Klinik Dota Medika

Dusun sumurbandung RT 12/02 Desa Pasir Awi, Karawang

Jawa Barat
41382
No. No. RM Nama NIK Tanggal Kunjungan DPJP General Consent Kajian Awal S O A P KIE Pelayanan Kefarmasian Informed Consent

Obat Rujuk Tindakan

1 MR033437 SUNARTO BIN SUPARNO 321619200960004 24-10-2023 Yana Suryana - V V V V V V - - V -

2 MR037361 JENAL BIN HAJI SANUSI - 24-10-2023 Yana Suryana V V V V V - V - - - -

3 MR037361 JENAL BIN HAJI SANUSI - 24-10-2023 Yana Suryana - V V V V V V - - V -

4 MR025524 SITI HOLIPAH BINTI ENGKOS KOSASIH 3215184101910001 24-10-2023 Yana Suryana - V V V V V V - - V -

5 MR004778 Balin bin Aju 3215011902720003 23-10-2023 Yana Suryana - V V V V V V - - V -

6 MR002912 jamal bin salim 23-10-2023 Taswan Setiawan V V V V V - V - - - -

7 MR002912 jamal bin salim 23-10-2023 Taswan Setiawan - V V V V V V - - V -

8 MR014336 billie bin yoko 3215181712180000 23-10-2023 Taswan Setiawan V V V V V V V - - V -

9 MR019094 TARWIS BINTI PADIN - 23-10-2023 Taswan Setiawan V V V V V V V - - V -

10 MR037354 ALFI ANDRA ADITIA BIN ADI 23-10-2023 Taswan Setiawan V V V V V V V - - V -

11 MR015662 iva kurnia binti muhidin 23-10-2023 Atika Dewi - V V V V - V - - - -

12 MR023819 WAHYUDIN BIN ACAM 3215180604820000 23-10-2023 Taswan Setiawan V V V V V V V - - V -

13 MR037355 CHINTIA RAHMA BINTI JUMHALI 3215186701980001 23-10-2023 Taswan Setiawan V V V V V V V - - V -

14 MR019071 saskia binti abdul rajab - 23-10-2023 Taswan Setiawan - V V V V - V - - - -

15 MR013747 RATO BIN DARMA 23-10-2023 Taswan Setiawan - V V V V V V - - V -

16 MR020993 ATHARRAYHAN RIFA ANUGRAH BIN RATO - 23-10-2023 Taswan Setiawan - V V V V - V - - - -

17 MR003007 anita amelia binti aan 23-10-2023 Atika Dewi - V V V V - V - - - -

18 MR008707 muhamad haikal al khalif 3215180312170000 23-10-2023 Taswan Setiawan - V V V V V V - - V -

19 MR017548 WINDY NURSEPTIANI BINTI AHMAD HUSNI 3215186809910001 23-10-2023 Taswan Setiawan V V V V V V V - - V -

20 MR026448 WARSIH BINTI H.WASKUM 3215074904620000 23-10-2023 Taswan Setiawan V V V V V V V - - V -

21 MR033740 ELVINA SARI BINTI MUHAMAD ZEIR - 23-10-2023 Atika Dewi V V V V V - V - - - -

22 MR036951 Hajah Komariah binti Ajo 23-10-2023 Taswan Setiawan - V V V V V V - - V -

23 MR016013 JUMAT BIN RESAN 23-10-2023 Taswan Setiawan - V V V V V V - - V -

24 MR036543 KAYLA FITRIYANI BINTI JEPRI 3215186706180001 23-10-2023 Taswan Setiawan - V V V V V V - - V -

25 MR037313 PUSPA JINGGA PRAMESWARI BINTI 23-10-2023 Taswan Setiawan - V V V V - V - - - -

HENDRA

26 MR005504 Hajah Halimah binti Haji Sukarna 23-10-2023 Taswan Setiawan - V V V V V V - - V -

27 MR007691 hidayat bin dadang 321518050465001 23-10-2023 Taswan Setiawan V V V V V V V - - V -

28 MR016391 Kusniawati binti ita 23-10-2023 Taswan Setiawan V V V V V V V - - V -

29 MR023957 JUBAEDAH BINTI BEBEN - 23-10-2023 Taswan Setiawan - V V V V - V - - - -

30 MR013357 asep mulyadin bin mahpudin 3214100101820000 23-10-2023 Taswan Setiawan V V V V V V V - - V -

31 MR010954 INDRA ARIA WIBAWA BIN HIDAYAT 23-10-2023 Taswan Setiawan V V V V V - V - - - -

32 MR019605 SITI ROBIAH BINTI DAIS 321518410950001 23-10-2023 Atika Dewi - V V V V - V - - - -

33 MR001368 didah sundari binti kasa 23-10-2023 Atika Dewi V V V V V - V - - - -

34 MR024435 NAILA SALMA APRILIANI BINTI DEDI 3215182211120001 23-10-2023 Taswan Setiawan - V V V V V V - - V -

35 MR013284 Muhammad Yusuf Arrasya Bin Abdul Rasa 3215180602180000 23-10-2023 Taswan Setiawan - V V V V V V - - V -

36 MR012408 Abdul Rasa Bin Itok 3215070107980058 23-10-2023 Taswan Setiawan - V V V V V V - - V -

37 MR000732 sati binti asip 3215186509770000 23-10-2023 Taswan Setiawan - V V V V V V - - V -

38 MR037356 AULIA PUTRI PEBRIAN BINTI WAYIM 3215186402090001 23-10-2023 Taswan Setiawan V V V V V V V - - V -

39 MR029194 HANI FEBRIANI BINTI ENDANG 3215185302010000 23-10-2023 Taswan Setiawan - V V V V V V - - V -

40 MR008210 HAJAH NINA BINTI TOLIB 32151861047000000 23-10-2023 Taswan Setiawan V V V V V - V - - - -

41 MR037357 Fitri binti iman 23-10-2023 Taswan Setiawan V V V V V V V - - V -

42 MR014622 NADIRA MECCA SULAEMAN BINTI 23-10-2023 Taswan Setiawan V V V V V V V - - V -

JAELANI S

43 MR037294 MAHDUM BIN YAKUB 3215180602630001 23-10-2023 Taswan Setiawan - V V V V V V - - V -

44 MR012229 Cucun Sundari binti dari 3215185705930000 23-10-2023 Taswan Setiawan V V V V V V V - - V -

45 MR025736 ARFANKA CADEN MILAN BIN TAUFIK 3215181706210000 23-10-2023 Atika Dewi - V V V V V V - - V -

46 MR004331 AHMAD RAMLI BIN KONO 23-10-2023 Taswan Setiawan - V V V V V V - - V -

47 MR035472 SITI ZAKIYAH BINTI TIMAN - 23-10-2023 Atika Dewi - V V V V V V - - V -

48 MR033857 RAHMAT BIN TASLAN 3215182810980000 23-10-2023 Taswan Setiawan - V V V V V V - - V -

49 MR024317 IYOH BINTI TAJING - 23-10-2023 Atika Dewi V V V V V - V - - - -

50 MR004883 Dian Nindy Alfita BINTI JATUM 3215016910930000 23-10-2023 Atika Dewi - V V V V V V - - V -

51 MR005654 wawan bin dirta 3215181804640000 23-10-2023 Taswan Setiawan V V V V V V V - - V -

52 MR010339 sumiyati binti jumria 3206374402900000 23-10-2023 Atika Dewi - V V V V V V - - V -

53 MR026487 RIKA ASTTRIANI BINTI SANIM 3215185605930000 23-10-2023 Atika Dewi - V V V V - V - - - -

54 MR027601 ANZEEL BARAN DANANJAYA BIN ASEP - 23-10-2023 Taswan Setiawan V V V V V V V - - V -

JAYA

55 MR006113 SUKARMAN BIN SUKARDI 3215180111510000 23-10-2023 Taswan Setiawan V V V V V V V - - V -

56 MR037358 SALSABILA RAIKAH HALWATU BINTI 23-10-2023 Yana Suryana - V V V V V V - - V -

KARDI

57 MR023984 UJANG SURYANA BIN KARTA 3215181002840000 23-10-2023 Yana Suryana - V V V V V V - - V -

58 MR002111 titi kartika binti didi 3215184908920000 23-10-2023 Yana Suryana - V V V V V V - - V -

59 MR037359 AKEM BINTI AKUM 321526420466008 23-10-2023 Yana Suryana V V V V V V V - - V -

60 MR018289 ICAN SUHAYA BIN MAAT 3215181010810001 23-10-2023 Yana Suryana V V V V V V V - - V -

61 MR010777 Rano bin Suhendi 23-10-2023 Yana Suryana - V V V V V V - - V -

62 MR011179 Syakila Raida binti Rano 3215187112170000 23-10-2023 Yana Suryana - V V V V V V - - V -

63 MR017318 AFSHEERA HUSNIYAH HUMAIROH BINTI 3215184401200000 23-10-2023 Yana Suryana - V V V V V V - - V -

YANA MAULANA

64 MR007329 nengsih binti eling 23-10-2023 Yana Suryana V V V V V V V - - V -

65 MR005444 Muhammad Ikbal Pauzi bin wahyudin 23-10-2023 Yana Suryana V V V V V V V - - V -

66 MR021072 HARTONO BIN DAYA 3215181108630002 23-10-2023 Yana Suryana V V V V V V V - - V -

67 MR035681 NENG JUNENGSIH BINTI SALIM 3215184201900000 23-10-2023 Yana Suryana - V V V V V V - - V -

68 MR012123 ali rohman bin mastaya 23-10-2023 Yana Suryana V V V V V V V - - V -

69 MR027695 ANBIYA SHAKILA PUTRI BINTI WARDI - 23-10-2023 Yana Suryana - V V V V V V - - V -

70 MR011697 Lola Nurhaliza binti Isa 3215185111990000 23-10-2023 Yana Suryana V V V V V V V - - V -

71 MR028724 NADIRA HUMAIRA AZ ZAHRA BINTI ALDI 3215186706210001 23-10-2023 Yana Suryana - V V V V V V - - V -

72 MR009292 Yamarthin Partogi Tarihoran bin Ivanus 3215251205880000 23-10-2023 Yana Suryana - V V V V V V - - V -

73 MR028062 WINDA KURNIA BINTI DEDE SURYANA 3215184704950000 23-10-2023 Yana Suryana - V V V V V V - - V -

74 MR029153 DALI MIHARJA BIN MANIN 3215181211600000 23-10-2023 Yana Suryana - V V V V V V - - V -

75 MR033604 SADIAH BINTI ATTA RASTA 3215265010960000 23-10-2023 Yana Suryana - V V V V V V - - V -

76 MR033130 KARTIKA BINTI ASLI - 23-10-2023 Yana Suryana - V V V V - V - - - -

77 MR031837 SELIKA BINTI RASUM - 23-10-2023 Yana Suryana - V V V V V V - - V -

78 MR029002 ALDIMAS SEPTIAN BIN AMIN - 23-10-2023 Yana Suryana V V V V V V V - - V -

79 MR030783 SISKA TRIYANI BINTI SUDIA 3215185610020000 23-10-2023 Yana Suryana - V V V V V V - - V -

80 MR037360 Yati binti sarjan - 23-10-2023 Yana Suryana V V V V V V V - - V -

81 MR023699 IIP ARIPIN BIN ACA - 23-10-2023 Yana Suryana - V V V V V V - - V -

82 MR003470 syahril nizam bin sarya - 23-10-2023 Yana Suryana V V V V V V V - - V -

83 MR002183 koswara bin Nakim 3215180207740001 23-10-2023 Yana Suryana V V V V V V V - - V -

84 MR003947 bilqis binti dede - 23-10-2023 Yana Suryana V V V V V V V - - V -

 Klinik Dota Medika
Dusun sumurbandung RT 12/02 Desa Pasir Awi, Karawang
Jawa Barat
41382
No. No. RM Nama NIK Tanggal Kunjungan DPJP General Consent Kajian Awal S O A P KIE Pelayanan Kefarmasian Informed Consent

Obat Rujuk Tindakan

85 MR000214 cardam bin badil 23-10-2023 Taswan Setiawan - V - V - - V - - V -

Kelengkapan EMR Pasien: 69.02%