You are on page 1of 4

LAPORAN POLI TUBERKULOSIS ANAK RSIA ANUGRAH KUB

NO NO RM NAMA NIK ALAMAT KRITERIA TERDUGA TB L/P

1 078630 Fatia Izzatunisa 6112064712210001 Dusun Pinang Baru RT/RW 014/007 Terduga TBC SO P
2 078131 Aulia Izzatunisa 6112016002200002 Gg. Genteng RT/RW 017/001 Terduga TBC SO P
3 078297 Syahida Miftahul .J 6112015706170003 Jl.Arteri Supadio RT/RW 006/014 Terduga TBC SO P
4 078298 M.Aqil Zaydan 6112011802200001 Jl.Arteri Supadio RT/RW 006/014 Terduga TBC SO L
5 058231 M.Firdan - Jl. Sungai Nipah RT/RW 009/014 Terduga TBC SO L
6 062852 Zea Fathia .N 6112075311210001 Dusun Kebun Jeruk RT/RW 002/002 Terduga TBC SO P
7 076894 Marsya Aulia . R 6171034508120001 Jl. Serdam, Gg. Bumi Raya No.3 Terduga TBC SO P
8 079896 Geora Marcia 6112014903160006 Komplek Pil Blok 6 Terduga TBC SO P
9 056499 Elfatih Ramadhika - Jl. Komyos Sudarso Terduga TBC SO L
10 071533 Deandra Cahya 6171045006220003 Jl. Selat Panjang Terduga TBC SO L
11 049269 Khalisa Putri 6171044306200001 Jl. Khatuliswa RT/RW 001/017 Terduga TBC SO P
12 064550 M. Arkan .A - Dusun Tebang Kacang Terduga TBC SO L
13 082562 M. Ziyed Nakai 6171040409150003 Gg. Bersama Terduga TBC SO L
14 003969 Danish Naraya 6171011502100003 Jl. Tanjung Rya 2 Terduga TBC SO L
15 027521 Abrizam Zidane . M 6171022110170002 Jl. Tanjung Raya 2 Komp.Villa Anima Terduga TBC SO L
16 072702 Michellie Candra . W 6112014905180001 Jl.Adisucipto Gg.Sagu no 5 Terduga TBC SO P
17 085557 Mayatul Naura 6171034209190002 Jl. Komyos Sudarso Terduga TBC SO P
18 034381 Rajendra Pranaja W - Jl. Surya no 49 Terduga TBC SO L
19 087200 Nabila Fauzia M 6171016709210001 Jl. Purnama 2 komp. Purnama hulu Terduga TBC SO P
20 088782 Chyntiya Selvianti Gg. Siaga 4 Terduga TBC SO P
21 088783 Nathael Gilbert Gg. Siaga 4 Terduga TBC SO L
22 012530 Lionel Albert Gg. Siaga 4 Terduga TBC SO L
23 085557 Inayatul Naura 6171034209190002 Jl. Komyos Sudarso Terduga TBC SO P
UGRAH KUBU RAYA

TANGGAL TERAPI
NO HP KET
OAT 1 OAT 2 OAT 3 OAT 4 OAT 5 OAT 6
081528475307 1/6/2023 6/23/2023
082354713294 1/18/2023
089521131972 11/20/2023 5/22/2023
085787884446 1/20/2023 5/22/2023
085849156279 1/24/2023
081528479525 1/25/2023
085754282731 2/3/2023
085754275551 2/3/2023
087786714261 2/23/2023
082155526960 3/1/2023 6/14/2023
085752051407 3/1/2023
0895618163987 3/8/2023
085754379404 4/28/2023
081572191922 5/8/2023
085787884446 7/6/2023 5/22/2023
088258260922 7/6/2023 8/1/2023 9/4/2023 10/2/2023 5/22/2023
085845547370 8/10/2023 9/7/2023
085245906121 9/20/2023
083150555775 8/22/2023 9/20/2023
085751852600 Pengobatan TB Laten (PKM)
085751852600 Pengobatan TB Laten (PKM)
085751852600 Pengobatan TB Laten (PKM)
085845547370 7/21/2023 8/10/2023 9/7/2023 10/5/2023
LAPORAN TES MANTOUX POLI ANAK RSIA ANUGRAH KUBU RAYA

NO NO RM NAMA TANGGAL LAHIR NIK ALAMAT NO.HP L/P

1 073072 Ashar Zio Sagara 8/27/2022 6171062111170003 Jl. Parit Haji Husin 2 085252152008 L
2 088782 Chyntiya Selvianti 10/13/2012 - Gg. Siaga 4 085751852600 P
3 088783 Nathael Gilbert 12/31/2020 - Gg. Siaga 4 085751852600 L
4 012530 Lionel Albert 5/30/2016 - Gg. Siaga 4 085751852600 L
BACA HASIL TES MANTOUX
TGL TES MANTOUX KET
TGL BACA HASIL (+/_)
9/23/2023 9/25/2023 (-) RSIAA
9/22/2023 (+) PKM
9/22/2023 (+) PKM
9/22/2023 (+) PKM

You might also like