/2023 BPJS - Jibrail da costa - L
2/3/2023 10:20:36 2/3/2023 UMUM 12.0360 Ardilan letelay - L
2/3/2023 10:23:16 2/3/2023 BPJS 11,231 Isak dok 5311071812560001 L
2/3/2023 10:26:01 2/3/2023 BPJS 1,712,508 Primadi 5313052307990002 L
2/3/2023 10:29:07 2/3/2023 BPJS - - - L
2/3/2023 10:32:01 2/3/2023 BPJS 12.5007 Yunita bana 5371035506060004 P
2/3/2023 10:36:28 2/3/2023 BPJS 11.0958 Marselina naklui - P
2/3/2023 11:24:24 2/3/2023 UMUM 17,132 anggonita loban 5371045304890003 P
2/3/2023 11:28:28 2/3/2023 BPJS 17,125 jetri rambu 5317025907030001 P
2/3/2023 11:31:40 2/3/2023 UMUM 11.2225 desy posy 537101641220001 P
2/3/2023 11:35:40 2/3/2023 BPJS 17,137 veronika 5307046911010003 P
2/3/2023 11:37:48 2/3/2023 UMUM 17,137 yohana djingi - P
2/3/2023 11:40:32 2/3/2023 UMUM 17,137 dita afi 5302054510030002 P
2/3/2023 11:42:43 2/3/2023 BPJS 17,137 flaviana veren 5304214510970001 P
2/3/2023 11:45:29 2/3/2023 BPJS 1,710,924 petrus naga 5308112704970001 L
2/3/2023 11:47:23 2/3/2023 UMUM 12. AGNES RIHI - P
2/3/2023 11:49:39 2/3/2023 UMUM 12.5000 ALEXANDER ALMET - L
2/3/2023 11:51:30 2/3/2023 UMUM 17,137 MUHAMAD ASYARI - L
2/3/2023 11:55:41 2/3/2023 UMUM 1796 clara dengak - P
2/3/2023 11:57:29 2/3/2023 UMUM 17,137 yunita efi - P
2/3/2023 12:00:21 2/3/2023 BPJS 12.1834 andre ledoh 5371032611640002 L
2/3/2023 12:03:01 2/3/2023 UMUM 11.0278 yakob lede moda 5371031012550003 L
2/3/2023 12:05:45 2/3/2023 BPJS 12.0978 siprianus lima 5371032103590001 L
2/3/2023 12:08:38 2/3/2023 BPJS 12.1638 rosalina 5371035203200001 P
ALAMAT
UMUR TANGGAL ( Keluraha TEKANAN TINGGI BERAT LINGKAR
LAHIR DARAH BADAN BADAN PERUT DIAGNOSA / KODE ICD 10
n, RT/RW )
20 20/2/2002 Oesapa 107/72 151 41 61 Konsultasi
12 24/7/2011 Oesapa 90/50 136 28 54 Febris
49 11/6/84 Lasiana 114/82 146 65 87 Atralgia
17 6/2/2006 Oesapa 115/100 157 36 62 Ispa
49 3/370 Oesapa 114/79 154 43 77 TB paru
6 30/13/2016 Lasiana 90/50 117 16 52 Ispa
27 14/10/95 Oesapa 112/70 152 38 86 Omsk + mialgia
21 27/5/2021 Oesapa 118/76 171 46 65 H61
23 - Penfui 114/82 155 50 70 Isk
40 23/11/78 Lasiana 159/107 151 66 97 STT + limpoma
16 2/13/2007 Lasiana 104/73 267 52 70 Ispa + febris
35 17/4/86 Obar 133/93 158 73 101 Vl
55 9/12/59 Oesapa 148/90 166 58 85 Gerd
72 11/3/59 Obar 140/84 158 35 75 Post eswl
25 30/4/97 Lasiana 125/81 154 82 97 Oma
19 1/3/2003 Obar 126/60 168 68 72 Omsk
10 10/4/12 Oesapa 90/50 107 15 45 B20
6 2/7/2015 Lasiana 90/50 115 22 55 Konjungtivitis
59 1/6/62 Oesapa 123/70 165 58 100 Konsultasi
6 23/2/17 Oesapa 90/50 108 19 54 Febris+ tfa
26 2/2/97 Obar 117/80 155 38 62 Hepatitis
29 21/7/93 Oesapa 82/64 158 62 83 Febris + isk
31 29/10/91 Oesapa 127/85 156 46 99 Ispa
22 8/7/2000 Oesapa 98/68 150 51 76 Isk
54 16/6/67 Oesapa 134/89 159 74 88 DM +ht
17 8/6/2006 Oesapa 131/92 163 50 68 Diapepsia sindrom
26 - Oesapa 119/75 156 70 101 Stt
20 1/4/2002 Obar 111/73 152 44 68 Psoriasis
35 21/3/87 Oesapa 120/80 160 60 82 F20
69 13/8/54 Oesapa 164/95 153 72 101 Katarak
30 26/2/92 Lasiana 109/52 160 55 84 Febris
26 24/4/6 Penfui 86/63 145 46 71 Febris
18 1/3/2005 Penfui 125/75 158 59 79 Vl
58 29)7/64 Oesapa 120)80 150 45 67 Tn
6 23/5/16 Oesapa 90/50 105 16 45 Vl
16 9/12/2007 Oesapa 90/50 89 10 44 Scanies + ispa
67 18/12/56 Lasiana 152/95 160 72 99 Katarak
23 23/8/99 Oesapa 124/63 175 49 71 Psikotik akut
5 14/7/2018 Oesapa 90/60 103 14 40 Ispa + urtikaria
17 25/6/006 Oesapa 128/64 152 49 75 Ispa + dispapsia
47 17/12/75 Lasiana 115/61 147 65 98 Dm
33 13/4/89 lasiana 97/80 149 65 95 febris+dyspepsia
20 6/7/2003 oesapa 128/76 165 49 69 febris +ispa+dyspepsia
20 24/10/2002 lasiana 95/71 156 44 69 urtikaria + scabies
21 29/11/2021 oesapa 107/72 162 61 83 febris
23 13/8/98 lasiana 117/83 148 60 87 reaksi alergi
19 5/10/2003 oesapa 109/68 145 36 62 hordeolum
25 5/10/97 oesapa 108/78 154 47 69 belfaritis
25 27/4/97 lasiana 125/65 165 57 73 tth +gonorhea
30 25/8/92 OESAPA 138/87 155 55 78 ABSES DIGITI
2 11/9/2020 OESAPA 90/60 86 12 48 URTIKARIA
23 24/7/99 LILIBA 136/89 161 65 88 ABCES
22 1/3/200 oesapa 108/80 152 63 93 haemoroid
17 1/7/2004 obar 120/70 148 36 56 ispa
58 26/11/64 oesapa 97/72 156 56 84 ispa
75 10/12/55 lasiana 148/78 165 64 86 ht +konjungtifitis
61 21/3/59 oesapa 170/100 166 84 120 ispa + ht
3 12/3/2020 oesapa 60/40 86 10 47 ispa
PENGOBATAN RUJUK

Konsultasi
Pct,amox,dexa Berobat jalan
Nadic,bcom Berobat jalan
Pct,dompe,Dexa,ambroxol Berobat jalan
Ambroxol,bcom, Berobat jalan
Ctm,ambroxol TIDAK
Dexa,amox,nafi TIDAK
Rujuk YA
Cipto,pct TIDAK
Rujuk YA
Ambroxol,ctm,Dexa,pct TIDAK
Rawat luka TIDAK
Ranit ,antasid TIDAK
Rujuk YA
Rujuk YA
Rujuk YA
Rujuk YA
Obat salp mata,pct, TIDAK
Konsultasi TIDAK
Pct,amox,dexa TIDAK
Rujuk YA
Pct,Cipto,bcom TIDAK
Ambroxol,pct,vitc TIDAK
Cipto,asmef TIDAK
Rujuk YA
Antasid,ranitidin,dompe TIDAK
Rujuk YA
Rujuk YA
Rujuk YA
Rujuk YA
Pct,vitc TIDAK
Pct,vitc TIDAK
Pct,amox,vitc,genta TIDAK
Rujuk YA
Dexa,pct,vitc TIDAK
Permetrin,GG,Dexa,ctm,bcom TIDAK
Rujuk YA
Rujuk YA
Pct,Dexa,GG,ctm,hidro TIDAK
Ambroxol,pct,antasid,ranit TIDAK
Rujuk YA
pct,dexa,antasida TIDAK
pct,ambroxol,ctm,dexa,omz TIDAK
sale 24,mp,ctm,hiro TIDAK
pct,vitc TIDAK
ctm,dexa TIDAK
oxy,mp,amox TIDAK
gentamicin,mp,asmef TIDAK
IBUPROF,METRO,VITC TIDAK
DEXA,AMOX TIDAK
PCT,DEXA,CTM,HIDRO TIDAK
AMOX,ASMEF TIDAK
anti hemoroid,amox TIDAK
pct,ambroxol TIDAK
ambroxol,pct,dexa,vitc TIDAK
genta,amlodipin,ctm,dexa,nadic TIDAK
amlodipin,ambroxol,ctm,dexa,vitc,bcom TIDAK
pct,gg,dexa,ctm,amox TIDAK
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG NOMOR INDUK JENIS
KUNJUNGAN KARTU KEPENDUDUKAN (NIK) KELAMIN
MEDIK
2/4/2023 8:08:13 2/4/2023 BPJS 121994 Gervasius Tael 5371031109660002 L
2/4/2023 8:12:51 2/4/2023 BPJS 170389 Longginus Samson 5371031805550001 L
2/4/2023 8:17:06 2/4/2023 BPJS 121843 Lodia Lenggu 5314065707520003 P
2/4/2023 8:34:52 2/4/2023 BPJS 123349 Juliana Dira 5371034106620003 P
2/4/2023 8:45:39 2/4/2023 BPJS 11140 Benyamin Dadongo 5371032009710002 L
2/4/2023 8:48:20 2/4/2023 BPJS 1235020 Agustinus Manafe 5304080108710001 L
2/4/2023 8:51:55 2/4/2023 BPJS 1713799 Putri Dami 5314016506020001 P
2/4/2023 8:53:52 2/4/2023 BPJS 17 Selfiana Tefa 5302175507550002 P
2/4/2023 8:57:17 2/4/2023 BPJS 1712133 Laurensius Bura 5307050104330001 L
2/4/2023 9:00:58 2/4/2023 BPJS 122041 Hajah Sartiah 5371034104580003 P
2/4/2023 9:05:16 2/4/2023 UMUM 171266 Tomas Ricardo - L
2/4/2023 9:28:06 2/4/2023 BPJS 123576 Sri Budianti Bunga 5371036905750005 P
2/4/2023 9:32:22 2/4/2023 BPJS LAPAS Ibrahim A. Medah 5371040806470001 L
2/4/2023 9:35:10 2/4/2023 UMUM 112697 Yuliana Mapada 5371035106840006 P
2/4/2023 9:37:26 2/4/2023 BPJS 110970 Regina Nomleni 5371036008120001 P
2/4/2023 9:40:35 2/4/2023 UMUM 110970 Maria Nogopuor 5371034901810006 P
2/4/2023 9:48:25 2/4/2023 BPJS 122398 Nitanel Adu 5371031311490004 L
2/4/2023 9:53:04 2/4/2023 BPJS 1310095 Roland Octavianus 5371031004060002 L
2/4/2023 9:55:37 2/4/2023 BPJS 112701 Ferderika Kadja Pau 5320065402610001 P
2/4/2023 10:02:21 2/4/2023 BPJS 123269 Noldin Dacosta 5371031011900002 L
2/4/2023 10:05:24 2/4/2023 UMUM - Marlin Adoe 5371036603620004 P
2/4/2023 10:07:57 2/4/2023 UMUM 125009 Windarto Markus 5371031006900002 L
2/4/2023 10:19:02 2/4/2023 UMUM 130876 Rina Sadukh 5314044908910001 P
2/4/2023 10:22:26 2/4/2023 UMUM 16879 Gregorius Lengari 5371040903020002 L
2/4/2023 10:25:58 2/4/2023 UMUM 121142 Berty Monding 5371035503010002 P
2/4/2023 10:30:24 2/4/2023 BPJS 12098 Irmawati 5371035002800003 P
2/4/2023 10:38:48 2/4/2023 BPJS 174992 Maftukhin 3321120307780002 L
2/4/2023 10:49:03 2/4/2023 BPJS 1712014 Morfelion Nahak 5371031512140001 L
2/4/2023 10:52:48 2/4/2023 BPJS 121732 Elf Pandie 5371035702630001 P
2/4/2023 10:55:41 2/4/2023 BPJS 110560 Yorim Tobo 5371034201900001 P
2/4/2023 11:14:49 2/4/2023 BPJS 111258 Elisabeth R daro 5371045108810003 P
2/4/2023 11:21:19 2/4/2023 BPJS 170211 Fince Tfuakani 5371036801950008 P
2/4/2023 11:32:46 2/4/2023 BPJS 120988 Chandrawati Tungga 5371035609630001 P
2/4/2023 11:36:47 2/4/2023 UMUM 110842 Alan Letelay 5371030912080001 L
2/4/2023 11:41:45 2/4/2023 UMUM 121500 Evirianti 7308186505940001 P
2/4/2023 11:49:20 2/4/2023 BPJS 121504 Aurelia Balukh 5371035704150001 P
2/4/2023 12:00:01 2/4/2023 UMUM 122191 Sarci Manit 5371036209010006 P
2/4/2023 12:03:07 2/4/2023 BPJS 112634 Obed Kato - L
2/4/2023 12:07:04 2/4/2023 BPJS 12235 Amelia Rohi Lado 5301104605630005 P
2/4/2023 12:11:25 2/4/2023 BPJS 13030 Angke Daepanie 5371035411640001 P
2/4/2023 12:14:41 2/4/2023 BPJS 130498 Maria Nggeon 5371035811660001 P
UMUR TANGGAL ALAMAT ( Kelurahan, TEKANAN TINGGI BERAT LINGKAR DIAGNOSA / KODE ICD 10
LAHIR RT/RW ) DARAH BADAN BADAN PERUT

56 11/9/1966 Oesapa, 035/012 103/72 159 45 76 Post TB


67 18/5/1955 Oesapa Barat 133/88 153 69 98 DM/E13
79 17/7/1952 Oesapa, 009/003 109/61 153 53 84 Katarak sinilis/H52.4
60 1/6/1962 Oesapa, 16/06 112/84 165 58 99 Presbiopi
51 20/9/1971 Lasiana, 018/004 116/80 157 53 74 ISPA/J06.9
51 1/8/1971 Oesapa, 40/13 130/84 164 95 120 CHF/CAD/HHD
20 5/6/2002 Penfui 90/60 151 40.5 60 Post exaa
67 15/7/1955 Oesapa, 18/06 143/94 149 49 76 Tumor gluteus/D21.5
89 1/4/1933 Oesapa, 13/5 140/65 158 50 86 HT+Hiperkoles+konstipasi
64 1/4/1958 Oesapa, 23/08 197/96 154 68 97 DM+HT
6.1 3/4/2016 Lasiana, 12/05 - 118.5 19 - ISPA/J06.9
47 29/5/1975 Oesapa, 41/13 127/92 147 46 75 Ispa
75 8/6/1947 Lapas, Osp Selatan 110/80 164 67 91 BPH, DM, HT, Dislipidemia
38 11/6/1984 Lasiana, 12/3 114/82 146 65 98 Atralgia
10 20/8/2012 Lasiana, 4/2 90/60 150 34 55 Ispa
42 9/1/1981 Lasiana, 5/2 121/82 148 50 81 DKA+Myalgia
53 13/11/1969 Oesapa, 13/05 149/109 161 62 99 HT
16 10/4/2006 Osp barat 4/2 113/68 156 44 62 Reaksi Alergi
61 24/2/1961 Lasiana 137/82 157 48 72 Presbiopi
32 10/10/1990 Oesapa, 22/8 125/71 168 79 106 Ispa
40 26/3/1982 Klp 5, 13/06 109/79 151 54 72 Multiple hematom
32 10/6/1990 Oesapa, 41/13 137/85 167 77 83 Post hecting
30 9/8/1992 Osp barat 17/6 125/83 151 49 78 ISK
20 9/3/2002 Oebobo 3/1 117/85 162 59 76 Ispa
21 15/3/2001 Oesapa, 26/9 117/74 145 65 90 DKA
42 10/2/1980 Osp, 24/9 116/88 150 55 72 DM, Dermatitis
44 3/7/1978 Osp 142/78 153 50 75 VL
8.1 15/12/2014 Osp barat, 8/3 - 112 16 51 Post dog bite + ptriasis
60 1/2/1960 Osp 15/6 140/84 138 58 99 Dermatitis, myalgia
33 2/1/1990 Lsn 30/8 109/70 146 43 79 TFA, FEBRIS
41 11/8/1981 Lsn, 14/3 163/101 152 52 80 Gastritis
28 28/1/1995 Oesapa, 15/6 121/79 151 58 85 Ispa
59 16/9/1963 Osp, 13/5 123/76 150 55 76 HT
15 9/12/2007 Lsn, 10/3 - 159 39 63 Konsultasi
29 4/5/1993 Bimoku 112/76 159 58 72 Ispa
7.9 17/4/2015 Osp 14/5 - 127.4 21.5 62 Febris, vomitus
21 22/9/2001 Osp 115/84 150 42 67 Ispa
49 6/4/1973 Lasiana 17/5 150/93 159 81 118 Post op ca mamae
59 6/5/1963 Osp 15/6 140/82 157 47 79 Polineuropati, planter fascitis
58 14/11/1964 Osp barat, 19/7 107/60 154 59 78 Shoulder lesions
56 18/11/1866 Osp barat, 6/2 - 154 50 83 DM
PENGOBATAN RUJUK

- YA
- YA
- YA
- YA
Ctm, mp, nadik, omz, vit.c TIDAK
- YA
- YA
- YA
Amlo, simvas,bisacodyl TIDAK
- YA
Pct, ctm, dexa, ambrox TIDAK
Pct, ctm, ambrox TIDAK
- YA
Nadik, bcom TIDAK
Amox, ambrox, ctm, pct TIDAK
Ctm, nadik, hydro zalf TIDAK
Amlo, bcom TIDAK
Ctm, dexa TIDAK
- YA
Amox, ambrox, ctm, pct TIDAK
Trombopol, nadik TIDAK
Dexa, vit.c TIDAK
Pct, cipro TIDAK
Pct, ctm TIDAK
Dexa, ctm, salicyl TIDAK
Metformin, genta zk, asmef TIDAK
Oxy zk, asmef TIDAK
Amox, dexa, miconazole TIDAK
Ctm, dexa, hydro, pirox TIDAK
MP, ctm, ambrox, cipro, pct TIDAK
Antasid, ranit, attapulgit, oralit TIDAK
Pct, ambrox, vit.c, ctm TIDAK
Amlo, bcom TIDAK
- TIDAK
Ambrox, ctm TIDAK
Pct, dompe, antasid TIDAK
Pct, ctm, ambrox, vit.c TIDAK
- YA
- YA
- YA
Glime, acarbose, clopidogrel, simvas, allopurino TIDAK
Timestamp TANGGA JENIS NOMOR REKAM NAMA PENGUNJUNG NOMOR INDUK
KUNJUNGAN KARTU MEDIK KEPENDUDUKAN (NIK)

2/6/2023 8:04:45 2/6/2023 BPJS 130,682 Yohanis ndolu 5371031707570003


2/6/2023 8:06:45 2/6/2023 BPJS 12.3848 Vinsensius toby 5371030504960005
2/6/2023 8:09:13 2/6/2023 BPJS 15,245 Viani sutati 5371034808530001
2/6/2023 8:11:41 2/6/2023 BPJS 11,443 Yuliana huru 5371034607590001
2/6/2023 8:14:51 2/6/2023 BPJS 11.2432 Skolastika banase -
2/6/2023 8:18:05 2/6/2023 BPJS 11.2432 Florida olin 5371034609940002
2/6/2023 8:23:55 2/6/2023 BPJS 12.1276 Muhamad suardi 5371030209030001
2/6/2023 8:26:50 2/6/2023 BPJS 11,628 Ibrahim lalang 5371032811600006
2/6/2023 8:33:37 2/6/2023 UMUM 1,713,800 Samuel lau jalla 5305012711010004
2/6/2023 8:36:05 2/6/2023 BPJS 12.2713 Cornelis sini -
2/6/2023 8:39:14 2/6/2023 BPJS 12.2713 Novita willa 53710205809830001
2/6/2023 8:43:49 2/6/2023 BPJS 12,874 Alena sine -
2/6/2023 8:47:53 2/6/2023 BPJS 12.3725 Lexi ketty 5371041102830010
2/6/2023 9:14:23 2/6/2023 BPJS 12.3481 Gabrial loak 5371031706720005
2/6/2023 9:19:41 2/6/2023 UMUM 11,346 Muhamad risky -
2/6/2023 9:21:52 2/6/2023 UMUM 11,684 Arfan boboy. 5371030102110001
2/6/2023 9:25:18 2/6/2023 BPJS 11,684 Marens boboy 5371033003910001
2/6/2023 9:27:35 2/6/2023 BPJS 1,712,493 Stevanus pina 53070107950023
2/6/2023 9:32:31 2/6/2023 BPJS 12.2322 aditio ludji -
2/6/2023 9:34:39 2/6/2023 BPJS 12,691 maria natonis 5371037010100004
2/6/2023 9:38:32 2/6/2023 BPJS 12,673 naemi merukh 5371035402620002
2/6/2023 9:42:40 2/6/2023 BPJS 11.0406 retno mandala 5301065901870002
2/6/2023 9:49:06 2/6/2023 UMUM 14,228 Syalomita lontorin 5371034605140002
2/6/2023 9:51:43 2/6/2023 UMUM 1,713,802 Erykhe nubatonis 5371036306070003
2/6/2023 9:54:18 2/6/2023 UMUM 1,715,746 Sear dupe 7401071306670001
2/6/2023 10:00:40 2/6/2023 BPJS 1,713,755 Yosefina fernandes 5307054103050003
2/6/2023 10:02:47 2/6/2023 BPJS 12.3268 Fatima djawas 301186002730002
2/6/2023 10:04:57 2/6/2023 UMUM 1,713,804 Hengki oktavin 6103012910960005
2/6/2023 10:07:09 2/6/2023 BPJS 1,712,539 Jefri loya 5371025907030001
2/6/2023 10:09:26 2/6/2023 BPJS 12.4992 Yurince ngili 5371036906690002
2/6/2023 10:13:22 2/6/2023 BPJS 1,713,803 Maria yuliana 5307115408980001
2/6/2023 10:15:48 2/6/2023 UMUM 12.5011 Ira mooy -
2/6/2023 10:17:35 2/6/2023 BPJS 1,713,805 Agati kadja 5320036907020002
2/6/2023 10:19:35 2/6/2023 BPJS 15,485 Endang pujiwinarni 5371034706630001
2/6/2023 10:23:38 2/6/2023 BPJS 12-314 Marsya mauday -
2/6/2023 10:26:23 2/6/2023 BPJS 11.1664 Trayanus sesfao -
2/6/2023 10:28:54 2/6/2023 BPJS 12,864 Yuni djara 5371036606780007
2/6/2023 10:31:05 2/6/2023 BPJS 12.2777 Hendri manae 5371031803620002
2/6/2023 10:33:16 2/6/2023 UMUM 12.2092 Damaris adu 5371034402720004
2/6/2023 10:36:37 2/6/2023 UMUM 1,713,809 Arjun fao 5302072208170001
2/6/2023 10:38:28 2/6/2023 BPJS 12.4100 Kartika ridwan 5271030503030001
2/6/2023 10:40:34 2/6/2023 UMUM 173,863 Adrianto kain -
2/6/2023 10:50:41 2/6/2023 BPJS 179,499 Fransiska lay 5301134207970002
2/6/2023 10:53:14 2/6/2023 BPJS 11.1049 Elsalika boboy 537103670109000
2/6/2023 10:55:30 2/6/2023 UMUM 1,711,828 Andre ngelu 5371032012990003
2/6/2023 10:58:16 2/6/2023 BPJS 11,561 Adelina maria 5371035503720002
2/6/2023 11:00:41 2/6/2023 UMUM 11.1672 Felisia ashari -
2/6/2023 11:02:41 2/6/2023 BPJS 15,091 Mardi blegur -
2/6/2023 11:04:37 2/6/2023 BPJS 11.1498 Lenci dethan 5371035309010002
2/6/2023 11:08:37 2/6/2023 UMUM 1,713,807 Yusri dopong 5305142708960001
2/6/2023 11:10:13 2/6/2023 BPJS 11.1375 Kaci sui 5371035404840002
2/6/2023 11:12:25 2/6/2023 BPJS 11,593 Jems boling. 5371032603880002
2/6/2023 11:17:04 2/6/2023 UMUM 12.2770 Valen ndun -
2/6/2023 11:19:40 2/6/2023 BPJS 11,164 Dewi sri marnino 5301116402880001
2/6/2023 11:22:02 2/6/2023 BPJS 12,669 Kostansia 5371036403750002
2/6/2023 11:24:03 2/6/2023 BPJS 12.3424 Olivia koreh 5371034110790003
2/6/2023 11:26:59 2/6/2023 UMUM 173,890 Sandra tobe -
2/6/2023 12:01:10 2/6/2023 BPJS 174,061 Rini honin 5371035410020004
2/6/2023 12:03:27 2/6/2023 UMUM 1,713,809 Heryanto dede 5371031005890010
2/6/2023 12:05:28 2/6/2023 UMUM 11.2702 Yefrina soinbala 5371044402860010
2/6/2023 12:07:01 2/6/2023 UMUM 13,897 Magdalena dunga -
2/6/2023 12:09:47 2/6/2023 BPJS 12.2146 Samiati besie 5371037006770002
2/6/2023 12:12:16 2/6/2023 UMUM 12.1296 Nirmawati 5371034507870004
2/6/2023 12:14:16 2/6/2023 UMUM 1,713,790 Muhamad asyari -
2/6/2023 12:16:22 2/6/2023 BPJS 12.3269 Jibrail da costa -
2/6/2023 12:17:49 2/6/2023 BPJS 12.1834 Andre ledoh 5371032611640002
2/6/2023 12:19:40 2/6/2023 BPJS 1,713,810 Lukas manga mema 5312100107010188
2/6/2023 12:22:15 2/6/2023 BPJS 1,713,812 Aryantus fallo 5302040201010001
2/6/2023 12:23:58 2/6/2023 UMUM 1,713,811 Isak siletty 8103091705030004
2/6/2023 12:26:28 2/6/2023 BPJS 1,310,013 Gamiarsih tabun 5301174804940001
2/6/2023 12:28:10 2/6/2023 BPJS 1,710,469 Yofantianus daja 539062909010003
2/6/2023 12:31:00 2/6/2023 BPJS 12,039 Marselina oemanu 5301126303540001
2/6/2023 12:33:25 2/6/2023 UMUM 12.2847 Rita lolangsir -
2/6/2023 12:36:26 2/6/2023 BPJS 1,712,136 Irwan 5306101004980005
2/6/2023 12:38:31 2/6/2023 BPJS 1,713,700 Yanuarius Dai 5308033112990001
2/6/2023 12:38:42 2/6/2023 UMUM - Sitti rizqah 53710234308950002
2/6/2023 12:41:50 2/6/2023 UMUM 171,969 Petrus Mnune -
ALAMAT
JENIS TANGGAL TEKANAN TINGGI BERAT LINGKAR DIAGNOSA / KODE ICD 10
KELAMIN UMUR LAHIR ( Kelurahan, DARAH BADAN BADAN PERUT
RT/RW )
L 63 17-07-1957 Oesapa barat 171/82 150 62 83 Ht.r07.9
L 27 5-05-1996 Oesapa 116/83 167 80 94 Omsk
P 68 8-8-1953 Oesapa 130/80 153 43 84 Dm, ht
P 60 6-7-1959 Lasiana 159/98 149 61 103 Ispa, ht
L 9 4-12-2013 Lasiana 90/79 143 29 60 Dermatitis
P 28 6-9-1994 Oesapa 113/84 149 50 87 Dm tipe 2.cepalgia
L 19 2-9-2003 Oesapa 125/80 170 70 95 Ansiety disorder
L 62 28-11-1960 Lasiana 141/82 153 67 94 Cad, ht
L 21 6-11-2001 Oesapa 149/101 166 50 72 Dm tipe 1
P 39 - Oesapa 140/89 161 55 77 Ispa
P 39 18-09-1983 Oesapa 129/81 154 61 83 Ispa
P 9 2-4-2013 Oesapa 90/70 137 28 62 Ispa
L 39 11-2-1983 Oesapa 132/89 165 74 94 Nefrolitiasis n20
L 47 17-6-1972 Oesapa 185/108 164 53 82 Ht katarak
L 5 - Lasiana 90/80 - 19 - Post heacting.vl
L 11 2-4-2012 Lasiana 90/80 130 29 63 Vulnus
L 31 30-3-1991 Lasiana 121/89 160 55 80 Post heacting
L 28 8-12-1994 Oesapa 114/46 162 58 76 Dermatitis alergi.
L 11 8-5-2011 oesapa 90/70 129 31 65 ispa
P 12 30-10-2010 oesapa 90/70 132 25 58 ispa.dermatitis
P 57 14-2-1962 oesapa 134/74 140 36 58 a49.s61.3
L 31 13-01-1987 lasiana 107/75 151 44 71 ispa
P 8 6-5-2014 Oesapa selatan 90/80. 132 26 62 Ispa.
P 5 11-7-2007 Oesapa 113/75 155 47 70 Observasi post sinkop
L 55 13-6-1967 Oesapa 171/78 151 51 78 Ht.tinea
P 18 1-3-2005 Penfui 118/69 118 59 78 Post heacting
P 49 20-2-1075 Oesapa 153/67 154 60 88 Dm, ht
L 26 20-12-1996 Oesapa 135/91 168 52 73 Ispa
P 20 6-7-2003 Oesapa 102/73 165 49 69 Dyspepsia
P 53 29-06-1969 Oesapa 155/92 157 57 88 Febris.dka
P 24 19-5-1998 Oesapa 120/83 156 45 74 Otitis eksterna
P 35 12-10-1987 Oesapa 123/73 150 66 97 Urtikania
P 20 1-6-2002 Oesapa 115/77 155 46 76 Dermatitis
P 59 7-6-1963 Kelapa lima 144/80 144 49 86 Abol paint
P 10 23-3-2012 Oesapa 90/60 141 34 66 Dyspepsia.dermatitis
L 65 21-6-1955 Lasiana 156/75 153 57 91 Tb paru
P 44 26-6-1977 Oesapa 112/78 160 65 84 Tfa
L 60 18-3-1962 Oesapa 109/74 151 45 75 Cad, ht
P 50 4-6-1972 Oesapaa 180/98 142 54 91 Dka, ht
L 5 22-8-2017 Oesapa 90/70 - - - Vulnus a
P 19 23-3-2003 Oesapa 113/73 145. 39 65 Tfa
L 12 22-10-2010 Oesapa 90/70 139 31 58 Scabies
P 23 2-7-1997 Oesapa 109/72 149 32 66 Gea.ispa
P 14 27-1-2009 Lasiana 97/72 156 37 66 Dyspepsia
L 23 20-12-1999 Oesapa 119/79 163 91 112 Coug cronic. Cephalgia
P 45 15-3-1972 Lasiana 165/77 166 58 89 Ht.e05.0
P 6 6-3-2016 Lasiana 90/70 122 28 76 Tfa
L 20 1-3-2004 Oesapa 129/66 161 62 83 Scabies
P 21 13-9-2001 Lasiana 124/80 146 40 68 R05.3
L 26 27-8-1996 Kelapa lima 134/88 164 46 71 Febris
P 39 14-4-1984 Lasiana 123/87 139 53 88 AUB
L 33 26-3-1988 Lasiana 123/76 170 62 82 F20
L 6 6-2-2017 Oesapa 90/70 112 18 58 Post heacting
P 32 24-2-1988 Lasiana 106/77 156 66 101 J31.2
P 46 24-3-1975 Oesapa 110/70 147 31 56 Post Tb
P 39 1-10-1979 Oesapa 117/71 155 49 71 Tb
P 7 27-7-2015 Oesapa 80/69 113 19 50 Febris
P 20 14-10-2002 Oesapa 108/76 146 40 76 Miopia
L 34 10-5-1989 Oesapa 116/79 152 54 83 Ispa
P 37 04-02-1986 Lasiana 131/82 156 60 85 Dyspepsia sindrom
P 12 26-5-2010 Oesapa barat 90/70 144 26 60 Dyspepsia
P 41 30-6-1977 Oesapa 160/88 153 61 89 Katarak
P 32 5-7-1987 Oesapa 108/84 155 65 84 Dyspepsia syndrom
L 23 24-7-1999 Liliba 136/89 161 65 - Abses
L 5 23-5-2016 Oesapa 90/70 114 18 50 Post heacting
L 55 26-5-1964 Oesapa 108/74 156 56 85 Vulnus
L 22 9-10-2000 Liliba 100/70 169 62 75 Dyspepsia sindrom
L 21 02-1-2001 Oesapa 107/75 165 48 69 DKA
L 20 17-5-2003 Baumata 117/87 160 50 69 OMA
P 28 8-4-1994 Oesapa barat 118/77 153 68 92 J00. L30
L 21 26-9-2001 Oesapa 116/74 163 52 69 J00. M79.1
P 67 23-3-1954 Oesapa 150/89 158 63 80 Isk.abdominal paint.ht
P 37 30-1-1982 Oesapa 184/118 155 67 93 Ht
L 24 10-4-1998 Oesapa. 127/67 172 65 91 B05.3
L 23 31/12//1999 Oesapa 120/70 164 42.5 61 Vulnus / l02.9
P 27 3-8-1995 Oesapa 141/99 156 71 105 Broncitis
L 7.8 04/06/2016 Oesapa, 006/002 - 112.4 17 52 ISPA / J06.9
PENGOBATAN RUJUK

- YA
- YA
- YA
Pct.ambroxol.ctm.amlo.b com TIDAK
Hidrocortism.ctm TIDAK
Metformin.antasid TIDAK
- YA
- YA
Saleb.amox.asmef TIDAK
Pct.ambrox.ctm.vit c TIDAK
Ambroxolo.ctm.vit c TIDAK
Dexa.pct.ctm.ambroxol.vit c TIDAK
- YA
- YA
Af heacting. Vit c TIDAK
Genta TIDAK
Aff heacting TIDAK
Ctm.dexa TIDAK
pct.gg.ctm.dexa TIDAK
pct,gg,dexa,ctm TIDAK
- YA
pct.vit c TIDAK
Pct.dexa.gg.ctm TIDAK
B com TIDAK
Ctm.pirox.amlo TIDAK
Aff heacting TIDAK
- YA
Ambroxoll.ctm.vit c TIDAK
Omz.b com TIDAK
Pct.amlo.ctm TIDAK
Asmef.amox.b com TIDAK
Dexa.cetrisin TIDAK
Dexa.ctm.b com TIDAK
- YA
- TIDAK
Oat TIDAK
Pct.dexa TIDAK
- YA
Ctm.amlo.b com TIDAK
Pct.amox TIDAK
Pct.ctm.dexa.amox TIDAK
Dexa.cetrisin TIDAK
Pct.gg.ctm.antasid TIDAK
Pct.antasid.b com TIDAK
Ibu profen.ambrox.dexa.ctm TIDAK
- YA
Gg.dexa.ctm TIDAK
Ctm.vit c TIDAK
Ambrox.amox TIDAK
Pct.dexa.omz TIDAK
- YA
- YA
Rawat luka TIDAK
Pct.dexa.vit c TIDAK
- YA
- YA
Pct.zink.oralid TIDAK
- YA
Ambrox.vit c TIDAK
Antasid. Ranitidin TIDAK
Pct.amox.antasid TIDAK
- YA
Antasid.ranatidin TIDAK
Amox.genta TIDAK
Dexa.genta TIDAK
Rawat luka TIDAK
Antasid.ranitidim TIDAK
Ctm.genta TIDAK
Pct.dexa TIDAK
Pct.antasid.dexa.ctm.amox TIDAK
Ibuprofen.b com TIDAK
Ibuprofen.cipro.amlo TIDAK
Captropil.b com TIDAK
Ambroxol.dexa.ctm.b com TIDAK
Asmef, Amox TIDAK
Gg.ctm.amox.dexa TIDAK
PCT, GG, CTM, Dexa, Amox TIDAK
Timestamp TANGGA JENIS NOMOR REKAM NAMA PENGUNJUNG NOMOR INDUK
KUNJUNGAN KARTU MEDIK KEPENDUDUKAN (NIK)

2/7/2023 7:49:40 2/7/2023 BPJS 150,188 friend ninem 537103402730002


2/7/2023 7:53:44 2/7/2023 BPJS 11.0572 nadia kore nguru 5371066107030001
2/7/2023 7:56:58 2/7/2023 BPJS 12.3546 niken parikaes 5371032707950001
2/7/2023 8:00:28 2/7/2023 BPJS 12,023 yarsiana dengak -
2/7/2023 8:15:58 2/7/2023 BPJS 11.2545 mariana ratu rihi 537103480278000
2/7/2023 8:26:06 2/7/2023 BPJS 171,099 sisilis deren suban 5314104409860001
2/7/2023 8:31:00 2/7/2023 BPJS 130,110 abraham long 5371032705460002
2/7/2023 8:34:13 2/7/2023 BPJS 11.2631 arip olandinius 53710325040220002
2/7/2023 8:45:39 2/7/2023 UMUM 12.1763 joana elis -
2/7/2023 8:48:18 2/7/2023 UMUM 171,118 yunanda nautani -
2/7/2023 8:51:31 2/7/2023 BPJS 11.0650 nifron klau 5371032511020002
2/7/2023 8:55:25 2/7/2023 BPJS 12.3824 andini nalle 5371034804020004
2/7/2023 8:58:47 2/7/2023 BPJS 12.3248 siti rahma haru 5371034808640004
2/7/2023 9:02:40 2/7/2023 BPJS 1,713,816 wendi selan 5371034911820004
2/7/2023 9:05:08 2/7/2023 BPJS 171,025 penina beri 5305076503010001
2/7/2023 9:10:20 2/7/2023 UMUM 171,381 intan fanggidae -
2/7/2023 9:22:43 2/7/2023 BPJS 12.0983 melanie mbata -
2/7/2023 9:25:26 2/7/2023 BPJS 130,834 WAIDI SAFUR 5371037005710001
2/7/2023 9:28:18 2/7/2023 BPJS 17,134 SERLY ANIN 5302125209020001
2/7/2023 9:31:18 2/7/2023 BPJS 12.2801 ISABELA OLLAH 5371036202930004
2/7/2023 9:35:37 2/7/2023 BPJS 171,381 REIHAN PRABOWO 5371011208080002
2/7/2023 9:38:13 2/7/2023 BPJS 12,127 SUDARMI 53710348048830004
2/7/2023 9:42:17 2/7/2023 BPJS 160,880 MAGDALENA NUBATONIS 5301206303710004
2/7/2023 9:44:45 2/7/2023 BPJS 160,880 PUTRI BENU 5301206001040001
2/7/2023 9:46:43 2/7/2023 BPJS 160,880 STIVEN YOHANES -
2/7/2023 9:50:17 2/7/2023 UMUM 11.1182 PETRONELA PAUT 5301276411800001
2/7/2023 9:53:26 2/7/2023 UMUM 11.1182 JEMI PANIE -
2/7/2023 9:58:37 2/7/2023 BPJS 130,447 KRISTINA WAIN -
2/7/2023 10:05:24 2/7/2023 BPJS 171,382 MARIA INES 5309026109060004
2/7/2023 10:09:00 2/7/2023 BPJS 1,713,822 DORETHEA MARIA NAY 5316034205930002
2/7/2023 10:13:21 2/7/2023 BPJS 13,069 MARIA NAHAK 5371036807810007
2/7/2023 10:16:05 2/7/2023 BPJS 1,713,825 SALFIANUS FUNOME 5308011210960001
2/7/2023 10:18:44 2/7/2023 BPJS 11.0997 FARIDA MAKENA -
2/7/2023 10:21:48 2/7/2023 BPJS 12.3101 FREDIK DJARA WELEM 5371030202450001
2/7/2023 10:24:34 2/7/2023 UMUM 171,382 ELSI MAGE 5371036901970001
2/7/2023 10:29:07 2/7/2023 UMUM 12.1237 SERVICE NAHAS 5371034409850002
2/7/2023 10:32:30 2/7/2023 BPJS 170,577 YAHUDA BERI 5371041901930006
2/7/2023 10:34:30 2/7/2023 UMUM 1,713,826 NELIA SARI BRIA -
2/7/2023 10:36:56 2/7/2023 BPJS 12,373 BURHANUDIN LAUDU -
2/7/2023 10:41:12 2/7/2023 UMUM 12.1479 MISKA PELLA -
2/7/2023 10:44:21 2/7/2023 BPJS 12.0906 MARGARETHA KABU -
2/7/2023 10:47:41 2/7/2023 UMUM 1,310,097 MARIA ANUNUT -
2/7/2023 10:53:10 2/7/2023 UMUM 11.0264 MARTINA BANA -
2/7/2023 10:57:20 2/7/2023 UMUM 2,713,828 NAOMI HALLA 5302156101020002
2/7/2023 11:00:12 2/7/2023 UMUM 160,475 BERTHA SALU 5371035008580003
2/7/2023 11:03:10 2/7/2023 BPJS 17,138 RENISTA DOROH 5314064408020002
2/7/2023 11:05:32 2/7/2023 UMUM 1,713,829 ESTI NUBATONIS 5301104504890002
2/7/2023 11:08:59 2/7/2023 UMUM 12.2498 DANILO DA COSTA 8108072612000001
2/7/2023 11:14:18 2/7/2023 UMUM 11.2705 VENCI MOEN 5371045202900005
2/7/2023 11:17:27 2/7/2023 BPJS 11187 LISLIANTI DIMU 5320034409000002
2/7/2023 11:23:29 2/7/2023 UMUM 12.3024 YUSINTHA HENUK 5314014706900001
2/7/2023 11:25:41 2/7/2023 BPJS 12,360 SEBRINA BOTO -
2/7/2023 11:55:45 2/7/2023 UMUM - DIKA INDRI LAPE 5301065606990003
2/7/2023 12:06:13 2/7/2023 UMUM 12500 WINDARTO MARKUS 5371031006900002
2/7/2023 12:09:24 2/7/2023 UMUM - MERSY TOY BEYS 5301066703970002
2/7/2023 12:12:29 2/7/2023 BPJS 140,187 BRIDRY JOANDO -
2/7/2023 12:16:41 2/7/2023 BPJS 12.0556 TRIZE NDUN 5371030309110003
2/7/2023 12:19:45 2/7/2023 BPJS 171,204 MAEFELION NAHAK 5371031512140001
2/7/2023 12:22:18 2/7/2023 BPJS 1,310,096 YANUARIUS HERMAN 5371031909920002
2/7/2023 12:25:42 2/7/2023 BPJS 12.1504 MICHAEL BALULEH 5371031001050002
2/7/2023 12:30:39 2/7/2023 BPJS 12..1612 ABRAHAM ABI 5371031709780004
2/7/2023 12:41:40 7/2/2023 BPJS 122700 NOVALINDA RANI NOEL 5371036811080003
2/7/2023 12:47:42 7/2/2023 UMUM 11126 Averiela Boling -
ALAMAT
JENIS TANGGAL ( Kelurahan, TEKANAN TINGGI BERAT LINGKAR
KELAMIN UMUR LAHIR DARAH BADAN BADAN PERUT DIAGNOSA / KODE ICD 10
RT/RW )
L 48 14/2/73 kelapa lima 134/89 161 75 108 hiperbilirubin
P 17 21/7/2003 lasiana 94/64 154 46 69 dka
P 27 27/7/95 27 117/71 167 49 76 cronik cough
P 58 13/1/62 oesapa 9/3 142/85 154 60 92 ht + atralgia
P 44 8/2/78 lasiana 141/92 158 71 91 konsultasi
P 36 04/9/86 oesapa 117/91 154 54 77 asma bronkial
L 77 27/5/46 obar 172/84 169 75 85 ispa + ht
L 15 25/4/2007 lasiana 110/79 168 43 66 fa
P 6 10/2/2017 oesapa 90/50 105 16 51 ispa
P 12 18/12/2011 oesapa 90/50 137 24 55 febris
L 20 25/11/22 lasiana 100/80 165 43 67 tb paru
P 20 8/4/22 oesapa 130/90 160 97 95 lbp
P 57 8/8/64 oesapa 188/99 152 67 96 hipertiroid + ht
P 41 9/11/82 alak 114/83 149 45 66 susp tb
P 21 25/11/2001 oesapa 114/78 159 62 88 gerd
P 21 8/2/2001 lasiana 109/70 162 42 60 ispa
P 22 19/12/2000 oesapa 85/59 155 43 66 ISPA
L 49 30/5/71 OESAPA 13487 156 87 110 HF + AF
P 20 12/9/2002 OESAPA 118/60 144 37 63 SUSP TB
P 29 22/2/93 OESAPA 112/78 148 54 80 ISPA
L 14 12/8/2008 KELAPA LIMA 90/60 155 39 59 SCABIES
P 40 8/4/83 OESAPA 121/87 157 76 97 CA MAMAE
P 52 23/3/71 PENFUI 123/95 152 61 83 DISPEPSIA + OA GENU
P 19 20/6/2004 PENFUI 122/82 148 38 62 FLOUR ALBUS
L 9 - PENFUI 90/50 129 28 57 ISPA
P 43 24/11/80 LASIANA 122/84 150 68 85 ISPA
L 45 16/12/75 LASIANA 112/83 170 62 81 LBP + HNP +ISK
P 68 23/10/53 OESAPA 131/97 150 75 105 HT + OA GENU
P 17 21/6/2006 LASIANA 94/58 152 49 77 REAKSI ALERGI
P 29 2/5/93 OESAPA 124/75 148 46 74 DKA
P 36 - OBAR 102/71 149 53 80 KONJUNGTIVITIS
L 26 12/10/96 OESAPA 11678 146 47 71 CEPHALGIA + ISPA
P 46 1/2/74 OESAPA 123/86 146 46 85 PREMORAS
L 77 2/2/45 OESAPA 16/6 141/69 168 71 101 DM + HT
P 25 1/6/97 OESAPA 116/82 147 52 82 ISPA
P 39 4/9/85 OESAPA 118/80 143 43 63 ANEMIA
L 29 19/6/93 OESAPA 117/75 170 53 74 CONJUNGTIVITIS
P 11 10/1/12 LILIBA 90/50 151 36 64 FEBRIS
L 60 26/12/60 OESAPA 143/87 159 64 97 DISPEPSIA + HT
P 6 11/2/2006 OESAPA 90/50 116 23 45 ISPA
P 42 17/1/81 OESAPA 125/85 156 49 84 MIGRAIN + DISPEPSIA
P 18 19/12/2005 OBAR 101/84 156 49 71 FA
P 19 11/11/2006 LASIANA 107/71 147 37 72 ISPA
P 22 21/1/2002 OESAPA 105/73 155 43 70 DIPEPSIA
P 61 11/8/58 LILIBA 118/82 160 53 84 ISPA + DISPEPSIA
P 20 4/8/2002 PENFUI 110/73 146 38 72 LIMPHADENITIS
P 33 5/4/89 LASIANA 114/70 154 38 64 DISPEPSIA
L 22 26/12/2000 OESAPA 100/68 164 45 68 FA
P 32 1/2/81 LASIANA 112/77 150 73 97 EDEMA TUNGKAI
P 22 1/9/2000 LASIANA 100/71 162 48 71 ISPA + DISPEPSIA
P 30 7/6/92 OESAPA 118/85 157 65 88 ISK + ISPA
P 27 23/9/95 OESAPA 104/81 148 46 70 BRONKITIS + CRONIK COUGH
L 23 16/6/99 - 120/70 160 55 78 SIFILIS
L 32 10/6/90 OESAPA 137/85 167 77 83 VL
P 25 - - 11287 156 55 78 SIFILIS
P 16 20/12/2006 OPAS 100/79 160 55 75 PARONIKIA
P 10 3/9/2011 OESAPA 90/50 141 28 59 VE
P 9 15/12/2014 OBAR 90/50 114 15 51 POST HEACTING
L 31 19/9/92 OBAR 132/78 167 77 104 POST HEACTING + EPILEPSI
L 17 10/5/2005 OESAPA 114/70 164 53 71 DIPEPSIA
L 45 17/9/78 OESAPA 125/75 165 74 70 POST HEACTING
P 14 28 NOV 2008 Oesapa 12/5 90/60 153 34 64 Vulnus Eksosiratum
P 2.1 29/12/2020 Lasiana 14/3 90/60 150 55 90 Konsultasi
PENGOBATAN RUJUK

rujuk YA
dexa,ctm berobat jalan
rujuk YA
amlodipin,nadic berobat jalan
konsultasi TIDAK
ambroxol,ctm,dexa,salbutamol TIDAK
ambroxol,amlodipin,bcom,ctm TIDAK
amox,ctm,pct,ambroxol TIDAK
am broxol,dexa,ctm,pct,vitc TIDAK
pct,vitc TIDAK
- TIDAK
nadic,bcom TIDAK
rujuk YA
ambroxol, TIDAK
ranitidin,omz,bcom TIDAK
pct,ctm,ambroxol TIDAK
PCT,AMBROX,CTM TIDAK
RUJUK YA
AMBROXOL,PCT,VITC TIDAK
PCT,AMBROXOL,CTM,VITC TIDAK
PERMETRIN,BACITACIN TIDAK
RUJUK YA
ANTASIDA,DOMPE,RANITIDIN,NADIC TIDAK
METFOR,BCOM TIDAK
AMBROXOL,CTM,VITC TIDAK
PCT,CTM,AMBROXOL,VITC TIDAK
PIRIXICAM,CIPRO,BCOM TIDAK
AMLODIPIN,BCOM TIDAK
CTM,DEXA TIDAK
CTM,BCOM TIDAK
CENDO XYTROL TIDAK
ASMEF,CTM TIDAK
- TIDAK
RUJUK YA
PCT,AMBROXOL,CTM,VITC TIDAK
CTM,PCT,SF TIDAK
TETRASKILIN,BCOM TIDAK
PCT,CTM,VITC TIDAK
OMZ,AMLODIPIN,BCOM TIDAK
CTM,AMBROXOL,VITC TIDAK
PCT,ANTASIDA,RANITIDIN TIDAK
CTM,AMOX,RANITIDIN TIDAK
PCT,AMBROXOL,DOMPE,CTM TIDAK
ANTASIDA,RANITIDIN,BCOM,PCT,DOMPE TIDAK
AMBROXOL,CTM,ANTASID,RANIT TIDAK
BCOM TIDAK
RANIT,ASMEF,VITC TIDAK
PCT,CTM,AMBROXOL,AMOX TIDAK
BCOM TIDAK
PCT,AMBROXOL,CTM,ANTASID,RANITIDIN TIDAK
CIPRO,IBUPRPF,BCOM,AMBROXOL,DEXA TIDAK
RUJUK YA
ERITROMICIN,ANTASID,BCOM TIDAK
DEXA,VITC TIDAK
ERITROMICIN,ANTASIDA,BCOM TIDAK
ASMEF,AMOX,VITC,GENTA TIDAK
AMOX,PCT,GENTA TIDAK
RAWAT LUKA TIDAK
ASMEF,VITC TIDAK
RANITIDIN,OMZ,VITC,INJ.OMZ TIDAK
RAWAT LUKA TIDAK
Asmef,amox,vit c TIDAK
- TIDAK
TANGGA JENIS NOMOR NOMOR INDUK
Timestamp KUNJUNGAN KARTU REKAM NAMA PENGUNJUNG KEPENDUDUKAN (NIK)
MEDIK

2/8/2023 7:54:01 2/8/2023 BPJS 13087802 Fince malelak 5371035502550003


2/8/2023 7:57:14 2/8/2023 BPJS 13011001 Abraham long 5371032705460002
2/8/2023 7:59:38 2/8/2023 BPJS 121685 Soleman nauti 5371031707720002
2/8/2023 8:01:51 2/15/2023 BPJS 112706 Amsalgius kamore 5371041504610001
2/8/2023 8:04:14 2/8/2023 BPJS 1712314 Mariakristanti sutal 5371036007010003
2/8/2023 8:07:13 2/8/2023 BPJS Maria sekandina bau 530418681880002
2/8/2023 8:16:02 2/8/2023 BPJS 171351701 Desi kristin dimu 5318016112990004
2/8/2023 8:18:43 2/8/2023 BPJS 150493 Metriani naikteas 5371035403890002
2/8/2023 8:21:03 2/8/2023 BPJS 112086 Fransuska bete 5371056301890001
2/8/2023 8:24:53 2/8/2023 BPJS 1500901 Yohanis lili 5371031509730002
2/8/2023 8:27:32 2/8/2023 UMUM 11029001 Anisia D .I. Bobo 5371037012990003
2/8/2023 8:37:25 2/8/2023 BPJS 16046902 Maria silffiana -
2/8/2023 8:43:00 2/8/2023 BPJS 13012601 Teresia lalai gungga 5371036509590002
2/8/2023 8:49:02 2/8/2023 BPJS 171383201 Veronika silamani asalang 5371034304860011
2/8/2023 8:52:13 2/8/2023 BPJS 15029101 Yuliana henuk jelana 5371035806770008
2/8/2023 8:58:48 2/8/2023 BPJS 12174301 Marthen makaborang 5371031212700009
2/8/2023 9:01:52 2/8/2023 BPJS 13027001 Abrahan lette 5371031510660002
2/8/2023 9:05:12 2/8/2023 BPJS 12013501 Febby berlin betmaro 5371036002030004
2/8/2023 9:09:47 2/8/2023 BPJS 11157103 Chrisnovita Ropa -
2/8/2023 9:18:37 2/8/2023 BPJS 11157101 Hendrik ropa 5371031312620001
2/8/2023 9:29:07 2/8/2023 BPJS 13033401 Petrus nabuasa 5371033112720004
2/8/2023 9:35:22 2/8/2023 BPJS 12485701 Gabriel manek tanu jaya 5371031510540001
2/8/2023 9:37:55 2/8/2023 UMUM 12485701 Elisabeth layanti 5371037101660002
2/8/2023 9:45:08 2/8/2023 BPJS 1310098 Melania messy oematan 5371035609960002
2/8/2023 9:49:54 2/8/2023 BPJS 1713834 Armindo tulung agung 5305010204990001
2/8/2023 9:55:43 2/8/2023 BPJS 13061801 Rendi hanggi willa 5371032803030002
2/8/2023 10:04:27 2/8/2023 BPJS 171383701 Vira nabila soraya Vira nabila soraya
2/8/2023 10:08:19 2/8/2023 BPJS 17480501 Daniel P Tara bani -
2/8/2023 10:13:10 2/8/2023 BPJS 1713433 Tinus gabriel ludji dima 5371041904870099
2/8/2023 10:37:45 2/8/2023 BPJS 12493201 Eliasar kollo 5301211402620001
2/8/2023 10:40:11 2/8/2023 BPJS 179169 Sriningsih rambu loba hawa 5371026811970001
2/8/2023 10:42:55 2/8/2023 BPJS 1247001 Aira sintia ano -
2/8/2023 10:56:38 2/8/2023 BPJS 17746301 Wasyi saldika 5305016212830002
2/8/2023 10:59:05 2/8/2023 UMUM - Ice parera -
2/8/2023 11:02:59 2/8/2023 BPJS 1233502 Blandina bonat 5371037003800005
2/8/2023 11:07:18 2/8/2023 BPJS 1233501 Sintike nabuasa 5371035209080003
2/8/2023 11:21:53 2/8/2023 UMUM 12111201 Musna lubalu 5371035502820007
2/8/2023 11:25:35 2/8/2023 UMUM 12111201 Valentino lubalu -
2/8/2023 11:28:39 2/8/2023 UMUM Arjun fao 5302072208170001
2/8/2023 11:32:14 2/8/2023 UMUM 1713836 Paskalia A. Ximenes 5304125704020001
2/8/2023 11:35:45 2/8/2023 UMUM 1711754 Jenemia lette -
2/8/2023 11:39:04 2/8/2023 UMUM 1713839 Putri denyaty ottu 5302014203030002
2/8/2023 12:01:35 2/8/2023 BPJS 12285 Nur Rahmawati -
2/8/2023 12:07:53 2/8/2023 BPJS 150883 Suryani mautakai 5305046905030001
2/8/2023 12:11:38 2/8/2023 BPJS 113707 Afri Busu 5371031408010002
2/8/2023 12:15:34 2/8/2023 BPJS 161608 Radha govinda padma -
2/8/2023 12:20:10 2/8/2023 BPJS 120802 Maria wukak -
2/8/2023 12:24:48 2/8/2023 BPJS 122378 Muh safik afriansyah -
2/8/2023 12:24:48 2/8/2023 BPJS 112457 Arimaryasih ina nini 5371045607940005
2/8/2023 12:29:31 2/8/2023 BPJS 1713833 Desriani rambu kabela 5312194712022001
2/8/2023 12:37:28 2/8/2023 BPJS 112296 Feby frederika ludji mbatu -5371035502278000
2/8/2023 12:41:22 2/8/2023 BPJS 112417 Abdi marten tana 5371032603940003
2/8/2023 12:44:59 2/8/2023 BPJS 121205 Agustina malo 547103034502680001
2/8/2023 12:48:00 2/8/2023 BPJS 12063 Yufen nitano 5302012501880001
2/8/2023 12:50:58 2/8/2023 BPJS 121025 Rio dalla -
2/8/2023 12:55:18 2/8/2023 BPJS 170882 Matias dewilpal sau 5371032812940002
2/8/2023 12:57:42 2/8/2023 BPJS 122049 Diandra rabalu -
2/8/2023 13:00:22 2/8/2023 BPJS 172222 Erna lake 530113440400003
2/8/2023 13:03:19 2/8/2023 BPJS 12511 Yuluanti pandie 5370037006800008
JENIS TANGGAL ALAMAT ( Kelurahan, TEKANAN TINGGI BERAT LINGKAR
KELAMIN UMUR LAHIR RT/RW ) DARAH BADAN BADAN PERUT

P 57 15-02-1965 Oesapa 118/85mmhg 151 63 92


L 77 27-05-1946 Oesapa barat 170/86mmhg 169 75 85
L 50 thn 17-07-1972 Oesapa RT 15 RW 06 110/88mmhg 152 58 88
L 62 thn 07-04-1961 Lasiana RT 4 RW 02 183/107 156 72 99
P 21 thn 20-07-2001 Lasiana RT 13 RW03 117/84mmhg 162 52 78
P 34 28-11-1988 Lasiana RT 29 RW 05 91/62mmhg 143 45 74
P 23 tahun 21-12-1999 Oesapa 112/75 141 53 87
P 33 tahun 14-03-1989 Kelapa lima 113/84mmhg 158 60 101
P 34 thn 23-01-1989 Lasiana 107/78mmhg 145 60 84
L 49 thn 15-09-1973 Kelapa lima 146/102mmhg 159 54 79
P 23 tahun 30-12-1999 Lasiana Rt 04 Rw 02 106/76 mmhg 151 45 65
P 39 thn 18-05-1949 Nasipanaf 93/69mmhg 169 62 65
P 65 thn 25-09-1957 Oesapa barat 165/131mmhg 155 45 72
P 36 thn 03-04-1986 Naimata 101/78mmhg 152 53 71
P 45 thn 13-06-1977 Kelapa lima Rt 11 Rw 004 106/69mmhg 146 47 77
L 52 thn 12-12-1970 Ladiana Rt 31 Rw 08 121/90mmhg 170 82 93
L 56 thn 15-10-1966 Oesapa barat Rt 06 Rw02 100/78mmhg 170 64 75
P 19 thn 20-02-2003 Oesapa Rt 16 Rw 06 111/70mmhg 150 36 62
P 27 thn 03-11-1985 Lasiana Rt 08Rw03 118/85mmhg 141 39 thn 70
P 60 thn 13-12-1962 Lasiana Rt 08 Rw03 141/84mmhg 165 59 73
L 50 thn 31-12-1972 Oesapa barat 132/86mmhg 152 49 78
L 68 thn 15-10-1954 Oesapa Rt 30 Rw 10 115/78mmhg 171 69 90
P 57 tahun 31-01-1966 Oesapa Rt 30 R10 95/66mmhg 167 67 65
P 26 thn 16-09-1986 Oesapa baratRt 04 R02 119/82mmhg 153 46 71
L 23 thn 02-04-1999 Oesapa 109/81mmhg 153 43 63
L 19 thn 01-03-2003 Oesapa barat 127/85mmhg 159 97 114
P 18 thn 12-12-2004 Oesapa 113/63mmhg 162 46 67
L 26 thn 23-02-1996 Oesapa barat 112/74mmhg 160 75 96
L 35 tahun 19-04-1987 Oesapa Rt 16 RW 06 180/110mmhg 162 55 81
L 59 thn 14-02-1963 Oesapa 139/85 153 50 79
P 24 thn 28 -11-1997 Oesapa 128/80mmhg 153 45 68
P 12 thn 08-10-2010 Oesapa Rt 13 Rw 05 90/70mmhg 139 24 56
P 39 thn 22-12-1983 Liliba 103/75mmhg 145 55 82
P 19 thn 08-05-2004 Oesapa 102/84 mmHg 150 44 78
P 47 thn 30-03-1980 Oesapa Rt 41 Rw 13 153/78mmhg 161 64 92
P 14 thn 12-09-2008 Oesapa Rt 41 Rw 13 90/60mmhg 152 33 59
P 38 thn 01-02-1982 Oesapa Rt 10 Rw 04 111/78mmhg 158 60 87
L 16 thn 01-02-2006 Oesapa 90/60mmhg 160 44 160
L 5 thn 22-08-2017 Oesapa Rt 21 Rw 01 80/70mmhg 113 20 46
P 22 Thn 07-05-2001 Penfui 90/79mmhg 151 38 59
P 29 tahun 05-02-1994 Lasiana Rt 06 Rw 03 129/88mmhg 146 56 79
P 21 tahun 21-01-2002 Oesapa barat 90/70mmhg 156 63 67
P 11 21/12/2011 Osp 9/3 - 123 39 80
P 18 29/4/2003 Penfui 100/74 151.6 43 73
P 21 01/08/2001 Lsn 27/7 142/100 154.5 42 61
P 27 22/01/1995 Tarus 125/80 155 60 90
P 26 5/3/1996 Osp 35/12 119/77 161.6 51 66
L 9 3/9/2013 Osp 24/9 - 140.3 43 -
P 28 thn 16-07-1994 Lasiana Rt 02 Rw 02 120/65mmhg 171 59 75
P 20 7/12/2002 0sp 113/86 152.8 50 73
P 44 15/2/1978 Lsn 128/90 164 74 90
L 28 26/3/1994 Lsn 119/81 172 62 74
P 54 02/02/1968 Osp 16/6 123/63 151 61 95
L 34 25/1/1988 Osp 9/3 115/87 166 66 91
L 9 - Osp 13/5 - 156 65 40.5
L 28 28/12/1994 Naimata 112/74 167.8 57.5 66
P 7 14/6/2015 Osp - 119 19 54
P 22 4/11/2000 Osp 121/68 153 62 66
P 42 30/6/1982 Osp 10/4 122/83 153 63 90
DIAGNOSA / KODE ICD 10 PENGOBATAN RUJUK

Ht +i25 CAD - YA
CAD I25 + HT I15 - YA
BPH - YA
Susp SNH + HT GRADE II - YA
Rhinitis alergi Asmef,dexa , amoxicilin, ctm TIDAK
Chronik leukimia - YA
Z71.0 - TIDAK
Dyspespsia k30 Omeprazole, ambroxol,ctm,pct TIDAK
Susp kista bartholn - YA
Ht+ cepalgia Ibuprofen vit. B. Compleks, amlodipine 5mg TIDAK
TFA Pct,Gg,Ctm,dexa,vit.b.comp TIDAK
Mialgia + alergi Piroxicam, ceterizine, ibuprofen, vit.c TIDAK
F45 - YA
Murnps parotitis Pct,vit. C TIDAK
Neuropati DM Metformin , b. Compleks TIDAK
Atrolgia Piroxicam, vit. B. Compleks TIDAK
DM komplikasi - YA
Oma Asmef, dexa,vit.b.compleks,amoxicilin TIDAK
Penyakit jantung bawaan - YA
Hyperchlosterol e78+ polyneurophaty g62.9 Simvastatin, vit. B. Compleks TIDAK
Ulkus kornea - YA
F32.2 - YA
F32.2 - YA
Gangguan conas ( aneiedes) - YA
Torsilon of testis N 44 - YA
Epilepsi + HT - YA
Miopi - YA
Epilepsi - YA
Ht + CKD - YA
Cts - YA
Susp hypertiroid - YA
Impertigo Gentamicin, Ctm,amox TIDAK
Gastritis+DKA Abtasida,ranitidine,dexa,loratadine, salep betametasone TIDAK
Rhinitis +obs. Febris Ctm,vit.c Pct TIDAK
DYSPEPSIA + HT grade 1 Omeprazale, ranitidine , amlodipine 10mg, vit. B .compleks TIDAK
Febris H 5 + bacterial infeksi + dyspepsia Ibuprofen, gg, ctm,amix,vit.b.kompleks TIDAK
Ispa Pct, ambroxol, dexa, ctm TIDAK
Susp DBD Pct,ctm, dexa TIDAK
Post heaging H III - TIDAK
Paronichia Asmef,amox, dexa TIDAK
Susp isk Cipro, na. Diclofenat,vagizol TIDAK
Ispa Ambroxol,ctm,pct, vit.c TIDAK
Ispa Amox,dx,ambroxol,ctm TIDAK
Ispa Ambroxol,vit c TIDAK
Herdolum interna - YA
Anemia Sf,vit c TIDAK
Ispa + gastritis Pct,ctm,omeprats,kie TIDAK
Obs fevris,Rhinitis Pct,ctn TIDAK
B20 ARV TIDAK
Dyspepsia sindrom Omep,antacida, TIDAK
Chepalgia,hiperurisemia Ibu prof, alopuri,vit c TIDAK
Exim Shrtitidin,amox,slp genta TIDAK
Ispa Amox,ambrox,ctm,bc TIDAK
Saspek DBD - YA
Herdolum interna Dexa,ctm TIDAK
J06.9 Ambrocol,amox,ctm,pct TIDAK
J06.9 Ambroxvic,pct TIDAK
Obs febris P t,dx,ctm TIDAK
J06.9 Ambrox,dx,pctctm TIDAK
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG NOMOR INDUK JENIS
KUNJUNGAN KARTU KEPENDUDUKAN (NIK) KELAMIN
MEDIK
2/9/2023 8:06:23 2/9/2023 UMUM 174941 Angela dosom 91160158496001 P
2/9/2023 8:15:09 2/9/2023 BPJS 110476 Sefnat E Sallu 5371031809670002 L
2/9/2023 8:22:45 2/9/2023 UMUM 1713840 Sriwahyuni A Kadir 5305145804000002 P
2/9/2023 8:27:41 2/9/2023 UMUM 112708 Maria G Bili - P
2/9/2023 8:34:05 2/9/2023 BPJS 111961 Stanislaus Sangatolan 5371031311640005 L
2/9/2023 8:39:05 2/9/2023 BPJS 110730 Frids Ndun - L
2/9/2023 8:43:46 2/9/2023 BPJS 176861 Neni T Sina 5314035806000001 P
2/9/2023 8:50:30 2/9/2023 BPJS 11252 Besa L Anin 5371037006780006 P
2/9/2023 9:03:41 2/9/2023 UMUM 121822 Patrisia Melinda 5371036506690001 P
2/9/2023 9:09:46 2/9/2023 UMUM 173565 Sarlince Tamoes - P
2/9/2023 9:14:55 2/9/2023 UMUM 122070 Very P Lestari - P
2/9/2023 9:19:37 2/9/2023 BPJS 1711019 Adrianus Klau 53041311707980001 L
2/9/2023 9:25:59 2/9/2023 BPJS 112711 Fitriani Selan 5371035802080001 P
2/9/2023 9:29:29 2/9/2023 BPJS 1713847 Gadelifos Payong - L
2/9/2023 9:37:50 2/9/2023 UMUM 1713842 Mery N S O Yanti 5307104210010002 P
2/9/2023 9:41:56 2/9/2023 BPJS 1712723 Marten Bulu 53180303030007 L
2/9/2023 9:52:24 2/9/2023 UMUM 140113 Chrystal Tanamal 5314030105940001 L
2/9/2023 9:57:43 2/9/2023 BPJS 1713844 Marianus wuran 5306030812990001 L
2/9/2023 10:04:56 2/9/2023 BPJS 12857 Yesaya Tobe - L
2/9/2023 10:10:16 2/9/2023 BPJS 120787 Ferderika Tahun 5371036210610001 P
2/9/2023 10:13:58 2/9/2023 BPJS 123200 AmelyaM Lelo 5371036804820004 P
2/9/2023 10:21:11 2/9/2023 BPJS 122192 Hendrikus Janggu 5371032503580001 L
2/9/2023 10:27:50 2/9/2023 BPJS 121034 Adriana Mboli 5371035110780002 P
2/9/2023 10:32:13 2/9/2023 BPJS 1713816 Wendi Selan 5371034911820004 P
2/9/2023 10:35:57 2/9/2023 BPJS 175983 Yuliana Nunuhitu - P
2/9/2023 10:39:29 2/9/2023 BPJS 140134 Farida Raga 5371035006750005 P
2/9/2023 10:44:39 2/9/2023 BPJS 140134 Daniel Frans 5371030701170004 L
2/9/2023 11:14:00 2/9/2023 BPJS 1711906 Marselina Faot - P
2/9/2023 11:17:48 2/9/2023 BPJS 140146 Abraham Maukaling 5371032704780005 L
2/9/2023 11:27:01 2/9/2023 BPJS 12745 Samuel Manafe 5371032209640001 L
2/9/2023 11:30:50 2/9/2023 BPJS 122158 Melani Dupe 5301116302970004 P
2/9/2023 11:34:23 2/9/2023 UMUM 1713853 Kairin Keluanan 5301066411010001 P
2/9/2023 11:37:36 2/9/2023 UMUM 175983 Adolfina Luruk Sae 5304125503940007 P
2/9/2023 11:41:35 2/9/2023 BPJS 1711828 Andre Nggelu 5371032012990003 L
2/9/2023 11:47:46 2/9/2023 BPJS 122192 Hendrikus Janggu 5371032503580001 L
2/9/2023 11:52:21 2/9/2023 BPJS 111496 Magdalena Nunuhitu 5371036712700002 P
2/9/2023 11:53:11 2/9/2023 BPJS 12.1034 Adriana Mboli 537035110780002 P
2/9/2023 11:55:19 2/9/2023 BPJS 12099 Delpy Solukh 5301082802110003 L
2/9/2023 11:59:15 2/9/2023 UMUM 176410 Wolfrid Bianome - L
2/9/2023 12:00:53 2/9/2023 BPJS 1,713,816 Wendi Aplonia Selan 5371034911820004 P
2/9/2023 12:02:01 2/9/2023 BPJS 160886 Stefanus Taenmenu 5301081411890003 L
2/9/2023 12:07:13 2/9/2023 BPJS 11.1887 Yuliana Nunuhitu - P
2/9/2023 12:10:59 2/9/2023 BPJS 140,134 Farida Y. Raga 5371035006750005 P
2/9/2023 12:11:52 2/9/2023 BPJS 12014 Angelo - L
2/9/2023 12:14:10 2/9/2023 BPJS 1,711,906 Marselino Faot - L
2/9/2023 12:16:06 2/9/2023 BPJS 12014 Martha Min 5371036203650004 P
2/9/2023 12:17:03 2/9/2023 BPJS 140,146 Abraham Maukaling 5371032704780005 L
2/9/2023 12:21:39 2/9/2023 BPJS 1,713,854 Kristina Sina - P
2/9/2023 12:22:43 2/9/2023 BPJS 122700 Novalinda Noel 5371036811080003 P
2/9/2023 12:26:58 2/9/2023 BPJS 1,713,843 Paulus Tameon 5302041811950001 L
2/9/2023 12:31:22 2/9/2023 UMUM 160,885 Dionisia Atawolo 5371064112110001 P
2/9/2023 12:32:50 2/9/2023 BPJS 11237 Alfredo Bureran 5371031201100001 L
2/9/2023 12:35:20 2/9/2023 BPJS 11237 Alfredo Bureran 5371031201100001 L
2/9/2023 12:37:36 2/9/2023 BPJS 1,713,846 Yefta Timotius Selly 5314022701020001 L
2/9/2023 12:44:36 2/9/2023 UMUM 11.2216 Jemi Lopo - L
2/9/2023 12:47:12 2/9/2023 UMUM 1713845 Katarinus Tob 5301262811920001 L
2/9/2023 12:52:08 2/9/2023 UMUM 11.2712 YOHANA Lese 5371037007590002 P
2/9/2023 12:58:39 2/9/2023 BPJS 120942 Sahira Mabud 5371035304580001 P
2/9/2023 12:55:57 2/9/2023 UMUM 125013 Vanesa Dopong - P
2/9/2023 13:10:08 2/9/2023 UMUM 1713839 Salvianus Jasa 5319064701000032 L
2/9/2023 13:12:29 2/9/2023 UMUM 1712147 merlin menoh 5314035005030005 P
2/9/2023 13:14:51 2/9/2023 UMUM 1713841 Selvina famaney 5301185906970003 P
2/9/2023 13:16:48 2/9/2023 BPJS 1712859 Delsiana Mone 531807412000001 P
2/9/2023 13:20:24 2/9/2023 BPJS 1713848 Yuliana Tdenjalas 5302184507770002 P
2/9/2023 13:22:09 2/9/2023 UMUM 1713852 Ferdinan Taiboko 5301272108990002 L
2/9/2023 13:23:38 2/9/2023 UMUM 1713851 Salomi Nobel - L
2/9/2023 13:26:56 2/9/2023 BPJS 150215769 Stanislaus Jaga Tolan 5371031311640005 L
2/9/2023 13:32:56 2/9/2023 BPJS 110730 Frids Ndun - L
2/9/2023 13:34:53 2/9/2023 BPJS 12354 Melvon Fanggidae - L
2/9/2023 13:38:03 2/9/2023 BPJS 110484 Elmira Nalle - P
2/9/2023 14:31:53 2/9/2023 UMUM 1713855 Martinus Nallukh 5371022409930001 L
UMUR TANGGAL ALAMAT ( Kelurahan, RT/RW ) TEKANAN TINGGI BERAT LINGKAR
LAHIR DARAH BADAN BADAN PERUT

26 18/04/96 Osp 106/77 159 61 78


55 18/09/1967 Lasiana RT 31 RW/RW08 167/88 171 71 102
23 08-04-2000 Oesapa 121/83 152 47 78
6 31-10-2010 Lasiana RT 12RW 3 - 107 13 40
58 13-11-1964 Lasiana RT 4/ RW2 145/80 162 65 89
18 01-02-1995 Lasiana 130/98 167 60 85
12 18-06-2010 Oesapa 96/73 144 37 73
67 30-06-1970 Oesapa RT 21/Rw05 94/73 151 36 65
63 25-06-1969 Oesapa RT 69/RW 12 109/78 154 54 89
47 30-10-1975 Oesapa RT 23/RW 08 130/89 144 26 57
31 07-11-1991 Oesapa RT 16/RW06 97/72 150 52 71
25 11-05-1998 Obar 1/1 100/75 152 52 82
15 01-02-2008 Lasiana 05/02 106/75 163 57 77
24 06-08-1998 Oesapa 126/64 166 55 72
21 22-10-2001 Liliba 122/76 147 44 69
19 01-03-2003 Lasiana 123/85 165 48 63
28 01-05-1994 Opas 07/03 109/76 165 58 74
23 08-12-1999 Liliba 122/67 172 57 71
46 29-06-1976 Oesapa 01/01 109/72 162 56 89
61 22-10-1961 Oesapa 22/08 138/70 138 46 77
40 28-04-1982 Oesapa 29/10 115/73 148 61 88
64 25-03-1958 Oesapa 16/006 173/89 175 70 95
43 11-10-1978 Oesapa 10/04Adriana Mboli 151/115 140 54 96
41 09-11-1982 Alak 120/87 149 45 66
70 01-08-1952 Penfui 149/75 146 54 87
47 10-06-1975 Opas 14/05 146/97 160 57 79
5 07-01-2017 Opas 14/05 - 117 29 40
11 14-05-2011 Oesapa 8/3 - 140 28 40
44 07-04-1978 Opas 126/72 172 73 88
58 22/9/1964 Oesapa, 9/3 165/78 164 97 118
24 23/2/1997 Lsn 2/1 121/90 151 45 69
21 24/11/2001 Oefafi 100/80 - - -
28 15/3/1994 Pnf 99/67 - - -
23 20/12/1993 Osp, 33/11 90/63 162 91 112
64 25/3/1958 Osp, 16/6 173/89 175 70 95
52 27/12/1970 Lsn - 151 42 75
44 11/10/1978 Oesapa, 10/04 151/115 140 54 96
11 28/12/2011 Osp - - 28 58
21 22/9/1991 Lsn, 14/3 110/74 157 63 87
41 09/11/1982 Alak 120/87 149 45 66
33 14/11/1989 Pnf Timur 110/72 162 57 73
68 01/08/1962 Lasiana, 033/009 111/75 146 54 87
47 10/06/1975 Oesapa Selatan, 014/005 146/96 160 57 79
8thn 2/1/2015 Oesapa, 16/6 - 115.5 18 52
11 14/05/2011 Oesapa, 008/003 - 140 28 58
57 22/3/1965 Osp, 16/6 137/87 161 67 80
44 27/04/1978 Oesapa Selatan 126/72 172 73 88
21 01/12/2000 Oesapa 112/84 156 42 61
14 28/11/2008 Osp 12/5 85/68 152 34 64
27 18/11/1995 Oesapa 134/84 161 62 82
11 01/12/2011 Penfui - 147 41 68
13 12/1/2010 Lasiana, 20/5 - 134 25 65
13 12/1/2010 Lsn 20/5 - 134 25 65
20 27/01/2003 Lasiana 130/82 164 53 73
41 19/11/1982 Lasiana, 002/001 128/100 165 73 97
30 28/11/1992 Osp 92/74 170 50 67
63 30/07/1959 Lasiana, 021/005 141/89 148 52 -
64 13/4/1958 Osp, 36/12 126/76 146 80 120
5.8 23-5-2017 Oesapa, 12/5 - 108 15 48
22 29/9/2000 osp 116/67 - 70 -
19 10/5/2003 osp 105/69 144 38 61
25 19/6/1997 Osp 16/6 149/98 147 53 86
22 20/11/2000 Liliba 118/75 155 41 62
45 5/7/1977 Oesapa Barat, 11/4 105/77 152 50 80
23 21/8/1999 Lasiana 105/72 159 46 72
20 23/9/2002 Oesapa 93/72 152 47 62
58 13/11/1964 Lasiana 4/2 145/80 162 65 89
27 1/2/1995 Lasiana 3/1 130/90 167 60 85
11 25/5/2011 Osp 21/8 - 133 25 52
6 21/4/2016 Lsn 21/5 - 133 46 63
29 24-09-1993 Sikumana 26/10 110/83 155 36 57
DIAGNOSA / KODE ICD 10 PENGOBATAN RUJUK

Disminore Asmef TIDAK


HT Amlo,Bc TIDAK
BV Bc,metro, TIDAK
Ispa+Dyspepsia GG,DX,ctm,antasida TIDAK
HT+Dislipidemia Amlo,simvas,anta,bc TIDAK
Ispa Ctm,pct,vc TIDAK
Ispa Ambrox,pct TIDAK
Myalgia Asmef,bc TIDAK
Dyspepsia Syndrom Omz,anta,pct TIDAK
Cephalgia Pct,bc TIDAK
Dyspepsia Syndrom Meto,anta,rani TIDAK
Febris H2 Pct,vc TIDAK
Hordeolum Amox,dx TIDAK
DKA Ctm,dx TIDAK
ISK Cipro,pct TIDAK
Scabies+tinea Ctm,dx,bc TIDAK
Ispa Pct,ctm,ambrol,vc TIDAK
Tinea Mico,ctm TIDAK
BPH post TURP - YA
DM - YA
HT+LBP - YA
DM+HT+Dyspepsia Amlo,capt,ondan,bc,anta TIDAK
Disminorea+HT - YA
Bronchitis+TB Paru - YA
Tumor Mamae+ HT - YA
Presbiopi - YA
TFA Dexa vc TIDAK
Dermatitis Hidro,SK,Beta SK,Genta sk, dexa TIDAK
Scabies Ctm,dexa ,amox TIDAK
Oa Genu - YA
Tumor mamae - YA
VL Amox, pct, vit.c, oxy zk TIDAK
VL Amox, pct, dexa, vit.c TIDAK
Sub konjungtiva hemoragi - YA
DM, HT, Dispepsia Amlo, capto, ondan, bcom, antasid TIDAK
Ca cervix, anemia - YA
HT /I10 - YA
Ispa Pct, ambrox, ctm, vit.c TIDAK
Cephalgia, serumen prop Ibuprof, bcom TIDAK
Bronkitis - YA
Ispa Pct, ambrox, ctm, vit.c TIDAK
Tumor Mamae - YA
Presbiopia - YA
Ispa+urtukaria Ambrox, ctm, dexa TIDAK
Dermatitis Dexa, Genta SK, Betametasone SK TIDAK
HT, tinea pedis Amlo, bcom, keto zalf, ctm TIDAK
Scabies CTM, Dexa, Amox TIDAK
Herpes Zooster Acyclovir+salep, CTM, PCT TIDAK
VL Dexa, oxy zk TIDAK
Dispepsia Ranitidine, Antasid TIDAK
ISPA Ambroxol, CTM, PCT, Vit.C TIDAK
CC Pct, bcom TIDAK
Furunkel Pct, dexa, amox, oxy zk TIDAK
Haemoroid Anti haemoroid, Asmef, MP TIDAK
Dispepsia OMZ, Antasid TIDAK
Dispepsia, cough Omz, ambrox, bcom, dexa, ctm TIDAK
Dispepsia+HT OMZ, Antasid, Amlodipine, Vit.bcom TIDAK
HT Amlo, bcom TIDAK
cc, dispepsia pct, amox, antasid, bcom TIDAK
febris, tonsilitis pct, omz, vit.c TIDAK
dermatitis ceterizine, hydro zalf, dexa TIDAK
ISK, Amenorea Cipro, asmef, omz, bcom TIDAK
Dispepsia omz, antasida, dompe TIDAK
CC, Dispepsia, Dislipidemia antasida, pct, simvas, bcom TIDAK
ISPA Pct, gg, ctm, vit.c TIDAK
Urtikaria + TFA Pct, ctm, dexa TIDAK
HT + Dislipidemia Amlo, simvas, antasid, bcom TIDAK
ISPA Ctm, pct, vit.c TIDAK
CC, Dispepsia pct, antasid, bcom TIDAK
CC, Dermatitis pct, dexa, ctm, vit.c TIDAK
Vl Haecting,Amo,pct,Dexa vc TIDAK
TANGGA JENIS NOMOR NOMOR INDUK
Timestamp REKAM NAMA PENGUNJUNG
KUNJUNGAN KARTU KEPENDUDUKAN (NIK)
MEDIK

2/10/2023 7:37:15 10/2/2023 UMUM 176,046 Marlin Nenotek 5301067105950003


2/10/2023 7:40:15 10/2/2023 BPJS 12.1953 Debora Ester Latai Suki 5371036509650001
2/10/2023 7:44:08 12/8/2008 BPJS 1,713,818 Reihan Prabowo Angkari 5371011208080002
2/10/2023 7:54:28 2/10/2023 BPJS 11476 Tn.sefnat eliasar sallu 5371031809670002
2/10/2023 7:58:13 2/10/2023 BPJS 125014 Tn.yuto prayitno 5371031031011630001
2/10/2023 8:01:49 2/10/2023 BPJS 11172701 Ny.Rosna menda 5371035904620006
2/10/2023 8:05:37 2/10/2023 UMUM 12454801 Tn.pison lapa 000000
2/10/2023 8:10:43 2/10/2023 BPJS 12152301 Ny.velci nope 5371036002700005
2/10/2023 8:16:14 2/10/2023 BPJS 12082501 Nn.Alisa Tasib 0000000
2/10/2023 8:19:51 2/10/2023 UMUM 11123301 An.ahmad ameneker 000000
2/10/2023 8:23:19 2/10/2023 BPJS 121978 Nn.patricia wangge 531045703050006
2/10/2023 8:26:40 2/10/2023 BPJS 11034101 Novento benu 537104691920002
2/10/2023 8:30:12 2/10/2023 BPJS 1713858 Tn.Yardi angreson lolo 5314026107030002
2/10/2023 8:32:16 10/2/2023 BPJS 12.0838 Simon Tadu Laiku 5371033112720014
2/10/2023 8:35:10 10/2/2023 BPJS 1,713,857 Oswin A. Selly 5314022508020001
2/10/2023 8:38:14 10/2/2023 BPJS 20-07-1988 Juli Taebenu 5301196606880001
2/10/2023 8:41:19 10/2/2023 BPJS 11.1435 Selvi T. Bale 5371035806040005
2/10/2023 8:45:26 10/2/1946 BPJS 11.0740 Sarlin Mone 5371035011460002
2/10/2023 8:48:08 10/2/2023 UMUM 12.5009 Windarto Martus Ita 5371031006900002
2/10/2023 8:50:34 10/2/2023 BPJS 1,711,439 Jeandri Y. Tasuib 6474030703170003
2/10/2023 8:53:57 1/10/2002 BPJS 130,101 Hermina Leokoy 537106910020001
2/10/2023 8:57:33 10/2/2023 BPJS 130,616 Selfince Lepa 5371035210750003
2/10/2023 9:05:37 10/2/2023 BPJS 12.0689 Daeng Tameme 5371034712490001
2/10/2023 9:07:41 10/2/2023 BPJS - Urgenis Abanat 5302071110060004
2/10/2023 9:12:36 10/2/2023 UMUM 1,713,859 Agnes Toto 5302034909990001
2/10/2023 9:17:22 10/2/2023 BPJS 12.2689 Kornelis Seran 5371033012650002
2/10/2023 9:21:19 10/2/2023 BPJS 12.0284 Japernis Feka 5371035507820002
2/10/2023 9:24:04 10/2/2023 BPJS 12.2864 Mace Maria Selan 5371035603690003
2/10/2023 9:28:06 10/2/2023 UMUM 12.1345 Agustinus Frans Nge 5371030504520002
2/10/2023 9:35:35 10/2/2023 BPJS 12.0302 Merkuil Nakmofa 5371030103650003
2/10/2023 9:40:38 10/2/2023 UMUM 12.3601 Yohanis Vicky Seran -
2/10/2023 9:48:24 10/2/2023 BPJS 1,711,570 Fransisco De Kornia Bansae 5371030402030004
2/10/2023 9:51:51 4/5/0199 UMUM 1,711,804 Viktoria A. Manek 5304154405990001
2/10/2023 9:54:22 10/2/2023 BPJS 1,713,863 Julian Ndolu 5314037212990002
2/10/2023 9:58:47 10/2/2023 BPJS - Ice Vice Kaya 5371035501850004
2/10/2023 10:04:47 10/2/2023 BPJS 11.0406 Retno Mandala 5301065901870002
2/10/2023 10:07:34 10/2/2023 BPJS 12.2659 Yohanis Leokuna 5371031206600001
2/10/2023 10:09:36 10/2/2023 BPJS 1,713,864 Harna Pratiwi 7309076103000003
2/10/2023 10:13:38 10/2/2023 UMUM 1,713,790 Muhammad Asyari -
2/10/2023 10:16:54 10/2/2023 BPJS 131,109 Marince Kefi 5371035502930001
2/10/2023 10:26:11 2/10/2023 BPJS 12127601 Tn.suwandi 5
2/10/2023 10:30:19 2/10/2023 BPJS 16061301 Ny.reyneldis 53010847
2/10/2023 10:38:50 10/2/2023 BPJS 11.2622 Viktoria Indah 5371055003730001
2/10/2023 10:40:59 10/2/2023 BPJS 11.2622 Alvin Uly Mata 5371050705130001
2/10/2023 10:43:18 10/2/2023 BPJS 1,713,290 Barbarita M. Putri 5316046609000001
2/10/2023 10:45:44 10/2/2023 BPJS 12.1276 Muhammad Suardi 5371030209030001
2/10/2023 10:52:49 2/10/2023 BPJS 131010001 Nn.yanti Marselina nau 537103700387007
2/10/2023 10:56:49 2/10/2023 BPJS 12079603 Sani woif 5371034606140003
2/10/2023 11:00:50 2/10/2023 BPJS 1228001 Maria rosanti nuflapu 5371026101010003
JENIS UMUR TANGGAL ALAMAT ( Kelurahan, RT/RW ) TEKANAN TINGGI BERAT LINGKAR
KELAMIN LAHIR DARAH BADAN BADAN PERUT

P 27 31-05-1995 Oesapa RT 016 RW 006 101/70 151.1 34 60


P 57 25-09-1965 Oesapa RT 004 RW 001 150/94 150 45 76
L 14 12-08-2008 Kelapa Lima RT 004 RW 002 90/60 155 39 59
L 55thn 18 sep 1967 Lsn 31/8 162/88 mmhg 171cm 71kg 102cm
L 60thn 10/11/1963 Oesapa 24/09 138/82mmhg 162,7 cm 58kg 77cm
P 56thn 19/4/1962 Lsn 19/6 142/75Mmhg 150cm 55kg 79cm
L 20thn 02/02/2011 Oesapa 126/91mmhg 149cm 59kg 89cm
P 49thn 20/02/1970 Oesapa 16/06 152/103mmhg 155cm 65kg 104cm
P 16cm 28/04/2006 Osp 12/05 116/87Mmhg 151cm 50kg 80cm
L 7thn 8/nov/2015 Lsn 14/4 100/70Mmhg 111,5cm 18kg 54cm
P 22thn 17/04/2005 Oesapa 5/2 113/77Mmhg 145,3cm 60kg 87cm
P 28thn 19/nov/1992 Lasiana 123/77mmhg 137,9cm 32kg 65cm
L 160,7thn 21/07/2003 Osp 137/85mmhg 160,7cm 55kg 76cm
L 50 31-12-1972 Oesapa RT 004 RW 001 173/95 155 55 85
L 20 25-08-2002 Oesapa Barat 118/63 159.5 54 67
P 34 26-07-1988 Oesapa Barat RT 07 RW 03 123/65 165 61 86
P 18 18-06-2004 Lasiana RT 026 RW 007 115/89 148 41 65
P 77 10-11-1946 Lasiana RT 02 RW 01 183/101 152 50 70
L 33 10-07-1990 Oesapa RT 41 RW 13 130/93 167.5 77 83
L 5 07-03-2017 Oesapa - 110.7 18 54
P 20 01-10-2002 Oesapa Barat RT 19 RW 07 99/63 155 51 83
P 47 12-10-1975 Oesapa Barat RT 01 RW 01 109/74 152 48 74
P 75 17-12-1949 Oesapa RT 32 RW 11 174/87 144 33 72
L 16 12-10-2006 Noelbaki 123/81 157.7 41 67
P 23 09-09-2000 Oesapa 123/85 144.3 42 79
L 57 30-12-1965 Oesapa RT 02 RW 01 102/73 167 58 78
P 40 15-07-1982 Oesapa RT 16 RW 06 149/96 148 52 91
P 54 16-03-1969 Oesapa RT 19 RW 07 116/94 159 52 81
L 70 05-04-1952 Oesapa RT 26 RW 09 148/89 166 72 103
L 57 01-03-1965 Oesapa RT 35 RW 12 163/97 158 67 109
L 16 11-06-2006 Oesapa RT 40 RW 13 117/56 167.6 63 84
L 19 04-02-2003 Lasiana 106/60 169 75 63
P 24 04-05-1999 Oesapa 100/81 147.8 46 71
P 23 12-12-1999 Oesapa 100/72 152 37 68
P 38 15-01-1985 Oesapa Barat 121/77 142 39 70
P 35 19-01-1987 Lasiana RT 20 RW 05 119/87 151.5 44 71
L 62 12-06-1960 Oesapa RT 03 RW 01 141/81 151 67 101
P 22 21-03-2000 Lasiana 119/79 155.7 51 75
L 23 24-07-1999 Liliba 136/89 161 65 -
P 29 15-02-1993 Oesapa RT 19 RW 07 109/82 153.8 54 85
L 43 4/06/77 Oesapa 115/73 172 72 94
P 49thn 7/10/1972 Penfui 148/93 148/93 53 78
P 48 28-05-1973 Lasiana RT 13 RW 11 128/78 150 50 75
L 9 07-05-2013 Lasianq RT 13 RW 11 - 135 24 58
P 22 26-09-2000 Liliba 110/73 162 53.5 83
L 19 02-09-2003 Oesapa RT 29 RW 10 125/80 170 70 95
P 35 30/03/87 Osp b 112/73 154.1 55 85
P 8 6/6/2014 Osp 100/70 121 18 48
P 21 25/01/2001 Oesapa 100/60 146 45 83
DIAGNOSA / KODE ICD 10 PENGOBATAN

ISPA (J06.9) PCT, CTM, Ambrox


Obs. Abdominal Pain Nadic, Vit BC
Scabies (B86) Permetrin. Bcitracin SK
HT gr1 Amlo,bcom
HT Rujuk
CHF,CAD Rujuk
Urticaria Ctm,Dexa,vit c,salicil talk
DM TP 2,NEUROPATI rujuk
Abses Amox,ctm
Febris,rhinitis alergi,bacterial infection Betamet SK,GG,ctm,amox,vit c
Chepalgia Asmef,ranin,ctm,vit.c
Febris HR 1 Pct,antas
Konsultasi Konsul
ISPA(J06.9), HIPERTENSI(I10), VOMIT(R11.1) Amlodipine, PCT. CTM, Ambrox, Ranitidine
Susp. Skoliosis( M41.8) -
Susp. OA Genu, Dispepsia Nadic, Antas, Ranit
Febris( R50.9), Dispepsia(K30) PCT, Ranitidin, Vit BC
Hipertensi (i10) Amlodipine ( I10), Vit. BC
Post Heacting -
Dry Eye Sindrom ( H04) CTM. Cendoxitrol
Obs. Febris (R50.9) PCT, Dexa, Antas
DM, HT, Vomit Amlodipine, Metformin, Telmisartan, Mecobalamin, Antas
HT, Myalgia, Frozen Shoulder Amlodipine, Nadic. Vit BC
Scabies CTM. Salf 2-4
ISK PCT, Cipro
Tinea Kruris Miconazole, CTM
Abses Mamae -
ISPA PCT. CTM. Ambrox ,Vit C
DM. Ulkus Pedis Oxy SK
Susp CRS -
DKA CTM, Vit. C
Scabies CTM, Permetrin
ISPA, Vomit PCT, Ambrox. CTM. Dompe
Post Op. -
Anemia -
Febris PCT
Arthalgia -
Herpez Zoster Acyclovir, CTM
Abses Amox. Genta Salf
Chronic Cough MP, Ambrox, Vit C
Presbiop Rujuk
LBP,ISK Rujuk
Poliarthalgia Asmef, MP, Vit BC
Pioderma, ISPA CTM, Ambrox, Dexa, Amox
Scabies Salf 2-4, CTM
Ansiety Disorder -
Dispep sindrom Antas,ranin,bcom
Ispa,Gea Pct,dompe,amox,ambrox,ctm
Hordeolum interna SM OXY,amox,Dexa,vit c
RUJUK

TIDAK
TIDAK
TIDAK
TIDAK
YA
YA
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK

YA
TIDAK
TIDAK
TIDAK
YA
YA
TIDAK
YA
TIDAK
TIDAK
TIDAK
Leona.mata
Kartini poli sarf
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG NOMOR INDUK
KUNJUNGAN KARTU KEPENDUDUKAN (NIK)
MEDIK
2/11/2023 7:44:28 2/11/2023 BPJS 1206901 Gillisepe Nitano 5371030101160002
2/11/2023 7:48:17 2/11/2023 BPJS 1711096 Valentino E. Pandie 5371031202130003
2/11/2023 7:53:55 2/11/2023 UMUM 12322801 Gloria Nalle -
2/11/2023 7:56:26 2/11/2023 BPJS 11163901 Sri Rejeki 3276056410620011
2/11/2023 7:59:20 2/11/2023 UMUM 12473301 Ningsih Serfina Bili 537102510990003
2/11/2023 8:02:27 2/11/2023 BPJS 11041201 Erniyati Kalu 5371036104740004
2/11/2023 8:06:06 2/11/2023 BPJS 12456001 Yuliana Sonbay 5302014206660001
2/11/2023 8:09:14 2/11/2023 BPJS 1302401 Yunus Bessie 5371032906460001
2/11/2023 8:13:22 2/11/2023 UMUM 125015 Sari Yanti 5371034306890006
2/11/2023 8:18:39 2/11/2023 BPJS 12191201 Giovani A. Naben 5371031510100003
2/11/2023 8:22:19 2/11/2023 BPJS 1712750 Dorcy Klau Benu 5371036502660002
2/11/2023 8:25:51 2/11/2023 BPJS 12085501 Juandri Lelik -
2/11/2023 8:32:22 2/11/2023 BPJS 1713865 Sebastiano N. Djawa 5302012001020001
2/11/2023 9:10:44 2/11/2023 BPJS 121938 Unike Aprilia Seran 5301094804040001
2/11/2023 9:37:20 2/11/2023 BPJS 11064401 Sherlince Seran 5371036609070001
2/11/2023 9:40:09 2/11/2023 BPJS 110836 Aurel Obe -
2/11/2023 9:41:56 2/11/2023 UMUM 17.13868.01 Fendra Nino -
2/11/2023 9:44:23 2/11/2023 UMUM 17.13866.01 Thersia M.Maring Da Silva 5302016602050002
2/11/2023 9:45:16 2/11/2023 BPJS 12.0503 Bryan Harianja -
2/11/2023 9:47:11 2/11/2023 BPJS 130161.02 Ayu G. Pellondou 5371034404950001
2/11/2023 9:48:39 2/11/2023 UMUM 1,713,809 Arjun Billi Fao 5302072208170001
2/11/2023 9:50:58 2/11/2023 BPJS 1713869 Katarina Mere 5308036403000001
2/11/2023 9:53:10 2/11/2023 BPJS 160,176 Juliana Bunga Kabelen 5371044707050004
2/11/2023 9:53:44 2/11/2023 BPJS 12.0830.02 Martha M. Benu 5371034805710006
2/11/2023 10:05:04 2/11/2023 BPJS 1,711,088 Joana Da Silva 5304024910660002
2/11/2023 10:12:05 2/11/2023 UMUM 1,713,870 Atminah Natonis 537103450880008
2/11/2023 10:14:56 2/11/2023 BPJS 124710 Menci Yusri Tanesib 530113l27105950003
2/11/2023 10:29:17 2/11/2023 BPJS 12.1252 Fransina Tari Tupu 531406680639001
2/11/2023 10:36:30 2/11/2023 BPJS 12.1225 Oktovianus Kana Riwu 5371032703090002
2/11/2023 10:40:07 2/11/2023 UMUM 12.1198 Ulfa Magdalena Mae -
2/11/2023 11:36:30 2/11/2023 BPJS 12.1127 Yosis Nino -
2/11/2023 11:38:46 2/11/2023 UMUM - Anastasia Lou Wukak 5303085202030001
2/11/2023 13:09:45 2/11/2023 UMUM - Frans Nalle 5301081902810001
JENIS TANGGAL ALAMAT ( Kelurahan, TEKANAN TINGGI BERAT LINGKAR DIAGNOSA / KODE ICD
KELAMIN UMUR LAHIR RT/RW ) DARAH BADAN BADAN PERUT 10

L 7 01-01-2016 Oesapa,009/003 90/60 121 18 51 Febris


L 9 12/02/2013 Oesapa,045/015 90/60 129.5 22 53 TB paru
P 6 29/01/2016 Oesapa 009/003 90/60 100 14 - ISPA,Stomatitis
P 60 24/10/1962 Lasiana 183/91 155 56 97 DM,HT
P 32 01/09/1990 Oesapa 112/69 155 51 70 ISK
P 46 21/04/1974 Lasiana,001/001 133/80 149 59 91 HT,DKA,hyperuricemia
P 56 02/06/1966 Oesapa,001/001 141/72 154 55 92 HT
L 74 29/06/1946 Oesapa Barat,009/003 126/77 155 45 70 PPOK
P 34 17/03/1984 Oesapa,023/008 104/83 154.7 76.5 103 Febris
L 12 15/10/2010 Oesapa 90/60 161 73 103 OMA
P 56 25/02/1966 Oesapa,002/001 156/79 147 70 101 DM,OA,HT
L 11 12/06/2011 Oesapa,015/006 90/60 139.7 30 59 ISPA
L 21 20/01/2002 Oesapa 123/71 160.4 63 84 Serumen prop
P 20 08/04/2002 Oesapa 149/74 158.5 45 72 ISPA
P 15 26/09/2007 Lasiana 104/84 158.5 55 72 Chronic Cough
P 10 25/04/2012 Lasiana,023/006 90/60 131.6 24.9 57 Dengue Fever
P 16 07/09/2006 Noelbaki 114/72 150.6 46 70 Furunkel
P 17 26/02/2005 Matani 100/71 148.4 41 75 ISPA,Vomitus
L 8 21/07/2014 Oesapa, 001/001 - 20 119 59 Febris
P 27 04/04/1995 Oesapa Barat,002/001 110/70 151 52 84 Epilepsi
L 5 22/08/2017 Oesapa - 114 19 58 VA
P 22 24/03/2000 Oesapa 111/76 144.4 40.5 72 Scabies
P 17 07/07/2005 Penfui 123/69 163.5 49 76 Vulnus
P 52 08/05/1971 Oesapa,043/014 101/61 155 41 64 Gx Visus
P 56 09/10/1966 Oesapa 112/74 158.2 48.5 72 SOPT
P 34 05/08/1988 Oesapa 129/86 149.6 37 67 Cepalgia,myalgia
P 27 31/05/1995 Oesapa,016/006 126/82 147.6 38.5 66 Tinea Cruris
P 83 28/06/1939 Oesapa, 010/004 130/90 148 52 85 CAD
L 53 27/03/1969 Oesapa, 014/005 161/90 162 57 82 Susp. Hepatitis B
P 7 09/10/2015 Oesapa, 009/003 - 118 20 53 Dengue Fever
P 28 13/01/1991 Oesapa, 033/011 130/80 151 59 84 Paronichia
P 19 12/02/2003 Oesapa 100/71 157 58 80 Febris
L 41 19/02/1981 Mata Air, 013/006 134/80 168 68 78 VL
PENGOBATAN RUJUK

Pct,vit C TIDAK
Rujukan YA
Pct,GG,dexa,ctm,vit C TIDAK
Rujukan YA
Cipro,pct,vit Bc TIDAK
Ctm,amlo,bc,asmef TIDAK
Rujukan YA
Rujukan YA
Pct,vit C TIDAK
Amox,pct,ctm TIDAK
Pct,vit Bc,amlo TIDAK
Ctm,dexa,Ambroxol,pct TIDAK
Rujukan YA
Pct,ambroxol,ctm,vit C TIDAK
GG,vit C TIDAK
Pct,domperidon,vit C TIDAK
Amox,asmef TIDAK
Pct,ambrox,antas,dompe,ctm TIDAK
PCT, Domperidone TIDAK
Rujukan YA
PCT, Amox TIDAK
Permetrin,ceterizin,vit c TIDAK
Asmef, Amox TIDAK
Rujukan YA
Rujukan YA
Na diclo,vit bc TIDAK
Ctm,miconazole sk TIDAK
- YA
- TIDAK
PCT, Vit.C TIDAK
PCT TIDAK
PCT TIDAK
Amox, Asmef TIDAK
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG NOMOR INDUK
KUNJUNGAN KARTU KEPENDUDUKAN (NIK)
MEDIK
2/13/2023 8:13:07 2/13/2023 BPJS 11050603 Herman hutagalung 5371032105630001
2/13/2023 8:16:11 2/13/2023 UMUM 12277001 Valen ndun -
2/13/2023 8:19:02 2/13/2023 UMUM 1713875 Marianus k haukilo 5303081304950002
2/13/2023 8:22:20 2/13/2023 UMUM 11075202 Aplonia lay 5371036004800006
2/13/2023 8:26:18 2/13/2023 BPJS 1237301 Burhanudin laudu 5371030606620002
2/13/2023 8:28:30 2/13/2023 UMUM 125016 Leni wijayanti 3506065806870002
2/13/2023 8:31:41 2/13/2023 BPJS 11209101 Yanti lusi 5371034804870001
2/13/2023 8:34:02 2/13/2023 BPJS 1310101 ELIM SITAS SUEK 5371034301750003
2/13/2023 8:37:45 2/13/2023 BPJS 1227402 Ance naru 537103607660002
2/13/2023 8:42:18 2/13/2023 BPJS 12138201 Tonci tulle 5371030405610001
2/13/2023 8:44:55 2/13/2023 UMUM 11145701 Felista A Nggeon -
2/13/2023 8:48:54 2/13/2023 BPJS 1263001 Rosalina demang 5371032403680001
2/13/2023 8:54:36 2/13/2023 BPJS 14007601 Gaudersia hoar 5371035306870005
2/13/2023 8:58:33 2/13/2023 BPJS 171682 Yublina punuf 537103530684001
2/13/2023 9:02:57 2/13/2023 BPJS 112124 Joel de jesus amaral 5371032505730009
2/13/2023 9:06:11 2/13/2023 UMUM 112124 Arelio S Amaral -
2/13/2023 9:08:35 2/13/2023 UMUM 17973801 Jeni neonane -
2/13/2023 9:14:58 2/13/2023 BPJS 12196101 Feri mbatu -
2/13/2023 9:20:25 2/13/2023 BPJS 12081001 Adrianus taek 5371051811810001
2/13/2023 9:30:58 2/13/2023 UMUM 12300001 Vitri ina manu -
2/13/2023 9:33:57 2/13/2023 BPJS 1713872 Paulina B potmo 5305015606040004
2/13/2023 9:38:08 2/13/2023 UMUM 12142001 Mulyanto mulyanus -
2/13/2023 9:41:50 2/13/2023 UMUM 1713880 Ika christ rando 5318084107020292
2/13/2023 9:44:56 2/13/2023 BPJS 11001501 Milsa F lusi bistolen 5371036705790005
2/13/2023 9:47:06 2/13/2023 BPJS 11001501 Milsa f lusi bistolen 5371036705790005
2/13/2023 9:52:02 2/13/2023 BPJS 12348502 Maryati 5371024605470001
2/13/2023 9:54:53 2/13/2023 BPJS 12359601 Arini selfiana pong 5301106809890003
2/13/2023 9:58:01 2/13/2023 BPJS 1203603 Monica taslulu -
2/13/2023 10:01:46 2/13/2023 BPJS 11043301 Albertus klau -
2/13/2023 10:09:52 2/13/2023 BPJS 11051001 Yacuba M Mesah 5371036003470001
2/13/2023 10:28:51 2/13/2023 BPJS 1713882 Seuti R nuning 5317016009010002
2/13/2023 10:32:03 2/13/2023 BPJS 12402702 Ester messakh 537103430160004
2/13/2023 10:34:54 2/13/2023 UMUM 17507401 Junior senlau -
2/13/2023 10:36:37 2/13/2023 BPJS 1713884 Yuliana muti -
2/13/2023 10:39:03 2/13/2023 UMUM 1713880 Timotius benu 5302012105900002
2/13/2023 10:41:38 2/13/2023 BPJS 1713885 Mimi kristin olang 5305061210960001
2/13/2023 10:44:47 2/13/2023 BPJS 12204101 Hajah sartiah 5371034104580003
2/13/2023 10:47:21 2/13/2023 UMUM 1711091 Mohamad S aluvi -
2/13/2023 10:50:30 2/13/2023 BPJS 160891 Melanie haning 5371035703070083
2/13/2023 10:53:48 2/13/2023 BPJS 173724 Ebenheizer taneo 5302112909980003
2/13/2023 10:58:03 2/13/2023 UMUM 1106001 Maria goreti nahak 5371044307690009
2/13/2023 11:00:12 2/13/2023 UMUM 1713890 Mevi baineno 5301052202910001
2/13/2023 11:04:31 2/13/2023 UMUM 1713890 Karolina mayer 5371034303930003
2/13/2023 11:07:18 2/13/2023 BPJS 12180301 Markus O Raga -
2/13/2023 11:16:57 2/13/2023 BPJS 1713889 Yeftawin anakuda 1713889
2/13/2023 11:40:54 2/13/2023 BPJS 1310102 Andry rivel pah 5371031405940005
2/13/2023 11:44:09 2/13/2023 BPJS 1713866 Joni A. Abang 5305062112970002
2/13/2023 11:46:47 2/13/2023 BPJS 13077801 Mario elimanafe 5371032904040004
2/13/2023 11:49:35 2/13/2023 BPJS 130705 Petrus seran nuak 5371031202740007
2/13/2023 11:54:40 2/13/2023 BPJS 11097901 Monika feka 5371036808730001
2/13/2023 11:59:56 2/13/2023 BPJS 14004801 Mariq elisabeth seran tae -
2/13/2023 12:02:40 2/13/2023 BPJS 1713881 Yatrinalu tenggi 5317035007980002
2/13/2023 12:06:12 2/13/2023 BPJS 11075503 Cristanto bule logo -
2/13/2023 12:09:16 2/13/2023 BPJS 12104601 Aprilia kefi 5371036504040004
2/13/2023 12:11:39 2/13/2023 BPJS 1713495 Veronika nubatonis 5371035111990002
2/13/2023 12:14:05 2/13/2023 BPJS 12108401 Naomi lodo 5318044611730002
2/13/2023 12:17:16 2/13/2023 BPJS 1226101 Henderina tuati 5371036512550001
2/13/2023 12:20:01 2/13/2023 BPJS 1773891 Falerianus Raga 530618070200001
2/13/2023 12:23:41 2/13/2023 UMUM 1713892 Adriyanti kuanak -
2/13/2023 12:27:40 2/13/2023 BPJS 1501701 Rugaya ladang 5371036406660001
2/13/2023 12:32:19 2/13/2023 BPJS 11049301 Maryana A Nenobais 5371034604830007
2/13/2023 12:35:03 2/13/2023 BPJS 11237 Alfredo k bureran 5371031201100001
2/13/2023 12:39:26 2/13/2023 BPJS 17943201 Engracia cardoso pires 5301065009840002
2/13/2023 12:44:12 2/13/2023 BPJS 12215701 Mariana pandie 5371034806790002
2/13/2023 12:49:10 2/13/2023 BPJS 1713889 Yeftawin anakuda 5317022803020001
2/13/2023 12:55:54 2/13/2023 BPJS 12.2052 paulus dicard 5371031702890001
2/13/2023 12:56:17 2/13/2023 UMUM 12117401 Louis banunaek -
2/13/2023 12:59:42 2/13/2023 BPJS 13027301 Silvester ikun 537103621110001
2/13/2023 13:01:22 2/13/2023 BPJS 1,713,876 alan malaika 5371031202120003
2/13/2023 13:02:58 2/13/2023 BPJS 160891 Melanie haning 5371035703070083
2/13/2023 13:03:52 2/13/2023 UMUM 12,023 yansiana dengak -
2/13/2023 13:06:28 2/13/2023 UMUM 11.1212 chritian baba 5371032912820008
2/13/2023 13:06:35 2/13/2023 BPJS 112707 Afri busu 5371031408010001
2/13/2023 13:09:08 2/13/2023 UMUM 1,713,877 willy theodorus 5371050905980001
2/13/2023 13:09:52 2/13/2023 UMUM 17111601 Melfiano adu -
2/13/2023 13:11:25 2/13/2023 UMUM 12,289 adriano isliko -
2/13/2023 13:13:48 2/13/2023 BPJS 11,009 sisilia loin 5371035207940006
2/13/2023 13:14:01 2/13/2023 BPJS 1223201 Affaturahman mansyur 5371030111950001
2/13/2023 13:15:47 2/13/2023 BPJS 11.0836 imelda obe 5371036312040004
2/13/2023 13:29:48 2/13/2023 BPJS 12.2436 margaritha klomang 53710354031660002
2/13/2023 13:31:33 2/13/2023 BPJS 12.3702 greselia pandie -
2/13/2023 13:33:46 2/13/2023 BPJS 176,410 worfid bianome -
JENIS UMUR TANGGAL ALAMAT ( Kelurahan, TINGGI BERAT LINGKAR
TEKANAN DARAH BADAN
KELAMIN LAHIR RT/RW ) BADAN PERUT

L 59 thn 21-05-1963 Lasiana Rt 27 RW 07 129/81mmhg 167 82 104


L 6 thn 06-02-2017 Oesapa Rt 09 RW 03 - 112 19 53
L 27 thn 13-04-1995 Oesapa 124/80mmhg 161 54 64
P 42 thn 20-04-1980 Lasiana Rt 34 Rw 09 144/107mmhg 155 45 70
L 62 thn 26-12-1960 Oesapa RT 26 RW 08 151/89mmhg 159 64 97
P 36 thn 18-08-1987 Oesapa 110/73mmhg 152 52 62
P 34 thn 01-04-1988 Lasiana RT 32 RW 08 124/78mmhg 150 45 74
P 47 thn 03-01-1975 Oesapa barat Rt 09 RW 03 110/70mmhg 160 56 89
P 59 thn 16-06-1963 Oesapa Rt 17 RW 06 112/83mmhg 152 45 95
L 70 thn 04-05 -1952 Oesapa Rt 10 Rw 04 164 /113mmhg 160 53 79
P 9 thn 08-12-2021 Lasiana Rt 03 Rw01 80/70mmhg 105 18 51
P 49 thn 26-12-1973 Oesapa Rt1 3 Rw 05 136/85mmhg 153 65 94
P 35 thn 13-06-1987 Oesapa 08 Rw 03 130/83mmhg 159 69 99
P 38 thn 13-06-1984 Oesapa RT 09 RW 03 133/84mmhg 153 59 81
L 49 thn 25-05-1973 Lasiana 128/93mmhg 159 63 91
L 6 thn 23-02-2016 Lasiana - 119 23 45
P 46 thn 01-06-1984 Lasiana 118/71mmhg 145 50 86
L 47 thn 15-02-1975 Oesapa Rt 12 Rw 05 109/73mmhg 165 65 86
L 41 thn 10-11-1981 0esapa Rt21 Rw 08 152/90mmhg 152/90 47 73
P 15 thn 05-07-2007 OesapaRT 31 RW 11 114/71mmhg 157 40 71
P 18 thn 16-06-2004 Oesapa 106/74mmhg 150 46 76
L 69 thn 01-05-1953 Oesapa 133/74 mmhg 150 42 66
P 21 thn 01-07-2002 Oesapa Rt 16 Rw06 113/80mmhg 160 40 63
P 44 thn 27-05-1979 Lasiana Rt 26 Rw 09 168/114mmhg 155 61 92
P 44 thn 27-05-1979 Lasiana Rt 26 Rw09 168/114mmhg 155 61 92
P 76 thn 06-05-1946 Oesapa Rt 31 Rw 11 125/69 mmhg 144 52 86
P 33 thn 28-09-1989 Oesapa Rt 22 Rw 08 97/77mmhg 150 46 68
P 14 tahun 22-02-2009 Oesapa Rt 13 Rw 05 - 156 41 60
L 11 thn 06-03-2011 Lasiana Rt 19 Rw 04 - 142 32 63
P 75 thn 20-03-1947 Lasiana Rt 20 R06 142/76mmhg 150 47 80
P 22 thn 20-09-2001 Osp 12285mmhg 156 30 61
P 58 thn 01-12-1964 Oesapa 154/81mmhg 149 49 87
L 7 thn 03-04-2016 Lasiana Rt 13 Rw 03 - 108 17 55
P 66thn 31-07-1956 Lasiana 122/72mmhg 160 40 67
L 32 thn 21-05-1990 Oesapa selatan 97/67 160 40 74
P 26 thn 12-10-1996 Liliba 125/87mmhg 152 50 78
P 64 01-04-1958 Oesapa Rt 23 Rw 08 183/89 mmhg 154 68 97
L 7 thn 19-08-2015 OesapaRt 29 Rw 10 - 136 40 79
P 15 thn 17-03-2007 Alak 99/59mmhg 150 80 98
L 24 thn 29-09-1998 Lasiana Rt 30 Rw 80 120/78mmhg 158 58 77
P 53 thn 03-06-1969 Lasiana 155/74mmhg 147 61 101
L 31 thn 22-02-1991 Liliba 124/70mmhg 160 50 75
P 29 thn 03-03-1993 Liliba 131/87mmhg 147 56 84
L 57 thn 15-10-1965 Oesapa Rt 06 Rw 02 135/78mmhg 165 80 85
L 20 thn 28-03-2002 Laki-laki 144/88mmhg 170 50 87
L 28 thn 14-10-1994 Oesapa baratRt 01 Rw 01 132/82mmhg 166 40 64
L 26 thn 21-12-1997 Lasiana 114/73mmhg 168 50 73
L 19 thn 29-04-2004 Osp barat 127/84mmhg 154 40 67
L 49 thn 12-02-1974 Oesapa barat Rt 2 Rw01 121/79mmhg 162 61 85
P 48 thn 28-08-1973 Lasiana Rt 14 Rw 03 120/90mmhg 154 50 99
P 51 thn 15-11-1972 Oesapa selatan 110/70 mmhg 150 58 78
P 24 thn 10-05-1998 Oesapa 127/97mmhg 154 60 85
L 10 thn 10-09-2013 Lasiana Rt 18 Rt 04 - 125 20 45
P 18 thn 01-04-2004 OesapaRt 19Rw 07 97/78mmhg 157 45 78
P 23 thn 01-11-1999 Oesapa 115/71mmhg 153 45 53
P 49 thn 06-11-1973 Oesapa 144/84mmhg 147 51 76
P 65thn 25-12-1995 Oesapa Rt 12 Rw 05 121/62mmhg 147 47 88
L 23 thn 01-02-2000 Osp 120/79mmhg 164 56 72
L 18 thn 01-04-2004 Lasiana 105/73mmhg 161 41 62
P 56 thn 24-06-1966 Kelapa lima 122/96 146 37 87
P 39 thn 06-04-1983 Lasiana Rt 09 Rw03 103/74 mmhg 157 59 90
L 13 thn 12-01-2010 Lasiana 90/70mmhg 134 25 65
P 38 thn 10-09-1984 Oesapa Rt 26 rw 06 157 60 70
P 43 thn 01-05-1979 Kelapa lima 140/87 150 61 94
L 20 thn 28-03-2002 Oesapa 144/88mmhg 170 50 78
L 33 17-02-1989 oesapa 120/70 153 55 90
L 10 thn 04-07-2013 Oesapa Rt 19 Rw 07 - 154 24 58
P 9 thn 22-11-2011 Oesapa barat Rt 03 Rw 01 - 132 22 52
L 10 12-02-2012 oesapa 90/80 134 27 53
P 15 thn 17-03-2007 Alak 99/59 mmhg 150 80 98
P 54 13-1-1962 oesapa 148/98 154 60 92
L 40 29-12-1982 lasiana 132/87 164 87 103
L 21 thn 01-08-2001 Lasiana 132/100mmhg 154 42 61
L 24 9-5-1998 oesapa barat 124/85 162 49 70
L 6 thn 15-05-2014 Oesapa - 122 21 63
L 10 12-7-2012 oesapa 90/70 135 26 64
P 28 12-7-1994 lasiana 106/84 146 40 78
L 26thn 01-11-1995 OspRt 04 rw 02 124/74 164 74 95
P 18 1-12-2004 lasiana 117/84 148 43 69
P 53 01-03-1966 oesapa 188/116 158 75 110
P 10 15-1-2013 oesapa 90/80 133 30 61
L 29 22-9-1991 lasiana 129/87 157 63 87
DIAGNOSA / KODE ICD 10

CAD
Aff heating
Kandidiasis B 37.9
Vertigo + dyspepsia
BSK
ISK
Kista ovarium
Vergigo
HT I10 + DESLIPIDEMIA E78
HT + HIPERUSEMIA
B20
Ispa + HT
LBP
Mialgiam79.1 + dyspepsia k30
Cough cronik + gingivitis R05.3
Cough akut
Dyspepsia + chest pain
Herpes zooster
HT+ EPILEPSI
Cephalgia
GEA DIARE +DYSPEPSIA
Ispa
Crush injuloy+ capitis trauma tumpul
Oma + Ht gr Ii
Z71.0
Omi
Cc+ dyspepsia
Ispa joo+ dyspepsia k30
Ispa + dyspepsia
Hipertensi + hiperusemia
Cc+ dyspepsia+
TFA
Scabies
Pneumonia + susp TB
VE
Benign neoplasma of cernea
Katarak senilis H25.9
Febris + scabies
Dyspepsia k30
Hiv syphilis
HT+ GOUT
Ispa
TFA
CAD
Kongjugtivitis
Asma bronkial j45
Migrain
Tumor retno auricula
Hipermetropia
Susp skizofernia
Hordelum interna
Ispa+dyspepsiacephalgia
Obs. Febris
Lsk +BSk
Bronkitis akut
Post biopsi
Vertigo + dyspepsia
Scabies
Folikulitis
Susp TB roleps
Dermatitis alergi
Cc
Mialgia + stomatitis
Dm + Ht + DISLIPEDIMIA
Conjugtivitis
epilepsi
Ispa
Ispa
ispa
Dyspepsia
mialgia,dyspepsia
ispa
Hordeolum
ispa
Ispa
ispa
tinea cronis
Hernia inguinal
ispa
k30
ispa
corpal serumen prop
PENGOBATAN RUJUK

- YA
- TIDAK
Salep micanazol,ketokonazol TIDAK
Betahistine , omeprazole, vit. B.compleks TIDAK
- YA
Ciprofloxacin, pct, vit.c TIDAK
- YA
- YA
Amlodipine 10mg, telmisartam, simvastatin TIDAK
Antasida, captropil 12, 5mg , allopurinol 10mg vit.b.compleks TIDAK
- YA
Amlodipine 10mg, ambroxol, dexa, vit.c TIDAK
Na. Diclofenat, vit b. 12 TIDAK
Piroxicam,antasida, b.compleks TIDAK
Gg,amox, vit.c
Gg, CTM,b.compleks TIDAK
Omeprazole,asmef, b.compleks TIDAK
Acyclovir salep,vit.c, ibuprofen TIDAK
Carmatepin, amlodipine 5mg, vit.b compleks TIDAK
Ibuprofen,vit. B.compleks TIDAK
Antasida, oralit diagit, zink TIDAK
Ambroxol, ctm,dexa, vit.c TIDAK
Asmef, vit.c, dexa, TIDAK
Amlodipine 5mg, amoxicilin, pct, meloxicam, vit.c TIDAK
- TIDAK
- YA
PCT , AMOX, ANTASIDA B.COMP TIDAK
Ibuprofen, antasida , vit.b compleks TIDAK
Pct, antasida, b.compleks TIDAK
Allopurinol , amlodipine 10mg, ibuprofen, vit. B. Compleks , anatasidampleks TIDAK
Pct, antasida b.compleks TIDAK
Pct, Mp , amox, vit.c TIDAK
Salev 24,ctm TIDAK
- YA
Ciprofloxacin, gentamicin saleb, omeprazole, dexa, asmef TIDAK
- YA
- YA
Pct, vit.c TIDAK
Omeprazole inj, omeprazole, antasida , domperidol TIDAK
Dociciclin TIDAK
Amlodipine 5mg, alopurinol, b comp TIDAK
Pct, ctm,vit.c TIDAK
Pct mp2 gg ctm TIDAK
- YA
Oksitraciline , vit.c, TIDAK
- YA
- TIDAK
- YA
- YA
- YA
Salep mata vchorampenicol, asmef TIDAK
Gg,ondan, antasida,ibuprofen TIDAK
Pct, vit. B. Compleks TIDAK
Asmef, amox, b compleks TIDAK
Pct, ambroxil, cefafroxil TIDAK
- TIDAK
Antasida ,betahistin b. Compleks TIDAK
Ctm, vit.c TIDAK
Gentamicin, hydrocortison salep TIDAK
Cek sputum TIDAK
Ctm, hydrocortison, TIDAK
Pct , vit. B. Compleks TIDAK
Ibuprofen, vit. B compleks, gentian violet TIDAK
Metformin, simvastatin, amlodipine 10mg telmisartan TIDAK
Oksiterasiclin,vit.c TIDAK
- YA
Pct,ctm, vit b. Compleks TIDAK
Ambroxol, pct, dexa , vit .c TIDAK
pct,ctm,dexa TIDAK
Omeprazole, omeprazole inj antasida domperidol TIDAK
pirox,antasid,gg,amlo TIDAK
ibuprofen,gg,ctm,b com TIDAK
Salep fentamicin TIDAK
pct,ctm,b com TIDAK
Pct ,ctm,dexa , ambroxol, vit.c TIDAK
pct,ctm,vit c TIDAK
saleb,cetasin TIDAK
- YA
pct,gg,ctm TIDAK
antasid,b com TIDAK
pct,ambrox,ctm,dexa TIDAK
- YA
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG NOMOR INDUK
KUNJUNGAN KARTU KEPENDUDUKAN (NIK)
MEDIK
2/14/2023 8:09:13 2/14/2023 BPJS 124080 Diana adriana yohanes 5371034501650002
2/14/2023 8:14:16 2/14/2023 BPJS 122547 Wadelmut Nalle 5371035406650901
2/14/2023 8:17:47 2/14/2023 UMUM 12540 Imanuel neolaka -
2/14/2023 8:24:16 2/14/2023 BPJS 121174 Santi neonufu 5371034608810005
2/14/2023 8:30:47 2/14/2023 BPJS 130988 Aprida tenis 53020354404010006
2/14/2023 8:34:18 2/14/2023 UMUM 130988 Abdon tefbana 5301090708980002
2/14/2023 8:39:12 2/14/2023 BPJS 713746 Nurdin djumuddin 7401075103690001
2/14/2023 8:48:16 2/14/2023 BPJS 1711306 Adelina boe 5304015408900005
2/14/2023 8:55:37 2/14/2023 BPJS 12145 Enggelina kase 5371036410720002
2/14/2023 9:01:02 2/14/2023 BPJS 12246 Bendelina suy 5361036910390001
2/14/2023 9:05:05 2/14/2023 BPJS 150091 Desy blegur 5371030912970001
2/14/2023 9:10:03 2/14/2023 BPJS 123357 Saharya depasau 5361035009650005
2/14/2023 9:14:37 2/14/2023 BPJS 111654 Hendrik tobo 5371030808420001
2/14/2023 9:17:25 2/14/2023 BPJS 160502 Oktovianus nadus 5371032610620004
2/14/2023 9:23:26 2/14/2023 BPJS 121600 Hj miri 7308184107590174
2/14/2023 9:28:44 2/14/2023 BPJS 121881 Anton manek seran 5371031808620000
2/14/2023 9:33:47 2/14/2023 BPJS 12651 Alfonso pinto 5361032204490004
2/14/2023 9:37:55 2/14/2023 BPJS 172712 Suharia 5371035406760003
2/14/2023 9:41:35 2/14/2023 BPJS 111334 Maxi wijaksono 5371030611120001
2/14/2023 9:45:47 2/14/2023 BPJS 121415 Gabriel pandie -
2/14/2023 9:49:20 2/14/2023 UMUM 170334 Desriana dupu pada -
2/14/2023 9:52:17 2/14/2023 UMUM 126021 Ricad sine 537151206110001
2/14/2023 9:57:27 2/14/2023 BPJS Yensi naluk 5313024607820001
2/14/2023 10:01:58 2/14/2023 BPJS 121521 Indra wansyah 5361033005970002
2/14/2023 10:05:58 2/14/2023 BPJS 11082 Aponia ndun A5371034104760007
2/14/2023 10:08:39 2/14/2023 BPJS 121152 Muji mage 5371046710770006
2/14/2023 10:11:48 2/14/2023 BPJS 125022 Angela silli 53710367100003
2/14/2023 10:14:47 2/14/2023 BPJS 12467 Salma mabut 5371035411750001
2/14/2023 10:17:40 2/14/2023 BPJS 1712467 Susanti kofi 53140505950004
2/14/2023 10:21:28 2/14/2023 BPJS 179363 Adelviana tuan 536103412950003
2/14/2023 10:31:13 2/14/2023 BPJS 12.2087 Delin dethan -
2/14/2023 10:37:45 2/14/2023 BPJS 1,713,400 Angelina bria 5304154408760001
2/14/2023 10:40:45 2/14/2023 UMUM 11,733 Rosida suria 5371036302580001
2/14/2023 10:43:16 2/14/2023 BPJS 12.1521 Indra wansya 5371033005970002
2/14/2023 10:45:31 2/14/2023 BPJS 11.0291 Yori menoh 5314030101870003
2/14/2023 10:47:30 2/14/2023 UMUM 12.5021 Ricat junior sine. 5307151106110001
2/14/2023 10:49:55 2/14/2023 UMUM 17,334 Desriana pada -
2/14/2023 10:52:27 2/14/2023 BPJS 12.1415 Gilbert pandie -
2/14/2023 10:54:23 2/14/2023 UMUM 11.1334 Maksi wijaksona -
2/14/2023 10:57:50 2/14/2023 BPJS 12,651 Afonso pinto -
2/14/2023 10:59:52 2/14/2023 UMUM 12.1881. Anton seran 5371031808620002
2/14/2023 11:03:11 2/14/2023 BPJS 12.1600 Hj miri 7308184107590174
2/14/2023 11:09:37 2/14/2023 BPJS 15,017 Rugaya ladang 5371036406660001
2/14/2023 11:12:58 2/14/2023 BPJS 1,710,872 Yuntriani maghu 5311205610930001
2/14/2023 11:13:50 2/14/2023 UMUM 1713836 Pascalia ximenes 5304125704020001
2/14/2023 11:15:03 2/14/2023 BPJS 171,311 Flafianus lado -
2/14/2023 11:17:11 2/14/2023 UMUM 1,713,898 Novita lemba 537104511930001
2/14/2023 11:18:05 2/14/2023 BPJS 11147 Yane Damaledo 5371036261800007
2/14/2023 11:18:57 2/14/2023 BPJS 1,712,827 Rina polly 5302214803050002
2/14/2023 11:20:41 2/14/2023 UMUM 1,713,897 Anastasia manek 5304137101960002
2/14/2023 11:23:15 2/14/2023 BPJS 121272 Slanet widodo 5371032008690003
2/14/2023 11:29:44 2/14/2023 BPJS 11.2714 Taroci tefa 5302125707610001
2/14/2023 11:31:36 2/14/2023 BPJS 11019 Febriani Nufeto 5361035702030001
2/14/2023 11:31:52 2/14/2023 BPJS 1,713,543 Albertus lesu 5304010406970002
2/14/2023 11:34:51 2/14/2023 BPJS 1,710,361 Septima olla 5371035909940001
2/14/2023 11:34:54 2/14/2023 BPJS 130545 Weliam oematan 5371030207130000
2/14/2023 11:37:22 2/14/2023 BPJS 12.1620. Aplonia nino. 5371034408620001
2/14/2023 11:37:57 2/14/2023 UMUM 110850 Margaretha maria ebo 5306026812010001
2/14/2023 11:39:26 2/14/2023 BPJS 11.1119 Marselina saefatu -
2/14/2023 11:41:31 2/14/2023 BPJS 11.0218 Kenan wawin -
2/14/2023 11:44:16 2/14/2023 BPJS 12515 Romandus bana 5371031405880007
2/14/2023 11:44:38 2/14/2023 BPJS 12.1176 Martinus akemite 5371030209770003
2/14/2023 11:46:37 2/14/2023 BPJS 11.0723 Serly mone -
2/14/2023 11:47:50 2/14/2023 BPJS 12098 Irawati 5371035002800003
2/14/2023 11:48:28 2/14/2023 UMUM 171,494 Murni 7308186006620001
2/14/2023 11:51:13 2/14/2023 BPJS 121617 Priskilia manith -
2/14/2023 11:52:16 2/14/2023 BPJS 12.5019 Mathelda elisitma 5314057005680002
2/14/2023 11:54:25 2/14/2023 BPJS 12,964 Handri seik 5371030106970002
2/14/2023 11:56:13 2/14/2023 BPJS 12.5024 Piter foes 5371032901450001
2/14/2023 11:58:09 2/14/2023 BPJS 1,713,899 Yetri fomeni 5301225508020001
2/14/2023 12:00:21 2/14/2023 BPJS 12.5373 Winda falo -
2/14/2023 12:02:38 2/14/2023 BPJS 11.2300 Suwarty abdulah 5301065408660003
2/14/2023 12:04:27 2/14/2023 BPJS 11.1066 Victoria baitanu 5371044802550001
ALAMAT
JENIS UMUR TANGGAL ( Kelurahan, TEKANAN TINGGI BERAT LINGKAR
KELAMIN LAHIR DARAH BADAN BADAN PERUT
RT/RW )
P 58 4/1/1965 Osp 188/106 155 61 85
P 57 14/6/2965 Osp 11/4 155/92 158.2 62 92
L 7 25/12/2015 Osp 2/1 - - 18.9 -
P 41 6/8/1981 Osp 19/7 136/88 155 57 87
P 14 14/4/2008 Osp 103/70 164.8 55 84
L 24 7/8/2998 Osp 96/71 165 57 82
L 54 11/3/1969 Osp 27/10 134/121 159 64 97
P 32 14/8/1990 Lsn 14/3 119/84 149.5 62 91
P 50 24/10/1972 Obar 6/2 - 154 70 86
P 83 28/10/1939 Osp 159/67 150 39 68
P 25 1/12/1997 KL 91/66 145.5 56 56
P 57 10/09/1965 Osp 22/8 157/124 147 55.5 82
L 80 8/8/1942 Lsn 32/9 139/85 163 66 85
L 60 26/10/1962 Matani 161/83 164 57 92
P 63 01/7/1959 Osp 8/3 169/92 145 57 78
L 60 18/08/2962 Osp 40/13 155/99 159 51 79
L 74 22/4/1948 0sp 51/16 165/96 164 72 110
P 46 14/6/1976 Osp 23/8 113/83 154 62 94
L 10 6/11/2012 Lsn 26/6 - - 27 _
L 5 6/1/2017 Osp 12/55 - 107 21 63
P 7 2/12/2015 Osp 2/1 - 110 19 54
L 11 2/11/2011 Osp 12/5 - 133.5 25 57
P 40 6/7/1982 Lsn 137/69 146 41 75
L 25 30/5/1997 Osp 118/81 166 71 83
P 46 1/4/176 Lsn 24/6 118/45 151 53 80
L 45 27/10/2977 Osp 2/1 95/66 158.5 57.5 86
P 23 27/1/2000 Osp 31/12 142/91 154.3 52.5 82
P 47 14/11/1975 Osp 23/8 109/69 150 47 78
P 26 10/5/1995 Osp 4 /1 130/88 145.3 46 82
P 26 1/12/1995 Osp 1/1 127/86 153 54 77
P 18 3-12-2004 Oesapa 124/76 143 73 67
L 46 4-8-1976 Penfui 113/68 154 46 76
P 61 23-2-1958 Lasiana 153/80 147 63 97
L 25 3-5-1997 Oesapa 118/81 166 71 83
L 36 1-6-1982 Lasiana 137/69 158 75 103
L 11 11-6-2011 Oesapa 90/70 133 25 57
P 7 2-12-2015 Oesapa - - 19 -
L 5 6-1-2017 Oesapa - - 21 -
L 10 6-11-2012 Lasiana - - 27 -
L 70 12-4-1948 Oesapa 165/96 164 72 110
L 56 18-8-1962 Oesapa 155/99 159 51 79
P 60 1-7-1959 Oesapa 123/76 145 57 78
P 56 24-6-1966 Kelapa lima 118/68 146 37 68
P 29 16-10-1993 Oesapa 116/67 149 62 80
P 22 7/5/2001 Penfui 103/72 151.5 38 59
L 5 22-12-2017 Oesapa - 101 14 51
P 29 11-11-1993 Tdm 121/94 152 79 104
P 43 22/1/1980 Lsn 3/1 97/70 151 48 84
P 17 8-3-2005 Oesapa 131/82 152 44 65
P 26 31-1-1996 Oesapa 90/64 158 33 71
L 53 20/8/1969 Osp 13/5 130/81 167 65 86
P 59 17-7-1961 Lasiana 113/68 147 37 77
P 20 17/7/2003 Lsn/24/6 109/63 165.8 54 65
L 25 4-6-1997 Oesapa 117/78 163 48 63
P 28 19-9-1994 Oesapa 101/85 153 69 103.
L 9 2/7/2013 Obar 1/1 - 135 34.5 69
P 60 4-8-1962 Oesapa 102/69 158 44 87
P 22 28/12/2001 Osp12/3 113/85 155.5 60.5 91
P 72 1-5-1970 Lasiana - 153 56 91
L 12 9-11-2010 Lasiana - - 37 -
L 32 5/6/1990 Osp 15/6 94/65 157.5 45 71
L 43 2-9-1977 Oesapa 112/81 167 76 98
P 30 10-4-1992 Lasiana. 155/77 145 48 84
P 43 10/2/1980 Osp 24/9 105/68 150 55 72
P 45 20-6-1962 Oesapa 124/80 158 63 83
P 8 15/4/3015 Osp 2/1 - 122 21 59
P 54 30-5-1968 Oesapa 117/68 152 50 84
L 25. 01-6-1997 Oesapa - 165 57 85
L 78 29-1-1945 Oesapa 148/90 170 50 62
P 20 15-8-2002 Oesapa 112/76 152 43 68
P 12 1-1-2007 Oesapa 110/76 149 35 65.
P 55 14-8-1966 Lasiana 137/79 155 53 90
P 64 8-2-1955 Lasiana - 148 55 78
DIAGNOSA / KODE ICD 10 PENGOBATAN RUJUK

HT emergensi + Rwyt snh - YA


Hipertiroid,ht,cad - YA
J06.9 ,febris h 2 Ambrox,dx,pct,vit c TIDAK
J06.9 Pct,ctm,ambrox,vit c TIDAK
J06.9 Pct,ambrxlctm,vit c TIDAK
R50.9,konstipasi Pct,vit c,dlukolax TIDAK
VE Pct,gents sk TIDAK
Dermatitis Ctm,dx,vit c,slpbeta TIDAK
Dm tp 2 E.13 - YA
Geniatri problem,CAD,OA - YA
RIHNITIS,DERMATITIS CTm,dx,pct,sl beta TIDAK
Ht,hiperkolestetol Nadic,B1,,amlo,sifsatatin. TIDAK
DM tp 2,diabetik food - YA
Ht gr 2 Amlo,metformin TIDAK
Dm tp 3,ht Nifedpnlpgzyoong,netformin,olopurinol TIDAK
Post heating h 0,V. Excoriatum Amox,pct,genta sk TIDAK
Ispa,ht,dermatitis Pct,ambrox,dx,amlo,dk beta TIDAK
Ory eye syndrom.H.04.12,H,52 - YA
Skabies,obs febris h 1 Permetrin,ctm,dx,pct TIDAK
J06.9,febris hr 1 Ambtox,ctm,dx,pct TIDAK
J06.9,fbris h 1,L20 Pct,dx,ctm,sk hidro TIDAK
J06.9 Ambrox,ctm,dx,p t TIDAK
J06.9,L20 Ctm,ambrox, sk hidro TIDAK
R50, K 30 Pct,antacida,vit b,vit c, TIDAK
Susp nefrolitis - YA
E 10 - YA
Post incici - YA
Fronsen solder - YA
Isk,Rll.10 - YA
Tonsilitis kronik - YA
M21.12 - YA
Tb.hemoptoe Amox.vit c TIDAK
Asma bronchial - YA
Febris.dyspepsia Pct.antasid.b com. TIDAK
Ispa.dermatitis Ctm.ambroxol TIDAK
Ispa Ambroxol.ctm.dexa.pct TIDAK
Ispa.febris.dermatitis Pct.dexa.ctm TIDAK
Ispa.febris Ambroxol.ctm.dexa.pct TIDAK
Scabies.febris Ctm.dexa.pct TIDAK
Ispa.ht Pct.ambrox.dexa.amlo TIDAK
Post heacting Amox.pct.genta TIDAK
Dm.ht Cpc.amlo.ambosstem.mifedik TIDAK
Bronkitis kronis Nac.mp.vit.c. b com TIDAK
Ispa Ambrox.ctm.dexa.b com TIDAK
Paronichia Dx,gentamicin TIDAK
Dermatitis Ctm TIDAK
Susp tb paru Ambroxol.dexa.omz TIDAK
Tinea Cetokenazol,ctm,dx TIDAK
Dyspepsia Omz.antasid. TIDAK
Febris Pct.vit c TIDAK
J06.9 Amox,ctm,dx,Bc TIDAK
Susp tb Nadic.ambrox.dexa TIDAK
Kon sultasi - TIDAK
Ispa Dexa.ctm.ambroxol TIDAK
Gastritis Pct.antasid TIDAK
Obs fbrs Ants,pct,dx TIDAK
Dm tipe 2 Metformin.pirox TIDAK
Isk Amox ibuprf,pct TIDAK
Dyspepsia Omz.antasida TIDAK
Ispa.febris Amox.ctm.ambrox.dexa TIDAK
J06.9,gastritis Betacin ambrox,dx,ctm TIDAK
Ispa.myalgia Ambrox.ctm.asmef.b com TIDAK
Ispa Ibuprofen.dexa. TIDAK
DM TP 2,Dermatitis Metformin,dk oxsi TIDAK
Ispa. Ambrox.pct.domperidon TIDAK
J06.9,febris h 2 Pct,ambrx,ctm TIDAK
Dm tipe 2 Metformin.nadic TIDAK
H35.5 - YA
Snh - YA
Obdomen pain Asmef.b com TIDAK
Febris.ispa.dyspepsia Pct.ambrox.ctm.antasid TIDAK
Post trholdetin - YA
Hhd - YA
Timestamp TANGGA JENIS NOMOR REKAM NAMA PENGUNJUNG NOMOR INDUK
KUNJUNGAN KARTU MEDIK KEPENDUDUKAN (NIK)

2/15/2023 7:49:13 2/15/2023 BPJS 11.2471 arimaryasi ina nini 5371045607940005


2/15/2023 7:54:42 2/15/2023 BPJS 12,069 antonio nitano -
2/15/2023 7:59:24 2/15/2023 BPJS 11.0641 matheos benggu 537103251060003
2/15/2023 8:15:25 2/15/2023 BPJS 12,001 ruben panyola 53200125035000001
2/15/2023 8:23:01 2/15/2023 BPJS 12,405 murni 5371036307850008
2/15/2023 8:52:14 2/15/2023 UMUM 12.0914 arifudin 5371011310830004
2/15/2023 8:55:23 2/15/2023 UMUM 1,713,905 petronela sula 5313035605000001
2/15/2023 9:00:33 2/15/2023 BPJS 11.1993 obed maimau 5371030903650001
2/15/2023 9:03:40 2/15/2023 BPJS 1,713,906 joni uas 5371032107790001
2/15/2023 9:13:26 2/15/2023 BPJS 12.5025 sarce tamonob 5371036509590001
2/15/2023 9:16:38 2/15/2023 UMUM 12.5026 monika bau lewatapo -
2/15/2023 9:19:06 2/15/2023 BPJS - yanuar yakob mboik -
2/15/2023 9:21:54 2/15/2023 UMUM 11,412 Yefin roga -
2/15/2023 9:24:32 2/15/2023 BPJS 1,713,474 Serli anin. 5302125209020001
2/15/2023 9:26:31 2/15/2023 BPJS 13,799 Supi aminah 5371035010820010
2/15/2023 9:28:34 2/15/2023 BPJS 11,100 Antonius tael -
2/15/2023 9:32:02 2/15/2023 BPJS 11.1008 Jeny tadak 5371027001820002
2/15/2023 9:50:48 2/15/2023 BPJS 11.1403 Dominggus otu 5371031103750011
2/15/2023 9:53:01 2/15/2023 BPJS 12.2467 Marsya hali 5371034803080002
2/15/2023 10:41:14 2/15/2023 BPJS 12.0606 Yohana Umbu Ngedo 5371034405670001
2/15/2023 10:43:08 2/15/2023 BPJS 1713915 Irama Bani 5302046809030002
2/15/2023 10:45:04 2/15/2023 BPJS 12,190 Lano adam 5371031602030001
2/15/2023 10:49:17 2/15/2023 UMUM 1713916 Reni Bamtuan -
2/15/2023 10:49:23 2/15/2023 BPJS 12.1777 Margaretha Warata 537103470379007
2/15/2023 10:51:14 2/15/2023 BPJS 12.5028 delfia nifu 8171026212060003
2/15/2023 10:53:45 2/15/2023 BPJS 17,139 milna TLAAN 5302186102010002
2/15/2023 10:54:28 2/15/2023 BPJS 11.0472 Anastasia F. Manu 5371034404800005
2/15/2023 10:56:22 2/15/2023 BPJS 110672 Diana A Bullu 5371035204940006
2/15/2023 10:56:52 2/15/2023 BPJS - YOHANES BALOK 5306152203150001
2/15/2023 10:59:02 2/15/2023 BPJS 171,231 RISMICIAN RAMBU 5312186011010003
2/15/2023 11:00:47 2/15/2023 BPJS 12.0571 Victoria Teflopo 5371034906810004
2/15/2023 11:01:22 2/15/2023 UMUM 12.2708 CHARISSY PANDIE -
2/15/2023 11:01:32 2/15/2023 UMUM 112144 Berti Mahoklori 5314020907870001
2/15/2023 11:05:09 2/15/2023 BPJS 11.2716 Agustinus Boli 5313022607640001
2/15/2023 11:06:32 2/15/2023 UMUM 1310104 Chindhy Tlonaen -
2/15/2023 11:08:44 2/15/2023 BPJS 11.0833 Agustina Suniuf 5371035504670005
2/15/2023 11:10:36 2/15/2023 BPJS 1713910 Frengki N Feto 5301111107010001
2/15/2023 11:13:19 2/15/2023 BPJS 1,713,911 Mirna Wati Sole 5371035405150001
2/15/2023 11:15:27 2/15/2023 UMUM 1713913 Adriana Snaes 5301134811020001
2/15/2023 11:16:03 2/15/2023 BPJS 1,713,909 Sari Linome 5302056012010001
2/15/2023 11:19:27 2/15/2023 BPJS 11.2218 Aurelia Silab 5371035407100005
2/15/2023 11:20:34 2/15/2023 BPJS 1710839 Theresia Eka 5307095201980002
2/15/2023 11:22:36 2/15/2023 BPJS 160,176 Juliana Bunga Kabelen 5371044707050004
2/15/2023 11:25:19 2/15/2023 BPJS 1713908 Nimrot Oematan 5302031211960002
2/15/2023 11:27:05 2/15/2023 BPJS 1,713,914 Otniel Marselinus Bora 5318054603960003
2/15/2023 11:30:19 2/15/2023 UMUM 1713916 Angela M Lau 530404305040005
2/15/2023 11:33:05 2/15/2023 BPJS 12,039 Nikolas Amekan 53101121710520001
2/15/2023 11:37:10 2/15/2023 BPJS 11015 Milsa F L Bistolen 5371036705790005
2/15/2023 11:41:34 2/15/2023 BPJS 12,141 Yusuf Fafo -
2/15/2023 11:42:08 2/15/2023 UMUM 170735 Queen Sita -
2/15/2023 11:43:05 2/15/2023 UMUM 12,345 NOFREN SONBAY -
2/15/2023 11:45:14 2/15/2023 BPJS 11.1498 LENCI S.DETHAN 5371035309010002
ALAMAT
JENIS TANGGAL ( Kelurahan, RT/RW TEKANAN TINGGI BERAT LINGKAR
KELAMIN UMUR LAHIR DARAH BADAN BADAN PERUT
)
P 28 16/7/94 lasiana 112/88 150 39 78
L 11 5/9/2011 oesapa 90/50 140 27 58
L 57 25/10/65 lasiana 13/3 140/98 170 76 95
L 72 25/3/50 oesapa 134/76 159 64 98
P 37 23/7/85 oesapa 18/7 117/76 157 60 94
L 40 13/10/83 oesapa 120/95 158 56 84
P 22 16/5/2000 oesapa 115/76 153 46 81
L 60 1/3/65 lasiana 174/96 151 51 83
L 43 21/7/79 oesapa 129/84 161 52 75
P 62 1/9/59 oesapa 127/89 147 44 81
P 7 16/10/1010 oesapa 90/50 116 17 53
L 67 8/1/56 lapas 130/70 165 50 73
P 12 21-6-2010 Lasiana - - 41 -
P 20 12-9-2002 Oesapa 109/73 144 37 63
P 37 10-10-1982 Oesapa barat 131/91 155 65 95
L 19 22-3--2003 Lasiana - 160 43 57
P 38 30-1-1982 Lasiana 96/76 155 53 81
L 45 11-3-1975 Lasiana 184/96 158 82 109
P 14 1-3-2008 Oesapa - 160 44. 77
P 54 04/05/1967 Oesapa,012/005 134/96 159.7 95 122
P 20 28/09/2002 Oesapa 109/76 149 41 71
L 16 16/02/2003 Oesapa, 012/005 101/72 190 56 78
P 23 21/01/2000 Oesapa 116/79 150 46 80
P 44 07/03/1979 Oesapa, 014/005 127/78 146 57 81
P 16 22/12/2006 oesapa 108/79 153 38 67
P 21 25/3/2001 OESAPA 102 151 45 78
P 42 04/04/1980 Lasiana, 006/002 138/89 158 72 105
P 28 12/04/1994 Lasiana. 19/06 108/77 157 50 76
L 7 22/3/2015 OESAPA 90/50 115 16 54
P 21 20/11/2001 OESAPA 111/75 157 45 62
P 41 09/06/1981 Oesapa, 038/012 123/83 160 42 77
P 13 - OESAPA 90/50 149 41 70
L 35 09/07/1987 Oesapa 10/05 104/70 167 75 91
L 58 26/07/1964 Lasiana 130/80 160 60 80
P 12 18/08/2010 Obar 19/07 - 141 31 52
P 54 15/04/1967 Lasiana, 031/008 129/77 152 57 90
L 21 11/07/2001 Oesapa 126/75 161 61 93
P 7 14/05/2015 Oesapa Selatan - 119 20 56
P 20 08/11/2002 Lasiana 132/87 155 42 68
P 21 20/12/2001 Oesapa, 012/006 112/65 156 41 70
P 13 14/07/2010 Lasiana, 002/001 - 143 36 69
P 25 12/01/1998 Oesapa 100/56 160 43 67
P 17 07/07/2005 Penfui 115/56 163 49 76
L 26 12/11/1996 Ibar 115/55 161 59 78
L 24 01/03/1998 Lasiana 107/68 174 54 70
P 18 03/05/2004 Penfui 131/79 158 47 77
L 70 17/10/1952 Oesapa 117/60 162 70 103
P 44 27/05/1979 Lasiana 32/08 170/102 155 61 92
L 54 05/02/1966 Oesapa, 016/006 178/102 156 70 95
P 5 15/07/2017 Oesapa 36/12 - 106 15 46
L 6 1/11/2016 OESAPA 90/60 127 15 50
P 21 13/9/2001 LASIANA 114/83 146 40 67
DIAGNOSA / KODE ICD 10 PENGOBATAN RUJUK

tb paru rujuk YA
febris + reaksi alergi ibuprpfen,dexa,ctm TIDAK
ispa pct,ctm,ambroxol,antasida TIDAK
keratitis rujuk YA
dm metformin,glimeperide,acarbose TIDAK
ispa pct,ctm,vitc TIDAK
febris pct,ctm,ambroxol,vitc TIDAK
ht +ispa amlodipim,ambroxol,piroxicam,bcom TIDAK
post heacting amox,asmef TIDAK
dm metformin ,bcom TIDAK
dermatitis + bakterial infeksi salep genta,amox,ctm,dexa TIDAK
bradikardi rujuk YA
Dyspepsia Pct.omz.b com TIDAK
Susp tb Ambroxol TIDAK
H11 - YA
F20.0 - YA
B20 Acriplega.antasid TIDAK
Ht.ispa Amlo.captropil.ambrox.ctm.pct TIDAK
Abses Ekstrasi kuku.amox TIDAK
ISPA Ambroxol,CTM,Vit.C TIDAK
Susp haemoriod + Dyspepsia Anti haemoroid supp,sf,bc,omz TIDAK
ISPA PCT, ambroxol, GG, Vit.C TIDAK
Tinea corpris + scabies Mico cream,keto tab,ctm,pct,permethrin TIDAK
Furunkel Asmef, Amox TIDAK
tth antasida,ibuprofen,sf,bcom TIDAK
URTIKARIA + DISPEPSIA CTM,DEXA,RANITIDIN TIDAK
Hematemesis+Epistaksis - YA
TFA Pct,Dexa,vc TIDAK
TFA PCT,AMOX,DOMPE,VITC TIDAK
BIPOLAR RUJUK YA
Astma - YA
ISPA GG,CTM,DEXA,ANTASIDA TIDAK
Ispa Ambrox,pct,amox,cetirizine TIDAK
CKD - YA
TFA Pct,amox vc TIDAK
Susp. OA Pirox, OMZ, vit.Bcom TIDAK
Ispa Pct,ambrox,vc,ctm TIDAK
ISPA PCT, Ambroxol, Vit.C, Domperidon TIDAK
ISK Cipro,pct,bc TIDAK
ISPA Ambroxol, CTM, Amox, Dexa TIDAK
ISPA Ambroxol, CTM, Dexa, Amox TIDAK
Ispa Ambrox,pct,amox TIDAK
VL Asmef,Vit.C, Oxy SK TIDAK
Febris H4 Pct,vc TIDAK
ISPA PCT, Ambroxol, CTM, Vit.C TIDAK
Ispa Pct,ambrox,ctm,vc TIDAK
Distonia - YA
Dyspepsia Omz,pct,bc,amlo TIDAK
LBP+HT Na diclof,Amlo,Vit.Bcom TIDAK
Ispa Pct,ctm,vc TIDAK
ISPA+BAKTERIAL INFEKSI PCT,AMOX,DEXA,SALEP GENTA TIDAK
SUSP TB AMBROXOL,DEXA TIDAK
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG NOMOR INDUK
KUNJUNGAN KARTU KEPENDUDUKAN (NIK)
MEDIK
2/16/2023 7:42:47 2/16/2023 UMUM 130,270 Yolin Loden -
2/16/2023 7:45:46 2/16/2023 BPJS 130,030 Angke Dae Panie 5371035411640001
2/16/2023 7:47:40 2/16/2023 UMUM 1,713,921 Orias Kause -
2/16/2023 8:02:07 2/16/2023 BPJS 12.1025 Julio Musa Hendrik 537103167140001
2/16/2023 8:06:30 2/16/2023 UMUM 12.0312 Jibrael Sing -
2/16/2023 8:10:53 2/16/2023 UMUM 11.0641 Simon Benu -
2/16/2023 8:26:44 2/16/2023 BPJS 130,192 Abbyatar Rizky Keba -
2/16/2023 8:32:02 2/16/2023 BPJS 13-0192 Jublina Hamaranji 5371036807690001
2/16/2023 8:50:33 2/16/2023 BPJS 13,078 Fitriah Hasan Tallo 5371035606690002
2/16/2023 8:58:43 2/16/2023 BPJS 171,319 Doksen Manit 5301211412050001
2/16/2023 9:06:20 2/16/2023 BPJS 130,247 Mikael Bana 5371031007700002
2/16/2023 9:08:40 2/16/2023 BPJS 11.0147 Yane Damaledo 5371036201800007
2/16/2023 9:11:23 2/16/2023 UMUM 12.4991 Sheli Meisa Ambarita 5371045305890004
2/16/2023 9:34:02 2/16/2023 BPJS 12.2105 Agustenci Tungga 5371034508700003
2/16/2023 9:40:21 2/12/2023 UMUM 12.0706 Aprianti Lona 12.0706
2/16/2023 9:46:41 2/16/2023 UMUM 150,274 Misel Djami -
2/16/2023 9:49:37 2/16/2023 UMUM 12.5029 Mince Nope 5371035307650001
2/16/2023 9:58:41 2/16/2023 UMUM 150,494 Amora S. liliana -
2/16/2023 10:00:49 2/16/2023 BPJS 150,433 Lorens Kore Djara 5320012106950002
2/16/2023 10:07:42 2/16/2023 BPJS 1,713,927 Hendrik Bire Loe 5320021303010001
2/16/2023 10:19:55 2/16/2023 BPJS 12.0578 Revandhino Take -
2/16/2023 10:24:10 2/12/2023 UMUM 1,310,106 Yosafina Missa 5371034606660002
2/16/2023 10:32:45 2/16/2022 BPJS 1,713,925 Maria Magdalena Lake 5303054305940004
2/16/2023 10:47:20 2/16/2023 BPJS 11.2411 Madoriskah Hauteas 5371016504920001
2/16/2023 10:51:46 2/16/2023 UMUM - Marlinda Folla -
2/16/2023 10:55:22 2/12/2023 BPJS 1,713,933 Yohana Oktavia Ngade Lagho 5309077110020001
2/16/2023 10:58:45 2/16/2023 UMUM 150,495 Amel Tugu -
2/16/2023 11:03:14 2/16/0023 BPJS 1,713,932 Yunita Buif 5304046603010001
2/16/2023 11:11:17 2/16/2023 BPJS 1,711,955 Hamida Abuhera 5371035212650004
2/16/2023 11:13:52 2/16/2022 BPJS - Saparudin Paharu 5371031704620002
2/16/2023 11:16:34 2/16/2023 UMUM 1,713,935 Menciana Kalo Malik 53021085205980001
2/16/2023 11:23:18 2/16/2023 BPJS - Andi Nurhayati Dg. Baraiyah -
2/16/2023 11:28:01 2/16/2023 BPJS 1,713,937 Goysihota Jehanat -
2/16/2023 11:30:00 2/16/2023 UMUM 1,713,786 Iren Bulan -
2/16/2023 11:31:54 2/16/2023 UMUM 1,713,781 Yarni Aten 5314055506870002
2/16/2023 11:37:21 2/16/2023 BPJS 130,256 Gasper Lamma 5371030312690001
2/16/2023 11:48:27 2/16/2023 BPJS 15,021 marten uly 5371032502630003
2/16/2023 11:51:28 2/16/2023 UMUM 12.4817 noviana kale lena -
2/16/2023 11:55:30 2/16/2023 UMUM - aira safira -
2/16/2023 11:58:11 2/16/2023 BPJS 12.2840 nordi lao 5302060511850002
2/16/2023 12:02:37 2/16/2023 BPJS 1230 fernando nabunome 5371032011050006
2/16/2023 12:04:58 2/16/2023 UMUM 171,934 frengki tefa 5302010402980002
2/16/2023 12:10:01 2/16/2023 BPJS 160,892 theresia mbu 5308065001750001
2/16/2023 12:12:16 2/16/2023 BPJS 17,123 medisiana lotu 5304145503010001
2/16/2023 12:14:59 2/16/2023 UMUM 171,392 yori tamonob 5371034701900001
2/16/2023 12:17:03 2/16/2023 BPJS - muhamad feka -
2/16/2023 12:19:13 2/16/2023 BPJS 12.0869 vixal pandie -
2/16/2023 12:21:59 2/16/2023 BPJS 11,019 febriani 5371035702030003
2/16/2023 12:26:37 2/16/2023 UMUM 12.1053 jefri manggoa -
2/16/2023 12:29:06 2/16/2023 BPJS 11,118 sabina bobo 5371035409010005
2/16/2023 12:32:48 2/16/2023 BPJS 12.1743 marten makaborang 5371031212700009
2/16/2023 12:35:08 2/16/2023 UMUM 174,857 yohanes dji 5308112305900001
2/16/2023 12:39:46 2/16/2023 BPJS 11.1324 jublina kause 5371035607670001
2/16/2023 12:41:47 2/16/2023 BPJS 16,026 reymond neunufa 5371031407070002
2/16/2023 12:44:17 2/16/2023 BPJS 12.1937 frengki tule -
2/16/2023 12:46:26 2/16/2023 BPJS 17,139 frengki wawu 537042005980003
2/16/2023 12:48:24 2/16/2023 UMUM - misel bandi -
2/16/2023 12:53:37 2/16/2023 BPJS 120454 atelia da silva 5371036405810007
2/16/2023 12:56:57 2/16/2023 BPJS 12.4537 samuel lopung 5371030705630001
2/16/2023 12:59:42 2/16/2023 BPJS 12.1629 arfan 5371032704960005
2/16/2023 13:04:28 2/16/2023 BPJS 11.1501 ery rambu ata 5371035008760006
2/16/2023 13:06:57 2/16/2023 UMUM 17. yanto hane 6408142005950001
2/16/2023 13:15:19 2/16/2023 BPJS 11.2218 Elisabeth Silab 5371036103000006
2/16/2023 13:21:33 2/16/2023 BPJS 1,713,924 Primus Naiheli 5303230704930001
2/16/2023 13:29:58 2/16/2023 BPJS - Dewi Nakmofa -
2/16/2023 13:32:49 2/16/2023 BPJS 130,351 Petrus Malaka -
2/16/2023 13:36:10 2/16/2023 BPJS 11.0373 Albert Fanggidae 5371032104590003
JENIS TANGGAL ALAMAT ( Kelurahan, TEKANAN TINGGI BERAT LINGKAR
KELAMIN UMUR LAHIR RT/RW ) DARAH BADAN BADAN PERUT

P 19 04/11/2003 Oesapa Barat RT 06 RW 02 113/78 159.6 46 85


P 58 14/11/1964 Oesapa Barat RT 19 RW 07 120/73 154 59 78
L 23 02/11/2000 Oesapa 117/87 166 47 74
L 8.6 16-07-2014 Oesapa RT 13 RW 05 - 114.5 19 58
L 8.7 24-07-2014 Oesapa RT 12 RW 05 - 129 22.5 59
L 13 27-09-2009 Lasiana RT 13 RW 03 - 155.3 47 81
L 5.4 06-10-2017 Oesapa Barat RT 05 RW 02 - 115 16 57
P 53 28-06-1969 Oesapa Barat RT 05 RW 02 225/108 158.7 65 95
P 54 16-06-1969 Oesapa Barat RT 19 RW 07 105/66 154.5 58 89
L 19 01-12-2003 Oesapa 127/76 169.2 54 75
L 52 31-07-1970 Oesapa Barat RT 01 RW 01 - 159 54 78
P 43 22-01-1980 Lasiana RT 03 RW 01 119/88 151 48 84
P 33 13-05-1989 Oesapa RT 14 RW 05 119/75 155.3 58 85
P 52 05-08-1970 Oesapa RT 22 RW 08 133/81 149 52.5 87
P 32 26-04-1990 Oesapa RT 17 RW 06 136/91 155 54 87
P 7 23-03-2015 Kelapa Lima RT 14 RW 06 - 118 21.5 57
P 58 13-07-1965 Oesapa RT 16 RW 06 101/68 145 33 52
P 7.1 10-01-2016 Kelapa LIma RT 26 RW 11 - 117.3 19 55
L 28 01-01-1995 Kelapa Lima 111/60 156.7 44 73
L 21 13-09-2001 Oesapa 132/82 166.7 56 73
L 5.5 23-09-2017 Oesapa RT 38 RW 12 - 113.5 18 52
P 56 06-06-1966 Oesapa Barat RT 16 RW 06 136/68 146 41.5 83
P 28 03-05-1994 Oesapa 90/60 155 44 75
P 31 25-04-1991 Lasiana RT 30 RW 08 100/69 154 72 90
P 6 21-06-2016 Lasiana RT 27 RW 07 - - 10 -
P 20 31-10-2002 Liliba 104/82 158 46 64
P 13 01-04-2009 Kelapa Lima 105/57 148.4 39.5 70
P 21 26-03-2001 Lasiana 121/82 146 41 67
P 56 12-12-1965 Oesapa RT 28 RW 10 120/73 162 45 80
L 60 17-04-1962 Oesapa RT 28 RW 10 162/104 170 87 109
P 24 30-12-1998 Oesapa 105/76 149 47 76
P 59 27-05-1964 LILIBA 120/71 160 48 82
L 20 27-07-2002 Lasiana 115/73 167.8 56 74
P 8 23-07-2014 Oesapa Barat RT 08 RW 03 - 116 18 53
P 33 15-06-1987 Oesapa Barat RT 08 RW 03 122/80 140 72 96
P 53 03-12-1969 Oesapa Barat RT 05 RW 02 119/81 152 58 76
P 56 25/2/63 kelapa lima 160/135 160 80 84
P 40 21/11/82 oesapa 93/65 147 45 75
P 6 10/12/2016 oesapa 90/60 115 18 51
P 37 5/11/85 oesapa 97/61 160 56 81
P 17 20/11/2005 oesapa 133/91 161 45 61
P 25 4/2/98 oesapa 144/99 167 80 92
P 48 10/1/75 liliba 128/88 151 64 86
P 21 15/3/2001 lasiana 113/73 148 37 64
P 33 7/1/90 lasiana 112/83 159 44 74
P 11 30/10/2011 oesapa 90/60 141 35 76
P 10 24/9/2008 oesapa 90/50 149 33 57
P 19 17/2/2003 lasiana 111/58 165 54 65
P 35 28/3/87 oesapa 95/62 158 58 88
P 21 14/9/2001 lasiana 118/78 158 47 65
P 56 12/12/70 lasiana 134/90 170 82 93
P 32 - bimoku 113/75 166 64 75
P 55 16/7/67 lasiana 155/91 145 52 98
P 19 14/7/2007 oesapa 114/69 172 56 75
P 59 15/9/60 oesapa 133/101 157 47 81
P 21 20/5/2001 lasiana 113/68 176 71 79
P 6 5/3/2016 obar 90/50 113 17 52
P 36 24/5/81 oesapa 113/83 162 53 85
P 59 7/5/63 oesapa 133/89 165 74 112
P 25 27/4/96 oesapa 109/80 170 50 83
P 45 10/8/76 lasiana 121/89 153 60 89
P 27 20/5/95 lasiana 114/69 161 44 71
P 23 21/03/2000 Lasiana, 002/001 127/90 146 42 73
L 29 26/04/1993 Lasiana 120/69 160 49 74
P 19 18/07/2003 Oesapa Barat, 015/005 100/60 153 43 70
L 40 01/06/1983 Kelapa Lima, 29/13 133/102 178 69 91
L 63 21/04/1959 Lasiana, 25/09 128/85 168 55 96
DIAGNOSA / KODE ICD 10 PENGOBATAN RUJUK

Otitis Ekterna Otopain, Asmef TIDAK


Shoulder Leslons Amlodipine TIDAK
Dispepsia Omz, Antasida TIDAK
ISPA (J06.9) PCT, Ambrox, Vit C TIDAK
ISPA ( J06.9 ) Ambrox, Dexa, Vit C, PCT TIDAK
ISPA (J06.9( PCT, CTM, Ambrox, Vit C TIDAK
Febris, Vomitus PCT, Domperidone TIDAK
Presbiopi - YA
Dislipidemia, Vertigo, Dispepsi - Leona- Poli Penyakit Dalam
Febris PCT, CTM, Dexa TIDAK
sKIZOFRENIA - YA
Pterigium, Presbiopi - YA
Mastalgia Ibuprofen, Antasida, Ranitidine TIDAK
BSK - YA
ISPA (j.06.9) Antasida, CTM, Dexa, Vit BC TIDAK
Impertigo Amox, Genta SK, CTM TIDAK
Dispepsia OMZ, Antasida TIDAK
Susp DHF PCT, Ambrox, CTM TIDAK
Febris PCT, Asmef, Vit C TIDAK
DKA CTM TIDAK
ISPA (J06.9) PCT, CTM, Vit C TIDAK
Myalgia (M79.1) Piroxicam TIDAK
Cholelitiasis - TIDAK
Gastritis Antasida, PCT, Vit BC TIDAK
ISPA, Vomitus Ambrox, CTM, Domperidone TIDAK
Multiple V. Ekscoritum Oxy SK, Asmef TIDAK
Febris H II PCT, Vit C TIDAK
ISK Copro, PCT, Vit C TIDAK
TB-OAT - Siloam-Poli Paru
BSK - YA
Susp TB Paru Ambrox, Periksa BTA TIDAK
DM + Post Op Debridement - YA
HEPATITIS B - YA
ISPA PCT, Ambrox, CTM TIDAK
OMA Amox, Dexa TIDAK
Hiperuricemia Allopurinol, Pirox, Antasida TIDAK
dka +tinea vesikolor dexa,ctm,salep beta,salp keto TIDAK
ispa ambroxol,ctm,pct TIDAK
febris pct,vitc TIDAK
dermatitis dexa,loratadin TIDAK
febris pct,vitc TIDAK
gerd omz,antasida TIDAK
tumor mamae rujuk YA
limpoma coli rujuk YA
myalgia nadic,bc TIDAK
febris - TIDAK
febris ibuprofen,dexa,vitc TIDAK
cardiomegali rujuk TIDAK
vulnus asmef,amox,bcom TIDAK
dispepsia antasida,omz TIDAK
gout atritis rujuk YA
lbp ibuprofen,bcom TIDAK
ht + gastitris antasida,ranitidin,piroxicam,bc,amlodipin TIDAK
tfa pct,dexa,vitc TIDAK
dka +ispa dexa,ctm,gg,vitc TIDAK
df pct,vitc TIDAK
ispa pct,ambroxol,ctm TIDAK
dka ceterizine,dexa TIDAK
cad rujuk YA
f20 rujuk YA
miopia rujuk YA
susp tb anbroxol TIDAK
Otalgia CTM, Dexa,Ibuprofen TIDAK
ISPA Ambroxol, DExa, CTM, Vit.C, PCT TIDAK
ISPA PCT,GG,Dexa,Vit.C TIDAK
Susp. CHF - YA
pOST EKSISI ABSES REGIO AXILA - YA
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG NOMOR INDUK
KUNJUNGAN KARTU KEPENDUDUKAN (NIK)
MEDIK
2/17/2023 7:32:38 2/17/2023 BPJS 13049801 Maria Ngeon 5371035811660001
2/17/2023 8:18:40 2/17/2023 BPJS 1674801 Argatha Zaiden Pratama -
2/17/2023 8:22:26 2/17/2023 BPJS 171390601 Joni Yunus 5371032107790001
2/17/2023 8:25:30 2/17/2023 UMUM 1713940 Loriana F. Sanam 53020225209030002
2/17/2023 8:27:22 2/17/2023 UMUM 125031 Irawati Nensi -
2/17/2023 8:32:30 2/17/2023 UMUM 111548 Karista Ninef 5371035003050003
2/17/2023 8:37:20 2/17/2023 BPJS 11104901 Bernadus Boboi 5471031001740005
2/17/2023 8:40:36 2/17/2023 BPJS 11104901 Ade Magdalena Boboy 5371035605990004
2/17/2023 8:43:47 2/17/2023 UMUM 1713790 Muhammad Asyari -
2/17/2023 8:48:12 2/17/2023 BPJS 121465 Kevin K. Oematan -
2/17/2023 8:52:53 2/17/2023 BPJS 12184322 Lodia Lenggu 5314065707520003
2/17/2023 8:57:25 2/17/2023 BPJS 123298 Sednat Nubatonis 5371032403720001
2/17/2023 8:59:56 2/17/2023 BPJS 12085601 Amidap M. Sine -
2/17/2023 9:03:12 2/17/2023 BPJS 11139401 Arwan Neken 5302021204060001
2/17/2023 9:07:00 2/17/2023 UMUM 171393501 Menciana Kolo Malik 5302108520980001
2/17/2023 9:12:37 2/17/2023 BPJS 12080001 Yohanes Soepitu 5371032606730007
2/17/2023 9:16:10 2/17/2023 BPJS 12094201 Sahria Mabud 5371035304580001
2/17/2023 9:20:16 2/17/2023 BPJS 12224502 Meriana Benggu 5371036808740005
2/17/2023 9:22:58 2/17/2023 BPJS 112720 Daniel Missa 5302061212680003
2/17/2023 9:28:09 2/17/2023 BPJS 121523 Yustra Nope 5371033101870004
2/17/2023 9:32:07 2/17/2023 BPJS 12282401 Samuel Lodo 5371033108600004
2/17/2023 9:36:10 2/17/2023 UMUM 175281 Draiken Reni Tana -
2/17/2023 9:39:20 2/17/2023 BPJS 12408001 Maria A. Hanci 5371036505060001
2/17/2023 9:45:47 2/17/2023 UMUM 11028401 Adri Ningsih Busu 5314025408960002
2/17/2023 9:49:23 2/17/2023 BPJS 1261201 Ferderika Ndun 5371035901500001
2/17/2023 9:55:41 2/17/2023 BPJS 17173810 Feolina Kase 5302015811760001
2/17/2023 9:58:54 2/17/2023 BPJS 1745816 Orance Benu 5302215504700001
2/17/2023 10:05:46 2/17/2023 BPJS 11147901 Carol pugel -
2/17/2023 11:10:10 2/17/2023 BPJS 112719 Angelika I. Amaral 5371034904030002
2/17/2023 11:13:31 2/17/2023 BPJS 1713942 Yandri Suana 5301126412000001
2/17/2023 11:15:26 2/17/2023 BPJS 1713945 Putra Boru 5314011241000001
2/17/2023 11:18:39 2/17/2023 BPJS 1712333 Netri RAmbu Paku 5371025511020001
2/17/2023 11:21:18 2/17/2023 BPJS 1713900 Anjelina Hoar Bria 1304154487600001
2/17/2023 11:23:29 2/17/2023 UMUM 1713944 Eti Susanti Jani 5302205105980002
2/17/2023 11:25:32 2/17/2023 BPJS 1310108 OEce Orance Nomleni 5371035810790003
2/17/2023 11:28:03 2/17/2023 BPJS 170408 Hesti Vania Lilong 1301236802010001
2/17/2023 11:29:58 2/17/2023 BPJS 1713943 Maria Paskalia Kolo 5321016004000001
2/17/2023 11:32:18 2/17/2023 UMUM - Gunardi Nomleni 5302082708020001
2/17/2023 11:34:57 2/17/2023 BPJS 15005201 Katarina F . D. Raga 571034402990001
2/17/2023 11:37:08 2/17/2023 BPJS 160895 Lydia Simanjuntak 1471106510920023
2/17/2023 11:39:49 2/17/2023 BPJS 1203901 Marselina Oemanu 5301126303640001
2/17/2023 11:43:14 2/17/2023 BPJS 1246201 Hermina Helly 5371034702640001
2/17/2023 11:45:37 2/17/2023 BPJS 12357801 Syamsia Batji Manuain 5370306512540001
2/17/2023 11:55:57 2/17/2023 BPJS 1713941 Charmelita L. B. mawo 5309065409010001
2/17/2023 11:59:53 2/17/2023 BPJS 141251 Jean Jesika Malik 5371036706960001
2/17/2023 12:02:56 2/17/2023 BPJS 11233201 Sarah Petronela 5314034209790004
2/17/2023 12:04:57 2/17/2023 UMUM 160894 Naya K .S. Wastita -
2/17/2023 12:07:53 2/17/2023 BPJS 12485301 Christoforus H. S. Seran 5304120612020001
2/17/2023 12:10:35 2/17/2023 UMUM 1711729 Yoseph Yanjen Touor 5313050510590001
2/17/2023 12:15:43 2/17/2023 UMUM 12075801 Delber Seran -
2/17/2023 12:18:50 2/17/2023 BPJS 1310108 Oce Orance Nomleni 5371035810790003
2/17/2023 12:19:24 2/17/2023 BPJS 13033401 Sandi Nabuasa -
2/17/2023 12:20:54 2/17/2023 UMUM 1,713,944 Eti Susanti Yani 5320025108980002
2/17/2023 12:21:17 2/17/2023 BPJS 17089501 Astriani Bella 5317055502990001
2/17/2023 12:23:08 2/17/2023 BPJS 1713942 Yandri Suana 5301126401000001
2/17/2023 12:23:26 2/17/2023 BPJS 111100804 Gresela Lusi -
2/17/2023 12:26:07 2/17/2023 BPJS 121251 Medilina Kamlasi 5371035605930009
2/17/2023 12:26:21 2/17/2023 UMUM 1261201 Ferderika Ndun 5371035901500001
2/17/2023 12:34:33 2/17/2023 UMUM 1261201 Richard Mali -
2/17/2023 12:38:36 2/17/2023 BPJS 11147901 Carol Pugel -
2/17/2023 12:41:04 2/17/2023 BPJS 171738.01 Feolina Kase 5302014811760001
2/17/2023 12:48:12 2/17/2023 BPJS 17458101 Orance Benu 5302215504700001
JENIS TANGGAL ALAMAT ( Kelurahan, TEKANAN TINGGI BERAT LINGKAR
KELAMIN UMUR LAHIR RT/RW ) DARAH BADAN BADAN PERUT

P 56 18/11/66 Obar, 6/2 110/70 154 50 83


P 6 11/8/2016 - 115 17 50
L 43 21/07/79 Oesapa, 21/08 130/84 161 52 75
P 19 12/09/2003 Oesapa 101/75 141 39 74
P 50 09/09/72 Oesapa 121/85 148 43 81
P 17 10/03/05 Lasiana, lsn, 27/7 119/90 152 39 68
L 48 10/01/74 Lasiana, 16/05 129/85 162 63 93
P 23 16/05/99 Lasiana, 16/05 110/75 152 37 60
L 23 24/07/99 Liliba 128/79 161 65 69
L 13 1/9/2009 Oesapa, 15/6 - - 32 63
P 70 17/07/52 Oesapa 120/72 153 53 84
L 50 24/03/72 OESAPA, 2/1 130/90 174 66 94
L 46 2/4/76 Oesapa, 4/1 145/105 162 72 97
L 16 12/4/06 Lasiana, 16/04 - 157 39 67
P 24 30/12/98 Oesapa 105/76 149 47 76
L 53 26/06/69 Oesapa, 15/06 161/79 158 50 85
L 64 13/04/58 Oesoaa, 36/12 144/88 146 80 120
P 53 28/08/69 Oespa, 13/3 144/111 152 68 68
L 54 12/12/68 Lasiana 134/86 159 57 85
P 36 31/01/87 Oespa 141/96 168 67 92
L 56 31/08/66 Oesapa, 6/2 153/105 172 60 82
L 6 12/04/17 Oesapa, 14/3 - 105 15 -
P 16 25/05/06 Oesapa, 18/07 103/74 154 45 68
P 26 14/08/96 Lasiana, 27/07 113/84 143 47 80
P 72 19/01/50 Oesapa, 14/05 157/79 148 38 70
P 46 08/11/76 Kelapa Lima 155/77 156 68 96
P 50 15/04/72 Lasiana 131/85 152 61 90
L 13 24/3/2009 Lasiana, 33/9 - - 35 -
P 19 09/04/2003 Lasiana, 29/08 115/64 154 49 75
P 22 24/10/2000 oesapa 105/80 157 53 73
L 13 24/10/2009 oesapa - 144 40 75
P 20 15/11/2002 oesapa 105/79 156 46 72
P 46 04/08/1976 penfui 113/74 154 46 76
P 24 11/08/1998 penfui 110/78 157 49 80
P 43 18/10/1979 OBar, 7/3 111/77 161 51 93
P 21 28/02/2001 oesapa 119/72 155 55 78
P 23 20/04/2000 Penfui 104/85 148 53 74
L 21 27/08/2001 oesapa 130/73 145 45 -
P 23 02/04/1999 Kelapa Lima, 2/2 93/68 158 49 67
P 30 25/10/1992 MAtani 127/101 152 75 106
P 68 25/03/1954 oesapa 155/90 158 62 80
P 58 07/02/1964 oespa, 3/1 171/73 155 57 95
P 68 25/12/1954 Oespa, 32/11 147/75 153 52 91
P 21 14/09/2001 Oesapa 132/108 155 65 94
P 26 27/06/1996 OPAS 112/70 155 55 85
P 43 02/09/1979 lasiana 130/90 141 54 88
P 6 12/03/2017 Matani - 115 8 -
P 22 06/12/2022 Oesapa, 13/05 118/75 - - -
L 62 05/10/1959 oesapa 97/70 155 61 94
L 11 24/12/2011 Oesapa, 15/06 - 131 27 -
P 43 18/10/1979 Oesapa Barat,007/003 111/77 151 51 93
L 19 23/12/2003 OBAR, 3/1 114/86 160 51 78
P 24 11/08/1998 Penfui 110/78 157 49 80
P 22 15/08/1999 Oesapa 116/87 157 43 65
P 23 24/01/2000 Oesapa 105/60 157 53 73
P 17 17/09/2005 Lasiana, 5/8 - 148 44 72
P 29 15/05/1993 OBAR, 11/02 124/87 148 45 45
P 72 19/01/1950 Oesapa 014/005 157/79 148 38 70
L 6 28/03/2017 Oesapa,014/005 90/60 113 22.5 53
L 13 24/03/2009 Lasiana,033/009 90/60 152 35 62
P 46 08/11/1976 Kelapa Lima,005/002 155/75 156 68 96
P 50 15/04/1972 Lasiana 131/85 152 61 90
DIAGNOSA / KODE ICD 10 PENGOBATAN RUJUK

DM II - YA
Rieters atritis - Poli Anak RSCB
Post Hecting - TIDAK
Dispepsia - TIDAK
ISPA Ambroxol, ctm, pct TIDAK
Abses Dexa, amox, asmed TIDAK
Ht Clopidogrel, aspilet, lisinopril TIDAK
Otalgia - P. THT
Post extrasi kuku Rawat luka TIDAK
Ispa Amnroxol, Vit C TIDAK
Atalgia, DM II, hiperuserimia Pirox, B Com, Alupurinol, metformin TIDAK
Ht, HIDRONEFRIS, DM II Amlo, B com, Glimepirid, alupurinol TIDAK
Ht Amlodipin, B com TIDAK
Ispa Ctm, pct, vit c TIDAK
Sup. TB Priksa BTA, Ambroxol TIDAK
HT Amlodipin, B com TIDAK
HT, myalgia Amlodioin, pirox, antasida TIDAK
Ispa Ambroxol, ctm, pct, omz, b com TIDAK
Mitral regutgritation - P Jantung, Johannes
TFA Ambroxol, ctm, dexa, vit c TIDAK
Oa genu, HT Pirox, metil, amlo TIDAK
Febris Pct, bit C TIDAK
Dispepsia Omz, rani TIDAK
Febris Pct, vit c TIDAK
Ispa, ht Ambroxol, ctm, ht TIDAK
Ht, atalgia Amlodipin, asmef, B com TIDAK
Katarak - Kartini poli mata
DHF - Kartini
Ispa, Limfadenetis MP, Cipro, ambroxol, ctm TIDAK
Susp. Urikaria Rx Alergi CTM, Dexa, Hidrocortison YA
myalgia B com, Vit C TIDAK
febris, dispepsia PCT, OMZ, B COM, VIT C TIDAK
Sup. TB - YA
ptriasis Vesikolor CTM, Ketokonazole TIDAK
Post PO SC - Obgin, Leona
Oligomenorea - Obgin, S. K. Lerik
OMA - THT, S. K. Lerik
Post exrasi Kuku Rawat Luka, Asmef, Amox, vit c TIDAK
susp. Selulitis - TIDAK
Susp. Ganglion - P. Pd. S.K. Lerik
ISK, DM II Metformin, glimepirid, Antasida, Nadik TIDAK
Dermatitis Alergi, Conbutio gr. I, Mf sekunde oxy, Hidro, CTM, Vit C TIDAK
MCU Kontrol 3 Bulan TIDAK
L029 pct TIDAK
ISPA Ambroxol, ctm, dexa, Vit C TIDAK
MYALGIA Ibuprofen, dexa, B com TIDAK
Dermatitis Betametason, dexa TIDAK
dislocation Of Hip - Sp. OT, Siloam
Ca Prostat - Urologi, RSB
Ispa PCT, GG, DEXA, CTM TIDAK
Post Op Sc Rujukan YA
- Ampx, Dexa, Vit C TIDAK
Ptiriasis Versicolor Ctm,ketokonazole TIDAK
Febris PCT TIDAK
urtikaria,Dermatitis Alergi Ctm,dexa,Hydro sk TIDAK
Susp. Konjutifitis Vit C TIDAK
Stomatitis, Febris Vit C, PCT TIDAK
ISPA,HT Ambroxol,Ctm,Pct,Amlodipin TIDAK
ISPA PCT,CTM,Ambroxol,amox,Vit Bc TIDAK
Febris Rujukan YA
Gastritis Rujukan YA
Katarak Senilis Rujukan YA
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG
KUNJUNGAN KARTU
MEDIK
2/20/2023 7:41:34 2/20/2023 BPJS 15,309 Yeni penumoi
2/20/2023 7:43:56 2/20/2023 BPJS 11,770 Frans simu
2/20/2023 7:55:14 2/20/2023 UMUM 11,721 Melani baba
2/20/2023 7:57:09 2/20/2023 UMUM 12.5032 Abigail benu
2/20/2023 7:59:41 2/20/2023 BPJS 13,642 Antonia tefi
2/20/2023 8:02:29 2/20/2023 BPJS 12.3725 Jane rohi
2/20/2023 8:31:16 2/20/2023 BPJS 11,237 Alfredo Bureran
2/20/2023 8:33:54 2/20/2023 UMUM 12.4991 Sheli meisa ambarita
2/20/2023 8:34:51 2/20/2023 BPJS 11.1785 George A. Manoh
2/20/2023 8:36:59 2/20/2023 BPJS 12,084 Jelita kana.
2/20/2023 8:40:09 2/20/2023 UMUM 11,600 Mario ferda bili
2/20/2023 8:43:27 2/20/2023 BPJS 14,201 Orpa lutang lau
2/20/2023 8:45:36 2/20/2023 BPJS 1,713,947 Alberta ana naje
2/20/2023 8:48:05 2/20/2023 BPJS 170,986 Rudi berek
2/20/2023 8:50:57 2/20/2023 UMUM 1,710,996 Axel amatae
2/20/2023 8:58:59 2/20/2023 UMUM 1,713,950 Anjela tefa
2/20/2023 9:04:20 2/20/2023 BPJS 11,032 Yulince bgefate
2/20/2023 9:08:59 2/20/2023 BPJS 173,059 Emelia saming
2/20/2023 9:12:31 2/20/2023 UMUM 12,033 Amelia Kune
2/20/2023 9:16:36 2/20/2023 BPJS 12.2331 Zhifanya Fallo
2/20/2023 9:18:38 2/20/2023 BPJS 174,794 Sanni penu dima
2/20/2023 9:18:52 2/20/2023 BPJS 12.2331 Raisa Fallo
2/20/2023 9:20:50 2/20/2023 UMUM 1,712,499 Bernadina beribe
2/20/2023 9:21:37 2/20/2023 UMUM 12.2742 Ayulfa Lette
2/20/2023 9:22:39 2/20/2023 BPJS 175,675 Sesilia deran suban
2/20/2023 9:24:40 2/20/2023 BPJS 12.0398 Rian pandie
2/20/2023 9:30:52 2/20/2023 BPJS 12.1470 Ragen Taimenas
2/20/2023 9:33:08 2/20/2023 BPJS 11.1953 Ronaldy mbulu
2/20/2023 9:35:26 2/20/2023 UMUM 12.5033 Muliana.
2/20/2023 9:36:50 2/20/2023 UMUM 170,108 Leri Bates
2/20/2023 9:37:47 2/20/2023 BPJS 1,710,329 Nyoman dana
2/20/2023 9:39:59 2/20/2023 UMUM 12.5033 Alya ahmad
2/20/2023 9:41:49 2/20/2023 BPJS 1,713,952 Petrus berbie
2/20/2023 9:43:37 2/20/2023 BPJS 1,713,824 Nopri today
2/20/2023 9:45:25 2/20/2023 BPJS 13,202 Juliana baran
2/20/2023 9:47:09 2/20/2023 BPJS 11,044 Nadia adu.
2/20/2023 9:53:34 2/20/2023 BPJS 11,044 Adel adu.
2/20/2023 9:55:26 2/20/2023 BPJS 1,713,953 Frans jaok
2/20/2023 9:57:53 2/20/2023 BPJS 11.2722 Diana florida ufi
2/20/2023 10:00:49 2/20/2023 BPJS 12.1846 Mikhael musi
2/20/2023 10:35:08 2/20/2023 BPJS 1-8-1999 Agustina kaho udji
2/20/2023 10:39:21 2/20/2023 UMUM 12.1881 Anton seran
2/20/2023 10:42:18 2/20/2023 BPJS 12,555 Maria fatinama
2/20/2023 10:44:24 2/20/2023 UMUM 12.1724 Farhat afgani
2/20/2023 10:48:32 2/20/2023 BPJS 11,454 Paulus kawaleka
2/20/2023 10:51:18 2/20/2023 BPJS 12.2165 Aleks Rusae
2/20/2023 10:54:33 2/20/2023 BPJS 12.2165 Lenci Rusae
2/20/2023 10:58:17 2/20/2023 UMUM 1,713,341 Putri M. Baun
2/20/2023 10:58:40 2/20/2023 UMUM 12.0907 Marianus naibabu
2/20/2023 11:01:07 2/20/2023 BPJS 12.1183 Dessy rihilo
2/20/2023 11:02:11 2/20/2023 BPJS 1,310,071 Yohana Benu Nawa
2/20/2023 11:05:44 2/20/2023 BPJS 170,415 Halena ati
2/20/2023 11:08:08 2/20/2023 UMUM 1,713,955 Maria manek
2/20/2023 11:08:22 2/20/2023 BPJS 11.0410 Yoseph Adam Soera
2/20/2023 11:11:14 2/20/2023 BPJS 1,712,126 Meriana paji
2/20/2023 11:17:38 2/20/2023 BPJS 1,713,957 Nikolaus betan
2/20/2023 11:17:45 2/20/2023 UMUM 11.2723 Nhildya N. P. O. Amaral Sarmento
2/20/2023 11:21:44 2/20/2023 UMUM 11.2723 Luigi G. P. O. Amaral Sarmento
2/20/2023 11:23:13 2/20/2023 UMUM 11,182 Viktoria bria
2/20/2023 11:25:34 2/20/2023 BPJS 11.2724 Mariana letelay
2/20/2023 11:27:50 2/20/2023 UMUM 1,310,104 Sandri faot
2/20/2023 11:28:29 2/20/2023 BPJS 177,619 Kunia Taku Lowa
2/20/2023 11:29:52 2/20/2023 UMUM 130,294 Irna ninef
2/20/2023 11:31:02 2/20/2023 BPJS 12.4575 Paulina Ndoda
2/20/2023 11:32:48 2/20/2023 BPJS 11.1001. Lasarus kesel
2/20/2023 11:36:43 2/20/2023 UMUM 12.5035 Daud Samau
2/20/2023 11:37:59 2/20/2023 BPJS 150,147 Serfina ena
2/20/2023 11:41:11 2/20/2023 BPJS 130,296 Tabita Ndoki
2/20/2023 11:52:33 2/20/2023 BPJS 12.4562 Agustinus Talan
2/20/2023 11:56:25 2/20/2023 UMUM 11.1025 Rifandi tule
2/20/2023 11:58:51 2/20/2023 BPJS 1,713,960 Servina lin
2/20/2023 12:00:37 2/20/2023 UMUM 12.0486 Juan halla
2/20/2023 12:03:30 2/20/2023 UMUM 1,713,126 Maria dau
2/20/2023 12:06:19 2/20/2023 UMUM 1,713,956 Charles lutte
2/20/2023 12:08:26 2/20/2023 BPJS 11.0486 Iin pah
2/20/2023 12:10:47 2/20/2023 BPJS 175,983 Adolfina sae
2/20/2023 12:13:57 2/20/2023 UMUM 11.2215 Elizabeth belvania
2/20/2023 12:14:48 2/20/2023 UMUM 11039 Riski Salukh
2/20/2023 12:15:54 2/20/2023 UMUM 1,713,963 Yeni dwi hardianti
2/20/2023 12:18:20 2/20/2023 BPJS 160,667 Rizki wida
2/20/2023 12:19:46 2/20/2023 UMUM 12.3171 Juelke giri
2/20/2023 12:22:01 2/20/2023 BPJS 16,502 Milka apluggi
NOMOR INDUK JENIS TANGGAL ALAMAT ( Kelurahan, TEKANAN TINGGI BERAT
KEPENDUDUKAN (NIK) KELAMIN UMUR LAHIR RT/RW ) DARAH BADAN BADAN

- P 52 1-2-1965 Kelapa lima 131/75 146 52


53710310005560001 L 67 10-05-1956 Lasiana 142/81 160 50
5371036605990001 P 23 26-5-1999 Lasiana 114/83 149 35
- P 7 18-1-2016 Oesapa - 120 20
537103470890005 P 26 7-8-1996 Oesapa 94/66 157 59
53710364018510006 P 35 24-1-1985 Oesapa 113/82 143 53
537103120110001 L 13 12/01/2010 Lasiana, 20/05 - 134 24
5371045305890004 P 39 13-5-1983 Oesapa 107/74 155 58
5371030404450001 L 77 04/04/1945 Lasiana, 024/006 136/92 163 49
5371036906110001 P 11 29-7-2011 Oesapa - 147 48
- L 8 29-3-2014 Lasiana - 127 28
5371035010620001 P 60 10-10-1962 Oesapa selatan 114/83 158 59
9101014405030003 P 19 4-5-2003 Liliba 118/94 153 66
5171011404780007 L 44 14-4-1978 Oesapa 151/92 161 64
- L 10 30-8-2012 Oesapa - 132 24
- P 7. 19-2-2008 Lasiana - 112 17
- P 46 2-12-1976 Lasiana 99/67 150 64
5315027005990001 P 23 30-5-1999 Oesapa 132/82 155 63
- P 5 19/04/2017 Oesapa,034/011 - 124 14.7
5371036610170002 P 5.3 26/10/2017 Oesapa, 026/009 - 101 12.9
5371034906120001 P 11 9-6-2011 Oesapa - 135 35
- P 7 06/02/2016 Oesapa, 026/009 - 103.3 13.95
5306146005950002 P 27 20-5-1995 Lasiana 108/77 152 38
- P 7 18/01/2016 Oesapa, 010/004 - 106 14.3
- P 36 4-9-1986 Oesapa 124/88 154 54
53710314010120001 L 21 1-1-2002 Oesapa 121/69 162 46
- L 10 08/02/2013 Oesapa, 016/006 - 132.4 22
5371031609950003 L 27 19-9-1995 Lasiana 118/77 165 76
7310075001770001 P 46 10-1-1977 Oesapa 142/98 153 55
- L 6 18/02/2017 Oesapa, 004/001 - 109 16.04
5371031109580003 L 63 11-9-1958 Oesapa barat 138/87 159 61
7310076005020003 P 20 20-5-2002 Oespa 118/77 150 39
5306140107560007 L 66 1-7-1956 Oesapa 130/80 157 58
5314032411940001 L 28 24-11-1994 Lasiana 96/75 173 52
5371036106860002 P 36 21-6-1986 Oesapa barat 95/70 155 34
- P 13 1-11-2010 Lasiana - 148 35
5371034301650001 P 53 3-1-1965 Lasiana - 148 46
5315052401900003 L 33 24-1-1990 Matani 147/100 160 68
5371034902150001 P 8 9-2-2015 Lasiana - 120 18
5371032008560001 L 66 20-8-1956 Oesapa 171/103 159 60
5320064208990001 P 23 1-8-1999 Oesapa 101/69 143 33
5371031808620002 L 55. 18-8-1963 Oesapa 135/78 159 51
- P 17 21-6-2003 Oesapa 104/84 161 42
53710325111100001 L 11 25-11-2011 Oesapa - 138 35
5371033112500010 L 72 31-12-1950 Lasiana 133/74 163 63
5371030702580001 L 65 01/02/1958 Oesapa, 038/012 188/112 159 52
- P 57 01/08/1965 Oesapa, 038/012 124/68 149 43
5371014705160002 P 6.9 07/05/2016 Oesapa, 015/006 - 115 25
5371031605840011 L 39 16-5-1984 Oesapa 90/70 159 51
5301106201990006 P 24 22-1-1999 Oesapa 113/82 151 43
5371036404660003 P 56 24/04/1966 Oesapa barat, 004/002 123/73 150 48
5371034705910001 P 31 7-5-1991 Oesapa 111/84 151 55
5304074812010002 P 21 8-12-2001 Oesapa 100/79 157 55
5371032412560004 L 66 24/12/1956 Lasiana, 007/004 153/95 164 66
531210590510002 P 21 19-5-2001 Oesapa 125/71 153 41
5306031209990002 L 23 12-9-1999 Liliba 121/64 168 59
- P 16 04/02/2007 Lasiana, 005/002 81/54 159 43
- L 11 29/04/2011 Lasiana, 005/002 - 135 33
- P 11 2-3-2011 Oesapa - 141 41
8108074302970002 P 26 3-2-1997 Lasiana 110/70 156 40
5371034609900004 P 32 6-9-1990 Oesapa barat. 119/81 160 71
5311025106020001 L 20 11/06/2002 Oesapa,018/007 122/74 173 56
5371034111960001 P 26 1-11-1996 Oesapa barat 114/80 151 63
5371035205600004 P 62 12/05/1960 Oesapa, 016/006 140/82 156 62
5371032109370006 L 82 21-9-1937 Lasiana 137/66 155 51
- L 16 10/05/2006 Oesapa, 016/006 94/57 166 51
5371037006750001 P 47 30-6-1975 Oesapa 101/77 153 54
5371035512846010 P 38 15/12/1984 Oesapa Barat, 004/002 141/98 160 57
5371030404610001 L 61 04/04/1961 Oesapa,042/014 152/91 152 50
- L 29 12-4-1993 Lasiana 102/69 169 42
5304174505990001 P 23 5-5-1999 Lasiana 134/84 147 44
- L 16 22-3-2006 Oesapa 113/65 162 50
5306036110010002 P 21 21-10-2001 Liliba 119/67 152 50
5314021901910001 L 29 29-1-1991 Oesapa barat 111/72 162 73
- P 32 22-2-1990 Lasiana 115/79 148 60
5304125503940007 P 28 15-3-1994 Penfui 108/83 146 44
- L 7 10-10-2004 Lasiana - 127 26
- L 5.7 24/6/2017 Lasiana, 10/3 - 108 15.85
3515185706930010 P 24 17-6-1998 Oesapa 124/76 146 65
1671094809950005 P 27 24-7-1995 Penfui 104/68 146 60
- P 15 17-7-2007 Oesapa 113/77 155 40
- P 54 8-5-1965 Oesapa 114/69 153 71
LINGKAR DIAGNOSA / KODE ICD 10 PENGOBATAN RUJUK
PERUT

89 Ashma bronkial - YA
95 Ppok - YA
- Ispa. Gastritis Ambrox.antasid.ranit.dexa TIDAK
- Dyspepsia sindrome Antasida TIDAK
83 Dyspepsia sindrome Omeprazole.antasid TIDAK
91 Ispa Ambrox.ctm.pct.vit c TIDAK
65 Abses+ISPA Asmef,amox,genta Sk,ambroxol TIDAK
85 Gea Pct.loperamid TIDAK
71 CKD - YA
83 Ispa.gastritis Antasid.ambrox.dexa.pct TIDAK
65 Ispa Pct.ambrox.dexa TIDAK
100 Myalgia.gastritis Nadic.antasid.b com TIDAK
82 Obs febris Pct.vit c TIDAK
89 Mialgia - YA
57 Ispa. Ambrox.ctm.pct TIDAK
55 Ispa gastritis Ambrox.ispa TIDAK
98 Dka Dexa.vit c TIDAK
75 Ispa Pct.amox.ctm.ambrox TIDAK
- ISPA Pct, ambroxol, CTM, Dexa TIDAK
50 Febris Pct, vit.C TIDAK
77 Ispa Ambrox.ctm TIDAK
53 Febris Pct, Vit.C TIDAK
62 Konstipasi Durkolax.vit c. Asmef TIDAK
54 ISPA Gg, CTM, Vit.C TIDAK
77 Ispa Ambrox.ctm.pct. TIDAK
67 Scabies Pct.ctm TIDAK
54 Febris+Vomitus Pct, domperidone,antasid TIDAK
88 Frktur - YA
86 Dermatitis Betametason.ctm.amlo.b com TIDAK
52 Scabies Permetrin,CTM, Amox TIDAK
91 Tinea Ketokonazol.ctm TIDAK
62 Otalgia Pct.dexa TIDAK
80 Ca prostat - YA
70 Febris Ibuprofen.vit c TIDAK
64 Anemia Antasid.b com TIDAK
65 Isk Ctm.dexa.amox TIDAK
86 I10.l50.k30 Amlo.captopril.ctm.antasida TIDAK
97 Isk Sipro.asmef TIDAK
54 Tfa Pct.amox.ambrox.vit c TIDAK
89 Bph - YA
60 L50 Ctm.dexa TIDAK
79 Post heacting Aff heacting. B com TIDAK
65 Dyspepsia sindrome Omepeazole.antasid TIDAK
67 Obs febris.dyspepasia Pct.antasid TIDAK
90 Konjungtival bacterial Salep oxi.amox.vit c TIDAK
79 HT Amlo, Pct TIDAK
58 Dispepsia+Cephalgia SF, Bcom,asmef,ranitidine TIDAK
52 Febris Pct,vit.C,amox TIDAK
78 Lbp Nadic.b com TIDAK
67 Gerd - YA
85 Dispepsia Ranitidine,vit.Bcom,asmef TIDAK
94 IspA Ambrox.ctm TIDAK
70 Ispa Pct.ctm.ambroxol.vit c TIDAK
99 BPH - YA
66 Isk Cipro.asmef.b com TIDAK
79 Ispa Dexa.ambroxol TIDAK
72 ISPA Ambroxol,CTM,PCT TIDAK
66 Febris PCT TIDAK
- Dyspepsia sindrome Ambroxol TIDAK
75 H66 - YA
101 Ispaa Ctm.ambrox.pct TIDAK
70 Epilepsi - YA
99 Ispa Ambroxol.ctm TIDAK
91 Hiperurisemia Na Diclofenak,Allopurinol,Dexa,Omz TIDAK
78 Konjungtival bacteerial Amox.ctm.vit c TIDAK
75 Eksim OXy SM, Amox, cetrizine, dexa, Betametasone SK TIDAK
87 Ispa Ambroxol.ctm TIDAK
93 HT+BSK - YA
80 HT+Myalgia Ibuprofen,bcom,amlo TIDAK
66 Ispa.tb Ambroxol.pct.vit c TIDAK
71 Febris Pct.vit c TIDAK
76 Konjungtitis Ctm.pct TIDAK
98 Scabies Petmetin.ctm TIDAK
98 Myalgia Ibuprofen.vit c TIDAK
84 Tinea copos Ctm.keto TIDAK
74 Vulnus Aff heacting asmef.vit c TIDAK
60 Scabies Saleb.ctm TIDAK
- ISPA+Impetigo Ambrox, ctm, vit.c, genta zk TIDAK
88 Dyspepsia Nadic.b com TIDAK
88 Disease - YA
79 Ispa Ambroxol.ctm TIDAK
90 Oa - YA
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG NOMOR INDUK
KUNJUNGAN KARTU KEPENDUDUKAN (NIK)
MEDIK
2/21/2023 9:19:51 2/21/2023 BPJS 16031401 Samuel Hermanus 5371031712590001
2/21/2023 9:26:34 2/21/2023 BPJS 1107401 Martina Bili -
2/21/2023 9:29:22 2/21/2023 BPJS 12184301 Lodia Lenggu 531406707520003
2/21/2023 9:36:17 2/21/2023 BPJS - Ferdinan Tapatap 430212019570002
2/21/2023 9:39:49 6/27/2004 UMUM - Albert Johanes Nait 5371022706040005
2/21/2023 16:45:01 2/21/2023 BPJS 12140501 OKTOVIANUS SELAN 5371033110610004
2/21/2023 16:47:35 2/21/2023 BPJS - NAOMI FATU 53710341117500007
2/21/2023 16:49:49 2/21/2023 UMUM 171393401 FRENGKY TEFA 5302010402980002
2/21/2023 16:52:53 2/21/2023 BPJS - RICKY.H.DAKABESY 5314071904970002
2/21/2023 16:55:25 2/21/2023 BPJS - ANTONIA RISA SOARES 530205501990001
2/21/2023 16:57:50 2/21/2023 BPJS 111154 ADRIANUS SELAN 5302062506950002
2/21/2023 17:00:32 2/21/2023 BPJS 130577 ERNA TALLO 5371035511690001
2/21/2023 17:02:55 2/21/2023 BPJS - PIUS.PANI .PINO.KARISMA 5319032703980001
2/21/2023 17:04:56 2/21/2023 UMUM 123890 DIANA MARIA TANIU 53710336212900002
2/21/2023 17:07:20 2/21/2023 BPJS 032011 FADASARI 5371036802780005
2/21/2023 17:09:47 2/21/2023 BPJS 11785 MARWANA NINGSIH ALI 5371046209920004
2/21/2023 17:11:56 2/21/2023 UMUM - RISTA SUKI -
2/21/2023 17:14:47 2/21/2023 UMUM 112259 DESY.NATALIA LEOBRA 530206412920001
2/21/2023 17:17:19 2/21/2023 UMUM 17116401 MELI NINEF -
2/21/2023 17:19:41 2/21/2023 UMUM 12304701 SULUNG PUTRA BEN -
2/21/2023 17:22:07 2/21/2023 UMUM 12304701 RDDUS JEMSEN SOLI -
2/21/2023 17:24:23 2/21/2023 BPJS - MERSI KABNANI 5371036805930003
2/21/2023 17:26:10 2/21/2023 UMUM 112411 YUNDI BANTAIKA -
2/21/2023 17:28:24 2/21/2023 BPJS - FITRA HARDIMANSYAH -
2/21/2023 17:29:59 2/21/2023 BPJS 11143501 GARETH.F BALE -
2/21/2023 17:32:40 2/21/2023 UMUM - STEVANUS BULU 5371042904600003
2/21/2023 17:34:35 2/21/2023 BPJS - YORI SNAE 5302054101850001
2/21/2023 17:36:38 2/21/2023 BPJS - DRONISIUS J HUREK MAKING 5301112407810004
2/21/2023 17:38:45 2/21/2023 BPJS - MARIA YULIANA NAGO 5309025906970002
2/21/2023 17:42:12 2/21/2023 BPJS - ROSMINA SAPITO AROLA 537103470280007
2/21/2023 18:23:11 2/21/2023 BPJS 123119 AGNES SUWANS 5371036008040002
2/21/2023 18:24:57 2/21/2023 BPJS 1115601 KANDIDA RIKA FAHIK -
2/21/2023 18:32:34 2/21/2023 UMUM 120304 EXEL JHON SERAH 5371032602060005
2/21/2023 18:34:47 2/21/2023 BPJS 1713567 DAUD NUBATONIS 5302041611230001
2/21/2023 18:37:02 2/21/2023 BPJS 17 SILVIANI 5307074707000001
2/21/2023 18:39:05 2/21/2023 BPJS - NOVELIA A.K.KETTY -
2/21/2023 18:41:11 2/21/2023 UMUM = - 5371034106940008
2/21/2023 18:45:10 2/21/2023 BPJS 12111903 BRAM BIRE 537103290305001
2/21/2023 18:48:12 2/21/2023 BPJS - KRISTOPHORUS LETTAKAEB 5371032407710001
2/21/2023 18:53:07 2/21/2023 BPJS - JEFER ATTE -
2/21/2023 18:55:59 2/21/2023 BPJS - AGUSTINA LOASAMA 537103608760004
2/21/2023 19:00:59 2/21/2023 BPJS - LUCIANUS GABE 5371032610990003
2/21/2023 19:02:48 2/21/2023 BPJS - DOMITRIUS SANAK -
2/21/2023 19:05:26 2/21/2023 BPJS - LORENS HANAS 5371032407590003
2/21/2023 19:08:05 2/21/2023 BPJS - ISKANDAR -
ALAMAT
JENIS TANGGAL TEKANAN TINGGI BERAT LINGKAR
KELAMIN UMUR LAHIR ( Kelurahan, DARAH BADAN BADAN PERUT DIAGNOSA / KODE ICD 10
RT/RW )
L 66 17-12-1959 Oesapa Selatan 130/86 156 59 87 DM II
P 22 4-3-1996 Lasiana 1/1 104/72 160 55 90 F.32.2
P 68 17-7-1962 Oesapa 9/3 125/68 153 53 84 DKA
L 65 24/10/1962 Oesapa 120/70 155 56 97 Abses
L 18 27/06/2004 Tofa 120/80 171 86 102 Ispa
L 62 31-10-1961 OESAPA 143/86 163 51 74 ISPA
P 47 1/1/1976 LASIANA 28/07 120/81 154.7 80 96 MYALGIA DAN ISPA
L 25 4/2/1998 OESAPA 144/99 167.4 80 90 GERD
L 25 19/04/1997 LASIANA 31/8 108/74 178 53 73 SCABIES
P 19 3/3/2004 LASIANA 36/2 122/92 160 53 73 ISPA DAN DYSPEPSIA
L 27 25/06/1995 LASIANA 12/3 93/62 164 39.5 69 SERUMEN PRO AS
P 53 01/01/1969 OESAPA 19/7 132/88 153 51 82 DYSPEPSIA
L 24 27-03-1998 OESAPA 145/73 169 71.5 82 LIPOMA
P 32 22/12/1990 OESAPA 24/8 120/83 47 149 74 MRP TB
P 49 28-02-1978 OESAPA 032/011 159/95 156 63 90 DKA
P 30 22/09/1992 LASIANA 25/6 103/80 151.5 71 88 ISPA
P 6 11 JUNI 2017 OESAPA 7/3 90/60 150 50 70 FA VOMITUS
P 31 05/12/1991 LASIANA 120/80 153 50 70 ISK
L 23 9/6/1994 LASIANA 18/9 120/90 150 50 80 FURUNKEL CLAVUS
L 15 25/8/2007 OESAPA 120/80 160 45 80 SELULITIS
L 6 19/04/2016 OESAPA 120/70 160 45 89 OBSERVASI FEBRIS
P 29 28/05/1993 KELAPA LIMA 7/3 130/80 160 45 70 VE REG PEDIS
L 30 01/06/1993 OESAPA 120/80 150 56 80 -
L 38 15/9/1981 0ESAPA 24/8 124/95 170 58 89 VL
P 10 - LASIANA 26/07 90/60 130 34 60 FEBRIS
L 64 29/04/1960 LASIANA 160/90 160 56 80 OA DAN CHRINIC COUGH
P 38 1 JAN 1985 OESAPA BARAT 117/83 153 62 83 PELIATISIS
L 42 24 JULI 1981 OESAPA 144/88 164 68 90 ABDOMINAL PAIN
P 27 19 JUNI 1997 OESAPA 139/84 156.5 53 71 REAKSI ALERGI
P 34 07/02/1980 OESAPA 140/90 154 52 71 ABDOMINAL PAIN
P 19 01/08/2004 OESAPA 18/7 118/87 58.5 160 75 SCABIES
P 47 25/12/1978 LASIANA 09/03 128/90 152 73 97 DKA
L 17 26/02/2006 OESAPA 98/61 166 45 67 ISPA
L 18 16-12-2003 OESAPA 90/60 171 59 80 ISPA
P 22 7-9-2000 OESAPA BARAT 113/79 152 49 75 DISPEPSIA
P 11 10-NOV-2010 OESAPA 9/3 90/60 144 34 61 TFA
P 29 1 JUNI 1994 OESAPA 104/65 150 40 60 RINGITIS ALERGI
L 17 29-03-2005 OESAPA 90/60 158.5 56.5 79 FEBRIS DAN VOMITUS
L 48 24/07/1971 LASIANA 111/81 156 50 80 ISPA
L 3 17-02-2019 NOELBAKI 90/60 99.6 14.4 56 ISPA DAN OMA
P 44 - OESAPA 93/61 150 60 90 ISPA Dan FRAKTUR FEMUR
P 18 26/10/1999 OESAPA 118/84 172 82 92 ISPA
L 47 - LASIANA 12/03 165/89 150 50 90 TB PARU
P 55 24/07/1958 LASIANA 143/90 160 58 82 DM TIPE II
L 56 1/1/1960 OESAPA 157/107 150 50 80 PRESBIOPI
PENGOBATAN RUJUK

Rujuk kartini-SppD YA
Rujuk SPKJ NAIMATA YA
CTM.DEXA TIDAK
Asmef TIDAK
Pct,ctm, amox,vit c TIDAK
AMBROXOL,CTM,PACT TIDAK
ASAM MEFENAMAT,CTM,AMBROXOL,VIT C TIDAK
OMZ,DAN ANTASIDA TIDAK
GENTA SALEB,CETIRIZINE,DEXA,VIT C TIDAK
CTM,OMZ,PCT,DEXA,AMOX TIDAK
KONSULTASI TIDAK
RANITIDIN ,ANTASIDA TIDAK
RUJUK SK LERIK SPB YA
AMBROXOL,CTM TIDAK
CTM DAN DEXA TIDAK
PCT,AMBROX,CTM,VIT C TIDAK
PCT,CTM,AMOX,DONPERIDON TIDAK
CIPRO,ASMEF,VIT B COM TIDAK
EKSTRASI KUKU,ASMEF,AMOX, TIDAK
ASMEF,AMOX TIDAK
DONPERIDON,PCT,CTM TIDAK
AMOX,GENTAMISIN,ASAM MEFENAMAT TIDAK
KONSULTASI TIDAK
RAWAT LUKA DAN AMOX ,ASMEF TIDAK
PCT,DEXA,VIT C TIDAK
AMLODIPIN,CAPTROPIL,NADIC,AMBROXOL,VIT C TIDAK
MELIXIAM,DEXA,VIT B COM TIDAK
DYSPEPSIA,OMZ,ASMEF TIDAK
DEXAMETASONE TIDAK
NAIDIC,CTM,DEXA,VIT C TIDAK
CTM,SALEB TIDAK
CTM TIDAK
CTM,PCT,AMBROXOL,VIT C TIDAK
AMBROXOL,CTM,VIT C TIDAK
ANTASIDA,RANITIDIN TIDAK
PARACETAMOL,AMROXOL,DEXA,VIT C TIDAK
CTM,DEXA,AMOX,PCT ,VIT C TIDAK
PCT,DONPERIDON,ANTASIDA TIDAK
PCT,CTM,AMBROXOL TIDAK
AMBROXOL,PCT,CTM,DEXA,VIT B COM TIDAK
PCT,CTM, METRODINASOLE TIDAK
PCT,CTM,SALBUTAMOL, TIDAK
RUJUK SP PARU YA
RUJUK SP DALAM LEONA YA
RUJUK SP MATA YA
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG NOMOR INDUK
KUNJUNGAN KARTU KEPENDUDUKAN (NIK)
MEDIK
2/22/2023 8:06:50 2/22/2023 BPJS 140135 Bendelina riwu nawa 5371036610560001
2/22/2023 8:11:34 2/22/2023 BPJS 12673 Naemi merukh 5371035402620002
2/22/2023 8:14:39 2/22/2023 BPJS 122103 Sahira Rahma 537103710710001
2/22/2023 8:18:02 2/22/2023 BPJS 160898 Ahmad Syah 1471090812840001
2/22/2023 8:21:39 2/22/2023 BPJS 15009 Yohanes lily 5372031509730002
2/22/2023 8:26:22 2/22/2023 BPJS 121191 Melkianus Pandie 537103908740005
2/22/2023 8:31:11 2/22/2023 UMUM 1713964 Nur 810401407780128
2/22/2023 8:33:52 2/22/2023 BPJS 121831 Vivi boboy 5371035804090002
2/22/2023 8:37:35 2/22/2023 BPJS 123173 Yusyira wea 5371034106880006
2/22/2023 8:43:08 2/22/2023 BPJS 121273 Alvi dena gabs 5371935704980003
2/22/2023 8:46:58 2/22/2023 BPJS 179512 Desiana pabesi 5371036512930001
2/22/2023 8:51:24 2/22/2023 BPJS 13004 Riana manafe 5371036009970001
2/22/2023 8:55:51 2/22/2023 BPJS 130246 Yane fafo 537103470550003
2/22/2023 9:01:24 2/22/2023 BPJS 124595 Putri batmaro 5371036104010003
2/22/2023 9:05:30 2/22/2023 BPJS 110615 Argenete lusy 5371035305030005
2/22/2023 9:08:22 2/22/2023 BPJS 121807 Desniati mardi -
2/22/2023 9:12:35 2/22/2023 BPJS 11108 ROSALIA PAH 5371045205760005
2/22/2023 9:16:22 2/22/2023 BPJS 112272 Yulendri 531108516990001
2/22/2023 9:20:39 2/22/2023 BPJS 1713965 Yolanda katibi -
2/22/2023 9:24:43 2/22/2023 BPJS 112722 Diana ufi 531034902150001
2/22/2023 9:29:44 2/22/2023 BPJS 170348 Fansiska kowe 5316054604960001
2/22/2023 9:33:57 2/22/2023 BPJS 121193 Jefri kolelena -
2/22/2023 9:38:07 2/22/2023 BPJS 12319 Helofina lanata 5371035301720001
2/22/2023 9:46:20 2/22/2023 BPJS 130434 Constantina Lalai 5371036410680002
2/22/2023 9:50:52 2/22/2023 BPJS 1713970 Palrisia jebarus 5310125111010007
2/22/2023 9:54:44 2/22/2023 BPJS 12433 Ewaldo aji +
2/22/2023 9:59:41 2/22/2023 BPJS 130146 Herlovina henuk -
2/22/2023 10:04:34 2/22/2023 BPJS 170452 Selvina Rohi Kei 53703791080007
2/22/2023 10:08:26 2/22/2023 BPJS 111981 Naomi fatu 5371034111750007
2/22/2023 10:13:54 2/22/2023 BPJS 110410 Yosep soera 5371032412560004
2/22/2023 10:19:42 2/22/2023 BPJS 130201 Melkianus Henuk -
2/22/2023 10:25:39 2/22/2023 BPJS 130240 Lusiana suripati 5371035709740004
2/22/2023 10:33:24 2/22/2023 BPJS 150497 Edwar Ledoh -
2/22/2023 10:37:09 2/22/2023 BPJS 121635 Athar Sadam -
2/22/2023 10:41:17 2/22/2023 BPJS 172241 Apolonia lette -
2/22/2023 10:45:15 2/22/2023 UMUM 111547 Randi saefatu _
2/22/2023 10:48:59 2/22/2023 BPJS 13026 Wensenlaus naisali 13026
2/22/2023 10:51:12 2/22/2023 UMUM 150498 Samuel oepah -
2/22/2023 10:54:29 2/22/2023 BPJS 172672 Jonas modok 53710308800009
2/22/2023 10:57:39 2/22/2023 BPJS 1711088 Geovania da silva -
2/22/2023 11:01:40 2/22/2023 UMUM 110960 Diana selan 5301194701950001
2/22/2023 11:08:36 2/22/2023 BPJS 121670 Yunita nubatonis 5371036360960002
2/22/2023 11:12:00 2/22/2023 BPJS - Reza Ludji 5320064606010002
2/22/2023 11:15:32 2/22/2023 BPJS Serly Anin 5302125209020001
2/22/2023 11:18:28 2/22/2023 UMUM 1713971 Musa Selan 53022002200502980001
2/22/2023 11:21:04 2/22/2023 UMUM - Frengki gaung 5312110209020001
2/22/2023 11:23:29 2/22/2023 UMUM 125038 Gerald polly -
2/22/2023 11:26:38 2/22/2023 UMUM 1713163 Stefanus umbu deta 5318101606990001
2/22/2023 11:30:30 2/22/2023 UMUM 1713969 Debriana inna 53180369120200001
2/22/2023 11:33:28 2/22/2023 UMUM 160980 Lanina nubatonis 5302016206040001
2/22/2023 11:36:12 2/22/2023 BPJS 140211 Kresesensia soge 5371035807170002
2/22/2023 11:38:49 2/22/2023 BPJS 1712712 Jhilda tlonarn 5302106901020002
2/22/2023 11:41:34 2/22/2023 BPJS 12177 Ambu Tananhgau -
2/22/2023 11:44:05 2/22/2023 UMUM 15017 Rugaya ladang 5371036406660001
2/22/2023 11:47:32 2/22/2023 BPJS 121052 Rivan mau -
2/22/2023 11:52:20 2/22/2023 BPJS 12570 Regina dawang -5371034709910000
2/22/2023 11:55:58 2/22/2023 BPJS 130557 Emanuel faimau 53710310810980003
2/22/2023 12:00:52 2/22/2023 UMUM 120779 Nuwwarah 7322117012550008
2/22/2023 12:03:05 2/22/2023 UMUM 171915 Hasnih _
2/22/2023 12:05:58 2/22/2023 BPJS 125037 Sipora nesimnasi 5371044804820006
2/22/2023 12:08:36 2/22/2023 BPJS 12139 Kludia sine -
2/22/2023 12:12:53 2/22/2023 UMUM 110904 Alix Rumihin 53710441208620005
ALAMAT
JENIS TANGGAL ( Keluraha TEKANAN TINGGI BERAT LINGKAR
KELAMIN UMUR LAHIR DARAH BADAN BADAN PERUT DIAGNOSA / KODE ICD 10
n, RT/RW )
P 66 26/10/1956 Opas 186/74 143 39 75 Dm tp 2 + dysuria
P 61 14/2/ 1962 Osp 132/88 140 36 58 Abses mans L025 + A49
P 11 31/7/2011 Osp - 144.5 47 80 Adma Btonchial
L 38 9/12/1984 Oetalu 128/88 170.8 107 118 Oma
L 49 15/9/73 Klpa lima 143/93 159 54 79 Susp Tb paru
L 48 9/8/74 Osp 103/62 166.8 52 83 Hipertyroid
P 44 01/07/78 Osp 112/74 152.5 63 98 Dyspepsia syndrom
P 23 18/4/99 Osp 101/77 154.9 60 88 Susp bbv
P 34 1/7/88 Osp 124/68 150.5 49 81 Hordrlium
L 24 17/4/98 Osp 121/81 153 62 85 Tenia corporis
P 29 25/12/1993 Osp 106/80 149.6 58 91 J06.9
P 25 20/9/97 Obar 114/81 148 49 77 Susp hemoroid
P 57 7/6/65 Obar 113/73 157 36 81 Dyspepsia
P 21 21/4/2001 Osp 121/88 158 59 81 J06.9
P 19 13/5/2003 Kp 132/83 154 39 68 Isk dd BSK
P 17 31/12/2005 Osp _ 154 33 64 Isk
P 46 12/5/76 Osp 156/97 150 70 75 Gouth + HT
P 23 11/6/99 Lsn 108/70 154.5 52 81 Tonsilitis
P 18 1/3/2004 Osp 118/72 150 44 68 CephalgiaR51+ K30
P 8 9/2/2015 Lsn - 121 19 54 Obs febris + j06.9
P 26 6/4/96 Osp 209/74 163 59 90 Dermatitis + j06.9
L 15 1/72007 Osp - 150 40 60 J06.9
P 51 13/1/72 Obar 137/89 146 58 95 K30
P 53 24/10/68 KL 134/80 150 61 92 DM tipe 2 + HT
P 21 1/12/2001 Penfui 147/73 157 48 71 Konyuktifitis
L 8 1/10/2014 Osp - 130.7 26.5 59 J06.9
P 62 18/8/60 Obar 153/80 142 67 90 HT,73.9,J30.9
P 36 30/10/85 Osp 119/56 155.6 57 83 LBP
P 67 1/1/76 Lsn 120/81 154.7 80 96 M75.1 +j06.9
L 66 24/12/56 Lsn 127/78 164 66 99 BPH
L 17 30/3/2005 Obar 99/65 16038 40 60 Scabies
P 48 17/9/74 OBAR 94/66 157 40 63 Vulnus peptikum
L 17 16/7/2005 KL 115/80 170 72 96 Skabies
L 5 1/1/3/2018 Osp - 101 14 50 J06.9
P 8 2/6/2014 Osp - 129 20.1 53 J06.9
L 12 7/4/2011 Lsn - 130 21 _ J06.9+utrinitis
L 63 17/7/59 Obar 123/78 160 64 91 Tendinopathi
L 8 29/9/2014 KL - 117 15 52 J06.9
L 32 8/8/1980 Obar 120/83 162 57 85 Susp tb
P 31 29/9/91 Osp 104/85 153 52 85 Perigium
P 27 1/7/95 Lsn 111/64 152 42 71 111/64
P 25 23/6/96 Osp 108/71 152 42 67 Flour albur
P 21 6/6/2001 Osp 109/60 160 39 65 GEA + HIPOCALEMIA
P 20 12/9/2002 Osp 109/72 144 37 63 Susp tb
L 25 5/2/98 Osp 127/87 160.2 73 92 J96.9
L 22 2/9/2001 Lsn 123/76 166 53 74 J06.9
L 9 21/11/2013 Osp - 126 22 _ Dypepsia
L 23 16/3/99 Lsn 119/83 168 50 67 B20
P 20 29/12/2002 Osp 115/75 160 43 72 J06.9
P 19 22/6/2004 Liliba 1110/70 156 61 90 Jo6.9
P 5.6 10/7/2017 Opas - 106 14.5 52 Jo6.9
P 20 29/6/2003 Osp 118/88 155 43 63 Epilepsi
L 6 9/10/2016 Osp - 110 17 55 J06.9
P 56 24/6/1966 Osp 125/78 148 41 68 Brohitis
L 22 23/1/2001 Osp 128/86 165.6 53 76 F20
P 22 7/9/2001 Osp 130/84 153 41 69 Post op stt
L 24 18/20/98 Osp 132/88 153 51 82 Dispepsia
P 65 30/12/55 Liliba 159/97 150 62 104 Oma,
P 41 7/8/81 Osp 132/84 152 63 95 J06.9
P 40 8/4/82 Osp 106/69 149 60 96 Menoregia
P 9 20/5/2014 Osp - 123 24 _ J06.9
L 61 12/08/62 Lsn 124/74 163 63.5 92 3
PENGOBATAN RUJUK

- YA
-rawat luka TIDAK
Sslbut,dx,vit c TIDAK
Amox,dx,asmef,vit c TIDAK
Omz,cek dahak TIDAK
- YA
Omz,antas,rani TIDAK
- YA
Amox,methil,genta sm. TIDAK
Hidro sk,mico sk TIDAK
Pct,vit c,dx,ctm TIDAK
Susp hemoroid TIDAK
Rani,antas,pct TIDAK
Gg,dx,pct,antasida TIDAK
Cipro,ibu,omz,vit b com TIDAK
Cipro,pct TIDAK
Ambrol,dx,amlo,vit c TIDAK
Amox,dx,vitc,asmef TIDAK
Asmef,vit Bc,Omz TIDAK
Amox,vit c TIDAK
Cetricin,dx,ambrox TIDAK
Pct,ambrox,ctm TIDAK
Omz,antacida,donperi TIDAK
Amlo,metformin,bc TIDAK
Cendon tm TIDAK
Pct,ambtox,vit c TIDAK
Amlo,metformin,alopurinol,sinfastatiin,vi bc,cetericin TIDAK
Na Nadik,vit Bc TIDAK
Asmef,ctm,ambtox,vit c TIDAK
_ YA
Ctm,sk TIDAK
Amox,nethil,asmef,,vit c TIDAK
Kie,permetra TIDAK
Gg,ctm vit c TIDAK
Ambrox,ctm,dx,pct,amox TIDAK
Pct,donperi,ctm,ambrox TIDAK
- YA
Ambrox,vit c,ctm,pct TIDAK
- YA
- YA
Metronidasol TIDAK
Metro TIDAK
Pasang infus YA
Ctm,ambrox TIDAK
Ambrox,dx,vit c,asmef TIDAK
Pct,ambrox,dx,vit c TIDAK
Antacidas,OMZ, TIDAK
_ YA
Antacid,ctm,ambrox,pct TIDAK
Pct,fx,ambrox,ctm,vit c TIDAK
Ambrox,vit c,dx TIDAK
- YA
Pct,dx,vit c,ctm,ambrox TIDAK
- YA
- YA
- YA
Antas,rani TIDAK
Amox,ibu,methil omz. TIDAK
Ctm,ambrox TIDAK
- YA
Pct,ctm TIDAK
i63,i10,+N 49. YA
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG NOMOR INDUK
KUNJUNGAN KARTU KEPENDUDUKAN (NIK)
MEDIK
2/23/2023 8:03:00 2/23/2023 BPJS 12055982 Desinita Feoh Krull 5371035812750002
2/23/2023 8:04:44 2/23/2023 BPJS 1713959 Marianus Funan 5303082810780001
2/23/2023 8:04:54 2/23/2023 BPJS 123640 Risti Leka 5301046405030002
2/23/2023 8:08:51 2/23/2023 BPJS 11171001 Jublina Anin 5371035006820009
2/23/2023 8:12:50 2/23/2023 BPJS 130329 Alexander Ndolu 5371031202790004
2/23/2023 8:14:43 2/23/2023 BPJS 112525 Murwati Mbado 5371036511980004
2/23/2023 8:18:30 2/23/2023 UMUM 130903 Fano Bunga -
2/23/2023 8:23:47 2/23/2023 BPJS 110291 Yensi A Nalukh 5314024607820001
2/23/2023 8:36:09 2/23/2023 BPJS 1713976 Yane Laumai 5305085801020001
2/23/2023 8:39:03 2/23/2023 BPJS 121940 Welhelmina Wenyi 5371024303740002
2/23/2023 8:39:31 2/23/2023 UMUM 122104 Orpa Nggelan Lodo 5371034510740004
2/23/2023 8:42:26 2/23/2023 BPJS 12630 Erik Putra Dully 5371030206060002
2/23/2023 8:44:35 2/23/2023 UMUM 160818 Petrus Ariyanto Dhugu 5371042204010004
2/23/2023 8:51:51 2/23/2023 UMUM 175340 Irnawati Tauso 5302014907000001
2/23/2023 9:00:18 2/23/2023 BPJS 130727 Richard Kase 5302012204930002
2/23/2023 9:08:10 2/23/2023 BPJS 110870 Paulus Bria 5371031805610001
2/23/2023 9:14:06 2/23/2023 UMUM 1713975 Rahel Neolaka 5302195201040002
2/23/2023 9:16:26 2/23/2023 BPJS 110410 Yoseph Adam Soera 5371032412560004
2/23/2023 9:20:40 2/23/2023 UMUM 150499 Yohanes D B Demu 5308050910710001
2/23/2023 9:27:45 2/23/2023 UMUM 1711414 Miatris Sae -
2/23/2023 9:35:34 2/23/2023 BPJS 1713979 Wilibrodus Neonufa 5303081209050001
2/23/2023 9:36:33 2/23/2023 BPJS 11100801 Jenny Tadak 5371027001820002
2/23/2023 9:42:17 2/23/2023 BPJS 1713974 Rambu Ata Dauki 5317025011020001
2/23/2023 9:45:24 2/23/2023 BPJS 112409 Frida Suek 537103507720002
2/23/2023 10:02:19 2/23/2023 UMUM 1713981 Ramzi Ngause -
2/23/2023 10:06:41 2/23/2023 BPJS 122766 Adrian P Pandie 5371030304070001
2/23/2023 10:15:33 2/23/2023 BPJS 121464 Magdalena E Fanggi 5371035703530002
2/23/2023 10:24:51 2/23/2023 UMUM 1713846 Yefta T Selly 5314022701030001
2/23/2023 10:31:05 2/23/2023 BPJS 175759 Paul Manafe -
2/23/2023 10:35:40 2/23/2023 BPJS 175759 Bertha Manafe -
2/23/2023 10:41:36 2/23/2023 BPJS 12324 Masita R Dewi 5371036012700002
2/23/2023 10:47:01 2/23/2023 BPJS 1713647 Ismael Ndun 5314012707000003
2/23/2023 10:50:54 2/23/2023 UMUM 176005 Yuliana Tanesib 5371035307810001
2/23/2023 10:56:09 2/23/2023 BPJS 120788 Muh Y Kuta -
2/23/2023 11:00:34 2/23/2023 BPJS 12594 Delila Boling 5371035012740010
2/23/2023 11:05:37 2/23/2023 BPJS 122633 Andini Dethan -
2/23/2023 11:10:23 2/23/2023 BPJS 122633 Yakomina Dethan 5371034101730001
2/23/2023 11:13:59 2/23/2023 BPJS 160406 Marselina Kotten -
2/23/2023 11:18:39 2/23/2023 BPJS 110548 Yuliana Saek 53710342067420001
2/23/2023 11:24:42 2/23/2023 BPJS 121156 Dominggus Balla 5371031707540002
2/23/2023 11:28:02 2/23/2023 BPJS 110413 Maria Y A Mere -
2/23/2023 11:33:41 2/23/2023 UMUM 123245 Gabriela A Atawolo -
2/23/2023 11:37:50 2/23/2023 BPJS 1713978 Bantu R Ratu 5320025103000001
2/23/2023 11:41:43 2/23/2023 BPJS 121571 Lien T O D Hegi 5371037012820003
2/23/2023 11:46:58 2/23/2023 UMUM 125039 Bilha M Seliboli 5371035705820001
2/23/2023 11:49:49 2/23/2023 UMUM 1713980 Sandra D Seran 5301095212010002
2/23/2023 11:55:37 2/23/2023 BPJS 110603 Adelin Tally 537103465600003
2/23/2023 11:58:31 2/23/2023 BPJS 1713977 Beatrice A Beli 5305016004030003
2/23/2023 12:00:49 2/23/2023 UMUM 160901 Romina H Genda -
2/23/2023 12:04:17 2/23/2023 UMUM 111553 Josua Hangge 5371032809090002
2/23/2023 12:10:02 2/23/2023 BPJS 112432 Florida Olin 5371034609940002
2/23/2023 12:13:38 2/23/2023 UMUM 1713976 Djusan Asbsnu 5302100802000001
2/23/2023 12:20:12 2/23/2023 BPJS 122162 Lisdawati Loasana 5314035510660001
2/23/2023 12:30:07 2/23/2023 BPJS 111851 Febriani Dethan 5301275902950001
2/23/2023 12:34:44 2/23/2023 UMUM 140265 Diana Hukilena 5371034804920002
2/23/2023 12:36:55 2/23/2023 BPJS 112726 Endo Natonis 5302021810020001
2/23/2023 12:39:54 2/23/2023 BPJS 140168 Obet Methusalak Koroh 5371032610680002
JENIS UMUR TANGGAL LAHIR ALAMAT ( Kelurahan, TEKANAN TINGGI BERAT LINGKAR
KELAMIN RT/RW ) DARAH BADAN BADAN PERUT

P 47 18/12/1975 Oesapa, 04/01 - 164 52 72


P 44 29/10/1978 Lasiana 102/67 157 48 74
P 19 24/04/2003 Oesapa 108/68 166 53 78
P 40 10/6/1982 Lasiana, 032/009 106/74 158 50 74
L 44 12/2/1979 Osp Barat, 01/01 129/86 160 64 93
P 24 25/11/1998 Lasiana 16/04 100/81 148 43 72
L 5.8 10/6/2017 Osp Barat, 16/6 - 118 20 59
P 40 06/07/1982 Lasiana 103/74 146 41 75
P 21 18/1/2002 Osp 118/78 151 46 69
P 48 3/3/1974 Oesapa, 15/06 162/111 154 56 79
P 48 01/10/1974 Oesapa 06/02 133/87 150 70 82
L 16 2/6/2006 Oesapa, 13/5 130/90 165 43 78
L 21 22/4/2001 Liliba 117/82 172 74 85
P 22 09/06/2000 Oesapa 139/86 155 58 82
L 30 22/04/1993 Obar 19/07 120/78 163 72 96
L 61 18/5/1961 Lasiana, 19/4 149/81 169 74 102
P 19 12/01/2004 Lasiana 135/86 160 45 70
L 66 24/12/1956 Lasiana, 17/4 - 164 66 99
L 51 09/10/1971 Kelapa Lima 20/09 116/77 167 67 90
P 17 11/12/2005 Oesapa 113/68 157 43 79
L 18 12/09/2005 Penfui 112/78 164 48 73
P 40 30/1/1982 Lasiana, 27/7 - 155 53 81
P 20 10/11/2002 Kayu Putih 125/75 159 48 74
P 50 17/07/1972 Lasiana 139/101 176 31 64
L 20 27/07/2000 Oesapa 106/88 163 47 72
L 15 03/04/2004 Oesapa 10/04 90/67 161 39 61
P 69 17/03/1953 Oesapa 10/04 161/69 150 60 93
L 20 27/01/2003 Lasiana 127/72 164 51 73
L 57 10/10/1965 Oebufu - 165 58 70
P 61 - Oebufu - 156 55 79
P 52 20/12/1970 Oesapa 31/14 121/85 149 55 87
L 22 07/07/2000 Lasiana 131/78 153 73 91
P 41 31/071//1981 Oesapa 123/81 156 65 89
L 54 - Oesapa 24/09 129/73 165 58 85
P 48 10/12/1974 Oesapa 04/01 170/106 159 67 98
P 9 23/04/2013 Oesapa 01/01 - 133 23 62
P 50 01/01/1972 Oesapa 01/01 110/77 149 48 87
P 72 29/05/1950 Noelbaki 138/89 169 65 89
P 80 02/07/1942 Lasiana 30/08 - 149 39 74
L 58 17/07/1954 Oesapa 15/06 148/87 150 49 84
P 11 13/10/2011 Lasiana 33/09 - 142 32 57
P 15 29/04/2007 Oesapa 01/01 112/68 145 52 73
P 23 11/03/2000 Oesapa 98/65 155 46 68
P 40 30/12/1982 Oesapa 40/13 127/80 150 62 92
P 42 17/05/1982 Oesapa 121/72 152 68 101
P 21 12/12/2001 Oesapa 101/80 146 51 85
P 62 06/05/1960 Lasiana 4/2 - 153 62 88
P 19 20/04/2003 Lasiana 117/79 145 62 87
P 56 - Matani 129/96 151 63 99
L 13 28/09/2003 Lasiana 28/07 - 138 25 53
P 28 06/09/1994 Oesapa 104/85 149 58 87
L 23 11/01/2000 Lasiana 116/91 163 59 82
P 56 15/10/1966 Oesapa 15/06 118/86 162 71 97
P 27 19/2/1996 Oesapa 126/83 157 49 74
P 30 8/4/1992 Oesapa 112/80 162 72 95
L 20 18/10/2002 Lasiana,30/08 127/85 162 44 62
L 54 26/10/1968 Osp Selatan, 14/05 157/101 172 54 102
DIAGNOSA / KODE ICD 10 PENGOBATAN RUJUK

DM - YA
Batu ureter - YA
Vertigo Asmef,betahistin TIDAK
Dislipidemia + mialgia Asmef, simvas, bcom TIDAK
Migren Pct TIDAK
Susp.TB paru GG,pct,bc TIDAK
ISPA PCT, CTM, AMBROX TIDAK
Bronchitis Acute GG,dx,salbu,vc TIDAK
ISPA GG, ctm, pct, vit.c TIDAK
HT + otitis eksterna Amox, dexa, bcom TIDAK
ISK+dispepsia Omz,nadic,cipro,vc TIDAK
FA + Dispepsia Pct, dexa, omz, antas, vit.c TIDAK
ISPA PCT, ambrox, dexa, ctm, vit.c TIDAK
Ispa Vc,ambrox,pct TIDAK
Tonsilitis Dx,vc,pct TIDAK
HT+Dispepsia+ISPA Pct, gg, ctm, omz, candesartan TIDAK
RX alergi Ctm,dx,omz TIDAK
BPH - YA
Epilepsi Carbamazepin TIDAK
Konjungtivitis bacterial Pct,bc,chloramphenicol tts mata beli diluar TIDAK
Haemoroid - YA
B20 Acriplega, antasida, bcom TIDAK
Paronikia Amox, dexa, asmef, vit.k, oxy zk TIDAK
B20 - YA
Ispa+Dyspepsia Pct,ctm,anta,omz TIDAK
Scabies Ceti,dx,vc TIDAK
OA+HT Almo,pct,flamar gel TIDAK
Ispa Pct,GG,dx,ctm,vc TIDAK
DM - YA
DM - YA
Dyspepsia Pct,omz,anta,bc TIDAK
TFA+myalgia+Dyspepsia Asmef bc,anta,dx TIDAK
Obs.abdo pain Asmef,bc,anta TIDAK
Dislip+myalgia Asmef,simvas,salbu,bc TIDAK
Konsultasi - TIDAK
Ispa Ambrox,ctm,dx,Amox TIDAK
Ispa Ambrox,ctm,dx,ibuprof TIDAK
SNH - YA
NCL - YA
HT+Dyspepsia Amlo,bc,omz TIDAK
Dyspepsia+OF H2 Pct,anta,dx,ctm TIDAK
Hordeolum Asmef,bc,chloram tts mata beli diluar TIDAK
Tinea Mico zk,amox,ctm,vc TIDAK
OE Asmef,amox, TIDAK
ISK Cipro,vc,pct TIDAK
Dyspepsia Rani,anta TIDAK
HT Amlo TIDAK
Tinea Hidro zk,ketokonasole TIDAK
DM Metfor,anta TIDAK
OF H2+Obs vomitus Ibuprof,bc,vc,dompe TIDAK
DM+proteinuria+glukosuria - YA
Ispa Ambrox,ctm,dx,pct TIDAK
Ispa+ conjungtivitis Ambrox,ctm,dx,Genta ED TIDAK
Ispa + dyspepsia Pct, gg, ctm, omz TIDAK
Susp.sifilis Cek lab TIDAK
ISPA + TTH Ibuprof, amox, dexa, ctm, ambrox TIDAK
ISK + Febris + ISPA Pct, cipro, mp, ambrox TIDAK
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG NOMOR INDUK
KUNJUNGAN KARTU KEPENDUDUKAN (NIK)
MEDIK
2/24/2023 7:43:11 2/24/2023 BPJS 12.3199 Farida Maubala 53710344004740010
2/24/2023 7:48:06 2/24/2023 UMUM 173,281 Yunus K. Remi 5311032006900003
2/24/2023 7:50:40 2/24/2023 BPJS 1,713,983 Charles Daka Ate 5312112811950002
2/24/2023 7:54:31 2/24/2023 BPJS 12.3393 Hj. Intan Tempo 5371034212600002
2/24/2023 7:57:41 2/24/2023 BPJS 130,163 Farel Rifansyah Fahri 5371031611060001
2/24/2023 8:14:23 2/24/2023 BPJS 12.0098 Irmawati 5371035002800003
2/24/2023 8:17:19 2/24/2023 BPJS 12.2825 Samuel Lodo 5371033108600004
2/24/2023 8:22:02 2/24/2023 BPJS 1,713,947 Albertha Ana Ranamnese 9101014405030003
2/24/2023 8:26:19 2/24/2023 BPJS 12.2498 Agusto Da Costa -
2/24/2023 8:31:36 2/24/2023 BPJS 12.2419 Andri Anto Lodo 5371033004880005
2/24/2023 8:35:28 2/24/2023 UMUM 11.1094 Vino Nggiri -
2/24/2023 8:39:41 2/24/2023 BPJS 12.1444 Kuspeni B Arisariani 5371034602650005
2/24/2023 8:43:09 2/24/2023 BPJS 1,713,985 Yerikson L. Galu 5312122702100001
2/24/2023 8:47:43 2/24/2023 BPJS 12.0205 Jane Bola -
2/24/2023 8:51:06 2/24/2023 BPJS 11.0476 Sefnat Eliaser Sallu 5371031809670002
2/24/2023 8:54:39 2/8/2023 UMUM 140,265 Diana R. L. Hukilena 5371034804920002
2/24/2023 8:58:34 2/24/2023 BPJS 12.1568 Margaritha Nggonggoek -
2/24/2023 9:04:02 2/24/2023 BPJS 130,002 Horiana Henukh 5371035509750004
2/24/2023 9:09:53 2/24/2023 BPJS 130,681 Mariana Billy 537136006790007
2/24/2023 9:12:00 2/24/2023 UMUM 1,712,243 Aloysius Koneo -
2/24/2023 9:14:24 2/24/2023 UMUM 1,713,984 Maria Y. Maroman 5302p14910010001
2/24/2023 9:17:49 2/24/2023 UMUM 12.0415 Ade Tanaem 5371031404890010
2/24/2023 9:39:18 2/24/2023 BPJS 12.2426 Mori Nalle -
2/24/2023 9:43:00 2/24/2023 UMUM 12.3890 Diana Maria Taniu 5371036213900002
2/24/2023 9:49:10 2/24/2023 UMUM 1,711,738 Maria M. Min Nana 53040650005000001
2/24/2023 9:52:07 2/24/2023 UMUM - Tomi Kuana -
2/24/2023 9:58:10 2/24/2023 BPJS 11.0615 Yacomina Lomi Ga 5371036303680004
2/24/2023 10:01:50 2/24/2023 BPJS 133,612 Klara Luruk 5371034404540001
2/24/2023 10:05:06 2/24/2023 BPJS 12.2514 Markus M.Kondo 5318074105840001
2/24/2023 10:10:32 2/24/2023 UMUM 1,713,986 Elsi Novia Lenamah 5302016510020002
2/24/2023 10:12:29 2/24/2023 UMUM 12.1841 Irfan Aldrik Kana 5371031512950005
2/24/2023 10:13:59 2/24/2023 UMUM 1,713,993 Yohanis D. Kaauni -
2/24/2023 10:17:11 2/24/2023 UMUM 1,713,991 Jhofen Faisal Lay -
2/24/2023 10:20:50 2/24/2023 BPJS 1,713,003 Disa Clarita Magho Naga 5304224602010001
2/24/2023 10:22:55 2/24/2023 BPJS 1,713,360 Nanto Nuga Wara 5317040205030001
2/24/2023 10:25:05 2/24/2023 BPJS 1,713,989 Atri Yanti Enga Likka 531703501000005
2/24/2023 10:26:55 2/24/2023 UMUM 1,713,990 Rasya Putra Bani 1713990
2/24/2023 10:29:08 2/24/2023 UMUM 1,713,988 Huanda Gregorius N. Bere 5304122707950001
2/24/2023 10:31:47 2/24/2023 BPJS 179,077 Felix Benes 5301122602920002
2/24/2023 10:35:29 2/24/2023 BPJS 11.0631 Jhon Umbu Data 5371032412600001
2/24/2023 10:37:50 2/24/2023 BPJS 12.0309 Aminah Djahilape 5371035408590001
JENIS TANGGAL ALAMAT ( Kelurahan, RT/RW ) TEKANAN TINGGI BERAT LINGKAR
KELAMIN UMUR LAHIR DARAH BADAN BADAN PERUT

P 48 04/04/1974 Oesapa RT 29 RW 10 107/81 145.5 48 78


L 32 20-06-1990 Lasiana RT 014 RW 003 110/70 165 - -
L 26 20-11-1996 Oesapa 154/103 165 79 96
P 62 02-12-1960 Oesapa RT 22 RW 08 134/76 152 71 98
L 16 16-11-2006 Oesapa Barat RT 06 RW 02 113/68 179 61 79
P 43 10-02-1980 Oesapa RT 24 RW 09 112/70 150 55 72
L 62 31-08-1960 Oesapa RT 06 RW 02 133/91 172 60 82
P 19 04-05-2003 Liliba 118/94 153 66 82
L 67 04-08-1955 Oesapa RT 22 RW 08 131/77 167 53 78
L 33 30-04-1988 Oesapa RT 07 RW 02 - 159 49 72
P 7 12-10-2015 Lasiana RT 21 RW 05 - 115.8 18 49
P 58 06-02-1965 Oesapa RT 09 RW 03 136/83 151 87 115
L 22 01-07-2000 Lasiana 131/72 167 65 -
P 47 01-01-1976 Oesapa RT 15 RW 06 125/53 149 35 65
P 55 18-09-1967 Lasiana RT 31 RW 08 170/92 171 71 102
P 30 08-04-1992 Oesapa Selatan RT 11 RW 04 109/91 162 72 95
P 64 04-06-1961 Oesapa RT 01 RW 01 167/137 137 58 111
P 47 19-09-1975 Oesapa RT 08 RW 03 169/105 159 62 89
P 43 20-06-1979 Oesapa Barat 128/87 157 63 88
L 5 02-07-2017 Lasiana RT 01 RW 01 - 102.6 13.8 -
P 21 09-10-2001 Lasiana 121/82 146 64 96
L 33 14-04-1989 Oesapa RT 13 RW 05 108/78 157 57 82
P 39 03-10-1983 Oesapa RT 01 RW 01 108/82 152 85 111
P 32 22-12-1990 Oesapa RT 22 RW 08 120/83 149 47 74
P 22 10-05-2000 Kelapa Lima - 150 39 -
L 18 14-04-2004 Lasiana 110/75 162 43 64
P 54 23-03-1968 Lasiana RT 24 RW 06 129/81 150 59 87
P 68 04-04-1954 Oesapa RT 26 RW 09 135/92 142 48 88
P 37 01-05-1985 Oesapa RT 34 RW 14 107/68 157 52 72
P 19 25-10-2002` Lasiana 148/118 154.5 42 70
L 27 15-12-1995 Oesapa 120/72 160 58 82
L 17 25-12-2005 Lasiana 95/55 165 55 70
L 16 31-01-2007 Lasiana 101/75 154.7 42 70
P 21 06-02-2001 Liliba 114/73 156 62 84
P 19 28-05-2003 Oesapa 121/82 169 54 68
P 22 10-10-2000 Oesapa 144/83 157.5 57 85
L 15 12-05-2007 Lasiana 121/62 171 44 74
L 27 17-07-1995 Lasiana 126/78 162.5 61 78
L 30 26-02-1992 Lasiana RT 27 RW 07 105/61 160 55 84
L 62 24-12-1960 Lasiana RT 12 RW 03 120/71 166 73 95
P 63 14-08-1959 Oesapa RT 51 RW 16 134/86 148 70 98
DIAGNOSA / KODE ICD 10 PENGOBATAN RUJUK

Arthalgia Na Dic. TIDAK


ISPA (J06.9) PCT. CTM. AMBROX. VIT C TIDAK
ISPA (J06.9) Ambrox. CTM. Vit C TIDAK
Hipertensi, CAD , Geriatric Problem - YA
ISPA, Parotitis PCT, GG, Dexa, Amox , Vit C TIDAK
DM Metformin. Vit BC TIDAK
OA Piroxicam. Vit BC TIDAK
Obs Febris PCT. Vit C TIDAK
Susp BPH. TBC - YA
Hipertiroid - YA
Ovs. Febris , Obs. Vomitus PCT , AMBROX, CTM , Domperidone, TIDAK
- - TIDAK
Susp Myopati, Tetraplarese, Petroplegi - YA
Gangguan Refraksi - YA
HT, DM Metformin, Amlodipine TIDAK
Sifilis Doksisiklin TIDAK
HT, Dispepsia, Gout, ISPA Ambrox, Antasida, Allopurinol, Amlodipine, Vit BC TIDAK
HT, DKA Amlodipine, Captopril, CTM, Vit BC TIDAK
Obs. Chest Pain Asmef TIDAK
Impertigo Amox, Genta, CTM TIDAK
Otitis Eksterna, Dispepsia MP. Antas. Amox. TIDAK
Hemoroid, Anemia Antihemoroid, Asmef, Dexa, SF TIDAK
Dispepsia Omz, Antas TIDAK
Hemoptoe Ambrox. Vit C TIDAK
ISPA Amox, Dexa, Vit C. PCT TIDAK
Cefalgia, Dispepsia Ibuprofen, Omz, Vit BC TIDAK
CAD, Geriatric Problem, Fatty Liver - RS Leona-Poli Intrerna
HT, Cough, Vertigo Ambrox, Betahistin, Amlodipinf, Vit BC TIDAK
Dermatitis Alergi CTM. Vit BC. TIDAK
DKA CTM, DExa TIDAK
ISPA, Dispepsia PCT, Ambrox, CTM, OMZ, Vit BC TIDAK
OMA Asmef, DExa TIDAK
Konjungtivitis, DKI Cendoxitrol, CTM TIDAK
Susp Candidiasis Vaginalis Keto salf, Keto 200 mg, CTM TIDAK
Dermatitis MP, Asmef, Cipro TIDAK
Myalgia, Dispepsia Asmef, Vit BC, Antas TIDAK
Conjungtivitis Genta TM, CTM, Dexa TIDAK
Post Infeksi, Dispepsia, Febris Amox, PCT, OMZ, Vit BC, Vit C TIDAK
Susp ISK, BSK, Dispepsia Asmef, Antas, Vit BC TIDAK
DM, Neuropati DM Metformin, Genta SK TIDAK
OMA, TFA Dexa, Asmef TIDAK
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG NOMOR INDUK
KUNJUNGAN KARTU KEPENDUDUKAN (NIK)
MEDIK
2/25/2023 7:37:38 2/25/2023 BPJS 17106301 Veronika M. Depe Nurak 5316014205960003
2/25/2023 7:46:38 2/25/2023 BPJS 1500901 Johanes Lili 5371031509730002
2/25/2023 7:50:26 2/25/2023 BPJS 11043301 Emanuel Klau Seran 5371031203710008
2/25/2023 7:52:04 2/25/2023 UMUM - Victoria agnes 3172035909010001
2/25/2023 8:02:12 2/25/2023 UMUM 1201910 Wady Nenotek -
2/25/2023 8:13:42 2/25/2023 BPJS 1106801 Nilson Feby Ndolu 5371031502740004
2/25/2023 8:22:07 2/25/2023 BPJS 12168501 Soleman Mauti 5371031707720002
2/25/2023 8:29:54 2/25/2023 BPJS 16000302 Cornelia kana riwu 5320035507580001
2/25/2023 8:32:04 2/25/2023 BPJS 1712977 Mega Lilianti Oematan 5371036304990001
2/25/2023 8:41:31 2/25/2023 UMUM 112729 Susanti Beatrix Baba 5314015005960001
2/25/2023 8:43:46 2/25/2023 BPJS 1249501 Frans Sinlaeloe 5371031710630002
2/25/2023 8:47:59 2/25/2023 UMUM 179789.01 Yunita Talaen -
2/25/2023 8:50:38 2/25/2023 BPJS 1207301 Ermalinda Taninas -
2/25/2023 8:51:59 2/25/2023 UMUM 112729 Aprianti M. Baba -Mbura 5371035804780003
2/25/2023 8:59:18 2/25/2023 UMUM 125041 Melchi Absalom Bora'a 5371032603670001
2/25/2023 9:03:25 2/25/2023 BPJS 12008501 Deby Fangidae 5371036712870007
2/25/2023 9:05:53 2/25/2023 BPJS 12025307 Rivan Merukh -
2/25/2023 9:11:54 2/25/2023 BPJS 1713995 Virginia Lalak 5304066609020001
2/25/2023 9:20:15 2/25/2023 UMUM 1713996 Marcelina Rambu Ewu 5317024603970003
2/25/2023 9:20:35 2/25/2023 UMUM 171164 Melli Magdalena Manafe 5371034906940005
2/25/2023 9:23:46 2/25/2023 BPJS 12445 Gladys Tanggu 5471034408090003
2/25/2023 9:26:18 2/25/2023 BPJS 1712501 Dewi Lae 5301176612960001
2/25/2023 9:28:02 2/25/2023 BPJS 1718802 Meluwati Daeng 5371034706820001
2/25/2023 9:28:26 2/25/2023 BPJS 12476 Samuel Folla 5371031208690004
2/25/2023 9:29:53 2/25/2023 UMUM - Agnes Sua -
2/25/2023 9:30:21 2/25/2023 UMUM 1216301 Yohana A. Tobo 5371036004750004
2/25/2023 9:32:59 2/25/2023 BPJS 110104 Yuliana Mego 5310036109040001
2/25/2023 9:36:39 2/25/2023 BPJS 17606191 Erna Dwiyanti 5371036810760001
2/25/2023 9:39:10 2/24/2023 UMUM 175074 Ermynoldis Senlau 5305010903940001
2/25/2023 9:40:33 2/25/2023 BPJS 12120206 Kenard Manafe -
2/25/2023 9:41:13 2/24/2023 BPJS 175104 Fitrah Hardimansyah Maspeke -
2/25/2023 9:43:23 2/25/2023 BPJS 2500152 Febi R. Fanggi 5371036802780003
2/25/2023 9:43:56 2/25/2023 BPJS 12503 Raphael Harianja -
2/25/2023 9:46:14 2/25/2023 BPJS 121170 Dorkas Tamelab Mone -
2/25/2023 9:49:08 2/25/2023 UMUM 121170 Kelen Tamelab -
2/25/2023 9:51:37 2/25/2023 UMUM 1713998 Yustina E Nubatonis 5371044107600009
2/25/2023 9:52:34 2/25/2023 UMUM 1713235 Koes Tony 5301082710630001
2/25/2023 10:00:16 2/25/2023 UMUM 12706 Jean Manu -
2/25/2023 10:00:30 2/25/2023 BPJS 1711044 Ani Ahira Neonufa 5302010708990002
2/25/2023 10:06:19 2/25/2023 UMUM 120138 Skolastika Masakamama 53101345039900002
2/25/2023 10:08:35 2/25/2023 BPJS 1714000 Egla E Putri Kami 5317034601040001
2/25/2023 10:11:12 2/25/2023 BPJS 112730 Marya A F Tobe 5301216304080001
2/25/2023 10:19:35 2/25/2023 UMUM 1714001 MarselaTravena 6473024503040001
2/25/2023 10:23:54 2/25/2023 BPJS 177752 Rebeca Ully 5371036108870001
2/25/2023 10:26:02 2/25/2023 BPJS 177752 Sagif Da Silva -
2/25/2023 10:28:52 2/25/2023 BPJS 1714002 Mansur 9271050101660003
2/25/2023 10:30:56 2/25/2023 BPJS 1714003 Damaris Kobo 5314024507760001
2/25/2023 10:36:15 2/25/2023 BPJS 124575 Paulina Ndoda 537103520560004
2/25/2023 10:43:49 2/25/2023 UMUM 12252 Yulianti Nabunome -
2/25/2023 10:52:09 2/25/2023 UMUM 12252 Dion Nabunome -
2/25/2023 10:55:32 2/25/2023 UMUM 12252 Regina Taniu 5302107009620001
2/25/2023 10:57:31 2/25/2023 UMUM 12252 Dita Nabunome -
2/25/2023 10:59:57 2/25/2023 BPJS 11043901 Angel Sadria Adu 5371035201000001
2/25/2023 11:06:32 2/25/2023 BPJS 17213401 Sarce Kabunggul 5371036707980004
2/25/2023 12:18:37 2/25/2023 BPJS 1,714,004 Rivaldo Rinto Kidesing 5305021106030002
2/25/2023 12:21:54 2/25/2023 BPJS 150,018 Galang Hida -
2/25/2023 12:24:28 2/25/2023 BPJS 150,018 Adrian Hida -
2/25/2023 12:27:07 2/25/2023 BPJS 176,414 Welmince Lenggu 5371035104970001
JENIS TANGGAL ALAMAT ( Kelurahan, TEKANAN TINGGI BERAT LINGKAR
KELAMIN UMUR LAHIR RT/RW ) DARAH BADAN BADAN PERUT

P 26 02/05/1996 Oesapa 016/006 108/84 145 56 86


L 49 15/09/1973 Kelapa Lima 012/005 169/109 159 54 79
L 54 12)03/1971 Lasiana 019/004 139/87 164.6 70.5 95
P 21 19-9-2001 Lasiana 118/80 163 63 80
L 14 7/8/2004 Oesapa, 16/06 94/72 142 33 60
L 48 15/02/1974 Lasiana 007/002 141/85 173 80 99
L 50 17/07/1972 Oesapa 015/006 101/78 152 58 88
L 64 15-07-1958 Penfui Timur 147/75 148 53 90
P 23 23/04/1999 Oesapa,015/006 120/79 145 31 63
P 26 10/05/96 Lasiana 124/97 149 56 90
L 50 27/10/1963 Oesapa,007/002 128/71 150 65 87
P 27 28/07/1994 Oesapa 118/77 145 66 101
P 44 30/09/78 Oesapa,012/005 114/79 152 50 87
P 45 18/04/ Lasiana 112/72 155 64 94
P 56 26/03/67 Oesapa, 21/08 142/89 161 72 98
P 35 1/12/87 Oesapa, 21/08 128/98 160 53 72
L 15 2/2/2008 Oesapa, 17/06 - 136 22 57
P 20 26/09/2002 Penfui 121/92 157.4 42 66
P 26 6/3/96 Oesapa, 4/3 124/84 150 41 68
P 28 09/06/1994 Lasiana,018/004 91/60 150 46 77
P 13 04/08/2009 Oesapa,017/006 90/60 154 35 55
P 25 26/03/1997 Oesapa 135/95 151 43 65
P 40 7/6/82 Kelapa Lima, 1/1 134/83 141 60 95
L 53 12/08/1969 Oesapa,,007/002 132/72 175 83 106
P 23 01/04/1999 Oesapa 110/76 155 47 78
P 43 20/04/79 Oesapa 111/79 157 63 87
P 18 12/07/2004 Lasiana,019/004 121/78 151 59 88
P 46 28/10/43 Oesapa, 13/05 192/100 148 60 95
L 28 09/03/1994 Oesapa,015/006 110/70 154 52 74
L 6 9/10/16 Oespa, 15/6 - 114 19 55
L 42 15/09/1981 Oesapa 120/80 167 53 76
P 44 28/02/78 Kelapa lima 156/100 158 67 98
L 14 25/04/2008 Oesapa,001/001 90/60 157 38 63
P 49 01/12/1973 Oesapa,022/008 127/82 145 68 94
L 7 23/02/2016 Oesapa 90/60 120.4 30 75
P 62 01/07/1960 Oebobo 152/110 146.9 63 98
L 59 27/10/63 Lasiana, 24/06 138/79 153 55 84
P 7 10/02/2016 Oesapa,017/006 90/60 119 22 57
P 23 7/8/99 Oespa 115/74 149 43 75
P 23 05/03/1999 Oesapa,018/007 128/90 146 68 81
P 19 06/01/2004 Oesapa 120/80 157 36 62
P 14 23/04/2008 Lasiana 90/60 157.6 44 69
P 18 05/03/2004 Oesapa 86/60 154.4 39.5 70
P 35 21/08/1987 Kelapa Lima 012/005 104/74 147 36 61
L 8 15/02/2014 Kelapa Lima,012/005 90/60 120.8 18.5 53.5
L 57 01/01/1966 Osiloa 154/87 160.4 60 91
P 46 05/07/1976 Oesapa 124/86 152.5 56 92
P 63 12/05/1960 Oesapa,016/006 144/86 156 63 91
P 13 12/06/2009 Oesapa - 143 35 67
L 5 20/05/17 Oesapa, 08/03 - 98 12.5 47
L 52 28/02/70 Oesapa 126/74 140 45 88
P 10 7/5/12 Oesapa - 134 31 70
P 22 12/04/2000 Lasiana, 06/06 127/92 156 39 69
P 24 27/07/98 Oesapa 106/75 154 49 64
L 19 11-06-2003 Oesapa 104/78 164 47 71
L 8 25-05-2014 Kelapa Lima, 010/005 - 125 20 55
L 18 18-11-2004 Kelapa Lima, 010/005 107/73 165 44 65
P 25 11-04-1997 Oesapa, 023/008 100/65 152 55 80
DIAGNOSA / KODE ICD 10 PENGOBATAN RUJUK

ISPA Amox,ambroxol,CTM,Dexa,vit C TIDAK


Bronkhitis Akut Metpred,vit Bc,Na diclo TIDAK
ISPA Ambroxol,Ctm,Pct,vit C TIDAK
Obs febris Pct TIDAK
Ispa, dispepsia Pct, ctm, omz, b com TIDAK
Pterigium Rujukan YA
PPOK Rujukan YA
OA, HT gr. 1 Amlodipin, Nadik, B Com TIDAK
Post op ORIf Rujukan YA
TFA Pct, Amox, Dexa, abroxol, ctm, Vit C TIDAK
Chest Pain Rujukan YA
GEA Omz,loperamide TIDAK
Dyspepsia Omz,Pct TIDAK
Laringitis Ambroxol, B com TIDAK
Chest Paint, dispepsia Omeprazole, amlodipin, B Com TIDAK
Ispa, dispepsia Ambroxol, ctm, Omeprazoel, B Com TIDAK
Scabies Ctm, amox, Genta salp TIDAK
Dyspepsia Om,antas, Domperidon TIDAK
Ispa Amox, PCT, Dexa, Ambroxol, ctm TIDAK
Post Ekstraksi kuku Asmef,amox,Dexa,wt TIDAK
ISPA Ambroxol,ctm TIDAK
OMSK Asmef,amox,Dexa,vit C TIDAK
Neuropati Perifer Ibuprofen, B Com TIDAK
DM,HT Rujukan YA
Vulnus Wt,asmef,amox,dexa TIDAK
Mialgia Asmef, B com TIDAK
Viral infection(B34.9) PCT,vit C TIDAK
Ht gr. II Captopril, amlo, B com TIDAK
Eritima Amox,bacitracin,vit C TIDAK
Impertigo Pct, amox, genta salp TIDAK
VL Regio Wt,Genta Sk TIDAK
Ispa Ambroxol, ctm, pct TIDAK
Chalazion Rujukan YA
Dyspepsia,anemia Omz,antas,domde,SF TIDAK
ISPA Pct,GG,dompe,vit C,pct TIDAK
HT, ISPA Amlo,GG,ctm,pct TIDAK
S. Hnp cervical Asmef, dexa, b com TIDAK
Impetigo, ISPA Wt,GG,Ctm,Genta sk TIDAK
Scabies Ctm, dexa, pct, Vit C TIDAK
ISPA Ambroxol,Ctm,pct TIDAK
Cephalgia Pct TIDAK
Dysleksia Rujukan YA
ISPA Pct,GG,ctm,Dexa,vit C TIDAK
Morbes Hansen Rujukan YA
Morbus Hansen Rujukan YA
Chest Pain Rujukan YA
SNT Rujukan YA
Atralgia,hyperuricemia Na diclo,Dexa, allopurinol TIDAK
ISPA Pct, dexa, gg, ctm, ambroxol, Vit C TIDAK
Ispa Pct, gg, CTM, Vit C TIDAK
Ispa Amox, ambroxol, dexa, pct, B com, ctm TIDAK
Ispa Pct, dexa, ctm, gg, Vot C TIDAK
Febris Pct, Vit C TIDAK
Ispa Pct, ambroxol, ctm, vit C TIDAK
Sifilis Sekunder - YA
ISPA+Scabies Ambroxol, CTM, Salep 24 TIDAK
Otitis Externa Asmef, Dexa TIDAK
Scabies CTM, Salep 24 TIDAK
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG NOMOR INDUK
KUNJUNGAN KARTU KEPENDUDUKAN (NIK)
MEDIK
2/27/2023 7:28:36 2/27/2023 BPJS 11.1227 Muhamad Ndun -
2/27/2023 7:43:08 2/27/2023 BPJS 11132401 Jublina kause 5371035607670001
2/27/2023 7:50:47 2/27/2023 UMUM 1,714,005 Jemianto tanggela 5318032707960003
2/27/2023 8:14:29 2/27/2023 BPJS Kuspeni 5371034602650005
2/27/2023 8:22:15 2/27/2023 BPJS Irfansyah mustafa 537103040300003
2/27/2023 8:24:59 2/27/2023 BPJS Anirasni rafanda molo 5371034704050007
2/27/2023 8:27:50 2/27/2023 BPJS 13097901 Aneti kristin baun 5371034308970001
2/27/2023 8:54:40 2/27/2023 BPJS 31000001 Dorince watimena 5371034211840001
2/27/2023 8:54:58 2/27/2023 BPJS 12.1759 Atanasio M. Manga 5306070205060001
2/27/2023 8:57:23 2/27/2023 BPJS 11.0962 Jason Sabat 5302210210630001
2/27/2023 9:03:29 2/27/2023 UMUM 1,714,011 Risti Taek -
2/27/2023 9:15:05 2/27/2023 BPJS 12,415 Ade Tanaem 5371031404890010
2/27/2023 9:17:13 2/27/2023 UMUM 12.1056 Baltasar Pakae -
2/27/2023 9:19:18 2/27/2023 BPJS 1,714,014 Astitin Tamu Ina 5317025207040001
2/27/2023 9:25:05 2/27/2023 BPJS 12.0942 Sahria Mabud 5371035304580001
2/27/2023 9:33:13 2/27/2023 BPJS 12.0610 Martinus L. Jawa 5371031111420001
2/27/2023 9:41:47 2/27/2023 BPJS 177,882 Rosmiati kalunga 5371025806970004
2/27/2023 9:45:33 2/27/2023 BPJS 11,911 Margareta bana 5371034503800002
2/27/2023 9:48:36 2/27/2023 UMUM 17165901 Debdrikus nainule -
2/27/2023 9:51:19 2/27/2023 BPJS 17165901 Selfince nafie -
2/27/2023 9:51:54 2/27/2023 UMUM 11,600 Tristan bili -
2/27/2023 9:53:30 2/27/2023 BPJS 130,038 Treswna L. Pah 5371030405930001
2/27/2023 9:54:52 2/27/2023 UMUM 171,865 Miska atto -
2/27/2023 9:57:00 2/27/2023 BPJS 160,804 Dina luis 5301084208920001
2/27/2023 9:58:08 2/27/2023 BPJS 110084 Viktoria fallo luruk 537103530770009
2/27/2023 9:58:32 2/27/2023 BPJS 11.0275 Clarisa P. Ndun -
2/27/2023 10:00:07 2/27/2023 UMUM 174,222 Qurinus demansa 5315040301480001
2/27/2023 10:01:15 2/27/2023 BPJS 12460301 Erna dillak 5314035510000001
2/27/2023 10:04:43 2/27/2023 UMUM 160,886 Stefanus tanmenu 5301081411890003
2/27/2023 10:04:45 2/27/2023 BPJS 12120301 Waldetrudis keo 5371025806860006
2/27/2023 10:08:30 2/27/2023 UMUM 17,242 Dorkas natboho 5371036212890007
2/27/2023 10:11:28 2/27/2023 BPJS 12,309 Aminah Djahilape 5371035408590001
2/27/2023 10:11:56 2/27/2023 UMUM 11.1025 Rivandi tulle 53710331204930005
2/27/2023 10:14:26 2/27/2023 UMUM 12.3293 Zaki -
2/27/2023 10:17:34 2/27/2023 BPJS 12,023 Yansiana Dengak 5371035301680001
2/27/2023 10:19:40 2/27/2023 BPJS 11,074 Yuliana mene 5371035908620001
2/27/2023 10:21:58 2/27/2023 UMUM 171989 Maria Maleno -
2/27/2023 10:23:00 2/27/2023 UMUM 173,340 Irnawati taosu 5302014907000001
2/27/2023 10:24:46 2/27/2023 UMUM 1,310,111 Abdul slamet -
2/27/2023 10:25:52 2/27/2023 BPJS 17221501 Nofrilani pandie -
2/27/2023 10:26:48 2/27/2023 UMUM 160,903 Abel marselita -
2/27/2023 10:27:48 2/27/2023 UMUM 1714013 Jefri aurice tanesib 5302034206830001
2/27/2023 10:28:38 2/27/2023 BPJS 12.4998 Aprianjen Y. Kekado 5314065009000001
2/27/2023 10:30:01 2/27/2023 BPJS 1,714,019 Mario yolis 5311161203020001
2/27/2023 10:30:12 2/27/2023 UMUM 121922 Grace nitti 5371035012910003
2/27/2023 10:31:23 2/27/2023 UMUM 12.5044 Dede puing -
2/27/2023 10:33:37 2/27/2023 BPJS 12082901 Ekarista kalla -
2/27/2023 10:35:48 2/27/2023 UMUM 1712318 Riando baun -
2/27/2023 10:37:44 2/27/2023 UMUM 12.3293 Aidah Rahmadani 5371035112980005
2/27/2023 10:38:42 2/27/2023 UMUM 1714006 Mateos manafe 5314012808930003
2/27/2023 10:42:01 2/27/2023 BPJS 11246301 Ruben haba walu 5371030904810001
2/27/2023 10:44:51 2/27/2023 UMUM 1,714,007 Amalia dubu 5371026007020001
2/27/2023 10:46:44 2/27/2023 BPJS 11.2180 Felicia wae -
2/27/2023 10:46:58 2/27/2023 BPJS - Ronaldo haba walu -
2/27/2023 10:49:07 2/27/2023 UMUM 1,714,019 Tabita robo 537109180960003
2/27/2023 10:51:34 2/27/2023 BPJS 14,033 Aloysius balitami 5371030111550001
2/27/2023 10:52:33 2/27/2023 UMUM 11246301 Nadia P.I. Haba walu 5371036103220001
2/27/2023 10:54:45 2/27/2023 BPJS 12.0498 Bahrir -
2/27/2023 10:55:02 2/27/2023 UMUM 150501 Roveth armando dima rohi 5361032104910001
2/27/2023 10:56:19 2/27/2023 BPJS 12196401 Muhamad alfatih -
2/27/2023 11:00:03 2/27/2023 BPJS 121100 Satriana Ndolu -
2/27/2023 11:05:00 2/27/2023 BPJS 122020 Gradus mbasu 5371030310690002
2/27/2023 11:08:48 2/27/2023 BPJS 11081 Viktoria fallo lurukh 5371035307770009
2/27/2023 11:14:19 2/27/2023 BPJS 124683 Erna dillak 5314035510000001
2/27/2023 11:21:12 2/27/2023 BPJS 121203 Waldetrudis keo 537q025868060006
2/27/2023 11:25:02 2/27/2023 BPJS 15756671 Alfridus kefi 5303120603940003
2/27/2023 11:28:37 2/27/2023 BPJS 11246301 Rini suryanti habawalu 537103530280006
2/27/2023 11:33:00 2/27/2023 BPJS 1,714,020 Janet B. Taneo 5311205609010001
2/27/2023 11:36:39 2/27/2023 UMUM 12,278 Martini isliko 5371035403960002
2/27/2023 12:00:46 2/27/2023 UMUM 150,501 Robert A. D. Rohi 5371032104910001
2/27/2023 12:08:16 2/27/2023 UMUM 12.1024 Uddin 5371031002590001
JENIS TANGGAL ALAMAT ( Kelurahan, TEKANAN TINGGI BERAT LINGKAR
KELAMIN UMUR LAHIR RT/RW ) DARAH BADAN BADAN PERUT

L 62 31-12-1960 Lasiana, RT026 RW007 145/95 160 59 90


P 55 16-07-1967 Lasiana Rt 04 RW 02 127/81 145 52 98
L 26 27-1-1996 Lasiana 131/94 163 53 71
P 58 06-02-1965 Oesapa 136/83 151 87 115
L 22 04-03-2000 Oesapa Rt 25 RW 09 132/86 166 60 72
P 17 thn 07-04-2005 Oesapa 110/70 148 41 73
P 25 thn 03-08-1997 Oesapa barat Rt 01 Rw 01 107/81 154 46 71
P 34 thn 2 -11-1987 Oesapa barat Rt 06 RW 02 125/71 145 50 76
L 16 02-05-2006 Oesapa, 050/016 89/61 156 45 65
L 59 02/10/1963 Lasiana, 004/002 155/59 162 64 90
P 10 25/05/2012 Lasiana 90/60 137 28 101
L 33 14/04/1989 Oesapa, 013/005 105/65 157 57 82
L 49 25 /03/1973 Oesapa, 038/012 124/80 166 73 102
P 19 12/07/2003 Oesapa 98/60 155 55 83
P 64 13/04/1958 Oesapa, 036/012 142/79 146 80 120
L 80 11/11/1942 Oesapa, 001/001 181/95 161 70 100
P 25 18-6-1997 Tarus 118/82 162 55 83
P 42 1-3-1980 Lasiana 120/84 144 49 73
L 10 thn 31-05-2014 Lasiana - 126 23 59
P 31 10-11-1990 Lasiana 107/65 151 50 83
L 7 31-8-2015 Lasiana - 120 15 -
L 29 04/05/1993 Oesapa Barat, 014/006 138/75 165 50 82
P 12 10-3-2011 Liliba - 146 33 70
P 30 8-2-1992 Noelbaki 110/80 152 60 90
P 51 01-07-1971 Lasiana Rt 05 Rw02 131/80 153 67 96
P 7 05/02/2016 Lasiana, 027/007 - 122 24 66
P 21 25-6-2001 Lasiana 90/70 165 54 74
P 22 thn 15-10-2000 Oesapa Rt 16 Rw 06 110/72 142 39 68
L 34 14-11-1989 Penfui 95/68 167 57 73
P 36 18-06-1986 Oesapa Rt 22 Rw 08 127/81 153 52 76
P 33 22-12-1989 Oesapa 140/95 156 85 79
P 63 14/08/1959 Oesapa, 051/016 144/84 148 70 98
L 29 12-4-1993 Lasiana 132/64 160 42 66
L 16 - Oesapa 112/64 166 44 70
P 58 13/01/1965 Oesapa, 009/003 149/80 154 60 92
P 60 19-8-1962 Lasiana 104/65 148 67 92
P 8 23/03/14 Lasiana, 27/7 - 120.4 18.90 45
P 22 9-7-2000 Oesapa 139/86 155 58 82
L 49 17-12-1973 Oesapa barat 117/79 173 61 83
P 21 thn 05-11-2001 Oesapa Rt 36 Rw 12 99/70 146 49 77
P 22 28-3-2000 Penfui 123/84 151 69 85
P 42 thn 02-06-1983 Lasiana 132/89 147 45 70
P 22 10/09/2000 Oesapa 123/82 151 51 77
L 20 12-3-2002 Liliba 128/83 165 58 83
P 31 thn 10-12-1991 Oesapa Rt 17 rw 06 106/60 153 48 74
P 7 5-3-2015 Oesapa - 109 15 50
P 5 bln 23-01-2022 Oesapa Rt 15 Rw 06 - 67 6.9 49
L 7 Thn 31-03-2016 Oesapa Rt 16 rw 06 - 115 20 36
P 24 19/12/1998 Oesapa, 027/010 92/71 151 43 76
L 29 thn 28-08-1993 - 131/84 167 60 79
L 42 thn 09-04-1981 Lasiana Rt 26 Rw 03 140/85 168 60 90
P 20 20-7-2002 Oepura 119/74 156 38 62
P 1 10-3-2021 Lasiana - 78 9 49
L 3 thn 09-03-2019 Lasiana Rt 26 Rw 07 - 100 15.45 37
P 62 18-9-1960 Oesapa barat 129/78 142 34 81
L 66 1-11-1955 Oesapa selatan 129/83 161 58 82
P 5 THN 21-04-2022 Lasiana Rt26 / rw 07 - 72 8, 45 36
L 54 1-5-1968 Oesapa 111/73 154 57 93
L 31 21/4/91 KL 128/95 174 114 121
P 4 bln 3 thn OesapaRt 25Rw 09 - 95 11 35
P 45 10/6/1978 Osp - - - -
L 53 3/10/69 Osp 140/87 160.3 57 78
P 45 1/7/97 Lsn 131/81 153 67 98
P 20 1/10/2000 Osp 110/72 142 3968 68
P 36 18/6/86 Osp 127/81 153 52 76
L 28 6/3/94 Lsn 130/80 161.6 55 77
P 40 thn 13-02-1980 Lasiana Rt 26 Rw 07 119/88 156 60 84
P 21 02/06/2001 Oesapa 135/94 147 35 64
P 26 14-3-1996 Oesapa 128/79 152 40 67
L 31 21/04/1991 Kelapa Lima, 015/007 128/95 174 114 121
L 64 10/02/1959 Oesapa, 022/008 135/76 160 56 80
DIAGNOSA / KODE ICD 10 PENGOBATAN RUJUK

DM - YA
Dyspepsia + isk Antasida , ranitidine, cipro, pct , vit.b.compleks TIDAK
Haraenitis Dexa.amox.pct TIDAK
HHD - YA
Ispa Pct, ambroxol, antadida; vit.c TIDAK
Susp scabies Salep 24,hidrokortison,ctm TIDAK
Keratitis - YA
Kista ovarium - YA
Asma - YA
Presbiopia - YA
ISPA+Dispepsia PCT, CTM, Dexa, GG, Antasid TIDAK
Hemoroid+Dispepsia - YA
ISPA PCT, CTM, Vit.C TIDAK
Konjungtivitis Genta SM TIDAK
ISPA+HT CTM, Ambroxol, Amlo 10mg, Vit.Bcom, Salycil Talk TIDAK
Myalgia+Dyspepsia+HT Pirox, OMZ, Bcom, Amlo 10mg TIDAK
Ispa Abrox.ctm.b com TIDAK
Dm - YA
Dermatitis alergi Oxytetracycline sk ,Pct, antasida TIDAK
Mialgia + dyspepsia Pirocicam, espenson, vit. B .compleks, antasida TIDAK
Ispa Ambroxol.ctm.dexa TIDAK
Susp.TB Relaps Ambroxol TIDAK
Febris.dermatitis Pct.dexa.antasida.amox TIDAK
Isk Cipro.nadic TIDAK
Mialgia , dyspepsia Ibuptofen, omeprazole, vit. B.comp TIDAK
ISPA PCT, GG, Dexa, CTM, Vit.C TIDAK
Febris.dermatitis Pct.ambrox.omz.vit b TIDAK
Tine corporis, dermatitis alergi Miconazole, ctm, dexa, TIDAK
Febris Pct.vit c TIDAK
Mialgia,febris, dyspepsia Pct,omeprazole,bit.c, sf TIDAK
Dyspepsia.isk Ranitidin.antasid.cipro TIDAK
OMA - YA
Bronkitia akut Nac.mp.omz. TIDAK
Dermatitis alergi Oxytetracycum TIDAK
Myalgia+Faringitis+HT Pirox, Bcom, Amlo 5mg, Ambroxol TIDAK
Tth.dyspepsia Pct.omz.ambroxl.ctm TIDAK
Febris Pct, antasida TIDAK
Ispa Ambrox.pct TIDAK
Susp dislocation Nadic TIDAK
Febris + Tfa Pct, dexa ,vit.c TIDAK
Amenoria sekunder - TIDAK
Tumor mamae D24 - YA
Otitis Eksterna - YA
Dyspepsia Omz.antasid.pct TIDAK
Febris H III Pct, amox, vit.c TIDAK
Ispa Ambrox.ctm.dexa.amox TIDAK
Impertigo Ctm, amox, gentamisin sk TIDAK
Ispa , obs abdominal pain Ambroxol, ctm, pct, TIDAK
ISPA PCT, Ambroxol, CTM, Dexa TIDAK
TTH, DYSPEPSIA, SUSP ISK Pct, omeprazole, ciprofloxacin TIDAK
Konsultasi z71.0 - TIDAK
Vl regfacial Amox.asmef TIDAK
Impetigo Genta TIDAK
Scabies Salep 24, ctm TIDAK
H10 Dexa.ctm.vit c TIDAK
Ispa Ambroxol.vit c TIDAK
Scabies+ obs febris Pct, salep 24,ctm TIDAK
Ckd - YA
Oma Ibu,amox,vit c,kie TIDAK
Obs febris H I Pct pulvis TIDAK
- - TIDAK
N39.0 Cipro,pct,vit c,omz TIDAK
M79,k 30 Omz,ibu prof,vit bc YA
Tinea carporis, de4matitiis Mico,ctm,p f TIDAK
MiAlgiA,febris hr 2,dyspepsia Pct,omz,vit b,sf,kie TIDAK
N39.0 Asmef,cipeo,vit bc TIDAK
Konsultasi z71.0 - TIDAK
Amenorhea Sekunder - YA
Dyspepsia sindrome Antasid.ranitidin TIDAK
OMA Ibuprofen, Amox, Vit.C TIDAK
Tinea Miconazole SK, CTM, Ketokonazole SK TIDAK
NOMOR
Timestamp TANGGA JENIS REKAM NAMA PENGUNJUNG NOMOR INDUK
KUNJUNGAN KARTU KEPENDUDUKAN (NIK)
MEDIK
2/28/2023 9:07:20 2/28/2023 BPJS 150215 Marten uly 5371032502530003
2/28/2023 9:11:21 2/28/2023 BPJS 121328 Gladislim mbubu -
2/28/2023 9:13:03 2/28/2023 UMUM 160904 Ibnu M Yusuf 5371020509020004
2/28/2023 9:15:06 2/28/2023 BPJS 11168 Marlinda tolla -
2/28/2023 9:17:32 2/28/2023 UMUM 112548 Agnes Ndun 5371034408980003
2/28/2023 9:18:27 2/28/2023 UMUM 1310112 Agustinus littang 5395080108950001
2/28/2023 9:20:56 2/28/2023 BPJS 1714003 Damaris kobo 5314024507760001
2/28/2023 9:23:52 2/28/2023 BPJS 122426 Mory Halle 5306034310830001
2/28/2023 9:28:32 2/28/2023 BPJS - Anglinus Leander 5371031701590004
2/28/2023 9:32:51 2/28/2023 BPJS 11138 Martha L Modokh 5371034903580001
2/28/2023 9:34:40 2/28/2023 BPJS 1711839 Yusuf adoe 537102020990001
2/28/2023 9:38:29 2/28/2023 UMUM 122106 Anita Olin 5303136007850001
2/28/2023 9:41:34 2/28/2023 BPJS 140115 Fedelia sen weo 5371035192130003
2/28/2023 9:42:33 2/28/2023 BPJS 12142 Alpius Maibila 5371033012700003
2/28/2023 9:44:31 2/28/2023 BPJS 140115 Julian weo 5361031207140003
2/28/2023 9:50:12 2/28/2023 BPJS 112595 Krustoforus kefi 5371021405820005
2/28/2023 9:52:52 2/28/2023 BPJS 1714023 Maria S I Bau 5304183507020001
2/28/2023 10:00:55 2/28/2023 UMUM 1714024 Golin Chen -
2/28/2023 10:06:13 2/28/2023 BPJS 1713360 Nanto wara 5317040205030001
2/28/2023 10:08:50 2/28/2023 BPJS 1713765 Yoanita lala 5304224510020001
2/28/2023 10:10:00 2/28/2023 BPJS 1714027 Pether R Lake 5371030903090003
2/28/2023 10:12:06 2/28/2023 BPJS 121427 Efriadi manafe 5371036507730002
2/28/2023 10:13:45 2/28/2023 BPJS 1714025 Melkisedek Keo 5301092303670001
2/28/2023 10:15:18 2/28/2023 BPJS 171164 Mely magdalena manafe 5371034906940008
2/28/2023 10:18:54 2/28/2023 BPJS 122419 Obet Lodo 5371031510600001
2/28/2023 10:23:48 2/28/2023 BPJS 12577 Gabriel sabon aman 5371032303050001
2/28/2023 10:24:28 2/28/2023 BPJS 130145 Alloysius Pellondou 5371032510570001
2/28/2023 10:26:39 2/28/2023 BPJS 110827 Novrid nggelan 5371031211980003
2/28/2023 10:30:15 2/28/2023 BPJS 1210926 Sulfikar Hakim 53048280500003
2/28/2023 10:32:28 2/28/2023 BPJS 130145 Marselina Mooy -5371035303600000
2/28/2023 10:32:34 2/28/2023 UMUM 124724 Emmy fanggidae 5371025809680003
2/28/2023 10:34:35 2/28/2023 BPJS 125027 Nonji pah 5371036811820003
2/28/2023 10:37:27 2/28/2023 BPJS 150115 Theresia Niron 5371034706710002
2/28/2023 10:38:22 2/28/2023 BPJS 110661 Yulius Mesakh 5371030801850004
2/28/2023 10:39:37 2/28/2023 UMUM 1714020 Maria fatima 5301065503930002
2/28/2023 10:43:11 2/28/2023 BPJS 121991 Midra Taena 5371034906500001
2/28/2023 10:43:57 2/28/2023 BPJS 170487 Sarci Karesina 8108056703970001
2/28/2023 10:46:35 2/28/2023 BPJS 12039 Marcelina Oemanu 5301126303540001
2/28/2023 10:49:15 2/28/2023 BPJS 174737 Hasinta Dahlan 537103551760003
2/28/2023 10:50:10 2/28/2023 BPJS 121084 Naema Lado 5318044611730002
2/28/2023 13:55:49 2/28/2023 UMUM 16090701 Maria Clara Reyneldis Timu 5309024508970002
ALAMAT
JENIS TANGGAL TEKANAN TINGGI BERAT LINGKAR
KELAMIN UMUR LAHIR ( Kelurahan, DARAH BADAN BADAN PERUT
RT/RW )
L 60 25/2/63 KL 126/86 163 80 87
P 12 1/11/2010 Osp - 135 34 60
L 20 05/09/2002 Penfui 118/78 168 59 83
P 6 21 /6/20+6 Lsn - 110 18 52
P 24 04/08/1998 Lasiana 16/04 98/72 163 63 98
L 27 1/8/95 Osp 120/85 158 64 95
P 46 5/7/76 Osp 124/86 152.5 56 92
P 39 3/10/83 Obar 108/91 152 85 111
L 63 17/1/59 Osp 147/78 169 67 93
P 64 09/03/1958 Lasiana 29/08 125/79 145 57 71
L 44 23/4/1978 Osp 125/85 160 55 76
P 37 20/7/85 Osp 110/70 - - -
P 10 11/2/13 Opas - 140 26 64
L 52 30/12/1970 Lasiana 14/03 127/77 162 66 96
L 8 12/7/14 Opas - 125.8 20 59
L 40 Lsn 127/79 152 78 88
P 20 18/07/2002 Oesapa 112/77 152 44 68
L 54 01/09/1968 Oesapa 8/3 109/90 152 53 78
L 19 28/05/2003 Oesapa 128/77 169 54 68
P 20 5/10/02 Osp 98/65 148.5 49 78
L 13 09/03/2009 Kelapa Lima 3/2 - 167 49 67
P 49 25/7/73 Osp 123/71 149.3 57 81
L 55 23/03/1967 Matani 104/61 154 45 74
P 29 9/6/94 Lsn 96/60 150 46 77
L 62 15/10/60 Osp 135/95 157.5 76 101
L 17 23/3/2005 Osp 106/74 164.2 45 65
L 65 25/10/1957 Obar 19/07 134/74 155 63 69
L 25 12/11/98 Lsn 117/71 158 38.5 60
L 22 28/5/2000 Penfui 110/75 172 64 73
P 62 15/03/1960 Obar 29/07 104/70 159 73 80
P 54 18/9/68 Osp 113/76 148 67 76
P 40 28/11/82 Osp 134/88 165 75 99
P 42 7/6/71 KL 125/69 155 54 79
L 37 08/01/1985 Lasiana 5/2 121/92 174 85 102
P 29 9/5/93 Osp 103/70 155.6 50 75
P 72 9/6/50 Osp 135/66 144 41 69
P 25 27/03/1997 Obar 8/3 106/69 152 51 79
P 69 23/354 Osp 156/89 158 62 80
P 46 15/11/76 Osp 98/72 149 43 82
P 49 06/11/1973 Oesapa 15/06 149/94 147 52 76
P 25 05/08/1997 Liliba 110/87 150 52 79
DIAGNOSA / KODE ICD 10 PENGOBATAN RUJUK

Psoriasis,M32.9 + A.30 - YA
Spendilitis Tb - YA
Konsultasi - TIDAK
J06.9 Gg,dx,vit c,ctm TIDAK
Ispa+Dyspepsia Ambrox,metilpred,pct,omz,vc TIDAK
K30 +j06.9 Gg,dx,ctm,antacida,donperi TIDAK
SNT, - YA
Gastritis kronis - YA
LBP - YA
DM+Tinea Lovorapid,levemir,keto SK,ctm TIDAK
F 20.1 - YA
Isk Amox,asmef TIDAK
Milaria Hidro sk TIDAK
Myalgia+Dyspepsia Asmef,omz,bc TIDAK
Dispwpsia Antacida,zink TIDAK
Crnea ulkus,H.16 + injuri of eye S05.0 - YA
Myalgia Asmef TIDAK
VL Asmef,amox,aff haecting TIDAK
Abses Metro,MP,asmef,RL TIDAK
J06.9 Ambrox,ctm,dx,amox TIDAK
Sacbies Permetran,salep 24,ctm TIDAK
Susp tumor mamae Asmef,vit Bc,kie TIDAK
Cough chronic MP,omz,vc,nadik TIDAK
Z48 Oxy sk,asmef TIDAK
J06.9+L30.8 Ambrox,Methil,cetrizin,pct,vit c TIDAK
J06.9+pnumonia+susp tb paru Nac,certisin,methil,pct,vit c TIDAK
HT+Dermatitis Alergi+tinea Amlo,ctm,Dexa,mico cr TIDAK
J06.9 Ibu prof,ambrox,dx TIDAK
J06.9 +B36 Rfedrin,asmef,ibuprof ,loperamid,keto sk TIDAK
Tinea+DKA Mico zk,ctm,dexa TIDAK
Scabies Permetrin,ctm,kie TIDAK
Konsultasi - TIDAK
Lbp Ibu prof,vit Bc TIDAK
DM Metformin,bc TIDAK
J06.9 Ambrix,ctm,kie TIDAK
Susp tb paru Ambrox,ctm,kie TIDAK
Hepatitis B - YA
Abdomen pain, isk ,Bsk Ibu prof,cipro,omeprazol,amlo,vit bc TIDAK
Post op cartinosi - YA
VL Genta sk,aff haecting TIDAK
Viral Infection Dexa, neurosanbe,ctm TIDAK

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