PENANGGULANGAN TBC NASIONAL

FORMULIR INVESTIGASI KONTAK TUBERKULOSIS

Petugas yang
menginvestigasi Identitas Kontak
kontak

Tanggal
No. Nama Kasus Indeks Konta Investigasi
Nama Kader / Umu k Konta
Petugas Kesehatan Nama NIK r L/P Alamat Serum k Erat
ah

1 2 4 6 7 8 9 10 11 12 13
1 A.A. PT. DWI ARINI ANDY MUCHSIN ANNISA FEBRIYANTI MUCHSIN 7571044802070001 16 P JL. PALMA RT 3 RW 6 V 1/4/2024
2 A.A. PT. DWI ARINI ANDY MUCHSIN FANDI MUCHSIN 7571042511800001 43 L JL. PALMA RT 3 RW 6 V 1/4/2024
3 A.A. PT. DWI ARINI ANDY MUCHSIN MOHAMAD FADLY MUCHSIN 7571041508030001 20 L JL. PALMA RT 3 RW 6 V 1/4/2024
4 A.A. PT. DWI ARINI ANDY MUCHSIN YULIANTY KARNAIN 7571045703860001 37 P JL. PALMA RT 3 RW 6 V 1/4/2024
5 A.A. PT. DWI ARINI ARIF ADAM FERAWATI MAMONTO 7174025902780001 45 P RT 4 RW 3 V 12/29/2023
18 A.A. PT. DWI ARINI JUNUS HALID ADELIA VALENTINA BAKARI 7571045302050002 18 P JL. SALAK RT 2 RW 1 V 1/15/2024
19 A.A. PT. DWI ARINI JUNUS HALID ANDIRA GUSTIARA BAKARI 7571045008090001 14 P JL. SALAK RT 2 RW 1 V 1/15/2024
20 A.A. PT. DWI ARINI JUNUS HALID ARZACHEL MAULIDAR BAKARI 7571041912160001 7 L JL. SALAK RT 2 RW 1 V 1/15/2024
21 A.A. PT. DWI ARINI JUNUS HALID ASNI KATILI 7571045006580001 65 P JL. SALAK RT 2 RW 1 V 1/15/2024
22 A.A. PT. DWI ARINI JUNUS HALID CORIANINGSIH PANANI 7571044310650001 58 P JL. PROF. DR. H. HASAN ABAS NUSI RT 4 R V
23 A.A. PT. DWI ARINI JUNUS HALID FEBRIANTI PRIMA PUTRI HALI 7571046502040001 19 P JL BERINGIN V
24 A.A. PT. DWI ARINI JUNUS HALID WELY BAKARI 7571042305830002 40 L JL. SALAK RT 2 RW 1 V 1/15/2024
25 A.A. PT. DWI ARINI JUNUS HALID YUSNITA HALID 7571044508830001 40 P JL. SALAK RT 2 RW 1 V 1/15/2024
1 A.A. PT. DWI ARINI APIPA K. HUSAIN HADJARA HUSAIN 7571045512630001 60 P RT 1 RW 1 V 2/1/2024
2 A.A. PT. DWI ARINI APIPA K. HUSAIN IRAWATI YUNUS 7571046107840002 39 P Jl beringin V 2/1/2024
3 A.A. PT. DWI ARINI APIPA K. HUSAIN ISMAN YUNUS 7571041702910001 32 L Jl beringin V 2/1/2024
4 A.A. PT. DWI ARINI APIPA K. HUSAIN NAZRUL PUTRA UMAR 7571041906130003 10 L Jl beringin V 2/1/2024
5 A.A. PT. DWI ARINI APIPA K. HUSAIN NAZWA PUTRI UMAR 7571044503120002 11 P Jl beringin V 2/1/2024
6 A.A. PT. DWI ARINI APIPA K. HUSAIN NURNAZLILA UMAR 7571046205060001 17 P Jl beringin V 2/1/2024
7 A.A. PT. DWI ARINI APIPA K. HUSAIN SAMAN LIPUTO 7571040402800001 43 L RT 2 RW 1 V 2/1/2024

JL. PROF. DR. HI. HASAN ABAS

8 A.A. PT. DWI ARINI APIPA K. HUSAIN YUSRIN LIPUTO 7571040902960001 27 L NUSI RT 1 RW 1 V 2/1/2024
9 A.A. PT. DWI ARINI ARFAN HASAN AMRUN HASAN 7571041511580001 65 L JL JERUK RT 3 RW 1 V 1/15/2024
10 A.A. PT. DWI ARINI ARFAN HASAN ASNI HUWOYON 7571044507370001 86 P JL. JERUK RT 3 RW 2 V 1/15/2024
11 A.A. PT. DWI ARINI ARFAN HASAN IKBAL HASAN 7571042301020003 23 L JL. JERUK RT 3 RW 1 V 1/15/2024
12 A.A. PT. DWI ARINI ARFAN HASAN OSIN ISMAIL 7571044310730002 50 P JL. JERUK RT 3 RW 3 V 1/15/2024
13 A.A. PT. DWI ARINI ARFAN HASAN RIDWAN HASAN 7571042510670001 56 L JL. JERUK RT 3 RW 3 V 1/15/2024
14 A.A. PT. DWI ARINI ARFAN HASAN SATRINA UTINA 7571044107640006 59 P JL. JERUK RT 3 RW 1 V 1/15/2024
15 A.A. PT. DWI ARINI ARFAN HASAN SRI YOLANDA HASAN 7571044604010001 22 P JL. JERUK RT 3 RW 1 V 1/15/2024
16 A.A. PT. DWI ARINI ARFAN HASAN SURYA HASAN 7571041212880001 35 L JL JERUK RT 3 RW 1 V 1/15/2024
17 A.A. PT. DWI ARINI HADIDJAH MAUDA AHMAD DUHENGO 7571042004740002 49 L JL. JERUK RT 3 RW 2 V 1/19/2024
18 A.A. PT. DWI ARINI HADIDJAH MAUDA DJAHARA MAUDA 7571044307540003 69 P JL. BERINGIN NO. 339 RT 1 RW 2 V
19 A.A. PT. DWI ARINI HADIDJAH MAUDA HARUN RAMADHANI PANTU 7571040307160001 7 L JL. JERUK RT 3 RW 2 V 1/19/2024
20 A.A. PT. DWI ARINI HADIDJAH MAUDA ISMAIL PAKUDU 7571040804760001 47 L JL. DURIAN PERUM BALKIN BLOK G/20 RT V 1/19/2024
21 A.A. PT. DWI ARINI HADIDJAH MAUDA MARLINA PAKUDU 7571044908790001 44 P JL. JERUK RT 3 RW 2 V 1/19/2024
22 A.A. PT. DWI ARINI HADIDJAH MAUDA RADHITYA NUR RAHMAN PAK 7571040506990001 24 L RT 3 RW 3 V 1/19/2024
23 A.A. PT. DWI ARINI HADIDJAH MAUDA RADIVA DWI SALMATIA PAKU 7571046805070002 16 P JL. DURIAN PERUM BALKIN BLOK G/20 RT V 1/19/2024
24 A.A. PT. DWI ARINI HADIDJAH MAUDA YULITA KOERNIASIH PULUADJI 7571044805780002 45 P JL. DURIAN PERUM BALKIN BLOK G/20 RT V 1/19/2024
25 A.A. PT. DWI ARINI SOLEMAN HASAN ARIFIN HASAN 7571041210600002 63 L JL BERINGIN V 1/24/2024
26 A.A. PT. DWI ARINI SOLEMAN HASAN CHIKA ANGRIYANI HASAN 7571045308060001 17 P JL. PROF. DR. H. HASAN ABAS NUSI V 1/24/2024
27 A.A. PT. DWI ARINI SOLEMAN HASAN ELSA PUSPITA HASAN 7571044108040001 19 P JL. SAWIT RT 1 RW 2 V 1/24/2024
28 A.A. PT. DWI ARINI SOLEMAN HASAN JEFRI HASAN 7571042702850001 38 L RT 1 RW 2 V 1/24/2024
29 A.A. PT. DWI ARINI SOLEMAN HASAN LISNA H. YASIN 7571047103830002 40 P RT 1 RW 2 V 1/24/2024
30 A.A. PT. DWI ARINI SOLEMAN HASAN RASYID HASAN 7571042207510001 72 L JL. BERINGIN RT 2 RW 1 V 1/24/2024
31 A.A. PT. DWI ARINI SOLEMAN HASAN RUTNA KARIM 7571046301510001 73 P JL. BERINGIN RT 2 RW 1 V 1/24/2024
32 A.A. PT. DWI ARINI SOLEMAN HASAN YUSRIN HASAN 7571040911990001 24 L JL. BERINGIN RT 2 RW 2 V 1/24/2024
33 A.A. PT. DWI ARINI YANTI MAULANA ABDUL KADIR MOHI 7571042009730001 50 L JL. JERUK RT 3 RW 1 V 1/10/2024
34 A.A. PT. DWI ARINI YANTI MAULANA ELIS HUSAIN 7571056507810001 42 P jl.jeruk, Kel.Huangobotu , Kec.Dungingi V 1/10/2024
35 A.A. PT. DWI ARINI YANTI MAULANA FAHRUDIN LAHILOTE 7571042203950001 28 L LUWUK V 1/10/2024
36 A.A. PT. DWI ARINI YANTI MAULANA KISMAN MAULANA 7571040912590001 64 L Jl Jeruk001/002 V 1/10/2024
37 A.A. PT. DWI ARINI YANTI MAULANA RATNA MAULANA 7571044703510001 72 P LUWUK V 1/10/2024
38 A.A. PT. DWI ARINI YANTI MAULANA REZA MOHI 7571041307000001 22 L LUWUK V 1/10/2024
39 A.A. PT. DWI ARINI YANTI MAULANA RISA APRILIA MOHI 7571047004050001 18 P LUWUK V 1/10/2024
40 A.A. PT. DWI ARINI YANTI MAULANA ZAINUDIN MAULANA 7571041512840001 39 L jl.jeruk, Kel.Huangobotu , Kec.Dungingi V 1/10/2024
41 A.A. PT. DWI ARINI ZULKIFLI YUSUF ANA YUSUF 7571044712990001 24 P JL. RAMBUTAN RT 1 RW 2 V 1/22/2024
42 A.A. PT. DWI ARINI ZULKIFLI YUSUF ANISA YUSUF 7571045401020001 22 P JL. RAMBUTAN RT 1 RW 2 V 1/22/2024
43 A.A. PT. DWI ARINI ZULKIFLI YUSUF DELTA YUSUF 7571046812930001 30 P RT 1 RW 2 V 1/22/2024
44 A.A. PT. DWI ARINI ZULKIFLI YUSUF LISNA TAHIR 7503016512980001 25 P JL. BERINGIN RT 2 RW 2 V 1/22/2024
45 A.A. PT. DWI ARINI ZULKIFLI YUSUF MUTIARA RAMADHANI YUSUF 7503015206150001 8 P JL. BERINGIN RT 2 RW 2 V 1/22/2024
46 A.A. PT. DWI ARINI ZULKIFLI YUSUF NUR YUSUF 7571045403050001 18 P JL. RAMBUTAN RT 1 RW 2 V 1/22/2024
47 A.A. PT. DWI ARINI ZULKIFLI YUSUF RETNO SANGOLE 7571045509690002 54 P JL. RAMBUTAN RT 1 RW 2 V 1/22/2024
48 A.A. PT. DWI ARINI ZULKIFLI YUSUF SALIM YUSUF 7571040703670001 56 L JL. RAMBUTAN RT 1 RW 2 V 1/22/2024
1 A.A. PT. DWI ARINI AL FATIKAH ALKAN 3320110309720004 51 L JL. PALMA RT 1 RW 2 V 2/12/2024
2 A.A. PT. DWI ARINI AL FATIKAH ARROYYAN DYLAN ALFARIZQI 7571041506190002 4 L JL. PALMA RT 1 RW 2 V 2/12/2024
3 A.A. PT. DWI ARINI AL FATIKAH ASYIFA AMANA MAMONTO 7571045109170002 6 P JL. PALMA RT 1 RW 2 V 2/12/2024
4 A.A. PT. DWI ARINI AL FATIKAH ERWIN MAMONTO 7571042002750002 48 L JL. PALMA RT 1 RW 2 V 2/12/2024
5 A.A. PT. DWI ARINI AL FATIKAH MUH. IRHAM ARDIANSYAH 7571040604130004 10 L RT 0 RW 0 V 2/12/2024
6 A.A. PT. DWI ARINI AL FATIKAH PARAMITA MAMONTO 7571046204970001 26 P JL. PALMA RT 1 RW 2 V 1/31/2024
7 A.A. PT. DWI ARINI AL FATIKAH SUMAYA MAMONTO 7571044402000001 24 P JL. PALMA RT 1 RW 2 V 2/12/2024
8 A.A. PT. DWI ARINI AL FATIKAH SUMAYA MAMONTO 7571044402000001 24 P JL. PALMA RT 1 RW 2 V 2/12/2024
9 A.A. PT. DWI ARINI AL FATIKAH YANTI RAHMAN 7571045012780001 45 P JL. PALMA RT 1 RW 2 V 2/12/2024

JL. SAWIT, LORONG BATAKO RT 2

10 A.A. PT. DWI ARINI HAMID TAMUU ABD. RAJAK TAMUU 7571041805140001 9 L RW 1 V 2/22/2024
11 A.A. PT. DWI ARINI HAMID TAMUU AHMAD TAMUU 7571041302890001 35 L RT 2 RW 1 V 2/22/2024

JL. SAWIT, LORONG BATAKO RT 2

12 A.A. PT. DWI ARINI HAMID TAMUU DEWI RAHMAWATI MARHABA 7172066302900002 33 P RW 1 V 2/22/2024
13 A.A. PT. DWI ARINI HAMID TAMUU JIHAN MAKAILAH TAMUU 7571046207180001 5 P JL. SAWIT RT 2 RW 1 V
14 A.A. PT. DWI ARINI HAMID TAMUU MARYAM TAMUU 7571046509820001 41 P JL. SAWIT RT 2 RW 1 V
15 A.A. PT. DWI ARINI HAMID TAMUU ROHANA KARIM 7571045204650001 58 P JL. PALMA RT 1 RW 1 V
JL. SAWIT, LORONG BATAKO RT 2
16 A.A. PT. DWI ARINI HAMID TAMUU TIARA RAHMA TAMUU 7571046609170001 6 P RW 1 V 2/22/2024

JL. SAWIT, LORONG BATAKO RT 2

17 A.A. PT. DWI ARINI HAMID TAMUU YULAN SAURINA 7501025107940004 29 P RW 1 V 2/22/2024
18 A.A. PT. DWI ARINI MOH. ISRAN ABD. RAHMAN AGUSTINA DAMA 7571045708840003 39 P JL HB YASIN V 3/20/2024
19 A.A. PT. DWI ARINI MOH. ISRAN ABD. RAHMAN ENDANG DAMA 7571045212840001 39 P JL HB YASIN V 2/20/2024
20 A.A. PT. DWI ARINI MOH. ISRAN ABD. RAHMAN ISMAIL PALAI 7571040808020001 21 L JL HB YASIN V 2/20/2024

JL. PROF. DR. H. B. JASSIN RT 2

21 A.A. PT. DWI ARINI MOH. ISRAN ABD. RAHMAN KARLINCE SAMIDEN 7571045305600001 63 P RW 1 V 2/20/2024
22 A.A. PT. DWI ARINI MOH. ISRAN ABD. RAHMAN MERI ABD. RAHMAN 7571044109020001 21 P JL HB YASIN V 2/20/2024
23 A.A. PT. DWI ARINI MOH. ISRAN ABD. RAHMAN QIRANIA PUTRI ABD RAHMAN 7571045307190002 4 P JL HB YASIN V 2/20/2024

JL. PROF. DR. H. B. JASSIN RT 2

24 A.A. PT. DWI ARINI MOH. ISRAN ABD. RAHMAN SITI NOVARIYANTI PALAI 7571045411090001 14 P RW 1 V 2/20/2024
25 A.A. PT. DWI ARINI MOH. ISRAN ABD. RAHMAN USMAN ABDUL RAHMAN 7571040808800002 43 L JL HB YASIN V 2/20/2024
26 A.A. PT. DWI ARINI MOHAMMAD ALFAJRI PONU ANITA ABDULLAH 7571046810960001 27 P RT 2 RW 3 V 2/12/2024
27 A.A. PT. DWI ARINI MOHAMMAD ALFAJRI PONU HENDRA PONU 7571011007940001 29 L RT 2 RW 3 V 2/19/2024
28 A.A. PT. DWI ARINI MOHAMMAD ALFAJRI PONU RIZAL ABDULLAH 7571041107040002 19 L RT 2 RW 3 V 2/19/2024
29 A.A. PT. DWI ARINI MOHAMMAD ALFAJRI PONU SANTY KADIR 7571045402800002 44 P RT 2 RW 3 V 2/19/2024
30 A.A. PT. DWI ARINI ULFA U. PANU ANANG SUBAGIO 3573030801810006 43 L JL ANGGUR V
31 A.A. PT. DWI ARINI ULFA U. PANU HASNAWATI NOOR 7571047112750002 48 P RT 3 RW 2 V 2/9/2024
 JL. ANGGUR PERUM ANGGRINDO
32 A.A. PT. DWI ARINI ULFA U. PANU HERYANTO MAHMUD 7571041712740001 49 L RT 3 RW 2 V 2/9/2024
33 A.A. PT. DWI ARINI ULFA U. PANU MELINA MEGAWATI TM 3271025604840006 39 P JL. ANGGUR RT 3 RW 2 V 2/9/2024
34 A.A. PT. DWI ARINI ULFA U. PANU NUR AULIA IZZATUNNISA 7571046808150002 8 P RT 3 RW 2 V 2/9/2024
35 A.A. PT. DWI ARINI ULFA U. PANU RETNO ADI CITRASARI 3573036704820004 41 P JL ANGGUR V
36 A.A. PT. DWI ARINI ULFA U. PANU SOWAN HI. SALEH 7501010302820001 42 L RT 3 RW 2 V 2/9/2024
37 A.A. PT. DWI ARINI ULFA U. PANU SULISTYO ADHI PRANOTO 3271022805810007 42 L JL. ANGGUR RT 3 RW 2 V 2/9/2024