DINAS KESEHATAN KABUPATEN BANDUNG

PUSKESMAS CIPARAY DTP

JL. RAYA LASWI NO.819 DS.MANGGUNGHARJA KEC.CIPARAY

REGISTER TRACKING DIAGNOSA (E11.9)

Periode Laporan: Januari 2023

Kelurahan/Desa : semua
Kecamatan : CIPARAY

UMUR VITAL SIGN

NO. TGL. NIK NO.BPJS NO.INDEX NAMA PASIEN TGL.LAHIR ALAMAT KUNJ JAMINAN LAYANAN ANAMNESA DIAGNOSA KASUS
L P TD BB/TB SUHU HR/RR

1 02-01-2023 0 0003006552431 2017/05802 ITI 1960-08-14 - 53Th KP.CIKOPO RT. 4 RW. 7, KEL.BUMIWANGI BARU BPJS NON PBI POLI UMUM KONTROL GULA 145/95 70/160 36 80/20 E11.9 LAMA
2 04-01-2023 3204294107580176 0003172166199 2021/32895 ENANG 1955-08-20 - 67Th BBKN CARINGIN RT. 5 RW. 5, KEL.CIPARAY BARU BPJS PBI POLI LANSIA NYERI KEPALA, NYERI KAKI 130/66 70/160 36,8 81/20 E11.9 LAMA

PROLANIS DM01 HT01;

3 04-01-2023 3204294107830006 0002793286012 2019/19234 ENUNG FARIDA 1973-07-01 - 39Th CIBOTOR RT. 1 RW. 22, KEL.MANGGUNG HARJA BARU BPJS PBI POLI LANSIA 0002793286012; TD 169/80; GDP 169/80 70/160 36 80/20 E11.9 LAMA
164
EUIS PRONLANIS DM01; 0002617870498;
4 04-01-2023 3204295010540003 0002617870498 2019/17356 1954-10-10 - 68Th CIMARIUK RT. 2 RW. 19, KEL.MANGGUNG HARJA BARU BPJS PBI POLI LANSIA 163/78 70/160 36 88/22 E11.9 LAMA
HENDRAWATI TD 163/78; GDP 160
5 04-01-2023 3204320409640001 0002903080421 2019/21014 HENI MAESAROH 1964-09-04 - 52Th ANDIR RT. 3 RW. 7, KEL.PAKUTANDANG BARU BPJS NON PBI POLI LANSIA KONTROL DM 120/79 70/160 36 80/20 E11.9 LAMA

PROLANIS DM02; 0002961431526;

6 04-01-2023 3204296007510001 0002961431526 2022/39407 SITI HODIJAH 1951-07-20 - 71Th JL MOCH RAMDAN RT. 5 RW. 12, KEL.MEKARSARI LAMA BPJS PBI POLI LANSIA 162/99 70/160 36 88/22 E11.9 LAMA
TD 162/99; GDS 179

NENDEN
7 04-01-2023 3204295606650002 0002750914585 2017/06167 1965-06-16 - 57Th CIMARIUK RT. 4 RW. 16, KEL.MANGGUNG HARJA BARU BPJS PBI POLI LANSIA KONTROL DM 120/79 70/160 36 80/20 E11.9 LAMA
WIRATNINGSIH

PROLANIS DM02; 0002524595668;

8 04-01-2023 3204335707620001 0002524595668 2016/02808 AYI HAPIDOH 1962-07-17 - 60Th CIDAWOLONG RT. 02 RW. 14, KEL.BIRU BARU BPJS PBI POLI LANSIA 130/77 70/160 36 88/22 E11.9 LAMA
TD 130/77 ; 74

PROLANIS DM02; 0000053722822;

9 04-01-2023 3204094606550001 0000053722822 2018/10858 HARUN 1955-06-07 72Th - LELES RT. 3 RW. 12, KEL.MEKARSARI BARU BPJS NON PBI POLI LANSIA 139/80 70/160 36 88/22 E11.9 LAMA
TD 139/80; GDP 77

10 04-01-2023 3204294401570001 0001341021497 2019/16384 LILIS SURYANI 1957-01-04 - 66Th LELES RT. 3 RW. 12, KEL.MEKARSARI BARU BPJS PBI POLI LANSIA KONTROL DM 120/78 70/160 36 80/20 E11.9 LAMA

PROLANIS DM02; 0000054097299;

11 04-01-2023 3204292710610002 0000054097299 2016/02958 AGUS SUBAGJA 1961-10-27 61Th - CIPARAY INDAH RT. 02 RW. 11, KEL.SARIMAHI BARU BPJS NON PBI POLI LANSIA 138/64 70/160 36 88/22 E11.9 LAMA
TD : 138/64 ; GD 131
PROLANIS HT02; 0002593657912;
12 04-01-2023 3204296907650001 0002593657912 2021/31396 HABIBAH IBAH 1965-07-29 - 57Th CIHEULANG AL-FALIHIN RT. 1 RW. 9, KEL.CIHEULANG BARU BPJS PBI POLI LANSIA 139/80 70/160 36 88/22 E11.9 LAMA
TD 139/80;

NENENG
13 04-01-2023 3204291310490001 0001337283718 2019/15251 2048-10-13 - 65Th KPLELES RT. 2 RW. 13, KEL.MEKARSARI BARU BPJS PBI POLI LANSIA KONTROL DM 120/79 70/160 36 80/20 E11.9 LAMA
JULAEHA
PROLANIS DM01; 0002519737031;
14 04-01-2023 3204294404640004 0002519737031 2016/03151 LILIS SETIAWATI 1964-04-04 - 58Th LEUWIJAMBU RT. 06 RW. 13, KEL.MEKARSARI BARU BPJS PBI POLI LANSIA 139/82 70/160 36 88/22 E11.9 LAMA
TD 139/82; GDP 226

15 04-01-2023 3213096911740001 0002494461993 2019/17463 KOMARIAH 1974-11-29 - 48Th CIKOPO RT. 4 RW. 7, KEL.BUMIWANGI BARU BPJS NON PBI POLI LANSIA KONTROL DM 120/79 70/160 36 80/20 E11.9 LAMA

KARANG ANYAR RT. 02 RW. 02, KEL.MANGGUNG PROLANIS DM02; 0000415369697;

16 04-01-2023 3204294107650255 0000415369697 2016/00193 WATI SETIAWATI 1965-07-01 - 57Th BARU BPJS PBI POLI LANSIA 153/77 70/160 36 88/22 E11.9 LAMA
HARJA TD 153/77; GDP 106

PROLANIS DM02; 0001296153371;

17 04-01-2023 3204294803630008 0001296153371 2016/00739 SITI JULAEHA 1963-03-08 - 59Th LELES RT. 01 RW. 13, KEL.MEKARSARI BARU BPJS NON PBI POLI LANSIA 146/75 70/160 36 88/22 E11.9 LAMA
TD : 146/75 ; GDP : 114

18 04-01-2023 3204296601720002 0002524184076 2021/32847 ILIS ROHAYATI 1972-01-26 - 50Th KP. LEBAK BIRU RT. 5 RW. 11, KEL.CIHEULANG BARU BPJS PBI POLI UMUM KONTROL RS 120/80 55/155 36 80/20 E11.9 LAMA
19 04-01-2023 3204294208800011 0001328868887 2019/19230 SITI KHODIZAH 1980-08-02 - 42Th CIBOTOR RT. 2 RW. 22, KEL.MANGGUNG HARJA BARU BPJS PBI POLI LANSIA KONTROL DM 120/78 55/155 36 80/20 E11.9 LAMA

PROLANIS DM01; 0000039287136;

20 04-01-2023 3204292104760013 0000039287136 2020/29696 SUMARNA 1976-04-21 46Th - ANDIR RT. 1 RW. 11, KEL.PAKUTANDANG BARU BPJS NON PBI POLI LANSIA 133/78 55/155 36 88/22 E11.9 LAMA
TD: 133/78 ; GDP 150

PROLANIS DM01 HT01;

21 04-01-2023 3204296311670003 0000976700957 2016/01286 IIS RIZA ORIZA 1967-11-23 - 55Th GANG BUDI DARMA RT. 01 RW. 06, KEL.SARIMAHI BARU BPJS NON PBI POLI LANSIA 0000976700957; TD 159/86; GDP 159/86 55/155 36 88/22 E11.9 LAMA
138; CHOL 249

CUCU
22 04-01-2023 3204295104600005 0000415568283 2019/22390 1960-04-11 - 62Th PARIGI RT. 3 RW. 7, KEL.CIPARAY BARU BPJS PBI POLI LANSIA KONTROL DM 120/79 55/155 36 80/20 E11.9 BARU
YULIANINGSIH

IMAS KALMAH PROLANIS DM02; 0000053765559;

23 04-01-2023 3204345611500002 0000053765559 2019/16225 1950-11-16 - 72Th KOYOD RT. 1 RW. 11, KEL.RANCAKASUMBA LAMA BPJS NON PBI POLI LANSIA 134/78 55/155 36 88/22 E11.9 LAMA
ERMAYA TD 134/78; GDS 111
 UMUR VITAL SIGN
NO. TGL. NIK NO.BPJS NO.INDEX NAMA PASIEN TGL.LAHIR ALAMAT KUNJ JAMINAN LAYANAN ANAMNESA DIAGNOSA KASUS
L P TD BB/TB SUHU HR/RR

DADANG PROLANIS DM01; 0002961478236;

24 04-01-2023 0002961478236 54Th - ALAMAT BELUM DI INPUTKAN BARU GRATIS POLI LANSIA 112/76 55/155 36 88/22 E11.9 BARU
RUSMANA TD 112/76; GDP 206; CHOL 191

PROLANIS DM01; 0000054109089;

25 05-01-2023 320429070347001 0000054109089 2016/08263 H.SODIKIN BISRI 1947-03-07 75Th - JONGOR KULON RT. 2 RW. 11, KEL.SARIMAHI BARU BPJS NON PBI POLI LANSIA 151/78 55/155 36 88/22 E11.9 LAMA
TD : 151/78 ; GDP: 149

PROLANIS DM02; 0001341209384;

26 05-01-2023 3204290803530003 0001341209384 2019/17008 DIDI 1953-03-08 69Th - KARANG ANYAR RT. 1 RW. 1, KEL.MANGGUNG HARJA LAMA BPJS PBI POLI LANSIA 136/88 55/155 36 88/22 E11.9 LAMA
TD 136/88; GDP : 106
PROLANIS DM02; 0000167254367;
27 05-01-2023 3204291401700003 0000167254367 2017/03947 ELIS SULIYANAH 1970-01-14 - 52Th CIPAKU RT. 1 RW. 18, KEL.PAKUTANDANG BARU BPJS NON PBI POLI LANSIA 139/88 55/155 36 88/22 E11.9 LAMA
TD : 148/88; GDP : 100; CHOL : 161

PROLANIS DM02; 0002793302447;

28 05-01-2023 3204291906020002 0002793302447 2016/01117 IMAS WIDIYA 2002-06-19 - 43Th HEGARMANAH RT. 02 RW. 03, KEL.MEKARLAKSANA BARU BPJS PBI POLI LANSIA 115/71 55/155 36 88/22 E11.9 LAMA
TD : 115/71

PROLANIS DM02 HT02;

29 05-01-2023 3273174101660004 0000415866183 2016/00314 IDAYPARIDA 1969-08-01 - 53Th LANDBAU RT. 03 RW. 08, KEL.BUMIWANGI BARU BPJS PBI POLI LANSIA 0000415866183; TD : 137/73 ; GDP : 137/73 55/155 36 88/22 E11.9 LAMA
102

PROLANIS DM02 HT02;

30 05-01-2023 3204291610560004 0002060560855 2019/15586 ENOK ROHAENI 1956-10-16 - 65Th GUNUNGLEUTIK RT. 4 RW. 14, KEL.GUNUNGLEUTIK LAMA BPJS NON PBI POLI LANSIA 0002060560855; TD : 137/77; GDP : 137/77 55/155 36 88/22 E11.9 LAMA
98

PROLANIS DM01; 0001003406073;

31 05-01-2023 3204290104960004 0001003406073 2019/22400 NENENG 1972-12-11 - 50Th PANGUPUKAN RT. 2 RW. 6, KEL.MEKARLAKSANA BARU BPJS PBI POLI LANSIA 160/94 55/155 36 88/22 E11.9 LAMA
TD : 160/94; GDP : 154; CHOL : 238
PROLANIS DM02; 0000414919293;
32 05-01-2023 320429811720002 0000414919293 2019/20473 ROHAYATI 1972-11-08 - 50Th LELES RT. 5 RW. 12, KEL.MEKARSARI BARU BPJS PBI POLI LANSIA 118/78 55/155 36 88/22 E11.9 LAMA
TD : 118/78 ; GDP : 112

PROLANIS DM02 HT02 ;

33 05-01-2023 3273116210590006 0000057488736 2017/00157 DEDEH 1959-10-22 - 63Th HUJUNG RT. 2 RW. 2, KEL.CIPARAY BARU BPJS NON PBI POLI LANSIA 0000057488736; TD : 122/71 ; GDP : 122/71 55/155 36 88/22 E11.9 LAMA
133

34 05-01-2023 3204294406750009 0001521530201 2019/22756 HASANAH 1975-06-04 - 47Th BUMIASIH RT. 1 RW. 11, KEL.BUMIWANGI LAMA UMUM POLI UMUM KONTROL GULA 110/70 65/160 36 80/20 E11.9 BARU

AYI PROLANIS HT02 ; 0002251893093;

35 05-01-2023 - 0002251893093 2016/00008 1966-01-01 39Th - KP. CANGKUANG RT. 01 RW. 06, KEL.BIRU BARU BPJS PBI POLI LANSIA 120/84 65/160 36 88/22 E11.9 LAMA
SETIADI,M.PD.I TD : 120/84; GDP : 136

APID SARIP PROLANIS DM02; 0000415471059;

36 05-01-2023 3204292411500001 0000415471059 2019/15511 1950-11-24 72Th - HUJUNG RT. 2 RW. 1, KEL.CIPARAY BARU BPJS PBI POLI LANSIA 134/84 65/160 36 88/22 E11.9 LAMA
HIDAYAT TD : 134/84; GDP : 98

AYI HENDRIK PROLANIS DM02 ; 0000415187919;

37 05-01-2023 3204293009620001 0000415187919 2019/22827 1962-09-30 60Th - RANCA HEULANG RT. 2 RW. 15, KEL.MEKARLAKSANA BARU BPJS PBI POLI LANSIA 139/88 65/160 36 88/22 E11.9 LAMA
SUPRIATNA TD : 141/88; GDP : 91

PROLANIS DM02; 0002295897129;

LILIS SITI
38 05-01-2023 3204295706570003 0002295897129 2019/22384 1957-06-17 - 65Th LOA ALUN-ALUN RT. 2 RW. 4, KEL.MEKARSARI BARU BPJS NON PBI POLI LANSIA TD : 144/77; GDP : 111; CHOL : 0; 139/77 65/160 36 88/22 E11.9 LAMA
SOLIHAH
AU : 7

PROLANIS DM02; 0002524894356;

39 05-01-2023 3204296005480002 0002524894356 2020/25392 RATIAH 1948-05-20 - 74Th CIPONGPORANG RT. 2 RW. 19, KEL.SERANGMEKAR BARU BPJS PBI POLI LANSIA 173/97 65/160 36 88/22 E11.9 LAMA
TD 173/97; GDS 83

AI SUKAETI PROLANIS DM01; 0001959751631;

40 05-01-2023 0 0001959751631 2020/27487 2020-09-15 - 55Th MARGAHURIP RT. 3 RW. 4, KEL.CIHEULANG LAMA BPJS PBI POLI LANSIA 112/77 65/160 36 88/22 E11.9 LAMA
[PROLANIS DM00] TD : 112/77; GDP : 118

PROLANIS DM02 HT02;

41 05-01-2023 3204296701690002 0000415718087 2016/09182 TITI 1969-01-27 - 53Th LANBAU RT. 3 RW. 8, KEL.CIHEULANG BARU BPJS PBI POLI LANSIA - 65/160 - / E11.9 LAMA
0000415718087; TD :

LILIS YAYAN PROLANIS DM02; 0000053855662;

42 05-01-2023 3204306508650001 0000053855662 2019/16810 1961-08-25 - 57Th CIPEUJEUH RT. 1 RW. 8, KEL.CIPEUJEUH BARU BPJS NON PBI POLI LANSIA 161/95 65/160 36 88/22 E11.9 LAMA
RUHYANI TD : 161/95; GDP 90; CHOL : 173

PROLANIS DM02 ; 0000415546863;

43 05-01-2023 3204294607640005 0000415546863 2016/01970 DEDEH SADIAH 1964-07-06 - 58Th KP. LELES RT. 03 RW. 14, KEL.MEKARSARI BARU BPJS PBI POLI LANSIA 161/110 65/160 36 88/22 E11.9 LAMA
TD : 161/110; GDP : 92

PROLANIS DM02 ; 0000415769319;

44 05-01-2023 3204291107690006 0000415769319 2019/15723 AHMAD SOPIAN 1969-07-11 53Th - KARASAK RT. 3 RW. 7, KEL.CIHEULANG BARU BPJS PBI POLI LANSIA 154/105 65/160 36 88/22 E11.9 LAMA
TD : 154/105 ; GDP : 111

PROLANIS DM02; 0000415825874;

45 05-01-2023 3204294308640001 0000415825874 2022/35505 ENTIN S 1964-08-03 - 57Th PANGUPUKAN RT. 1 RW. 6, KEL.MEKARLAKSANA BARU BPJS PBI POLI LANSIA 128/80 65/160 36 88/22 E11.9 LAMA
TD : 128/80; GDP : 128

PROLANIS DM02 HT01;

46 05-01-2023 3204295507570002 0002524887382 2021/32854 ENI ROHAENI 1957-07-15 - 65Th KP.STASION RT. 3 RW. 16, KEL.SARIMAHI BARU BPJS PBI POLI LANSIA 0002524887382; TD: 143/80; GDP : 143/80 65/160 36 88/22 E11.9 LAMA
110

47 09-01-2023 3204291105680004 0001337110795 2019/15438 SITI RUKIAH 1968-05-11 - 62Th JONGOR KULON RT. 2 RW. 11, KEL.SARIMAHI BARU BPJS NON PBI POLI LANSIA LEMAS 120/70 65/160 36 88/18 E11.9 LAMA
 UMUR VITAL SIGN
NO. TGL. NIK NO.BPJS NO.INDEX NAMA PASIEN TGL.LAHIR ALAMAT KUNJ JAMINAN LAYANAN ANAMNESA DIAGNOSA KASUS
L P TD BB/TB SUHU HR/RR

48 10-01-2023 3204295210650004 0002524870293 2020/26388 ETI ROHAETI 1965-10-12 - 57Th ANDIR RT. 1 RW. 10, KEL.PAKUTANDANG BARU BPJS PBI POLI LANSIA LEMAS DAN KONTROL GULA 118/78 65/160 36 88/18 E11.9 LAMA

NANI RATNA KONTROL DM, KOLESTEROL, PILEK

49 11-01-2023 3204290211980007 0 2017/04416 1998-11-02 - 62Th BANDIR RT. 3 RW. 3, KEL.MANGGUNG HARJA LAMA UMUM POLI LANSIA 104/66 65/160 36 77/20 E11.9 LAMA
NINGSIH +

50 11-01-2023 3204291010700010 0000416228995 2019/17608 KOMALASARI 1970-10-10 - 50Th LELES RT. 3 RW. 13, KEL.MEKARSARI BARU BPJS PBI POLI LANSIA KONTROL HT, DM 152/88 65/160 36 100/20 E11.9 LAMA

NENENG
51 11-01-2023 3204291310490001 0001337283718 2019/15251 2048-10-13 - 65Th KPLELES RT. 2 RW. 13, KEL.MEKARSARI BARU BPJS PBI POLI LANSIA KONTROL DM HT, PROLANIS 130/80 65/160 36 77/20 E11.9 LAMA
JULAEHA

52 11-01-2023 3204292102590002 0001003390413 2022/40552 DAHLAN 1959-02-21 63Th - PALAWIJA RT. 1 RW. 10, KEL.MEKARSARI LAMA BPJS PBI POLI LANSIA KONTROL DM, HT, 128/80 65/160 36 77/20 E11.9 LAMA

BAAL DI KEDUA TELAPAK TANGAN,

53 12-01-2023 3204290310530001 0001341021521 2018/11106 DJAMALUDIN 1953-10-03 69Th - LELES RT 1/13 RT. 0 RW. 0, KEL.MEKARSARI BARU BPJS PBI POLI LANSIA 155/83 65/160 36 80/20 E11.9 LAMA
NYERI KEPALA (+)

54 12-01-2023 3204295308520001 0000053726815 2019/23307 TUTI SUHATI 1952-08-13 - 70Th JL LASWI RT. 4 RW. 2, KEL.MANGGUNG HARJA BARU BPJS NON PBI POLI LANSIA NYERI KEPALA, SELURUH KEPALA. 130/80 65/160 36 90/20 E11.9 LAMA

NYERI ULU HATI, PANAS DADA,

55 12-01-2023 3204296506600001 0002522385988 2023/41155 AI RAHMAWATI 1960-06-25 - 62Th SAYURAN RT. 2 RW. 08, KEL.SAGARACIPTA BARU BPJS PBI POLI LANSIA 141/96 65/160 36,6 88/20 E11.9 LAMA
TANGAN SERING KESEMUTAN

NYERI KEPALA, PEGAL, LINU,

56 12-01-2023 3204295807600003 0001003373392 2020/29645 RALEM 1960-07-18 - 62Th LELES RT. 3 RW. 11, KEL.MEKARSARI LAMA UMUM POLI LANSIA KEBAS, NYERI KEPALA, BATUK 3 104/82 65/160 36 80/20 E11.9 LAMA
MINGGU, BERDAHAK

MIMIN
57 14-01-2023 3204295006730011 0000415202152 2019/14937 1973-06-10 - 49Th KP BBK CARINGIN RT. 1 RW. 5, KEL.CIPARAY BARU BPJS PBI POLI UMUM KONTROL RS 120/80 55/155 36 80/20 E11.9 BARU
MINTARSIH

58 16-01-2023 3204294101550038 0 2016/02066 DEDEH SUMIATI 1961-01-01 - 68Th SUKAHURIP RT. 03 RW. 06, KEL.MANGGUNG HARJA LAMA UMUM POLI LANSIA - 170/90 55/155 36 80/18 E11.9 BARU

GATAL DI BOKONG, KELUARGA

59 17-01-2023 3204296101710006 0 2017/04346 LILIS KOMARIAH 1971-01-21 - 52Th BUMISARI RT. 1 RW. 11, KEL.BUMIWANGI LAMA UMUM POLI UMUM 120/80 55/155 36 88/20 E11.9 BARU
MENGELUH KELUHAN SERUPA

60 18-01-2023 3273025810780001 0 2023/41103 SITI ROHMAH 1978-10-18 - 44Th JL CIDAWOLONG RT. 1 RW. 1, KEL.BIRU LAMA UMUM POLI UMUM RIWAYAT DM, TERDIAGNOSIS TB 120/80 55/155 36 88/20 E11.9 BARU

KOMP BARANANGSIANG INDAH RT. 3 RW. 9,

61 19-01-2023 3204295508640008 0002434822896 2019/16343 MARINI 1964-08-15 - 58Th BARU BPJS PBI POLI UMUM RIW. DM. GDP 172 120/80 55/155 36 88/20 E11.9 BARU
KEL.GUNUNGLEUTIK

BAB CAIR 2X AMPAS (+), LENDIR

62 19-01-2023 3204324107590166 0 2022/40875 ECI 1959-07-01 - 63Th LAMPINGHAUR RT. 1 RW. 16, KEL.MEKARLAKSANA LAMA UMUM POLI LANSIA 149/92 55/155 36 97/18 E11.9 LAMA
DAN DARAH (-), PUSING (+)

63 20-01-2023 3204295109680001 0002739590267 2017/05055 NURJANAH 1968-09-11 - 54Th LELES RT. 4 RW. 12, KEL.MEKARSARI BARU BPJS NON PBI POLI LANSIA LEMAS 140/80 55/155 36 80/20 E11.9 LAMA

64 21-01-2023 320429490663005 0000415230344 2019/21416 MIMI 1963-06-09 - 59Th JONGOR RT. 4 RW. 2, KEL.SARIMAHI BARU BPJS PBI POLI UMUM JARI TELUNJUK BENGKAK 150/90 55/155 36 88/20 E11.9 LAMA

65 25-01-2023 0 0 2022/36861 ANI HARTINI 1968-06-04 - 54Th PASIR BIRU RT. 4 RW. 15, KEL.RANCAKOLE LAMA UMUM POLI LANSIA NYERI LUTUT, NYERI KEPALA 165/88 55/155 36 99/18 E11.9 LAMA

KEDUA TANGAN KESEMUTAN DAN

66 25-01-2023 3204291707500001 0001340716678 2016/09183 DARYONO 1950-07-17 72Th - KARANG ANYAR RT. 1 RW. 1, KEL.MANGGUNG HARJA BARU BPJS PBI POLI LANSIA 105/79 55/155 36 80/20 E11.9 LAMA
BAAL

INI KARTINI
67 25-01-2023 3204294501610005 0003167897455 2016/02145 [PROLANIS DM01 1961-01-05 - 62Th LELES RT. 03 RW. 11, KEL.MEKARSARI LAMA BPJS PBI POLI LANSIA NYERI BADAN 168/68 55/155 36 80/20 E11.9 LAMA
HT01]

68 25-01-2023 3204271808580002 0 2017/07765 EUIS NURLELA 1958-08-18 - 60Th KOMP GIRI CIHEULANG RT. 3 RW. 5, KEL.CIHEULANG LAMA UMUM POLI LANSIA NYERI KEPALA DISERTAI KAKI LUKA 140/60 55/155 36 93/20 E11.9 BARU

GATAL DI BAWAH PAYUDARA DAN

69 26-01-2023 3204294101550038 0 2016/02066 DEDEH SUMIATI 1961-01-01 - 68Th SUKAHURIP RT. 03 RW. 06, KEL.MANGGUNG HARJA LAMA UMUM POLI LANSIA SELANGKANGAN, NYERI KEPALA 166/85 55/155 36 90/18 E11.9 LAMA
(+)

KIKIN YUSUF
70 28-01-2023 3204292712770002 0000159284204 2019/17720 1977-12-27 45Th - WASLARANG RT. 3 RW. 23, KEL.BIRU BARU BPJS NON PBI POLI UMUM kontrol gula dara 120/70 55/155 36 65/18 E11.9 LAMA
MUSTOPA

YUYUN
71 28-01-2023 3204295709610001 0001003367777 2019/15245 1961-09-17 - 61Th SUKADANA RT. 2 RW. 4, KEL.MANGGUNG HARJA BARU BPJS PBI POLI LANSIA KOMPLIKASI DM 130/70 55/155 36 88/18 E11.9 BARU
YUNINGSIH

72 31-01-2023 3204295009710004 0002522393199 2022/37225 IIS 1971-09-10 - 51Th JOLOK RT. 1 RW. 8, KEL.MEKARSARI LAMA BPJS PBI POLI INFEKSIUS KOMPLIKASI DM 130/70 55/155 36 88/18 E11.9 LAMA