Tolofuo (2)

LAPORAN KUNJUN

Tanggal No Nama Pasien Nomor JKN/KIS NIK Umur Alamat

03/08/2022 1 JHON PALANGI 0000973111509 57 TOTALA

2 RONI PALANGI 0000972789737 TOTALA
04/08/2022
3 RINTO KULOUNO 0000972676173 36 BOSALA
05/08/2022 4 TINCE MORI 0000972679397 54 BOSALA
06/08/2022 5 TANEL 0000972919034 70 BOSALA
6 YANA DOWONGI 00009720907003 42 BOSALA
08/08/2022
7 DEMAS 0000972906423 44 BOSALA
10/08/2022 8 RIKO MADESO 0000972932556 32 BOSALA
9 ALWI DJOLAFO 0000974402684 KAHATOLA
10 BADRUN TJINA 0000974107664 KAHATOLA
11 RAFLI MAHMUD 0002829480265 15 KAHATOLA
12 NAHNU GAALE 0000972735669 KAHATOLA
13 FAHRUL REJEB 0002862063729 KAHATOLA
14 FATAHUN SEHE 0002119725448 KAHATOLA
15 RAHMANIA RAMJAN 0001899397282 KAHATOLA
16 MISNA DJOLAFO 0002859138358 KAHATOLA
17 RUNIYANTI BUNGA 0002862062256 KAHATOLA
18 JAHRA MUTMAINA 0002860908322 6 KAHATOLA
19 LILI ABD. RASID 000259144647 28 KAHATOLA
20 ASWIA ABDAR ALI 0002119725573 13 KAHATOLA
21 RUSNA KORONCI 0000974346164 26 KAHATOLA
22 IMRAN BUNGA 0000974299375 KAHATOLA
23 SUSANTI SUDIN 0002464881722 29 KAHATOLA
24 SUDARNI PUASA 0000972720213 44 KAHATOLA
25 JUNIANI BUNGA 0000140507594 41 KAHATOLA
26 SYAFRI PUASA 0001899410736 32 KAHATOLA
12/08/2022 27 TAEFA ITOLANG 0000974112838 57 KAHATOLA
28 JUNARIA TONI 0001566398294 38 KAHATOLA
29 NOVIYANTI TJINA 0001566272788 13 KAHATOLA
30 SUMARNI 0001566272777 35 KAHATOLA
31 ARLAN TJINA 0003103518363 8 KAHATOLA
32 BIJIRAN 0001898336799 43 KAHATOLA
33 TUTIN BUNGA 0000974402728 53 KAHATOLA
34 ALGIBRAN M. GAALE 0002464661957 9 KAHATOLA
35 ASKIN DJAMAL 0002595191376 15 KAHATOLA
36 AMMAL USMAN 0000974404146 55 KAHATOLA
37 MUHAMMAD UDAI 0002609359582 7 KAHATOLA
38 SABARIA DJAMAL 0001566337421 36 KAHATOLA
39 HAMID DJAMAL 0002634862465 71 KAHATOLA
40 JAWIA DJAMAL 0000974387654 52 KAHATOLA

Page 1
 Tolofuo (2)

41 MASRAH ABD. RASID 0000973960817 44 KAHATOLA

42 ALWIA MIRAJ 0000972734646 52 KAHATOLA
43 SUSILO BUNGA 0000973537558 26 KAHATOLA
44 MUHAMMAD RIZKI KIMA 0002973615039 9 KAHATOLA
45 ADRIAN AKBAR SALASA 0001566337555 10 KAHATOLA
46 DELA TRESIA NYONG 0002859141644 TOTALA
47 JHON PALANGI 0000973111509 57 TOTALA
13/08/2022
48 SEM MORI 0000972926943 65 BOSALA
49 LEMINCE MORI 0000972894712 74 BOSALA
14/08/2022 50 BENYAMIN LOUW 0001566337241 54 TOTALA
51 APRILIA ARAFANDI 0002859141429 28 TOTALA
15/08/2022 52 DARMA MOMOLE 0000972280506 32 TOLOFUO
53 ISAK SEA 0000972811686 55 TOTALA
54 MATIUS NYONG 0001566336251 57 TOTALA
16/08/2022
55 BAAD DIN 0000972866834 51 TOLOFUO
56 ISAK SEA 0000972811686 55 TOTALA
57 AKIFA NAILA 0003277747337 8201024105190001 3 TOLOFUO
19/08/2022
58 GAMARIA 0000973493651 53 TOLOFUO
59 PERMENAS TUTU 0001566337127 79 TOTALA
60 RASMI RONI 0000972904004 32 TOLOFUO
61 NADIA KAWEI 0000972904059 15 TOLOFUO
20/08/2022 62 SAMENDA MALIK 0000972867868 52 TOLOFUO
63 RIDO 0002632113549 13 TOLOFUO
64 YUNINGSI 0000973296821 32 BOSALA
65 IDA MOMOLE 0000973505913 33 TOLOFUO
66 TIMON MUDJA 0001566336609 90 TOTALA
67 MAHARA ROBO 0000972891472 53 TOLOFUO
23/08/2022
68 LANI 0000972878826 21 BOSALA
69 YOHANA HATBULA 0000972646479 54 BOSALA
70 MIKA KOKOTE 0000972928326 48 BOSALA
71 NURAN DIN 0002119717719 50 TOLOFUO
72 KAMIS BANOTI 0000972907121 51 TOLOFUO
73 NURGAYA MUCHSIN 0000973452295 8201024910770001 45 TOLOFUO
74 HAYAN RIKUN 0000973542429 8201020609560001 66 TOLOFUO
75 APRIS MUDJA 0002859138011 31 TOTALA
24/08/2022 76 DELA TRESIA NYONG 0002859141644 TOTALA
77 MISEL ANASTASIA PALANGI 0002859141442 6 TOTALA
78 ALFIN NYONG 0002862062098 41 TOTALA
79 AURA KASIH IBRAHIM 0002595191343 11 TOLOFUO
80 SUTA TADARUS 0000973459361 72 TOLOFUO
81 RUMAIRA 0002639103028 13 KAHATOLA
82 QONITA MAHMUD 0002582799838 8201024104160001 6 TOLOFUO
83 HADINDA FALILA 0000973496665 71 TOLOFUO
84 GERALDO PALANGI 0002601733656 11 TOTALA
25/08/2022
85 ARDINCE DOOT 0002859137684 38 TOTALA
86 SUPRIYANTI BUKA 0002862063538 KAHATOLA
87 FERAWATI PONTO 0000972930644 36 BOSALA
88 ABUNAIYA SALASA 0000974297215 38 KAHATOLA
26/08/2022

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 Tolofuo (2)

26/08/2022 89 TIMON MUDJA 0001566336609 8201020505420001 TOTALA

90 YAHYA NYONG 0002859137741 8201020407530001 TOTALA
27/08/2022 91 IFON MADESO 0000972679713 31 BOSALA
92 MARIA NYONG 0000972668891 72 BOSALA
93 RIFOL MADESO 0000972938125 44 BOSALA
29/08/2022 94 MARICE DOWO 0000973120239 8201025303830001 39 TOTALA
95 DONI CAPU 0002859137807 8201020705080002 TOTALA
96 YOMI SULO 0002859137739 8201025504770001 43 TOTALA
97 IBRAHIM MONDON 0000973136564 51 TOLOFUO
98 HAMBALI ISHAK 0000972881706 53 TOLOFUO
30/08/2022
99 RUHANA LENGE 0000972882279 50 TOLOFUO
100 MAYA ISHAK 0000972882303 21 TOLOFUO
31/08/2022 101 DORICE TOTOUNU 0000972938867

Page 3
 Tolofuo (2)

JUNGAN RAWAT JALAN BULAN AGUSTUS 2022

PUSKESMAS TOLOFUO
KANTOR CABANG JAILOLO

Diagnosa Kode

MYALGIA M79.1
MYALGIA M79.1
MYALGIA M79.1
GINGIVITIS M79.1
ISPA + DYSPEPSIA J06.9 + K30
ISPA J06.9
FEBRIS R50.6
MYALGIA M79.1
MYALGIA M79.1
MYALGIA M79.1
DERMATITIS L30.9
MYALGIA M79.1
MYALGIA + DERMATITIS M79.1 + L30.9
MYALGIA M79.1
ISPA J06.9
DYSPEPSIA + DERMATITIS K30 + L30.9
RA M06.9
INFEKSI TELINGA H92.0
DERMATITIS L30.9
DERMATITIS L30.9
ISPA J06.9
ISPA J06.9
URTIKARIA L50.9
MYALGIA M79.1
MYALGIA M79.1
ISPA J06.9
RA M06.9
MYALGIA M79.1
CARIES K02.9
RA M06.9
MYALGIA M79.1
MYALGIA M79.1
RA M06.9
ISPA J06.9
DERMATITIS L30.9
ISPA J06.9
ISPA J06.9
ISPA + RA J06.9
ISPA J06.9
GASTRITIS + ISPA K29.7 + J06.9

Page 4
 Tolofuo (2)

ISPA J06.9
ISPA J06.9
DERMATITIS L30.9
COMMON COLD J00
DERMATITIS L30.9
DYSPEPSIA + MYALGIA K30 + M79.1
HYPERGLIKMIA R73.9
URTIKARI A+ MYALGIA L50.9 + M79.1
URTIKARIA L50.9
ISPA J06.9
FEBRIS R50.6
COMMON COLD J00
MYALGIA M79.1
MYALGIA M79.1
COMMON COLD J00
DYSPEPSIA K30
ISPA J06.9
DERMATITIS + MYALGIA L30.9 + M79.1
DYSPEPSIA + HT K30 + I10
COMMON COLD J00
COMMON COLD J00
ISPA + MYALGIA J06.9 + M79.1
ISPA J06.9
URTIKARIA L50.9
ISPA + MYALGIA J06.9 + M79.1
MYALGIA M79.1
ISPA J06.9
DERMATITIS L30.9
ISPA J06.9
URTIKARIA L50.9
MYALGIA M79.1
ISPA + DYSPEPSIA J06.9 + K30
COMMON COLD + DYSPEPSIA J00 + K30
ISPA + MYALGIA J06.9 + K30
ISPA J06.9
COMMON COLD + DYSPEPSIA J00 + K30
DERMATITIS L30.9
ISPA J06.9
ISPA J06.9
HT + COMMON COLD I10 + J00
ISPA J06.9
ISPA J06.9
ISPA J06.9
ISPA J06.9
MYALGIA + ISPA M79.1 + J06.9
ISPA J06.9
ISPA J06.9
ISPA J06.9

Page 5
 Tolofuo (2)

COMMON COLD J00

HT + DYSPEPSIA I10 + K30
DYSPEPSIA + MYALGIA K10 + M79.1
ISPA J06.9
COMMON COLD J00
ISPA J06.9
ISPA J06.9
DYSPEPSIA + FEBRIS K30 + R50.6
MYALGIA M79.1
ISPA J06.9
HT I10
MYALGIA M79.1

Page 6
 Tolofuo (2)

2
PuskesmasTolofuo@22
03601002

Terapi TB/cm BB/kg LP

R/ NA DIKLOFENAK, GLIMEPRIDE
R/ NA DIKLOFENAK, THIAMIN
R/ PARACETAMOL, NA DIKLOFENAK, VITAMIN C
R/ CEFADROXIL, DICLOFENAC SODIUM, VITAMIN C
R/ PARACETAMOL, AMBROXOL, CTM, OMEPRAZOLE
R/ PARACETAMOL, GG, CETIRIZINE, OMEPRAZOLE
R/ PARACETAMOL, CEFADROXIL, VITAMIN C
R/ PARACETAMOL, DICLOFENAC SODIUM, PRITAVIT
R/ CEFADROXIL, ASAM MEFENAMAT, VITAMIN B1
R/ CEFADROXIL, ASAM MEFENAMAT, VITAMIN B1
R/ CEFADROXIL, DEXA, VITAMIN C
R/ ASAM MEFENAMAT, VITAMIN B1, DEXAMETASON
R/ ASAM MEFENAMAT, VITAMIN B1, DEXAMETASON, GENTAMISIN SALEP
R/ ASAM MEFENAMAT, VITAMIN B1, DEXAMETASON
R/ DEXAMETASON, PARACETAMOL, AMBROXOL, VITAMIN B1
R/ CEFADROXIL, DEXAMETASON, OMEPRAZOLE, GENTAMISIN SALEP
R/ PIROXICAM, ALLOPURINOL, VITAMIN B1
R/ DEXAMETASON, ASAM MEFENAMAT, SALEP TETES TELINGA
R/ DEXAMETASON, GENTAMISIN SALEP
R/ CEFADROXIL, DEXAMETASON , GENTAMISIN SALEP
R/ CEFADROXIL, DEXAMETASON, AMBROXOL
R/ CEFADROXIL, DEXAMETASON, AMBROXOL
R/ DEXAMETASON, CTM
R/ CEFADROXIL, DEXAMETASON , ASAM MEFENAMAT, CTM
R/ ALLOPURINOL, PIROXICAM, PRITAVIT
R/ CEFADROXIL, DEXAMETASON , PARACETAMOL, PRITAVIT
R/ ALLOPURINOL, PIROXICAM, DEXAMETASON, VITAMIN B1
R/ DEXAMETASON, ASAM MEFENAMAT, VITAMIN B1
R/ AMBROXOL, ASAM MEFENAMAT, DEXAMETASON
R/ DEXAMETASON , ASAM MEFENAMAT, VITAMIN B1
R/ ASAM MEFENAMAT, VITAMIN B1, CTM
R/ ASAM MEFENAMAT, VITAMIN B1
R/ ALLOPURINOL, PIROXICAM, VITAMIN B1, DEXMETASON
R/ CETIRIZINE SYRUP
R/ DEXAMETASON , VITAMIN C, CTM
R/ CEFADROXIL, DEXAMETASON, AMBROXOL, PIROXICAM
R/ PARACETAMOL, AMBROXOL, DEXAMETASON, VITAMIN C
R/ CEFADROXIL, CTM, AMBROXOL, PIROXICAM
R/ CEFADROXIL, DEXAMETASON, GG, VITAMIN C
R/ OMEPRAZOLE, PIROXICAM, ALLOPURINOL, VITAMIN B1

Page 7
 Tolofuo (2)

R/ CEFADROXIL, DEXAMETASON, GG, CTM

R/ CEFADROXIL, DEXAMETASON, GG, CTM
R/ DEXAMETASON, CETIRIZINE, CTM,
R/ AMBROXOL,CTM, DEXAMETASON, PARACETAMOL
R/ DEXAMETASON, VITAMIN C, CTM,
R/ ULCUMAAG, DOMPERIDON, NA DIKLOFENAK
R/ GLIMEPIRIRED
R/ CETIRIZINE, VITAMIN C, DICLOFENAC SODIUM
R/ CETIRIZINE, VITAMIN C
R/ CEFADROXIL, PARACETAMOL, AMBROXOL, METHYLPREDNISOLON
R/ CEFADROXIL, PARACETAMOL
R/ PARACETAMOL, CTM, ULCUMAAG, DEXAMETASON
R/ PRITAVIT, NA DIKLOFENAK
R/ CEFADROXIL, NA DIKLOFENAK, DEXAMETASON
R/ ASAM MEFENAMAT, AMBROXOL, NA DIKLOFENAK
R/ CEFADROXIL, OMEPRAZOL, DEXAMETASON
R/ PARACETAMOL SYRUP, CTM, AMOXICILLIN, GG, VITAMIN C
R/ ICHTIOL SALEP, NA DIKLOFENAK, METHYLPREDNISOLON, DOXYCICLIN
R/ OMEPRAZOL, AMLODIPIN, THIAMIN
R/ PARACETAMOL, LORATADIN, DEXAMETASON
R/ PARACETAMOL, CETIRIZINE, CAVIPLEX, GENTAMISIN
R/ PARACETAMOL, CEFADROXIL, NA DIKLOFENAK, AMBROXOL
R/ PARACETAMOL, GG, B COMPLEX
R/ LORATADIN, VITAMIN C, DEXA MTASON
R/ PARACETAMOL, NA DIKLOFENAK, AMBROXOL, LORATADIN, PRITAVIT
R/ ASAM MEFENAMAT, DOXYCICLIN
R/ PARACETAMOL, AMBROXOL, LORATADIN, PRITAVIT
R/ LORATADIN, VITAMIN C, DEXA MTASON
R/ PARACETAMOL, GG, DICLOFENAC SODIUM, CETIRIZINE
R/ LORATADIN, VITAMIN C, DEXA MTASON
R/ NA DIKLOFENAK, B COMPLEX, AMBROXOL
R/ PARACETAMOL, AMBROXOL, PRITAVIT, OMEPRAZOL\
R/ PARACETAMOL, ANTASIDA, PRITAVIT, AMOXICILLIN
R/ PARACETAMOL, NA DIKLOFENAK, ALLOPURINOL, PRITAVIT, AMBROXOL
R/ CEFADROXIL, GG, CTM, PARACETAMOL, B COMPLEX
R/ CEFADROXIL, PARACETAMOL, OMEPRAZOL
R/ DEXAMETASON, VITAMIN C, AMOXICILLIN, GENTAMISIN
R/ ALLOPURINOL, METHYLPREDNISOLON, NA DIKLOFENAK
R/ PARACETAMOL, AMOXICILLIN, AMBROXOL, CAVIPLEX
R/ AMLODIPIN, PARACETAMOL, THIAMIN
R/ PARACETAMOL, AMBROXOL, PRITAVIT, OMEPRAZOL\
R/ PARACETAMOL, CTM, AMOXICILLIN, AMBROXOL, ANTASIDA
R/ PARACETAMOL, CTM, AMOXICILLIN, AMBROXOL
R/ CAVIPLEX, AMOXICILLIN SIRUP, PARACETAMOL, CTM, GG
R/ CEFADROXIL, NA DIKLOFENAK, GG, CTM
R/ PARACETAMOL, AMBROXOL, METHYLPREDNISOLON, LORATADIN
R/ PARACETAMOL, DICLOFENAC SODIUM, GG, PRITAVIT
R/ CEFADROXIL, CETIRIZIN, AMBROXOL, B COMPLEX

Page 8
 Tolofuo (2)

R/ CEFADROXIL, PARACETAMOL
R/ AMLODIPIN, THIAMIN, ANTASIDA
R/ OMPRAZOLE, DIKLOFENAK SODIUM
R/ PARACETAMOL, DICLOFENAC SODIUM, PRITAVIT, GG
R/ CEFADROXIL, PARACETAMOL, CETIRIZINE
R/ CEFADROXIL, PARACETAMOL, AMBROXOL, PRITAVIT
R/ AMOXICILLIN, PARACETAMOL, AMBROXOL, DEXAMETASON, PRITAVIT
R/ ULCUMAAG, PARACETAMOL
R/ CEFADROXIL, DEXAMETASON, NA DIKLOFENAK
R/ CEFADROXIL, PARACETAMOL, AMBROXOL, DEXAMETASON
R/ CAPTOPRIL, THIAMIN
R/ CEFADXIL, NA DIKLOFENAK, METHYLPREDNISOLON

Page 9
 Tolofuo (2)

TD
KET
Sistolik Diastolik

Page 10
Tolofuo (2)

Page 11
Tolofuo (2)

Page 12
Tolofuo (2)

Page 13
 LAPORAN K
TUGUIS 1 PEREMPUAN

Tanggal No Nama Pasien Nomor JKN/KIS NIK Umur

1 ABUNAIYA SALASA 0000974297215 38

26/08/2022 2 TIMON MUDJA 0001566336609 8201020505420001
3 YAHYA NYONG 0002859137741 8201020407530001
4 QONITA MAHMUD 0002582799838 8201024104160001 6
5 HADINDA FALILA 0000973496665 71
6 GERALDO PALANGI 0002601733656 11
25/08/2022
7 ARDINCE DOOT 0002859137684 38
8 SUPRIYANTI BUKA 0002862063538
9 FERAWATI PONTO 0000972930644 36
10 NURAN DIN 0002119717719 50
11 KAMIS BANOTI 0000972907121 51
12 NURGAYA MUCHSIN 0000973452295 8201024910770001 45
13 HAYAN RIKUN 0000973542429 8201020609560001 66
14 APRIS MUDJA 0002859138011 31
24/08/2022 15 DELA TRESIA NYONG 0002859141644
16 MISEL ANASTASIA PALANGI 0002859141442 6
17 ALFIN NYONG 0002862062098 41
18 AURA KASIH IBRAHIM 0002595191343 11
19 SUTA TADARUS 0000973459361 72
20 RUMAIRA 0002639103028 13
21 APRILIA ARAFANDI 0002859141429 28
15/08/2022 22 DARMA MOMOLE 0000972280506 32
23 ISAK SEA 0000972811686 55
24 MATIUS NYONG 0001566336251 57
16/08/2022
25 BAAD DIN 0000972866834 51
14/08/2022 26 BENYAMIN LOUW 0001566337241 54
27 RONI PALANGI 0000972789737
04/08/2022
28 RINTO KULOUNO 0000972676173 36
03/08/2022 29 JHON PALANGI 0000973111509 57
30 ISAK SEA 0000972811686 55
31 AKIFA NAILA 0003277747337 8201024105190001 3
19/08/2022
32 GAMARIA 0000973493651 53
33 PERMENAS TUTU 0001566337127 79
34 RASMI RONI 0000972904004 32
35 NADIA KAWEI 0000972904059 15
20/08/2022 36 SAMENDA MALIK 0000972867868 52
37 RIDO 0002632113549 13
20/08/2022

38 YUNINGSI 0000973296821 32
39 IDA MOMOLE 0000973505913 33
40 TIMON MUDJA 0001566336609 90
41 MAHARA ROBO 0000972891472 53
23/08/2022
42 LANI 0000972878826 21
43 YOHANA HATBULA 0000972646479 54
44 MIKA KOKOTE 0000972928326 48
45 DELA TRESIA NYONG 0002859141644
46 JHON PALANGI 0000973111509 57
13/08/2022
47 SEM MORI 0000972926943 65
48 LEMINCE MORI 0000972894712 74
27/08/2022 49 IFON MADESO 0000972679713 31
50 YANA DOWONGI 00009720907003 42
08/08/2022
51 DEMAS 0000972906423 44
10/08/2022 52 RIKO MADESO 0000972932556 32
06/08/2022 53 TANEL 0000972919034 70
05/08/2022 54 TINCE MORI 0000972679397 54
55 ALWI DJOLAFO 0000974402684
56 BADRUN TJINA 0000974107664
57 RAFLI MAHMUD 0002829480265 15
58 NAHNU GAALE 0000972735669
59 FAHRUL REJEB 0002862063729
60 FATAHUN SEHE 0002119725448
61 RAHMANIA RAMJAN 0001899397282
62 MISNA DJOLAFO 0002859138358
63 RUNIYANTI BUNGA 0002862062256
64 JAHRA MUTMAINA 0002860908322 6
65 LILI ABD. RASID 000259144647 28
66 ASWIA ABDAR ALI 0002119725573 13
67 RUSNA KORONCI 0000974346164 26
68 IMRAN BUNGA 0000974299375
69 SUSANTI SUDIN 0002464881722 29
70 SUDARNI PUASA 0000972720213 44
71 JUNIANI BUNGA 0000140507594 41
72 SYAFRI PUASA 0001899410736 32
12/08/2022 73 TAEFA ITOLANG 0000974112838 57
74 JUNARIA TONI 0001566398294 38
75 NOVIYANTI TJINA 0001566272788 13
76 SUMARNI 0001566272777 35
77 ARLAN TJINA 0003103518363 8
78 BIJIRAN 0001898336799 43
79 TUTIN BUNGA 0000974402728 53
80 ALGIBRAN M. GAALE 0002464661957 9
81 ASKIN DJAMAL 0002595191376 15
82 AMMAL USMAN 0000974404146 55
 83 MUHAMMAD UDAI 0002609359582 7
84 SABARIA DJAMAL 0001566337421 36
85 HAMID DJAMAL 0002634862465 71
86 JAWIA DJAMAL 0000974387654 52
87 MASRAH ABD. RASID 0000973960817 44
88 ALWIA MIRAJ 0000972734646 52
89 SUSILO BUNGA 0000973537558 26
90 MUHAMMAD RIZKI KIMA 0002973615039 9
91 ADRIAN AKBAR SALASA 0001566337555 10
29/08/2022 92 MARIA NYONG 0000972668891 72
LAPORAN KUNJUNGAN RAWAT JALAN BULAN SEPTEMBER 2020
PUSKESMAS TOLOFUO
KANTOR CABANG JAILOLO

Alamat Diagnosa Kode

KAHATOLA ISPA
TOTALA COMMON COLD
TOTALA HT + DYSPEPSIA
TOLOFUO ISPA
TOLOFUO ISPA
TOTALA ISPA
TOTALA MYALGIA + ISPA
KAHATOLA ISPA
BOSALA ISPA
TOLOFUO MYALGIA
TOLOFUO ISPA + DYSPEPSIA
TOLOFUO COMMON COLD + DYSPEPSIA
TOLOFUO ISPA + MYALGIA
TOTALA ISPA
TOTALA COMMON COLD + DYSPEPSIA
TOTALA
TOTALA ISPA
TOLOFUO ISPA
TOLOFUO
KAHATOLA ISPA
TOTALA
TOLOFUO
TOTALA MYALGIA
TOTALA
TOLOFUO
TOTALA
TOALA
BOSALA
TOTALA
TOTALA
TOLOFUO
TOLOFUO
TOTALA
TOLOFUO
TOLOFUO
TOLOFUO
TOLOFUO ISPA
 BOSALA DERMATITIS
TOLOFUO
TOTALA
TOLOFUO
BOSALA DERMATITIS
BOSALA ISPA
BOSALA URTIKARIA
TOTALA
TOTALA
BOSALA URTIKARI + MYALGIA
BOSALA DERMATITIS
BOSALA DYSPEPSIA + MYALGIA
BOSALA ISPA
BOSALA ABSES
BOSALA MYALGIA
BOSALA ISPA + DYSPEPSIA
BOSALA GINGIVITIS
KAHATOLA
KAHATOLA MYALGIA
KAHATOLA
KAHATOLA MYALGIA
KAHATOLA
KAHATOLA MYALGIA
KAHATOLA ISPA
KAHATOLA
KAHATOLA RA
KAHATOLA
KAHATOLA
KAHATOLA
KAHATOLA ISPA
KAHATOLA
KAHATOLA ALERGI KULIT
KAHATOLA
KAHATOLA RA
KAHATOLA ISPA
KAHATOLA RA
KAHATOLA
KAHATOLA CARIES
KAHATOLA RA
KAHATOLA
KAHATOLA
KAHATOLA RA
KAHATOLA ISPA
KAHATOLA DERMATITIS
KAHATOLA ISPA
KAHATOLA ISPA
KAHATOLA ISPA + RA
KAHATOLA ISPA
KAHATOLA GASTRITIS + ISPA
KAHATOLA ISPA
KAHATOLA ISPA
KAHATOLA DERMATITIS
KAHATOLA COMMON COLD
KAHATOLA DERMATITIS
BOSALA ISPA
EMBER 2020
PuskesmasTolofuo@22
03601002

Terapi TB/cm

R/ CEFADROXIL, CETIRIZIN, AMBROXOL, B COMPLEX

R/ CEFADROXIL, PARACETAMOL
R/ AMLODIPIN, THIAMIN, ANTASIDA
R/ PARACETAMOL, CTM, AMOXICILLIN, AMBROXOL, ANTASIDA
R/ PARACETAMOL, CTM, AMOXICILLIN, AMBROXOL
R/ CAVIPLEX, AMOXICILLIN SIRUP, PARACETAMOL, CTM, GG
R/ CEFADROXIL, NA DIKLOFENAK, GG, CTM
R/ PARACETAMOL, AMBROXOL, METHYLPREDNISOLON, LORATADIN
R/ PARACETAMOL, DICLOFENAC SODIUM, GG, PRITAVIT
R/ NA DIKLOFENAK, B COMPLEX, AMBROXOL
R/ PARACETAMOL, AMBROXOL, PRITAVIT, OMEPRAZOL\
R/ PARACETAMOL, ANTASIDA, PRITAVIT, AMOXICILLIN
R/ PARACETAMOL, NA DIKLOFENAK, ALLOPURINOL, PRITAVIT, AMBROXOL
R/ CEFADROXIL, GG, CTM, PARACETAMOL, B COMPLEX
R/ CEFADROXIL, PARACETAMOL, OMEPRAZOL
R/ DEXAMETASON, VITAMIN C, AMOXICILLIN, GENTAMISIN
R/ ALLOPURINOL, METHYLPREDNISOLON, NA DIKLOFENAK
R/ PARACETAMOL, AMOXICILLIN, AMBROXOL, CAVIPLEX
R/ AMLODIPIN, PARACETAMOL, THIAMIN
R/ PARACETAMOL, AMBROXOL, PRITAVIT, OMEPRAZOL\
R/ CEFADROXIL, PARACETAMOL
R/ PARACETAMOL, CTM, ULCUMAAG, DEXAMETASON
R/ PRITAVIT, NA DIKLOFENAK
R/ CEFADROXIL, NA DIKLOFENAK, DEXAMETASON
R/ ASAM MEFENAMAT, AMBROXOL, NA DIKLOFENAK
R/ CEFADROXIL, PARACETAMOL, AMBROXOL, METHYLPREDNISOLON
R/ NA DIKLOFENAK, THIAMIN
R/ PARACETAMOL, NA DIKLOFENAK, VITAMIN C
R/ NA DIKLOFENAK, GLIMEPRIDE
R/ CEFADROXIL, OMEPRAZOL, DEXAMETASON
R/ PARACETAMOL SYRUP, CTM, AMOXICILLIN, GG, VITAMIN C
R/ ICHTIOL SALEP, NA DIKLOFENAK, METHYLPREDNISOLON, DOXYCICLIN
R/ OMEPRAZOL, AMLODIPIN, THIAMIN
R/ PARACETAMOL, LORATADIN, DEXAMETASON
R/ PARACETAMOL, CETIRIZINE, CAVIPLEX, GENTAMISIN
R/ PARACETAMOL, CEFADROXIL, NA DIKLOFENAK, AMBROXOL
R/ PARACETAMOL, GG, B COMPLEX
R/ LORATADIN, VITAMIN C, DEXA MTASON
R/ PARACETAMOL, NA DIKLOFENAK, AMBROXOL, LORATADIN, PRITAVIT
R/ ASAM MEFENAMAT, DOXYCICLIN
R/ PARACETAMOL, AMBROXOL, LORATADIN, PRITAVIT
R/ LORATADIN, VITAMIN C, DEXA MTASON
R/ PARACETAMOL, GG, DICLOFENAC SODIUM, CETIRIZINE
R/ LORATADIN, VITAMIN C, DEXA MTASON
R/ ULCUMAAG, DOMPERIDON, NA DIKLOFENAK
R/ GLIMEPIRIRED
R/ CETIRIZINE, VITAMIN C, DICLOFENAC SODIUM
R/ CETIRIZINE, VITAMIN C
R/ OMPRAZOLE, DIKLOFENAK SODIUM
R/ PARACETAMOL, GG, CETIRIZINE, OMEPRAZOLE
R/ PARACETAMOL, CEFADROXIL, VITAMIN C
R/ PARACETAMOL, DICLOFENAC SODIUM, PRITAVIT
R/ PARACETAMOL, AMBROXOL, CTM, OMEPRAZOLE
R/ CEFADROXIL, DICLOFENAC SODIUM, VITAMIN C
R/ CEFADROXIL, ASAM MEFENAMAT, VITAMIN B1
R/ CEFADROXIL, ASAM MEFENAMAT, VITAMIN B1
R/ CEFADROXIL, DEXA, VITAMIN C
R/ ASAM MEFENAMAT, VITAMIN B1, DEXAMETASON
R/ ASAM MEFENAMAT, VITAMIN B1, DEXAMETASON, GENTAMISIN SALEP
R/ ASAM MEFENAMAT, VITAMIN B1, DEXAMETASON
R/ DEXAMETASON, PARACETAMOL, AMBROXOL, VITAMIN B1
R/ CEFADROXIL, DEXAMETASON, OMEPRAZOLE, GENTAMISIN SALEP
R/ PIROXICAM, ALLOPURINOL, VITAMIN B1
R/ DEXAMETASON, ASAM MEFENAMAT, SALEP TETES TELINGA
R/ DEXAMETASON, GENTAMISIN SALEP
R/ CEFADROXIL, DEXAMETASON , GENTAMISIN SALEP
R/ CEFADROXIL, DEXAMETASON, AMBROXOL
R/ CEFADROXIL, DEXAMETASON, AMBROXOL
R/ DEXAMETASON, CTM
R/ CEFADROXIL, DEXAMETASON , ASAM MEFENAMAT, CTM
R/ ALLOPURINOL, PIROXICAM, PRITAVIT
R/ CEFADROXIL, DEXAMETASON , PARACETAMOL, PRITAVIT
R/ ALLOPURINOL, PIROXICAM, DEXAMETASON, VITAMIN B1
R/ DEXAMETASON, ASAM MEFENAMAT, VITAMIN B1
R/ AMBROXOL, ASAM MEFENAMAT, DEXAMETASON
R/ DEXAMETASON , ASAM MEFENAMAT, VITAMIN B1
R/ ASAM MEFENAMAT, VITAMIN B1, CTM
R/ ASAM MEFENAMAT, VITAMIN B1
R/ ALLOPURINOL, PIROXICAM, VITAMIN B1, DEXMETASON
R/ CETIRIZINE SYRUP
R/ DEXAMETASON , VITAMIN C, CTM
R/ CEFADROXIL, DEXAMETASON, AMBROXOL, PIROXICAM
R/ PARACETAMOL, AMBROXOL, DEXAMETASON, VITAMIN C
R/ CEFADROXIL, CTM, AMBROXOL, PIROXICAM
R/ CEFADROXIL, DEXAMETASON, GG, VITAMIN C
R/ OMEPRAZOLE, PIROXICAM, ALLOPURINOL, VITAMIN B1
R/ CEFADROXIL, DEXAMETASON, GG, CTM
R/ CEFADROXIL, DEXAMETASON, GG, CTM
R/ DEXAMETASON, CETIRIZINE, CTM,
R/ AMBROXOL,CTM, DEXAMETASON, PARACETAMOL
R/ DEXAMETASON, VITAMIN C, CTM,
R/ PARACETAMOL, DICLOFENAC SODIUM, PRITAVIT, GG
 TD
BB/kg LP KET
Sistolik Diastolik
 TUGUIS 1 PEREMPUAN

Tanggal No Nama Pasien Nomor JKN/KIS NIK

1 DIRAN BESI 0000972900584 8201024109980002

2 GREIS BESI 0000972943356 8201027105810001
3 AGUSTINA MADESO 0000972933682 8201025510860001
4 YANA DOWONGI 0000972907007 8201025601800001
5 YOSEP BESI 0000972655244 8201020107750002
6 SEM MORI 0000972926943 8201020908570001
7 DINA MORI 0000972662793 8201024112670001
8 YUSTIN PEMBU 0000972640282 8201024708860001
9 YUSTIN JABU 0000972918753 8201025010660001
10 DENU BESI 0000972678238 8201020107530002
11 NINA TENG 0000972664345 8201024909801001
12 DIANA 0000972649146 8201024107890004
07/03/2023
13 MARLINA MADESO 0000972879513 8201026411560001
14 YUSUP PARAMATA 0000972644062 8201020107570001
15 JEFRI PEMBU 0002860911617 8201070205760001
16 SUMIYATI CHANDRA 0000972938272 8201024606850001
17 OKTOVINA MADESO 0000972952558 8201024107590002
18 YOHANA HATEBULA 0000972646479 8201020107470004
19 NOMELFRI MARDJAN 0003204837404 8201031511980001
20 MIMI DISINI 0002973616031 8201024107860001
21 YULCE BATALI 0002973616604 8201024107900004
22 SINTIA BUKA 0000972896883 8201024107840001
23 MATIAS BESSY 0002666815378 8201021212530001
24 ADOLFINA HATEBULA 0003322765877 8201025508670001
25 ELISABET KENE 0001566336216 8201025506620001
08/03/2023 26 YONIF NYONG 0001566337149 8201020201710001
27 SILAS NYONG 0000973127711 8201021606350001
28 HAYAN RIKUN 0000973542429 8201020609560001
29 NURLELA HAMID 0000973523024 8201026108690001
30 JANIBA GAFUR 0000973542947 8201025008590001
31 NURAN DIN 0002119717719 8201020212651001
32 JUBEDA BAGUNA 0000140329462 8201024807520001
33 KAMARIA SABTU 0000973528659 8201026305570001
34 HASAN DJAMI 8201020102650002
35 MARYAMA BODE 0000972869782 8201025606490001
36 SAFIA SALASA 0000972880108 8201024312570001
37 BAI LENGE 0000973485189 8201026304670001
38 SAHRIN ABUBAKAR 0000973527175 8201020103560001
39 SAMENDA 0000972867868 8201025011651001
40 HANIFA WATTA 0000972890054 8201024711530001
41 NURHA BODE 0000973503448 8201024506560003
09/03/2023
 42 NURSAN KAPITA 0000973488475 8201024401481001
09/03/2023
43 JAMSINA GAFUR 8201025203721001
44 SALMA LENGE 0000973509614 8201024608650001
45 NURLAM DJUMA 0002829481569 8201026004840001
46 AIDA OBI 0001566337678 8201025507560001
47 MARWIA RONI 0002829479253 8201025504670001
48 NURU BENG 0000973448482 8201025205670003
49 AERA ISHAK 0000973470161 8201024302671001
50 FATMA FAJAHUN 0000973471544 8201025608590001
51 SABIAN MADADI 0000973527816 8201024206580001
52 AFI BENG 0002589364866 8201024407560001
53 KURAESIN HI. IBRAHIM 3204724184 8201026604750001
54 AJANUN GAFUR 0000973536186 8201025707550001
55 SAIUN DJUMATI 0000972905027 8201024601541001
56 NURHAYA GAFAR 0000973137069 8201025001691001
57 SAFRA DO UMAR 0002593635963 8201024607570002
58 NATE ABUBAKAR 0000972884801 8201024608570001
59 BUTSI KENE 0000972803103 8201024404830001
60 ANTONETA LENGE 0000973110159 8201026404520001
61 ANUGRA PUTRA SAGONI 0003096467054 8201020307200002
10/03/2022 62 BARTOLOMEUS 0000972802888 8201023105820002
63 YUBELINA SABEA 0002862062122 8201024707740004
64 KESIA ADEMORA 0000972420837
65 HABEL MUDJA 0000973112038 8201020410520001
66 HETTY SARUNI 0002119717945 8201025006800003
67 YANTI DJABU 0001566344384 8201024907860002
68 MARTINA NGONGORU 0001566272801 8201025604580001
11/03/2022 69 NELMAN DOWONGI 0001566346342 8201021711490002
70 ONA ANARCE SOUW 0000973048072 8201024504671001
71 DOMINGGAS SAKALATI 0002859139901 8201025205680001
72 DORKAS DOWONGI 0003151894781 8201025012601001
73 ADELENA DJANGU 0001566301871 8201024202610001
74 GLENING P. LAUDIN 0002593403662 8201024703040001
75 AGUSTANSA URE 0002829481571 8201026207590001
 LAPORAN KUNJUNGAN RAWAT JALAN BULAN FEBRUARI 2023
PUSKESMAS TOLOFUO
KANTOR CABANG JAILOLO

Umur Alamat Diagnosa Kode

BOSALA RA
BOSALA
BOSALA GASTRITIS
BOSALA VL
BOSALA GASTRITIS
BOSALA MYALGIA
BOSALA MYALGIA + DYSPEPSIA
BOSALA RA
BOSALA HT + DYSPEPSIA
BOSALA
BOSALA FEBRIS
BOSALA DYSPEPSIA + FEBRIS
BOSALA RA
BOSALA
BOSALA
BOSALA
BOSALA
BOSALA
BARU BOSALA
BOSALA RA
BOSALA MYALGIA
BOSALA
BOSALA RA + HT
BOSALA RA + GASTRITIS
TOTALA
TOTALA
TOTALA
TOLOFUO RA
TOLOFUO
TOLOFUO MYALGIA
TOLOFUO MYALGIA
KALUMATA TOLOFUO MYALGIA
TOLOFUO HT + MYALGIA
TOLOFUO RA
TOLOFUO RA 0000972869782
TOLOFUO RA
TOLOFUO RA
TDK AKTIF TOLOFUO
TDK AKTIF TOLOFUO
TOLOFUO
TOLOFUO
 TOLOFUO MYALGIA
TOLOFUO MYALGIA
TOLOFUO MYALGIA
TOLOFUO
TOLOFUO MYALGIA
TOLOFUO MYALGIA + HT
TOLOFUO RA
TOLOFUO MYALGIA + HT
TOLOFUO
TOLOFUO
TOLOFUO RA
NON AKTIF TOLOFUO MYALGIA
TOLOFUO DYSPEPSIA + RA
TOLOFUO
TOLOFUO
NON AKTIF TOLOFUO
TOLOFUO
TOJA
TOJA MYALGIA
TOJA
TOJA
TOJA
TOJA COMMON COLD
TOJA RA
NON AKTIF TUGUIS GASTRITIS
TUGUIS GINGIVITIS
TUGUIS RA
TUGUIS MYALGIA
TUGUIS MYALGIA + DYSPEPSIA
KEDI TUGUIS HT
DUONO TUGUIS
TUGUIS
TUGUIS
TUGUIS
RUARI 2023
PuskesmasTolofuo@22
03601002

Terapi TB/cm

R/ VITAMIN B1, NA DIKLOFENAK

R/ SIMVASTATIN, PARACETAMOL
R/ ANTASIDA
R SIMVASTATIN, ASAM MEFENAMAT, AMOXICILLIN, VITAMIN C
R/ ANTASIDA, PRITAVIT
R/ NA DIKLOFENAK, PRITAVIT
R/ NA DIKLOFENAK, ANTASIDA
R/ ALLOPURINOL, THIAMIN, NA DIKLOFENAK
R/ CAPTOPRIL, PARACETAMOL, THIAMIN, ANTASIDA
R/ ALLOPURINOL, NA DIKLOFENAK, ANTASIDA, PRITAVIT
R/ CTM, PARACETAMOL, PRITAVIT
R/ ANTASIDA, PARACETAMOL, PRITAVIT
R/ NA DIKLOFENAK, PIROXICAM, VITAMIN B1
R/ AMOXICILLIN, DEXAMETASON, NA DIKLOFENAK, ANTASIDA
R/ AMOXICILLIN, PARACETAMOL
R/ SIMVASTATIN, ANTASIDA
R/ SIMVASTATIN, NA DIKLOFENAK
R/ ALLOPURINOL, THIAMIN, NA DIKLOFENAK
R/ ANTASIDA, PARACETAMOL
R/ ALLOPURINOL, THIAMIN, NA DIKLOFENAK
R/ ANTASIDA, NA DIKLOFENAK, THIAMIN
R/ PRITAVIT
R/ SIMVASTATIN, ALLOPURINOL, NA DIKLOFENAK, AMLODIPIN
R/ ALLOPURINOL, NA DIKLOFENAK, THIAMIN, ANTASIDA
R/ NA DIKLOFENAK, SIMVASTATIN
R/ ANTASIDA, SALBUTAMOL, DEXAMETASON
R/ ANTASIDA, NA DIKLOFENAK, THIAMIN
R/ ALLOPURINOL, PIROXICAM, SIMVASTATIN, DEXAMETASON
R/ CEFADROXIL, DEXA METASON, CTM, PARACETAMOL
R/ NA DIKLOFENAK, SIMVASTATIN, ASAM MEFENAMAT
R/ NA DIKLOFENAK, DEXAMETASON, THIAMIN
R/ SIMVASTATIN, NA DIKLOFENAK, THIAMIN
R/ AMLODIPIN, NA DIKLOFENAK, SIMVASTATIN, THIAMIN
R/ AMOXICILLIN, DEXAMETASON, CTM, PIROXICAM
R/ ALLOPURINOL, PIROXICAM, THIAMIN, DEXAMETASON
R/ ALLOPURINOL, PIROXICAM, THIAMIN, SIMVASTATIN
R/ SIMVASTATIN, NA DIKLOFENAK, THIAMIN, DEXAMETASON
R/ SIMVASTATIN
R/ AMOXICILLIN, ASAM MEFENAMAT, VITAMIN CS
R/ AMLODIPIN, SIMVASTATIN, THIAMIN
R/ AMLODIPIN, THIAMIN
R/ NA DIKLOFENAK, SIMVASTATIN, PRITAVIT
R/ NA DIKLOFENAK, DEXAMETASON, SIMVASTATIN
R/ AMOXICILLIN, NA DIKLOFENAK, DEXAMETASON
R/ SIMVASTATIN, THIAMIN
R/ SIMVASTATIN, NA DIKLOFENAK, DEXAMETASON, THIAMIN
R/ NA DIKLOFENAK, AMLODIPIN, THIAMIN
R/ PIROXICAM, DEXAMETASON, THIAMIN
R/ NA DIKLOFENAK, AMLODIPIN, THIAMIN
R/ CEFADROXIL, DEXA METASON, CTM, THIAMIN, SIMVASTATIN
R/ CEFADROXIL, DEXA METASON, CTM, SIMVASTATIN
R/ NA DIKLOFENAK, PIROXICAM, ALLOPURINOL, SIMVASTATIN
R/ NA DIKLOFENAK, PRITAVIT, SIMVASTATIN
R/ ANTASIDA, ALLOPURINOL, SIMVASTATIN
R/ ANTASIDA, SIMVASTATIN, PARACETAMOL
R/ SIMVASTATIN, ALLOPURINOL, NA DIKLOFENAK, ANTASIDA, DEXAMETASON
R/ SIMVASTATIN, CTM, THIAMIN
R/ ANTASIDA, CTM, SIMVASTATIN, ALLOPURINOL
R/ CEFADROXIL, DEXAMETASON, ANTASIDA
R/ SIMVASTATIN, THIAMIN, NA DIKLOFENAK
R/ AMOXICILLIN SYRUP, VITAMIN C, CTM, DEXAMETASON
R/ CIPROFLOXACIN, DEXAMETASON, VITAMIN C
R/ PRITAVIT, DEXAMETASON, ANTASIDA
R/ PARACETAMOL, CTM, ANTASIDA, AMOXICILLIN
R/ ALLOPURINOL, NA DIKLOFENAK, THIAMIN
R/ PARACETAMOL, ANTASIDA
R/ AMOXICILLIN, ASAM MEFENAMAT
R/ PIROXICAM, PARACETAMOL, LORATADIN, CETIRIZINE, KETOCONAZOLE
R/ SIMVASTATIN, NADIKLOFENAK, DEXAMETASON
R/ NA DIKLOFENAK, DEXAMETASON, THIAMIN, ANTASIDA
R/ CAPTOPRIL,THIAMIN, CEFADROXIL
R/ CEFADROXIL, PRITAVIT, DEXAMETASON
R/ ANTASIDA, THIAMIN, PARACETAMOL
R/ ACYCLOVIR, KETOCONAZOLE, CTM
R/ KETOCONAZOLE, CEFADROXIL, AMLODIPIN
 TD
BB/kg LP KET
Sistolik Diastolik