NO No.

Kartu Nama Peserta

1 104403374 SR* UT***
2 104474608 SU****
3 104477488 SI** DJ********
4 104654125 su****
5 104906744 SA*** ID***
6 660805492 AR**** LA*** RO*****
7 662965593 RU******
8 662984122 TU*****
9 663244738 GA***** PR**********
10 663341872 SU*****
11 663480685 NI** TR* WA*********
12 663580315 EK* FA***** RO****
13 663638635 SA*** IS*****
14 663639671 SO****
15 663719354 SA*****
16 663960273 AP***** EK* PR*****
17 663975729 SR*******
18 664118111 SU*****
19 664149881 SO*****
20 664642089 MA*********
21 664648132 SI** AS****
22 790488101 AM******* M
23 2157345898 ED* WI*****
24 2157345909 JU*****
25 2157345911 AG***** AU**** NU* A
 Diagnosa
M53
J10
R51
J10
R53
Z00
M54
J11
K25
M54
ZOO
ZOO
M54
J11
R53
R51
R51
R53
r52
j10
r51
r53
l23
l24
j11
no umur bb tb lp td
1 2246712028 SITI BAROKAH P 45 z00 50 150 80 120/80
2 2274572801 FITRIYANASARI P 32 z00 45 150 75 110/80
3 2307308376 FAJAR ARIFIN L 37 j11 59 159 80 120/80
4 2322867881 SHOIMATUL MASRUROP 19 j06 50 150 80 110/80
5 2323191993 MUHAMAD YUDI L 50 r51 59 160 80 130/80
6 2325145329 YASRIP L 53 r53 60 160 80 130/80
7 2378047623 SUDIRAH P k25 50 150 80 120/80
8 2157346135 MESIRAN P j06 50 150 80 130/80
9 2426257181 UMI RUTIN SHOLIKAH P m54 50 150 80 130/80
10 2469241214 SU***** L m55
11 2698274171 HARIYONO L 41 l23 60 160 80 120/80
12 2698274182 WIDAYATI P 40 l24 50 150 80 120/80
13 2710895051 HARUN L 67 k25 60 160 80 130/80
14 2731256111 SITI MUJAYANAH P 45 r51 50 150 80 120/80
15 2752289818 ME***** P k12
3312885611 Umi Narsih P 56 r51 50 150 80
16 120/80
17 2766018958 AHMAD FATONY L 30 j11 60 160 80 120/80
18 3018014818 TRIANAWATI P 44 j06 50 160 80 120
19 3312885611 Umi Narsih P k25 50 150 120/80
20 3312885611 Umi Narsih P j11
21 3314081046 YUNI WINARSIH  P l23 50 150 130/80
22 100299486 PAINO L l24 60 160 120/80
23 104400797 SIHMIYATI  P k25 50 150 120/80
24 3298822828 AURELIA KAMIDYA AZ-ZAHR P 11 j11 50 120 90/70
25 1036758903 SUPARMI P L23 50 150 120/80
keluhan no.pcare resep tgl
konseling 14 3/9/2023
konseling 30 3/8/2023
pusing 27 mol,vit.c 3/8/2023
batuk,pilek 29 vit.c 3/8/2023
migren 15 3/9/2023
kelelahan 16 3/9/2023
pulu hati perih 25 3/9/2023
batuk pilek 26 vi.c 3/9/2023
nyeri pinggang 27 nadic,simvastatin,all 3/9/2023

gatal 19 ctm,kalk 3/10/2023

gatal 20 3/10/2023
ulu hati perih 21 sid 3/10/2023
migren 22 mol 3/10/2023

migren 23 mol 3/10/2023

pusing 25 ibu 3/10/2023
batuk pilek 26 gg,ctm,mol 3/10/2023
nyeri ulu hati sid

gatal
gatal vit.c
nyeri ulu hati sid
pusing mol
gatal ctm,kalk
n0 no bpjs nama jk diagnosa
1 662182154 SU*** UT*** L zoo
2 663220697 TR**** P zoo
3 663220697 TR**** P j11
PU*** CH*****
4 663500619 P j06
CH******
5 663589258 BA**** L l23
6 664102517 BO**** P r51
CO******* YU*****
664317821 L k12
7 FE**********
TI** FA*******
1036754548 P k12
8 MA*** DI****
ZA*** NU* LA****
1079240602 P r53
9 PU***
10 1402351806 HA** WI**** L l21
11 1818271708 SU***** L l24
12
13 1828402301 SI** NG***** P j11
14 1838128059 RA******* P j10
1907891908 AL*** HI******* P r51
15 LA***

2034951219 PA*** RI******* P k25

16 SE*******
NA***** HA*****
2034952356 P h66
17 SE*******
18 2046578769 SA*** L h65
2046582821 AN**** EK* AN***** L zoo
19
2046583574 DE**** LI**** P k25
20 WA*****
21 2052228161 BA***** SE****** L r11.2
AM**** PU***
2056002355 P r11.2
22 ME*** AZ******
23 2057208849 SI** FA***** P zoo
LI**** TR*
2057209334 FE******* P z00
24
25 2157345641 SU******* L k59
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK

TIDAK

TIDAK
TIDAK
YA

TIDAK
TIDAK
TIDAK

TIDAK

TIDAK
TIDAK
TIDAK

TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
 1 3312885611 UM* NA**** P k25
2 663531232 TUGIONO L k12
3 1036759419 SURIP L r51
4 663481326 SARMI P r53
5 662170645 PUJIANTO L j06
6 663334975 SARDI L j11
7 1036758227 MESIRAN L h66
8 1036758879 AGUS SUTOKO L m54
9 1036758791 KASMIRAH P h81
10 1036759746 KATIYEM P L23
11 1036757935 MARIYEM P L24
12 663719354 SAROFAH P ZOO
13 1036757035 SITI JARIYAH P M71
14 1036757013 MESEMI P J02
15 1036757349 MARNO L J09
16 1036757351 RATNA YULIANI P J10
17 1036757384 SUYATMI P k25
18 1036757193 M SALAMUN L k12
19 1036757248 ASTRIANA P r51
20 1036757428 KATENO L r53
21 1036757439 SRI ENDANG PUJI LESTARI P j06
22 1036757441 NONIYEM P j11
23 1036757395 SYAMSUL INDARTO L h66
24 1036758374 IMAM RUSLAN L m54
25 663875897 MARSUN L h81
 1 1036757643 KRUWIANTO L L24
2 1036758115 PONIYEM P ZOO
3 1036759487 SENEN L M71
4 1036758273 TRIANA PURWATI P J02
5 663906609 SUBIKAN L r53
AINUR SYIFA
2276334988 WULANDARI P j06
6
ALVI NURUL
2248780037 P j11
7 HIDAYAH
ALVREDO ABRISAM
2248780285 L h66
8 ALARIC
ALIFA NAUFALYN
2496145037 P m54
9 FIKRIA RABBANI
10 1843340927 HANIS SETYORINI P h81
11 664151624 HARINI P L23
664155066 HERMI YANTI P L24
12 AGUSHESA
13 2076438249 LISTININGRUM P ZOO
14 662907306 JEMIR P M71
15 664154392 JEMIRAH P J02
YUDI
2875942124 KRISTIYANTORO J09
16
17 104476397 MUSTA'IN J10
18 2207742772 YAYUK k25
19 663272921 ISMAIL k12
20 1036754627 PANUT r51
21 2468551274 JATMOKO r53
22 104606122 MIFTAHUL ULUM j06
23 662921109 KASEMI j11

663347035 MUH ARIP SURYA h66

PRATAMA SUGIONO
24
25 663350668 KATENUN m54
 GABITA
1 2239071276 AKHROMUL L 16 z00
MUHTADIN
2 662897351 HADI L 30 z00

HAFIZHAH USRIYA
3 1843342154 TAS ADINA P 11 j11

4 664153481 HANAFI WIBOWO L 16 j06

5 1843340927 HANIS SETYORINI P 36 r51
6 664151624 HARINI P 54 r53
HENDRIK
7 662897632 L 34 k25
SAPUTRA
HERMI YANTI
8 664155066 AGUSHESA P 23 j06
9 2076438249 LISTININGRUM P 33 m54
RETNO
10 663327303 P 25 m55
AMBARWATI
11 663275169 MISIRAN L 54 l23
12 663300123 MURTIATI P 39 l24
13 663308785 MARINEM P 72 k25
14 663325593 IMILIA SONA P 33 r51
15 663341872 SUKARDI L 49 k12
NOVI LUXIANA
16 663342388 KARDILAWATI P 23 r51
17 663347891 MUKSIN L 50 j11
18 663993404 SAPUAN L 56 j06
19 663993516 SULIANA P 43 k25
AGATHA
20 663994056 P 22 j11
SEPTYAWAN
NUROTUL
21 1694369812 P 32 l23
HIDAYAH
22 2970277424 KARDJI L 78 l24
MUHAMMAD
23 2731715111 GERRY L 6 k25
ALFIANSYAH
24 3103525596 Ike Yusniasari P 30 j11
AGUNG ADI
25 662911378 SAPUTRO L 27 L23