Askes 2014

LAPORAN PELAYANAN DOKTER KELUARGA PT.
ASKES (PERSERO)
. CABANG PALU BULAN JANUARI 2014
nama doter keluarga : Tenrisana Rifai
kode dokter keluarga : 319U033
NO N A M A PASIEN UMUR NO. KARTU DIAGNOSA J E N I S PE LAYANAN
Pemeriksaan Tindakan
2 JANUARI 2014
1 MINHAR 59 th 135591928 HT + STROKE 140/90 167/48
2 SAADIA 68 th 135733241 DISPEPSIA 120/80 148/45
3 BONI SAMUDRA 10 th 135487113 TONSILITIS 120 CM 25 KG
4 ISWANTO 52 th 135498014 ISPA 120/80 160/70
5 SITI TAQIAH 44 th 135131769 D.ALL 110/70 147/45
6 ANISA 10 th 135131771 ISPA 121 CM 19 KG
7 ISMAUN 60 th 134918739 RA 110/70 167/50
8 JAKUP LATEKO 63 th 135152245 HT 130/80 160/58
9 ROSLANI 44 th 135933096 ISPA 140/90 167/75
10 FALMA 54 th 135945397 ISPA 110/80 150/55
11 NADIRA 40 th 135684191 ISPA 110/80 152/55
12 IRHAM 54 th 135519287 ISPA 110/80 165/60
13 MASIDA 40 th 135519298 ISPA 120/80 150/52
14 SARIFUDIN 50 th 135913972 MALAISE 120/80 150/60
15 MASWALI 54 th 135868645 DISPEPSIA 120/80 155/50
16 MAKRIFA 40 th 135906996 DISPEPSIA 110/80 152/55
17 MURNIATI 40 th 135890875 OA 110/80 150/52
18 DAIMA 48 th 135523328 KP 110/80 145/47
19 NILUH ADHI SUREJA 53 th 135581242 HT + DM 130/90 160/105
20 KUSMIATI 43 th 135737875 ISPA 120/80 150/52
21 NATASYA 7 th 135890559 FEBRIS
22 KAMAREL 63 th 135868105 SKABIES 130/90 150/58
3 JANUARI 2014
23 IFTITA 9 th 135483727 G.PENDENGARAN 130 CM 28
24 MARYAM 55 th 135484661 D.ALERGI 120 CM 153/58
25 SITI TAQIAH 44 th 135131769 SUS.DM 110/70 14849
26 ARMAN 54 th 135486273 D.SKABIES 120 CM 168/55
27 ZAMRAN 50 th 135475007 DM TIPE 2 120/80 160/63
28 ARIEF NUSI 59 th 135567011 HHD + PJK 120/90 160/60
29 NURLAELA 44 th 135479549 LBP 110/8 153/50
30 RIZAL 51 th 134913982 A.BRONKIAL 110/80 155/57
31 INDRA 46 th 1079297853 ISPA 160/90 147/56
32 AWALIANSYAH 40 bl 193814998 ISPA 14 kg
33 YUSNADI 46 th 134847209 DISPEPSIA 110/70 160/58
34 SAIFUL 44 th 134992664 ISPA 110/80 157/58
35 ZAITUN SEHE 55 th 135489385 ISPA 120/80 150/57
4 JANUARI 2014
36 DISCAMERDEKASTI 17 th 134826873 G2 PENDENGARAN 100/70 147/44
37 SASNI 47 th 134826873 DM +HL 110/70 143/56
38 IBNU 19 th 135737188 KOLIK ABD 120/70
39 L.BAHARI 54 th 135484121 ISPA + HT 160/90 120/80
40 ST KHODIJAH 40 th 41991096 DISPEPSIA 110/80 110/70
41 ADRIANTI 34 th 135490061 RA 120/80 150/48
42 NURAINUN 5 th 135914005 ISPA 16 kg 81 cm
43 GINOL 18 bl 206320511 ISPA 9 Kg 52 cm
44 GINA 13 th 135740024 FARINGITIS 29 kg 150 cm
45 MAHMUD 19 th 205171299 ISPA 110/80 165/66
46 MANSYUR 52 th 135480284 ISPA 120/80 160/58
47 WAWAN 36 th 196228359 ISPA 90/70 158/55
48 PASTIN 43 th 135911384 POST KLL 90/70 150/57
6 JANUARI 2014
49 PURTI RAHMADANI 10 th 135041894 ISPA 120 CM 26 KG
50 DINA ALYA 9 th 135041907 ISPA 127 CM 29 KG
51 JABIR 42 th 135485649 KP 110/70 156/42
52 ALAMSYAH 17 th 135482229 EPILEPSI 110/70 160/60
53 HARIMIN 44 th 197584345 CIKUNGUNYA 90/60 160/60
54 NUR UMI 8 th 135504180 SUS.TIPOID 127 CM 23 KG
55 DARMIN 56 th 135712405 RA 130/80 165/70
56 EMIKO 45 th 135888456 POST OP TUMOR 100/70 152/55
57 AKBAR 10 th 135908019 KOLIK ABDOMEN 132CM 42 KG
58 JELRIN 43 th 136708514 G2 PENDENGARAN 130/90 160/63
59 ANWAR LANASI 61 th 135866564 RA 130/90 160/58
60 KALSUM 55 th 135875474 RA 120/80 150/60
61 MULIANI 29 th 134880006 CEPALGIA 110/80 147/56
62 SUPARMAN 54 th 135476717 ISPA 120/80 167/65
63 SITI KHADIJAH 42 th 41991096 DISPEPSIA 110/70 149/60
7 JANUARI 2014
64 SUMITRO 58 th 134828572 HT 130/90 167/60
65 HAERIA 12 bl 135867543 HT + DM TIPE 2 130/90 157/66
66 NURFAH 48 th 134991595 DISPEPSIA 110/80 150/51
67 SITI HAWA 58 th 134966057 DM TIPE 2 120/80 151/50
68 NURSYAM 60 th 135868386 ISPA 110/80 155/60
69 NILU ADHI 53 th 135581242 HT 140/90 160/105
70 KAFIA 7 th 135484964 ISPA 93 CM 13 KG
71 MUNILA 49 th 135485559 CEPALGIA 110/70 151/55
72 ALIF 11 th 135737897 ISPA 110 CM 27 KG
73 IBNU 18 th 135557539 ISPA 110/80 158/55
74 ROSMA WAHYUNI 14 th 135841617 ISPA 121 CM 31 KG
75 SAMSUDIN 72 th 135869826 DM TIPE 2 120/80 166/70
76 AGLIMA 68 th 135866204 RA 130/80 153/65
77 IDAROYANI 35 th 135889942 BRONKOPNEUMONI 110/80 157/48
78 SYAHRANI 8 th 134891943 ISPA 99 CM 12 KG
79 MALIKA FADILLA 54 bl 135696497 ISPA 98 cm 13 KG
80 EKA RIZKI 17 th 134913993 ISPA 110/70 150/48
81 FIRCE 46 th 135482264 DM TIPE 2 120/80 150/58
8 JANUARI 2014
82 DARWIS 51 th 135479946 ISPA 163/58 110/80
83 TIJAH 67 th 135773432 HT 150/57 140/90
84 MARYAM 52 th 135484661 ISPA 153/60 110/80
85 NURJIDAN 45 th 134961862 HT 152/55 130/90
86 NI KETUT S 46 th 135485954 DISPEPSIA 155/57 110/70
87 MADE KRISNA 19 th 135484985 MIALGIA 160/57 120/70
88 ROSDIANA 36 th 135891606 MALARIA 152/55 110/70
89 AMINAH 51 th 135959935 ISK 151/58 110/80
90 MARYAM SL 32 th 135890638 ISPA 152/60 120/80
9 JANUARI 2014
91 I MADE NURDIANTA 33 th 135904752 ISPA 110/70 170/58
92 NIKMA 55 th 169727398 RA 110/70 154/58
93 KAHAR ABDULLAH 54 th 160233568 HEMIPARESE 150/100 160/60
94 A,ACO 41 th 207828808 MIALGIA 100/80 165/71
95 RUNISFA 48 rh 135913286 HT 155/55 140/90
96 HARSAN 50 th 135490555 DM TIPE 2 120/80 165/70
97 RASYA 8 th 135920844 ISPA 120CM 16 KG
98 RAFA 48 th 177037554 ISPA 95CM 14 KG
99 ZAENAB 55 th 135580491 POST OP MAMMA 120/80 148/58
100 ILHAM 51 th 135889953 DM TIPE 2 120/80 165/68
101 SARIFUDIN 50 th 135913972 HL 110/70 KOL=212
102 ABDUL HALIM 14 th 136913994 ISPA 150M 42 KG
10 JANUARI 2014
103 JABIR 42 th 1354855649 ISPA 110/70 156/48
104 ICHE 26 th 165136926 ISPA 130/90 145/76
105 PAINTEM 43 th 134836751 HT 100/70 148/53
106 M NABIL 13 th 135494572 ISPA 140CM 34 KG
107 FERYELO 7 th 202425085 ISPA 118CM 20 KG
108 M.RIFKI 27 bl 1078338103 ISPA 83 CM 9 KG
109 ELISABETH 53 th 135873009 HT 145/100 150/70
110 ZAMRAN 50 th 135475007 DM TIPE 2 120/80 160/62
111 SEPTA PUTRI 12 th 41991107 ISK 158CM 51 KG
112 AKBAR 50 bl 173154644 FEBRIS 110CM 20 KG
113 M,ZULKARNAIN 53 th 135684292 ISPA 161 CM 63 KG
114 ISMAN 60 th 135483381 KONSTIPASI 120/80 158/70
115 SAHARUDIN 47 th 135735864 KONSULTASI 120/80 150/60
11 JANUARI 2014
116 NURLELA MAPPARESSA 53 th 127673897 HL 120/80 K0L=282
117 DEWI YANTI 46 th 135132412 ISPA 130/90 150/60
118 SUKARMAN 38 th 135577045 CEPALGIA 100/70 165/58
119 JELRIN 42 th 136708514 HT 140/90 162/55
121 URWAH 19 bl 207937034 DKA 12 kg 53 CM
122 BEATRIS 31 th 195984123 ISPA 110/70 148/47
123 NAOMI 56 th 135736391 G2 VISUS 120/80 152/50
13 JANUARI 2014
124 MINHAR 58 th 135591929 POST STROKE 130/100 162/47
125 SARMIN 59 th 135963955 SKIZOFREN 110/70 163/67
126 KRISTINA 49 th 135484097 HHD 110/80 144/57
127 FAIDA 50 th 135958825 CEPALGIA 130/90 147/47
128 ASHAD 54 th 135921251 HT 130/90 178/76
129 SITI HAZANAH 53 th 136695339 CEPALGIA 120/80 KOL=130
130 NURHAYA 55 th 135571048 DM TIPE 2 120/80 GDS=583
131 ISMAUN 59 th 134918739 RA 150/90 165/60
132 FAHRIZAL 29 th 135889435 ISPA 120/80 160/57
133 NURFIA ISHAK 53 th 135486268 ISK 120/80 150/57
134 SABRINA 15 th 135483671 DKA 126 CM 34 KG
15 JANUARI 2014
135 ILMAN 55 th 135889964 KEL.KONGE DIGITAL 130/80 150/64
136 ELIH 32 th 147784138 VAGINITIS 100/80 151/49
137 MURDIAZ 147788627 ISPA 101 CM 21 KG
138 MEI 41 th 165857308 POST APP 110/80 155/50
139 A.ACO 43 th 135525778 ISK 110/80 165/70
140 RAMADANI 18 bl 1079311869 NAUSEA 10 KG
141 ISMAUN 54 th 134918739 MIALGIA 110/70 158/52
142 ARWADI 53 th 135169154 DM TIPE 2 120/90 160/65
143 JUMHANIS 39 th 197205884 HT 140/90 167/62
144 IDRUS BATJO 55 th 115998221 HT 150/90 163/60
145 IBNU ASHAD 19 th 135577539 SKABIES 120/80 161/51
146 RATMAN 61 th 134711469 HT 140/90 167/65
147 M.IRFAN 42 th 135580487 PJK 100/70 157/55
16 JANUARI 2014
148 BUNGA AIRIN 48 bl 201651658 GEA 19 KG 110/80
149 ARITMAN 44 th 135401872 INFLUENZAA 110/80 167/65
150 ERVIANA 38 th 171878905 INFLUENZAA 130/80
151 INONG 53 th 135868061 SKIZOPFREN 130/100 155/67
152 IKRAR 13 th 134982134 DISPEPSIA 110/70 162/58
154 BERLIAN 49 th 135978491 KECELAKAAN KERJA 90/60 152/48
155 MUH,FAHRI 9 th 135608545 INFLUENZA 114 CM 19 KG
156 ASHAR 58 th 135591434 DM TIPE 2 100/70 165/62
157 SUMARNI 31 th 135946236 HT 160/80 155/50
158 DAIMA 48 th 135523258 KP 140/80 148/57
159 ASHAD 54 th 135591434 DM 120/80 173/75
160 SAMLIA 59 th 135548979 PJK/HHD 130/90 150/55
17 JANUARI 2014
161 NURAINUN 6 th 135914005 TONSILITIS 17 KG 103 CM
162 FAHRI 6 th 135737155 FARINGITIS 12 KG 99 CM
163 YUSRIN 44 th 135522483 VERTIGO 140/80 160/57
164 AHUSYAIN 33 bl 207828808 INFLUENZA 11 KG 54 CM
165 MUH.WARSILA 41 th 135891437 ISPA 18 KG 157/55
166 NURHAM 49 th 135736716 ISK 100/80 152/50
167 MUH.ANUGRAH 13 th 162879748 SKABIES 29 KG 115 CM
168 SITI 37 th 135580498 DISPEPSIA 100/70 150/49
169 TAMSIR 58 th 135488744 URTIKARIA 110/70 157/65
170 A.MUNADIR 55 th 135913983 DISPEPSIA 100/70 163/61
171 WERNIDA 49 th 135737155 DISPEPSIA 120/80 149/60
172 ALAMSYAH 34 th 135892787 MALARIA 120/80 161/59
173 NURMUTIARA 35 bl 207828808 TRAUMA KAPITIS 40 KG 51 CM
18 JANUARI 2014
174 RUSDIN 40 th 135736716 ISK 120/80 150/62
175 ISMAUN 60 th 162879748 SKABIES 110/70 158/52
176 TAMSIR 59 th 135580498 DISPEPSIA 120/80 158/59
177 EKARAHMANIA 21 th 135488744 URTIKARIA 120/80 144/54
178 GINA V 19 th 135487034 DISPEPSIA 49 KG 155
179 ADNAN 62 th 135586877 DISPEPSIA 110/70 160/79
180 MAWAR 49 th 171550506 MALARIA 120/90 GDS=143
181 NAIFA RAHMA 60 th 207341853 TRAUM.KAPITIS 110 cm 15 kg
182 WERNIDA 49 th 135913983 TRAUM.KAPITIS 120/80 145/59
183 HELMI PUSUNG 52 th 135586877 DISPEPSIA 120/80 145/59
184 RESE 56 th 135737774 HT 140/90 150/60
185 YUDITA 8 th 135963325 HT 68 cm 150/48
20 JANUARI 2014
186 NAWIR 45 th 135119237 INFLUENZA 120/80 160/58
187 ANDI ACO 42 th 135525778 ISK 120/80 160/65
188 RUSDIN 58 th 169775818 V.L 120/80 165/62
189 NOLDI 14 th 135475029 V.L 110/70 160/58
190 RESE 56 th 135963325 HT 130/90 150/65
191 LISBET 61 th 135733149 D.SEBOROIK 130/90 149/55
192 CINDY 21 th 135487102 KONJUCNTIVITIS 110/80 152/49
193 LIMIN 64 th 135868375 DM TIPE 2 120/80 167/65
194 FAIDA 64 th 135958825 VERTIGO 110/80 167/65
196 MEI 41 th 165857308 POST OP APP 110/80 150/48
21 JANUARI 2014
197 SELFI 42 th 135892089 VERTIGO 110/70 150/54
198 TRI NURI 46 th 209108024 DISPEPSIA 120/80 153/61
199 MULYANI 29 th 135567551 HOMOROID 110/80 151/56
200 FATMAH 57 th 134959588 ISK 120/80 150/60
201 HAMSAH 46 th 135482725 VERTIGO 100/70 163/60
202 MAANI 62 th 135580511 DM TIPE 2 120/70 161/60
203 ELFIS 40 th 134883696 HHD `130/80 173/65
204 ABDUL RASYID 51 th 135518152 RINITIS ALL 120/70 167/55
205 NUR ENDANG R 14 th 136063269 TRAUMA KAPITIS 123 CM 32 KG
206 MARISKA 29 th 135888546 EPILEPSI 120/80 150/55
207 RATMAN 60 th 134711469 SERUMEN 120/80 165/60
208 M.BASRAH 59 th 134822261 SEBOROIK 120/80 166/60
22 JANUARI 2014
209 MARSELINUS 1082188091 MALARIA 110/70 165/62
210 SARIFUDIN 50 th 135601503 MALARIA 110/70 150/55
212 NIKMA 53 th 135639257 RA 120/70 163/67
213 RAHMAN 57 th 135913386 FARINGITIS 110/80 158/55
214 ZULKARNAIN 38 th 135738641 1SPA 120/80 161/60
215 ERNA 54 th 135889367 HT 130/90 157/60
216 SARIFA 34 th 135696475 ISPA 120/80 153/50
217 ROFFY 32 th 135889334 A.BRONKIAL 120/80 150/57
218 AGUS TRIASTUTI 18 th 135869703 CEPALGIA 110/80 155/49
219 I KETUT PUTRA 57 th 135736389 HT 130/90 169/80
220 ZAENAB 54 th 135870049 KANDIDIASIS 110/70 150/58
221 MAKRIFA 55 th 135502986 ISPA 110/70 149/48
23 JANUARI 2014
222 RASYA 5 th 135738641 IMPETIGO 63CM 14 KG
223 RUSDIN 58 th 1358895367 VL 120/80 160/58
224 ISMAUN 60 th 135696475 RA 130/90 160/59
225 ABD RASYID 26 th 1463016 ISK 110/80 169/60
226 DELVERO 18 th 135869703 VARISELA 110/70 162/50
227 MOH.WARSILA 5 th 134923588 DKA 71 CM 17 KG
228 MUNADI 56 th 135870491 SKABIES 110/70 163/59
229 RATNI 47 th 134992181 ISPA 110/80 149/52
230 FARHAN ZAKY 34 th 976781619 ISPA 110/80 162/55
231 WERNIDA 50 th 135586877 DISPEPSIA 110/70 149/60
232 NURUL AVIA 17 th 135308008 ISPA 100/70 151/49
233 RAFA 48 bl 1730337554 ISPA 60 CM 14KG
24 JANUARI 2014
234 MARYAM 42 th 134990381 VARICELA 120/80 155/60
235 KAMAREL 63 th 135868105 URTIKARIA 130/90 150/60
236 VIKY ALADIA 17 th 135494561 SKABIES 110/80 152/49
237 SIGIT 43 th 135891718 CHEST PAIN 110/80 160/58
238 LUSIANA 49 th 976781619 FEBRIS 10 kg 148/55
239 WAZNA 40 th 135586877 DISPEPSIA 120/80 149/48
240 SASNI 47 th 135908008 PAR0TITIS 110/80 150/55
241 DISKA 17 th 173037554 DKA 110/70 153/49
242 WYDIA 9 th 135580511 ISPA 110 cm 17 kg
243 SMITH K 7 th 134990381 RA 120/80 162/58
244 M.RIZKI 5 th 165718203 ISPA 76 CM 16KG
25 JANUARI 2014
245 IBNU 7 th 135577739 SKABIES 68 cm 15 kg
246 SILTJE 56 th 135737234 PJK 130/90 149/60
247 NAIRA 7 th 13548733 ISPA 98 CM 35 KG
248 FAJRUL 5 th 134826873 ISPA 87 CM 27 KG
249 HASANUDDIN 51 th 134836884 ISK 120/80 161/58
250 BERLIN 49 th 135580511 KARDIOMEGALI 28 kg 150/57
251 IBNU ALIFYA 19 th 976552571 NEFROLITIASIS 110/80 160/55
252 IWAN 19 th 135868667 ISPA 110/70 158/55
253 MAS ANI 62 th 135601503 GANGGUAN AFEKTIF 120/80 155/55
254 ASWAR 55 th 135374672 HT 130/90 165/60
255 DIMIATI 59 th 135636254 HT 130/90 155/65
256 SAYADIN 43 th 135584223 FARINGITIS 120/80 162/60
27 JANUARI 2014
257 HISYAMUL ARBI 48 bl 164155858 TONSILITIS 76 CM 13 KG
258 ALMIRA 5 th 164392536 TONSILITIS 75 CM 17 KG
259 FATMAWATY 38 th 135889457 DISLOKASI LENGAN 120/80 150/49
260 WINDRA 12 th 135891145 GANGGUAN AFEKTIF 113 CM 21 KG
261 AGLIMA 68 th 135866204 FURUNKEL 130/80 150/65
262 IDAROYANI 36 th 134891943 BRONKOPNEUMONI 110/70 157/49
263 SYAHRANI 8 th 134891943 DKA 102 CM 13 KG
264 UMMUL 36 th 135888816 ISPA 110/80 153/53
265 IDETA 33 th 139918281 ISPA 110/70 148/53
266 PALMA 51 th 135945336 ISPA 110/80 150/17
267 AKBAR 48 th 173154644 DKA 64 CM 13 KG
268 ERWIN 39 th 165135172 V.LASERATUM 110/80 162/54
28 JANUARI 2014
269 PAMPI 53 th 135486516 HT 53 th 140/90
270 MOH.RISAL 12 th 135486549 FARINGITIS 12 th 113 cm
271 ADNAN 48 th 135866158 HT 48 th 140/100
272 NURHAM 62 th 135736716 HIPERTENSI 62 th 130/90
273 MAS'UNI 42 th 135866169 FARINGITIS 42 th 120/80
274 YOSEP 33 th 136668767 POST OP COLON 130/80
275 LINDA 54 th 135736931 FARINGITIS 33 th 130/80
276 MASWALI 54 th 135868645 DISPEPSIA 54 th 120/80
277 IRHAM 54 th 135519287 FARINGITIS 54 th 120/80
278 NURJIDAN 45 th 134961862 ISPA 45 th 120/80
279 HADIJAH 50 th 135482398 ISPA 50 th 110/80
29 JANUARI 2014
280 RUDI 46 th 134826041 ISK 120/80 167/65
281 WISYE 41 th 134826052 GEA 120/80 152/50
282 RERUNG 54 th 135486922 PJK 140/100 165/70
283 HARSAN 49 th 135490555 HT 130/90 165/58
284 ROSLANI 44 th 135933096 HT 140/100 157/65
285 ARWADI 48 th 135169154 DM 120/80 163/60
286 YUDI 15 th 135580509 FARINGITIS 150 CM 35 KG
30 JANUARI 2014
287 INCE NUNUNG 23 th 135737752 ISPA 110/80 152/50
288 RUKMINI 64 th 135737741 HT 140/90 160/87
289 MARIANI 27 th 156897382 ISPA 110/70 151/50
290 ISMAUN 60 th 134918739 HT 140/90 167/52
291 HALIJAH 48 th 194113989 DISPEPSIA 110/80 150/48
292 AGUSTA 25 th 135482409 MALARIA 140/90 150/52
294 DARMAN 40 th 135481544 ISK 130/80 167/65
295 MASTIN 51 th 135956586 ISPA 120/70 150/56
297 HARIMIN 43 th 197584345 DISPEPSIA 110/80 160/57
298 ZAINAB 44 th 135913656 ISPA 100/70 150/58
LAPORAN PELAYANAN DOKTER KELUARGA PT.ASKES (PERSERO)

CABANG PALU BULAN FEBRUARI 2014
KTER KELUARGA : Hj.TENRISA'NA RIFAI
DE DOKKEL : 319U033
1 FEBRUARI 2014
1 IRWAN LAHACE 53 th 135924715 POLINEUROPATY 120/80
2 MINHAR 60 th 135591928 HEMIPARESE 140/90
3 MEYDINA 5 th 196228708 D.ALL 20 KG
4 DARWIS 52 th 135479946 DISPEPSIA 100/70
5 IBNU 19 th 135577539 SKABIES 100/70
6 RIZAL 51 th 134913982 A.BRONKIAL 110/80
7 NASRUN 60 th 134832868 HHD 160/100
8 DEDI 39 th 135891821 FARINGITIS 100/80
9 NILAM 12 th 135891843 FARINGITIS 32 KG
10 ROSENI 41 th 135891819 MIALGIA 110/80
11 YUDHA 8 th 135481577 K.KERJA 20 KG
3 FEBRUARI 2014
12 WAHYU 18 th 134914004 VARICELLA 100/70
13 IRAWATI 28 th 135490746 FARINGITIS 90/60
14 BAMBANG 37 th 135490757 D.ALL 110/80
15 MOH.MUSAFIR 12 bl 1265187971 FARINGITIS 11 KG
16 RISNAWATI 40 thj 135584234 FARINGITIS 90/70
17 PAULINA 33 th 167849302 HHD 110/70
18 BINTANG ADYTIA 13 th 167849357 FARINGITIS 32 KG
19 KARMILA 31 th 134826401 FARINGITIS 90/60
20 LINDA 46 th 135736929 BRONCHITIS 110/70
21 SUPARMAN 55 th 135476717 HT 130/90
22 BERLIAN 50 th 135978491 FARINGITIS 110/70
23 NUR HASNAH 51 th 135550045 HT 140/80
24 IFRIANA 35 th 135483388 V.IKTUM 100/70
25 HUSNI DJONDOSE 69 th 135867881 HHD+DM 140/90
26 M.RAFI ZHAFRAN 266506776 DISLOKASI PATETTLA
27 ASRUL 49 th 135494548 FURUNKEL 110/70
28 MASLINA 34 th 171547345 ISK 90/70
29 NAZAM 48 bl 1261406226 BRONCHITIS 13 KG
30 ZAENAB 39 th 135913983 DISPEPSIA 90/60
31 JAKUP LATEKO 64 th 135152245 HT 130/80
32 HASRAT 60 th 135482916 DM 110/80
4 FEBRUARI 2014
33 ISMAUN 61 th 134918739 RA 100/70
34 OKTAVIANI 17 th 1081660072 D,ALL 100/70
35 ARIFIN 49 th 135630606 G2 CEMAS 90/60
36 SUMIATI 54 th 135409308 DISPEPSIA 120/80
37 MOH.RIFKI 45 bl 4078338003 FARINGITIS 10 kg
38 ASHAD 54 th 135921201 DM + HT 140/80
39 WIRO MARJONO 73 th 135723778 GEA 130/80
40 YULFIN YUNUS 31 h 173154374 DISPEPSIA 80/70
41 ABD RAHIM 52 th 135030058 SKABIES 110/70
42 M.ROHING 6 th 10813031081 INFLUENZA 11 kg
43 SYAH.GETARIS 61 th 163314415 FARINGITIS 19 kg
44 SYAH.SIREKET 5 th 135736672 FARINGITIS 24 kg
45 ISTIKA 126826896 HHD
46 BASRAH 61 th 134822261
5 FEBRUARI 2014
47 TIDJAH LABIDO 67 th 135733432 135733432 120/80
48 MOH.HUSNUL 8 th 135891325 135891325 24 KG
49 MAHDAN 45 th 134807578 134807578 100/70
50 SARIFUDIN 51 th 135913972 135913972 80/60
51 SYAMSINAR 51 th 135583997 135583997 100/60
52 FAHLINA 55 th 203397074 203397074 130/70
53 RESE 56 th 135963325 135963325 130/90
54 WARSILA 5 th 135891437 135891437 12 KG
6 FEBRUARI 2014
55 ARIANA 46 th 135557419 KONJUCTIVITIS 110/80
56 ARDIANSYAH 20 h 135680073 FSRINGITIS 100/60
57 NURDA 48 th 135680051 CEPALGIA 100/70
58 NAHARIA 42 th 135522876 DISPEPSIS 100/70
59 FATIA 6 th 135491387 FSRINGITIS 15 KG
60 SUKRI 63 th 135870041 A.PECTORIS 110/70
61 RATMAN 61 th 134711469 G2 CEMAS 120/80
62 MASTA 55 th 136709906 DISPEPSIA 100/70
63 HESTI 29 th 209904265 DISPEPSIA 100/70
64 NAILA NADIA 2 th 1085724944 GEA 9 KG
65 SISWANTO 29 th 204541773 G2.VISUS 110/80
66 HASAN 55 th 135531832 DM TIPE2 120/70
7 FEBRUARI 2014
67 HAERIA 65 th 135867543 DM TIPE 2 140/80
68 WIN 52 th 135643375 RINITIS ALL 90/70
69 RESKI 17 th 135643386 BRONCHITIS 29 kg
70 WAZNA 50 th 135489205 HHD 130/80
71 ASKINA 46 th 135899695 HT 160/80
72 SAIFUL 39 th 134992664 ISPA 100/70
73 DARLINA 7 th 134839226 ISPA 100/70
74 RIDHO 32 th 173050391 TONSILITIS 19 KG
75 SUSANTI 6 th 135883631 GEA 100/60
76 FAJRUL 60 th 1358833653 ISPA 30 KG
77 ISMAUN 54 th 134918739 HT 130/80
78 ROHANI 135733228 FUR 100/70
79 MOH.AKBAR 166071014 LBP 110/70
80 NURJIDAN 44 th 134961862 CEPALGIA 90/60
81 KASMI 13110969400 BRONCHITIS 90/60
82 MEI 41 th 165857308 DISPEPSIA 100/70
8 FEBRUARI 2014
83 PAMPI 53 th 135486516 STOMATITIS 150/80
84 KAMAREL 64 th 135868105 DM TIPE 2 120/80 GDS=179
85 AIDIL EKO 9 th 135889301 FARINGITIS 126 CM
86 MEYDINA 48 bl 196228708 FARINGITIS 102 CM 28 KG
87 ABDI MUFTI 17 th 134832274 ISPA 110/80 173/69
88 M.FALDONI 7,8 th 134833285 KECACINGAN 134 CM 43 KG
89 LAILA 10 th 135900123 SUS.TIPOID 135 CM 26 KG
90 FEBRIYELLO 7 th 202425085 SUS.TIPOID 115 CM 21 KG
91 NAHARIA 41 th 135522876 ABD.DISC 110/80 150/60
92 M.FAIQ 8 th 135696486 ISPA 131 CM 30 KG
94 TDJAH T 67 th 135733432 FARINGITIS 120/80
95 MARYAM 56 th 135484661 DM TIPE 2 130/80
10 FEBRUARI 2014
96 AILA 7,7 th 165539648 ISPA 19 KG
97 MARYAM 42 th 134990381 DM TIPE 2 90/60
98 JASRIN 36 th 167849155 ISPA 120/80
99 AUDRIA 12 th 135890548 ISPA 149 CM
100 JABIR 43 th 135485649 DM + KP 120/80
101 ANTONIUS 40 thj 135635624 SERUMEN 110/80 SPULING
102 ERVIANA 37 th 171878905 GEA + ISPA 120/80
103 ISMAUN 134928739 RA
104 KIKI RIZKI 23 th 171042355 ISPA 90/60
105 MASLAN 56 th 135907687 MIALGIA 120/80
11 FEBRUARI 2014
106 NIZAM 40 bl 196762678 ISPA 14 kg 94 cm
107 MASLINA 32 th 171547345 FARINGITIS 90/70
108 RUDI 47 th 134826041 SUS.ISK 110/70
109 GUNAWAR 50 th 1355763487 CA. MAMMAE 150/80
110 SATRIANI 29 th 197205974 ISPA 90/70
111 SITA FAKHIRA 24 bl 209567294 ISPA 11kg
112 ROHANI 50 th 136067218 HL 110/80
113 DARMANSYAH 45 th 135674302 DM TIPE 2 140/80
114 DARWIS 57 th 135601492 HEMOROID 160/90
115 MUH.ZULKARNAIN 12 th 135684292 V.IKTUM 39 Kg
116 ARNIA 42 th 135684279 ISPA 100/70
117 NAWIR 46 th 135522955 ISPA 110/80
118 DJAENAB 45 th 202363547 T.MANUS 120/80
119 SASNI 47 th 134826873 RA 100/70
120 DISCA 17 th 134826884 G2 HAID 100/70
121 NAHAR 58 th 134913407 G2 VISUS 110/80
122 ASNA 58 th 135480701 DM TIPE 2 90/70
123 JELRIN 44 th 136708514 ISPA 140/80
124 NILAM 12 th 135891843 ISPA 100/70
125 NAWIR 45 th 135119237 CEPALGIA 130/80
12 FEBRUARI 2014
126 ETJE LAMAKA 59 th 134921406 MIOMA 150/80
127 IBRAHIM 54 th 135410656 A.PECTORIS 140/80
128 ADI GUNAWAN 22 th 135479744 ISPA 110/70
129 DARWIS 54 th 13547946 DM TIPE 2 100/70
130 MUSTAMIN 57 th 976207217 MIALGIA 100/80
131 ROSTIN 54 th 134992528 G2 AFEKTIF 100/70
132 DIAN 6 th 1270571264 TONSILITIS 20 KG
133 M.SYAWAL 13 th 135152245 ISPA 25 KG
134 ZAINUDDIN 60 th 134826862 HT 180/100
13 FEBRUARI 2014
135 ELI.H 33 th 147784138 ISPA 90/60
136 MUSYAWIR 1265187971 ISPA 50 cm
137 RIZKY 13 th 135643394 ISPA 29 KG
138 WIN 51 th 135643375 ISPA 110/70
139 ANSYAR 40 th 173040299 MYALGIA 90/70
140 RIDHO 7 th 173050391 FOMITUS 18 KG
141 SUARNI 57 th 135572286 DISPEPSIA 100/70
142 ABD.RAHMAN 12 th 1663553355 ISPA 28 KG
143 FAJAR 26 bl 210635921 ISPA 11 KG
144 NUR IZZATI 8 th 134709219 D.ALL 22 KG
145 FATMA DAUDA 58 th 134959588 ISPA 90/60
146 ITA SULISTIAHI 27 th 203789171 DISPEPSIA 110/70
14 FEBRUARI 2014
147 ARMAN 56 th 135480273 DKA 110/80
148 CENDA 63 th 1265870812 HT 190/80
149 WANDA 10 tjh 135584256 ISPA 21 KG
150 HERNANDAR 22 th 135978535 ASNA 90/70
151 SRI MARIAWATI 33 th 135589465 GRAVID 110/80
152 MUKLIS 45 th 134919921 ISPA 90/70
153 ANATA NUR MUSDALIFA 5 th 173666362 ISPA 19 KG
154 HANAFI 52 th 135595348 ISPA 100/70
155 HARIMIN 44 th 197584345 ISPA 90/60
156 MUH.LUTFI 23 th 210522093 FARINGITIS 9 KG
157 ZAINAL 30 th 135647313 DISPEPSIA 110/80
159 KARIA 51 th 135490566 FARINGITIS 130/80
160 ROSS.M.O.A 52 th 150299392 FRAKTUR EXT SUP 110/80
161 NUR IZZATI 10 th 1347049219 ISPA 15 KG
162 SITTI FAJRAH 36 th 135580498 ISPA 110/70
15 FEBRUARI 2014
163 CENDA 63 th 126580812 CERUMEN 190/80
164 PRAYUDA 13 th 135584245 FEBRIS 28 KG
165 JABIR 43 th 135485649 DM + KP 90/70
166 ARVANCE 53 th 135480464 ISPA 140/80 KOL = 221
167 KRISTINA 49 th 135484097 POST HHD 100/70
168 MAS'UD 51 th 135499149 ISPA + DM
169 ISMAUN 60 th 134918739 RA 130/80
170 TAMSIR 58 th 135488744 D.ALL 140/80
171 INDRA WAHYU 7 th 135908201 ISPA 40 KG
17 FEBRUARI 2014
172 AHMADI 67 th 135265667 HHD 150/80
173 HJ.HAJRAH 63 th 162356084 DM TIPE 2 130/90
174 UDIN 51 th 134993766 ISPA 150/80
175 ANATA NUR MUTMAINA 59 th 173666755 FARINGITIS 12 KG
176 ASNAH 60 th 135943672 POST KLL 100/70
177 DIONICIUS 8 th 1082188124 ISPA 30 KG
178 RASYA DKA 25 KG
179 EKA 18 th 134913993 VARICELLA 90/60
180 HAMSAH 57 th `135482725 DM TIPE 2 90/70
181 ADHAR 52 th 134986476 KONJUCTIVITIS 110/70
182 TASDIK 19 th 210046274 ISPA 100/80
183 HASAN 54 th 135531832 ISPA 140/80
184 REYHAND 10 th 171963101 TB PARU 20 KG
185 ARISTHI 8 th 171963393 ISPA 24 KG
186 M.FRIZKY 8 th 195556061 FOMITUS 25 KG
18 FEBRUARI 2014
187 SAMSUDIN 53 th 136064777 ISPA 130/80
188 SAMSUDIN 73 th 135869826 HL 120/80
189 AGLIMA 69 th 135866205 HL 120/80
190 ANATA NUT MUSDALIFA 5 th 173666362 ISPA 12 KG
191 TASDIK 19 th 210046274 ISPA 110/80
192 M.FAIQ 8 th 135696486 ISPA 28 KG
193 MALIKA 6 th 135696497 ISPA 19 KG
194 MASWALI 55 th 135868645 DISPEPSIA 110/70
195 EKA 18 tjh 134913993 VARICELLA 90/70
196 FAHLINA 35 th 203397074 DISPEPSIA 120/80
197 FARYA KARTIKA 10 th 134826412 ISPA 31 KG
198 M,BASRAH 61 th 134822261 SEBOROIK 120/80
199 M.SARIF 26 th 1261243225 HERNIA 110/80
200 ZAINUDIN 50 th 134826862 FARINGITIS 110/80
201 SASNI 47 th 134826873 FARINGITIS 110/80
202 IDHAM 51 th 135889578 POST OP PTERIGIUM 120/80
203 MASTA 53 th 136707906 DM TIPE 2 140/80
19 FEBRUARI 2014
204 ASHAR 57 th 135591434 DM TIPE 2 110/80
205 NAHAR HALIDO 64 th 135864163 ISPA + HT 160/80
206 HAJERAH 63 th 162356084 DM TIPE 2 180/80
207 SOFIAN 42 th 135738022 MIALGIA 110/70
208 ISMAUN 54 th 135892315 HEMATEMESIS 110/70
209 ARWADI 47 th 135169154 DM TIPE 2 110/80
20 FEBRUARI 2014
210 NIKETUT SERIADI 46 th 135485954 HL 100/70
211 ANDI HUYAIN 24 th 207828808 ISPA 11 KG
212 INCE ADWIATI 33 th 135525767 DISPEPSIA 120/70
213 ANDI ACO 41 th 135525778 KONJUCTIVITIS 110/70
214 ABBAS 59 th 1267507787 HT 170/90
215 BAASIA 54 th 1267507989 RA 110/70
216 ROFFI C 32 th 135889334 A.BRONKIAL 100/70
217 DHARRENT 5 th 135889356 D.ALL 15 KG
218 M.ZAID 56 th 135757302 KONSULTASI 140/80
219 SYARIFA 35 th 135696475 CEPALGIA 100/70
220 DWI SUCI 9 th 134826895 ISPA 25 KG
221 SAIFUL 46 th 134992664 D.ALL 120/70
222 M.ANAS 29 th 201004715 EPILEPSI 110/80
223 ADHAR 51 th 134986476 KONJUCTIVITIS 120/80
224 SIGIT 17 th 166206183 CEPALGIA 100/70
225 DARSIN 50th 135481580 HIPOTENSI 90/70
226 BAGAS 18 th 134665839 FEBRIS 90/60
227 ILHAM 54 th 135889953 DM TIPE 2 130/890
21 FEBRUARI 2014
228 ALAMSYAH 12 th 135482289 ISPA + EPILEPSI 90/70
229 FIRCE 47 th 135482284 DM TIPE 2 140/80
230 ADE 6.9 th 1272055094 ISPA 32 KG
231 RESE 56 th 135963325 HT 190/90
232 WIDYA 9 th 135580311 KOLIK ABD 16 kg
233 RUSDIN 48 th 134961851 ISPA 100/70
234 DAVID 49 th 134839337 HT 170/90
235 ANANDA 12 th 196228618 V.IKTUM 35 kg
236 SYAIFUL 16 th 1261816356 FARINGITIS 90/60
237 MASTA 55 th 136707906 DM TIPE 2 90/70
238 NUR ENDANG 16 th 136063269 FARINGITIS 90/70
22 FEBRUARI 2014
239 AMRIN 58 th 1265870452 HIPERTROFI PROSTAT 130/80
240 LUISA C.N 9 th 1269524046 ISPA 28 KG
241 LAURA N.A.P 7 th 1269524553 TONSILITIS 22 KG
242 AVIQAH 18 bl 1268638942 ISPA 9 KG
243 MUH.RIFKY 27 bl 1078338003 ISPA 10 KG
244 PARHANA 36 th 165139367 HT 170/90
245 SARIFUDIN 50 th 135913972 SUS.MALARIA 90/70
246 KAFYA MA'RIFA 7 th 135484964 ISPA 17 KG
24 FEBRUARI 2014
247 WIJI 42 th 135529108 HL 120/80
248 YULIANUS 45 th 135238459 G2.VISUS 20/80
249 SATRO SUKANDI 12 th 17043318 G2.VISUS 35 KG
250 MOH.SYABDAH 17 th 135891404 ISPA 110/70
251 ROSITA 45 th 1463005 HT 160/90
252 SUNARTIN 48 th 135488384 HT 140/90
253 NUHURIA 50 th 135577528 ISPA 90/70
254 UDDIN SUAIB 51 th 134993766 ISPS 130/80
255 RAMLIA 46 th 136042907 CEPALGIA 90/60
256 NI KT PADMAWATI 33 th 2043420963 CEPALGIA 110/80
257 NAHAR 59 th 134913407 G2.VISUS 100/70
258 MASTA 53 th 136207906 DISPEPSIA 130/80
259 INDAH 32 th 135874498 F.ALBUS 110/80
25 FEBRUARI 2014
260 SAMSUDIN PAKAYA 53 h 136064777 ISPA 130/100
261 HAMZAH 44 th 135639257 ISPA 170/90
262 MASDIANA 51 th 134990447 DISPEPSIA 160/80
263 ISMAUN 65 th 134918739 POS KLL 120/80
264 RASYA 4 th 163194399 ISPA + D.ALL 20 KG
265 FAULINA 33 th 167849302 INFLUENZA 90/70
266 PRAYUDA 12 th 135584245 FEBRIS 28 KG
267 M.ZAID 56 th 135737302 KONTROL 120/80
268 MULYANI 39 th 135567551 CEPALGIA 100/90
269 SARI AULIA 9 th 135420221 ISPA 30 KG
270 EMIKO 45 th 135888456 POST OP TUMOR 90/60
271 FAJRIA 42 th 165177628 G2.VISUS 150/90
272 MUSDALIAH 65 th 135869095 G2.VISUS 130/80
26 FEBRUARI 2014
273 ANGGUN 43 th 165139503 ISPA 23 KG
274 AILA 79 th 165139648 ISPA 20 KG
275 SUNARDI 60 th 135809695 HT 130/90
276 MASHURA 91 th 126601484 POST KLL 140/80
277 EFRIANA 41 th 1082206168 STRUMA 120/80
278 WAHIDA 43 th 135478192 ISPA 110/80
279 JUSUF TALAWA 79 th 135868195 ANOREXIA 130/90
280 DIMIATI 60 th 135636254 HT 130/80
281 ASWAR 135169154 HT 120/80
282 DINDA SANIA PUTYRI 13 th 167801512 A.BRONKIAL 90/70
27 FEBRUARI 2014
283 M.RIDHO 45 bl 203031944 ISPA 16,5 KG
284 ARNI DELISA 10 bl 1081012329 GEA 6,6 KG
285 ISWANTO 53 th 135498014 VERUCA 120/80
286 ARUHASAN 48 th 135489069 ISPA 120/90
287 USMIATI 49 th 1354849058 HT 180/100
288 FAIDA 50 th 135958836 ISK 130/80
289 SUPARDI 54 th 134885698 A.PECTORIS 140/90
290 ANGGUN 22 th 135152616 TUMOR 120/80
291 ABBAS 1267507787 HT 130/90
292 BASIA 1267507989 MIALGIA 120/80
28 FEBRUARI 2014
293 MUTIARA 60 bl 210579175 GEA
293 ULFA 34 th 135494559 TONSILITIS
294 SRIMARYAWATI 6 th 135589465 POLYNEUROPATI
295 KASRIR 52 th 135906074 FARINGITIS
296 SASNI 48 th 134826873 DISPEPSIEPSIA
297 IRMAWATI 40 th 135890032 D.SEBOROIK
289 IDRUS BATJO 72 th 56148737 HIPERTROFI PROSTAT
299 SITI HASANA 54 th 136695339 RA
300 RUSNIPAR 48 th 135913386 HHD
301 SATRIANI 29 th 197205974 ISPA
302 FAHRI 6 th 135737155 D.SEBOROIK
303 BASRAH 61 th 134822261 D.SEBOROIK
305 MUHLIS 49 th 134919821 ISPA
306 FAHRI 6 th 135737155 ISPA
307 KARMILA 30 th 134826401 ISPA
308 NURMUTIARA 10 th 207341853 ABD.DISKOMF
309 OLA 33 th 135737133 D.ALL

CABANG PALU BULAN MARET 2014
NAMA DOKTER KELUARGA : Hj.TENRISA'NA RIFAI
KODE DOKKEL : 319U033
3 MARET 2014
3 FAULINA 44 th 167849302 A.PECTORIS 100/70
4 RIDHO 7 th 173050391 ISPA 18 KG
5 YUDIT 8 th 135050253 ISPA 20 KG
6 RASYA 5 th 163194399 ISPA 25 KG
7 ISMAN 51 th 135483581 G2 AGEKTIF 110/80
8 NURHAYATI 64 th 135581758 CEPALGIA 120/80
9 RATMAN 60 th 134711469 POST STROKE 130/80
10 S0LICHA 52 th 134711471 SUS RA 120/80
11 JOSEPH 66 th POST OP TUMOR COLON 110/80
12 MAWAR 49 th 135962144 ISPA 110/80
13 KASRIR 51 th 135906085 RA 100/70
14 NI KETUT PADMAWATI 32 th 204342063 CEPALGIA 110/80
15 PELMAN 36 th 135527589 ISPA 130/70
16 AMIR 40 th 135888805 NEFROLITIASIS 120/80
17 ALFRIDA 44 th 135888682 G2 VISUS 120/80
4 MARET 2014
18 KRISTINA 49 th 135484097 HHD 100/70
19 ANIZAR 43 th 134987106 DISPEPSIA 110/70
20 SALEM 42 th 172718346 D.ALL 110/80
21 NUR AFIDA 33 th 135891156 CEPALGIA 120/80
22 ZAINUDDIN 50 th 134826873 SEBOROIK 140/90
23 SASNI 47 th 134826862 SEBOROIK 110/80
24 KAFYAA 7 th 135484964 CEPALGIA 17 KG
25 NURHAYATI 50 th 135565569 ISPA 140/80
26 IFRIANI 34 th 135843388 STRUMA 100/70
27 HUSNI JONDDOSE 68 th 135867881 PJK + A.B 110/70
28 SAID 51 th 135020373 MIALGIA 120/80
29 MASRUJI 59 th 134990695 ISPA 140/100
30 IIN FARLINA 37 th 163877252 ISPA 100/70
31 ADINDA 10 th 135945369 ISPA 60 KG
5 MARET 2014
32 YASMIN 46 th 134833263 ISPA 110/70
33 M.FALDONI 7 th 134833285 ISPA 110/60
34 ALAMSYAH 18 th 135482229 EPILEPSI 100/70
35 JELRIN 43 th 136708514 ISPA 140/90
36 WIDYA 9 th 135580541 CEPALGIA 21 KG
37 HARSAN 50 th 135490559 RA 130/80
38 ISMAUN 61 th 134918739 RA 120/80
39 MAS'UN 50 th 135499149 DM TIPE 2 120/80
40 DINA 13 th 135498756 ISPA 40 KG
41 VIKTOR 66 th 135914411 DM TIPE 2 110/80
42 NADJARUDDIN 69 th 135869152 DM TIPE 2 120/80
43 NILUH ADHI 53 th 135380242 DM TIPE 2 120/80
44 IDETA 33 th 135918281 DISPEPSIA 90/60
45 HASRAT 59 th 135482916 DM TIPE 2 110/80
6 MARET 2014
46 M.RIDHO 48 bl 203031944 ISPA 16 KG
47 SAMSUDIN 53 th 136064777 HT 140/100
48 M.IBNU ASAD 18 th 135577539 MIALGIA 110/80
49 LINISWATI 39 th 134923577 CEPALGIA 130/90
50 PARHANA 37 th 165139367 G2 VISUS 140/90
51 MOH.HUDA 6 th 149214756 TONSILITIS 15 KG
53 M.KHUSNUL SOLEHUDIN 8 th 135891325 FARINGITIS 26 KG
54 OLA 33 th 135737133 D.ALL 110/70
55 KARMILA 30 th 134826401 ISPA 100/80
56 SATRIANI 29 th 197205974 ISPA 110/80
57 DIMIATI 60 th 135636254 HT 130/80
58 ADINDA 10 th 135945369 ISPA 60 KG
59 ISMAUN 65 th 134918739 POS KLL 120/80
60 ARUHASAN 48 th 135489069 ISPA 120/90
61 USMIATI 49 th 1354849058 HT 180/100
7 MARET 2014
62 HAERIA 66 th 135867543 DM + HT 140/90
63 ALAMSYAH 35 th 171550506 MALARIA KLINIK 140/80
64 SAID 51 th 135020373 SUS RA 120/80
65 IFTITAH 9 th 135483772 ISPA 26 KG
66 JELRIN 43 th 136708514 CIKUNGUNYA 140/90
67 FARID AKBAR 29 th 172108991 SUS RA 110/80
68 WAZNA 49 th 135489205 SUS APP 120/80
69 KAMAREL 63 th 135868105 CEPALGIA 130/80
70 SITI HAWA 42 th 134966046 DM TIPE 2
71 RIDHO 7 th 173050391 FARINGITIS 18 KG
72 PELMAN 36 th 135527589 DISPEPSIA 130/70
73 JIIL 8 th 135527602 FARINGITIS 24 KG
74 SASNI 48 th 134826873 DISPEPSIA 110/80
75 YUDIT 8 th 135050253 TONSILITIS 20 KG
77 MAWAR 49 th 135962144 ISPA 110/80
78 KASRIR 51 th 135906085 RA 110/70
79 ULFA 34 th 135494559 TONSILITIS
80 SRIMARYAWATI 33 th 135589465 POLYNEUROPATI 110/80
81 RASYA 5 th 163194399 ISPA 25 KG
82 RATMAN 60 th 134711469 POST STROKE 130/80
83 S0LICHA 52 th 134711471 SUS RA 120/80
84 FAHRI 6 th 135737155 ISPA 15 KG
85 ARSYAD 60 1265142025 ISPA 110/80
8 MARET 2014
86 ARSYAD 60 th 1265142025 ISPA 120/80
87 SRI WAHYUNI 42 th 134988827 HT 140/90
88 FAHRUDDIN 20 th 136708536 ISPA 100/70
89 M.RIDHO 48 bl 203031944 TONSILITIS 16 KG
92 M.KHUSNUL SOLEHUDIN 8 th 135891325 FARINGITIS 26 KG
93 MUTIARA 60 bl 210579175 GEA 21 KG
94 MUHLIS 49 th 134919821 ISPA 110/70
95 NURMUTIARA 10 th 207341853 FARINGITIS 32 KG
96 KASRIR 52 th 135906074 FARINGITIS 110/80
97 RUSNIPAR 48 th 135913386 ISPA 110/70
98 IRMAWATI 40 th 135890032 D.SEBOROIK 120/70
10 MARET 2014
99 HALIJAH 16 th 1278692741 CEPALGIA 130/90
100 NIRMALASARI 52 th 1278694563 SKIZOFREN 110/70
101 WIDI TRIANA 18 th 135956608 G2 VISUS 90/60
102 ISMAUN 61 th 134918739 RA 130/80
103 SAHDIN 52 th 135912396 ISPA 130/80
104 ROSNA 59 th 135912385 ISPA 130/90
105 SUNARDI PILA 61 th 135809695 G2 BICARA 140/80
105 SAMPELILING 32 th 205424133 FARINGITIS 100/70
106 JABIR 43 th 135485649 TB PARU 100/70 GDS=295
107 JELRIN 43 th 136708514 CIKINGUNYA 130/80
108 NABILA 5,6 th 976253692 KONJUCNTIVITIS 18 KG
109 MAHYANI 29 th 976253613 MIALGIA 100/70
11 MARET 2014
111 NUHURIA 51 th 135581477 ISPA 120/80
112 ADNAN 60 th 135866158 ISPA 130/80 AU=11,7
113 MASRUJI 59 th 134990695 ISPA 140/90
114 RISNAWATI 41 th 135584234 CEPALGIA 120/80 AU=2,1
115 ANANG SAPUTRA 15 th 134988849 ISPA 90/60
116 FARID AKBAR 29 th 172108991 ISPA 110/80
117 IDETA MARIANA 34 th 135918281 CEPALGIA 90/60
118 M.IBNU ASAD 18 th 135577539 MIALGIA 110/80
119 KARMILA 30 th 134826401 ISPA 100/80
120 M.RIDHO 48 bl 203031944 ISPA 16 KG
121 SATRIANI 29 th 197205974 ISPA 110/80
123 DINA 13 th 135498756 ISPA 40 KG
12 MARET 2014
124 PATIMA 58 th 135770679 DM TIPE 2 120/80
125 HIRSAN 49 th 135577517 ISPA 120/80
126 SITI FARIDA 46 th 135896499 ISPA 100/70
127 ARWADI 48 th 135169154 DM TIPE 2 110/80
128 MARISKA 30 th 135888546 LBP 130/90
129 HARGAN 51 th 135490555 HL 120/80
130 OLA 35 th 135737133 SKABIES 110/80
131 DONI 11 th 135737144 SKABIES 22 KG
132 FAHRI 6 th 135737155 SKABIES 110/80
133 SARDI 52 th 134828842 ISPA 100/80
13 MARET 2014
134 EKA 19 th 134913993 SKABIES 90/70
135 YUDITHA 8 th 135050253 ISPA 20 KG
136 ASLI LATEKO 71 th 135866799 HT 150/100
137 IQRAR 12 th 134982134 ISPA 90/70
138 SAMSUDIN 72 th 135869026 DM TIPE 2 110/70 GDS=191
139 AGLIMA 68 th 135866204 HT 140/80 GDS=163
140 DHABITA 5,3 th 135866202 ISPA 14,5 KG
141 ALIKA 4 th 166235128 ISPA 13 KG
142 NADIRA 40 th 135684191 RA 45 KG
143 RATNI 44 th 135891718 ISPA 100/70
144 TAUFIQ 37 th 165139108 ISPA 110/70
145 RIZAL 51 th 134913982 AS.BR 100/70
146 HAZNAH 60 th 147914649 ISPA 110/80
14 MARET 2014
147 HAZNAH 60 th 147914649 ISPA 110/80
148 PAINTEN 43 th 134836751 SPLENOMEGALI 100/70
150 FARGAB 49 bl 165229536 POST KLL 16 KG
151 ROSTIN 53 th 134992528 DM TIPE 2 100/70
152 KASRIR 52 th 135906074 ISPA 110/80
153 ARSYAD 60 th 1265142025 ISPA 120/80
154 NURMUTIARA 10 th 207341853 ISPA 32 KG
155 MUHLIS 49 th 134919821 ISPA 110/70
15 MARET 2014
156 ISMAUN 63 th 134918739 RA 120/80
157 FAIDA 51 th 135958825 CEPALGIA 120/80
158 NYOMAN WINATI 48 th 135891055 MENOMETRORAGI 120/80
159 FAJAR 9 th 165138568 SERUMEN 26 KG
160 NATASYA 9 th 135890559 TONSILITIS 28 KG
161 ABDURAHMAN 9 bl 1081557562 ISPA 8 KG
162 ARLANI 57 th 134918245 DM TIPE 2 100/70
163 DARMAN 42 th 135481544 HT 150/100
164 ERLINA 45 th 135481555 FRAKTUR EXT.INF 120/80
165 DARSIN 50 th 135481588 SKABIES 90/60
166 SITI HUSNA 30 th 135484942 CEPALGIA 120/80
17 MARET 2014
167 ROSNA 59 th 135912385 HL 100/70
168 HAZNA 60 th 135867767 DISLOKASI MANDIBULA 120/80
169 ABD RAUF 65 th 135765994 KARIES 130/80
170 HASAN 55 th 135531832 DM TIPE 2 120/80
171 TAMSIR 59 th 135488744 D.ALL 130/80
172 KARYANI 42 th 135522472 G2 VISUS 130/90
174 ARUM 10 bl 1268481497 DEMAM 11 KG
18 MARET 2014
175 KALSUM 50 th 134989659 ISPA 120/80
176 M.FALDONI 7,9 th 134833285 ISPA 43 th
177 MURDIAZ 12 th 147788627 ISPA 23 kg
178 GAIZ 51 th 134926108 FURUNKEL 110/70
179 GEMAR 50 th 134963469 PTERIGIUM 110/70
180 SUPARMAN 54 th 135476717 HT 150/90
181 WAZNA 49 th 135489205 HHD 100/70
182 ALAMSYAH 17 th 135482229 ISPA 110/70
183 WELDEIDA 54 th 135892664 CEPALGIA 120/80
19 MARET 2014
184 INDO TANG 58 th 135800379 HT 170/100
185 BASRAH 61 th 134822261 D.SEBOROIK 120/80
186 SARIF 27 th POST OP HERNIA 120/80
187 NAHAR 59 th 134913407 DM TIPE 2 100/70
188 MASDIANA 51 th 134990447 DISPEPSIA 120/80
189 IDZAR 11 th 108638989 FEBRIS 28 KG
190 KHUSNUL 8 th 135891325 V,IKTUM 24KG
191 RUKMINI 64 th 135737741 NAUSEA 130/90
192 DIAN 20 th 135737763 CIKUNGUNYA 110/70
193 MUSAFIR 14bln 1265187971 ISPA 8 KG
194 NURSAM 60 th 135868386 DM TIPE 2 130/80
195 GUSTIVIANUS 53 th 135602133 G2 AFEKTIF 120/70
20 MARET 2014
196 DARMANSYAH 43 th 135674302 ISPA 130/90
197 DHABITA 5,3 th 135866202 ISPA 14,5 KG
198 ALIKA 4 th 166235128 ISPA 13 KG
199 IQRAR 12 th 134982134 ISPA 90/70
200 YUDITHA 8 th 135050253 ISPA 20 KG
201 TAUFIQ 37 th 165139108 FARINGITIS 110/70
202 RIZAL 51 th 134913982 AS.BR 100/70
203 RATNI 44 th 135891718 ISPA 100/70
204 NADIRA 40 th 135684191 RA 45 KG
205 HAZNAH 60 th 147914649 ISPA 110/80
207 NATASYA 9 th 135890559 TONSILITIS 28 KG
21 MARET 2014
208 DEWI PRATIWI 28 th 207196907 DM TIPE 2 80/60
209 NURDA 46 th 135680014 ISPA 100/60
210 DARMANSYAH 43 th 135674382 DM TIPE 2 120/80
211 MASUNI 42 th 135866169 MIALGIA 100/70
212 SASNI 47 th 134826873 RA 80/60
213 ZAINUDDIN 50 th 134826862 D.ALL 140/90
214 RESE 56 th 135963323 HT 130/90
215 SAMPELILING 32 th 205424133 HIPOTENSI 90/70
216 DIMIATI 59 th 135636254 RA 130/80
217 RINALDI 19 th 976056467 ISPA 190/70
218 M.FAIQ 9 th 135696486 ISPA 29 KG
219 FUAD HASSAN 37 th 135696464 DISPEPSIA 100/70
22 MARET 2014
220 AMBOASSE 68 th 135866384 DISPEPSIA 120/80
221 ISMAUN 61 th 134918739 RA + HT 150/80
222 SITI MARYAM 46 th 135252472 DM TIPE 2 90/60
223 DIDI PRYANTO 48 th 1080009393 HT 140/80
224 HUSNI JONDDOSE 68 th 135867881 HHD 140/90
225 SITI HAWA 42 th 134966057 DM TIPE 2 120/80 K0L=189
226 NURMUTIARA 10 th 207341853 ISPA 32 KG
227 KALSUM 50 th 134989659 ISPA 120/80
228 M.FALDONI 7,9 th 134833285 ISPA 43 KG
229 SITI HUSNA 30 th 135484942 CEPALGIA 120/80
230 FARGAB 49 bl 165229536 FARINGITIS 16 KG
231 MUHLIS 49 th 134919821 ISPA 110/70
24 MARET 2014
232 ASHAR 57 th 135591434 DM TIPE 2 110/70 GDS=336
233 MUSTAMIN 44 th 135704957 CEPALGIA 150/80
234 ADNAN 62 th 135866158 RA + HT 160/80
235 ROS ENI 44 th 135891819 CEPALGIA 100/60
236 INTAN 1282932819 D.ALL 35 KG
237 PARHANA 37 th 165139367 HT 150/80
238 ANANDA GILANG 12 th 196228618 ISPA 36 kg
239 LINTJE 49 th 135498734 ISPA 100/70
240 NAJARUDDIN 69 th 135869152 ISPA 130/90
241 AMIR 35 th 135888805 DM TIPE 2 110/80
242 SITI KHADIJAH 35 th 41991096 UROLITIASIS 90/60 GDS=187
243 M.NABIL 11 th 135494578 SERUMEN 34 KG SPULLING
244 MURDIAZ 12 th 147788627 ISPA 23 kg
245 DIAN 20 th 135737763 CIKUNGUNYA 110/70
246 GAIZ 51 th 134926108 FURUNKEL 110/70
25 MareT 2014
247 EKA 19 th 134913993 SKABIES 100/70
248 NASRUN 59 th 134832868 HT + DM 170/80
249 RIZAL 47 th 135737649 RA 130/80 AU= 9,1
250 SULFIA 43 th 195530321 GRAVID 34 MGG 100/70
251 ALYKA 48 Bbl 166235128 ISPA 13 KG
252 DARSIN 50 th 135481588 MIALGIA 90/70
253 MURDIAS 12 th 147788627 ISPA 23 KG
26 MARET 2014
254 NUHURIA 38 th 135329534 ANEMI 110/70
255 HASRIDA 30 th 977060744 HEMORROID 120/80
256 JAKUP LATEKO 64 th 135152245 VOMITUS 130/80
257 BUYANDAYA 48 th 135872201 FIBROADENOMA MAMMAE 120/70
258 MAS'UD 50 th 135499149 DM TIPE 2 GDS=264
259 IDRUS BATJO 72 th 115998221 ISPA 120/80
27 MARET 2014
260 SAIFUL 46 th 134992664 SUS.LBP 120/80
261 PATIMA 58 th 135770679 SUS.LBP 110/70
262 M.SYAUKI 26 bl 978690102 ISPA 9 KG
263 IRHAM 52 th 135519287 COMBUTIO 110/70
264 ZULKIFLI 12 th 134961884 ISPA 44 KG
265 WIDYA 26 th 168042723 POST TRAUMA 110/70
28 MARET 2014
266 M.RIDHO 46 bl 203031944 ISPA 17 KG
267 BAMBANG KORONI 36 th 135490757 PTERIGIUM 120/80
268 HAMZAH 43 th 135639257 CEPALGIA 130/80
269 ABD.RAHIM 49 th 135030058 CEPALGIA 100/60
270 JELRIN 43 th 136708514 DISPEPSIA 120/70
271 ZAENAB 38 th 135913983 DISPEPSIA 90/70
29 MARET 2014
272 ROFFY C 32 th 135889334 A.BRONKIAL 90/60
273 MALIKA 6 th 135696497 ISPA 19 KG
274 I WAYAN NARTA 47 th 135522213 ISPA 110/80
275 SRI WAHYUNI 20 th 203278702 ISPA 110/80
ES (PERSERO)
PE LAYANAN DIRUJUK KE RJK BALIK Keterangan

LAB dari
TDK TERDAFTAR
RS MD
RS UT
RS MD
TDK TERDAFTAR
RS UT
TDK TERDAFTAR
TDK TERDAFTAR
RS MD
RS AP/APS
RS UT/APS
TDK TERDAFTAR
RS UT
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
RS MD
RS UT
TDK TERDAFTAR
RS UT
RS MD
RS UT TDK TERDAFTAR
RS UT
RS UNDATA
TDK TERDAFTAR
TDK TERDAFTAR
ES (PERSERO)

LAB dari
RS UT
RS UT
RS UT
RS UT
RS UT
BLM TERDAFTAR
RS MD
RS MD
TDK TERDAFTAR
LUAR WILAYAH
RS UT
RD MD
RS UT
RS UT
RS MD
RS MD
GDS=319
RS UT
LW DINKES KOTA
RS UT
RS MD
RS AP
TDK TERDAFTAR
RS UT
BELUM TERDAFTAR
RS MD
RS UT
GDS= 176
GDS=283
KOL= 243
GDS= 193
GDS=364
TDK TERDAFTAR
RD MD
RS MD
RS MD
RS UT
RS UT
RS MD
RS UT
RS MD
RS UT
tdk terdaftar
ES (PERSERO)

LAB dari
RS MD
RS UT
RS MD
RS UT
RS MD
RD MD
RS MD
RS UT
AU=5,1
AU=2,1
GDS=344
RS MD
RS MD
GDS=110
RS MD
RS MD
RS MD
412 RS UT
AU=8,4 RS UT
AU=7,5
RS UT
TDK TERDAFTAR
LW DR.KETUT
GDS=243
RS UT
GDS=342
RS MD
RD UT
RD UT
GDS=231
TDK TERDAFTAR
GDS=314
RS MD
TDK TERDAFTAR
RS UT
RS UT
AU=6
AU=3,8
KOL=199
RS UT
GDS=201
RS UT
RS UT
TDK TERDAFTAR
ap me ju LAPORAN PELAYANAN DOKTER KELUARGA PT.ASKES (PERSERO)
CABANG PALU BULAN APRIL 2014
NO N A M A PASIEN UMUR NO. KARTU DIAGNOSA J E N I S PE LAYANAN DIRUJUK KE
Pemeriksaan Tindakan LAB
1-Apr-14
1 ANDI HUSYAIN 30 bl 207828808 COMBUTIO
2 SUMITRO 59 th 134828572 DM TIPE 2 140/80
3 INONG 63 th 135963955 SKIZOPHREN 120/80 RS MD
4 SARMIN 59 th 135963955 SKIZOPHREN 110/70 RS MD
5 DAMARIS 57 th 135486933 DYSPEPSIA 100/70
6 YASMIN 47 th 134833263 FARINGITIS 90/70
7 DIMIATI 60 th 135636254 HT 110/70
8 ASWAR 56 th 135574672 HT 90/70
9 KUSMIATI 45 th 135737875 TONSILOFSRINGITIS 90/70
10 ANDI ACO 42 th 135525778 ISPA 120/80
11 INCE ADWIA 35 th 135525767 FARINGITIS 120/70
12 SUMIATI 54 th 135491308 DM TIPE 2 110/80
13 NURDIN 56 th 135491297 ISPA 120/80
2-Apr-14
14 NURLIA 48 th 1465042 HT 140/90
15 ABD RAHIM 52 th 135030358 COUGH 110/70
16 RIDHO 48 bl 203031944 ISPA
17 ROSS 53 th 150299392 RA 120/80
18 NAHAR 58 th 134913407 DM TIPE 2 130/80
19 ASNA 58 th 134913418 MIALGIA 120/80
20 SITI ROSNA 61 th 134918739 RA 130/80
21 ZUHRA 25 th 207149769 ISPA 120/80
22 MARTA 55 th 135952434 ISPA 120/80
23 ISMAUN 61 th 134696497 RA 120/70
24 MALIKA 6 th 135696497 ISPA 16 KG
25 FUAD HASSAN 36 th 135696464 HL 120/70
26 FAIDA 51 th 135958825 HT 130/90
3-Apr-14
27 DEVIT 37 th 135589454 ISPA 120/80
28 AMRIN 62 th 1265820452 PJK 130/80
29 TAHIR 58 th 135554049 CEPALGIA 160/80
30 SARPIA 51 th 205171121 CEPALGIA 130/80 GDS=87
31 SUKRI 72 th 135870041 A.BR 110/80
32 FAJAR 9 th 134990807 ISPA 125 CM
33 FATTAN 5 th 1324990818 ISPA 113 CM
34 YUNUS 48 th 134990796 ISPA 90/70
35 NILU PUTU SRI JAYA 29 th 172754493 G2 VISUS 120/80 RSMD
36 SRI WAHYUNI 41 th 135488068 RA 90/70 AU=7,2
37 KAMAREL 63 th 135868105 DM TIPE 2 160/80 GDS=331
38 RUNISPA 48 th 135913386 ht 150/80
39 MARYAM 42 th 134990381 DM TIPE 2 90/70 GDS=247
4-Apr-14
40 MAANI 66 th 135601503 DM TIPE 2 100/70
41 MADE WIRKA 134728345 CEPALGIA 120/80 RS MD
42 NI NYOM,SRINADI 134899007 MIALGIA 110/70 RS MD
43 REYHAN 10 th 171963101 ISPA 17 kg
44 ROSLANI 44 th 135933096 HT 140/90
45 AGUSTA 135897783 FARINGITIS 110/70
46 HARIMIN 197584345 DISPEPSIA 110/80
47 DEWI YANTI 135132412 MIALGIA 120/80
48 PA INTEM 135836751 DM TIPE 2 110/80
49 RIZAL 134913982 A.BR 110/80
50 EKA 135737324 SKABIES 110/70
51 ARIFIN 135630606 CEPALGIA 110/70
52 FAULINA 167849302 DISPEPSIA 120/80
5-Apr-14
53 SAMIA 59 th 135736221 SUS. APP 120/80
54 ROSMA WAHYUNI 14 th 135891617 POST KLL 52 KG
55 AGNES 49 th 1288906446 KATARAK 120/80 RS MD
56 ZAINUL 50 th 135738516 POST STROKE 100/70 RS MD
57 PUSPA 19 th 135738538 CHEST PAIN 90/70 RS UT
58 PUTRI 63 th 1270871155 RA 140/80 AU=7,7
59 AMINA 51 th 135479935 ISPA 140/80
60 DEDY 25 th 1281654753 MIALGIA 180/80
61 WAZNA 40 th 135487337 DISPEPSIA 120/70
62 SARIFUDIN 51 th 135913972 CEPALGIA 110/70
63 ANGGA 12 th 165139503 FARINGITIS 25 KG
64 TAUFIQ 37 th 165139108 ISPA 110/70
65 PARHANA 36 th 165139367 HT 140/100
66 RATMAN 60 th 134711469 HT 130/80
67 NURMUTIASARI 11 th 207341853 TONSILOFSRINGITIS 22 KG
68 NURHAM 49 th 135736716 CEPALGIA 110/70
69 RUSDIN 59 th 135552475 MUIALGIA 120/80
70 SOLICHAN 51 th 134711471 RA 120/80
71 ZAENAB 55 th 135870491 TUMOR MAMME 120/80
72 FAULINA 36 th 203397074 DISPEPSIA 110/80
7-Apr-14
73 ABD.RASYID 30 th 135518152 G2 VISUS 120/70 RS UT
74 ASWADI 40 th 166850379 MIGREN 90/60
75 FAULINA 33 th 167849302 A.PECTORIS 100/70
76 CHELSEA 5 th 193336874 ISPA 12 KG
77 ABD RAHIM 52 th 135030058 CEPALGIA 90/60
78 NURLIAH 47 th 135030047 HT 130/80
79 TAHIR 59 th 135554049 CEPALGIA 160/80
80 SARPIA 49 th 2051171121 MIALGIA 130/80
81 NAADIRA 40 th 135684191 MIALGIA 130/80
82 MULIANI 29 th 134880006 CEPALGIA 100/60
83 NAHARIA 41 th 135522876 DISPEPSIA 100/70
84 NURJIDAN 43 th 134961862 RA 100/60
8-Apr-14
86 SEPTA PUTRI 12 th 41991107 ISPA
87 M,FRIZKY 8 th 195556061 SUA.AB
88 HADIJAH 41 th 41991096 HL + DM 110/70
89 HASRAT 60 th 135482916 DM TIPE 2 120/80
90 ROS ENI 41 th 135891819 FARINGITIS 120/70
91 NILAM 11 th 135891843 ISPA
92 ROHANI 52 th 135912712 CEPALGIA 120/80
93 MEI 41 th 165857308 ISPA 110/70
94 MULIANI 49 th 135737381 MIALGIA 110/70
95 NAHARIA 42 th 135522876 ISPA 110/80
97 MASTA 54 th 136707906 MIALGIA 110/70
98 WAZNA 40 th 135487337 ISPA 120/80
99 PAMPI 53 th 135486516 ISPA 110/70
100 HASAN 55 th 135531832 MIALGIA 120/80
101 SUSANTI 33 th 135883631 CEPALGIA 110/70
102 FAJRUL 6 th 135888653 ISPA 18 KG
103 NAURA 8 th 135883642 ISPA 21 KG
9-Apr-14
104 HANAFI 53 th 135595348 ISPA 120/70
105 JELRIN 43 th 136708514 HT 130/90
106 DARMANSYAH 44 th 135674302 HT 140/80
107 IBRAHIM 54 th 135679882 CEPALGIA 120/80
108 FATMA DAUDA 57 th 134959588 MIALGIA 120/80
109 SARIFUDDIN 51 th 135913972 ISPA 120/70
110 ARIANA 45 th 135574119 ISPA 120/80
111 KAMAREL 63 th 135868105 CEPALGIA 130/80
112 ISMAUN 61 th 134918739 HT 130/90
113 NAHAR HALIDO 64 th 135869163 DM 110/80
114 SARIFA 34 th 135696475 ISPA 110/70
10-Apr-14
115 HAERIA 64 th 1358657543 DM + HT 150/80
116 MAKRIPA 49 th 135906996 LBP 90/70
117 MURSID 52 th 136617641 MIALGIA 110/70
118 JABIR 44 th 135485649 DM TIPE 2 90/60
119 RISKI 9 th 195556061 ISPA 27 kg
120 DWI RETNA 56009348662 SUS.TIPOID 110/70
121 PAMPI 53 th 135486516 ISPA 110/70
122 ILHAM 55 th 135531832 MIALGIA 120/80
123 WIN 52 th 135643375 ISPA 120/80
124 REZKY 16 th 135693386 BRONCHITIS 110/70
125 FALDONI 8 th 134833255 POST SIRKUM 34 KG
126 ABDUL RAFIN 50 th 134833252 ISPA 120/70
127 MASTA 53 th 136709906 MIALGIA 110/80
11-Apr-14
128 SUPARDI 54 th 134885689 RA 130/80
129 ANDI ACO 42 th 135525778 MIALGIA 110/70
130 PASRANTI 41 th 134824779 DISPEPSIA 110/80
131 ASDEDY 39 th 166850379 ISPA 90/60
132 SAMSUDIN 73 th 135869826 CEPALGIA 110/70
133 AGLIMA 69 th 135866204 DM TIPE 2 130/80
134 SUNARDI 61 th 135809695 MIALGIA 140/90
135 OLAH 37 th 135737133 ISPA 110/80
136 MALIKA 6 th 135696497 CEPALGIA 90/70
137 PARHANA 46 th 165139367 HT 140/90
138 WAZNA 40 th 135487337 MIALGIA 120/80
12-Apr-14
139 MARTA 46 th 135952424 DISPEPSIA 110/70
140 ROSMALIANA 52 th 150299392 RA 100/70 RS MD
141 NAHAR 59 th 134913407 DM TIPE 2 100/70
142 NURLIAH 47 th 135030047 CEPALGIA 140/80
143 SITI ROSNA 54 th 135487978 ISPA 120/80
144 ZUHRA 24 th 207149769 CEPALGIA 100/70
145 SUDARMI 53 th 135896613 ISPA 120/70
146 DONI 11 th 135737144 TONSILITIS 21 KG
147 NABIL 11 th 135494572 D.ALERGI 23 KG
148 FAIQ 9 th 135696486 ISPA 25 KG
149 WAZNA 40 th 135487337 ISPA 120/80
150 RATMAN 60 th 134711469 HT 130/80
151 SOLICHAN 51 th 134711471 MIALGIA 120/80
152 ZAINAB 55 th 135870491 MIALGIA 120/80
153 FAHLINA 36 th 203397074 CEPALGIA 130/80
154 MURNIATI 42 th 135485638 ISPA 110/80
155 FATIA 54 th 135496124 FARINGITIS 110/890
156 ATIQA 16 th 135889143 ISPA 16 KG
157 AVIVA 19 th 135889154 ISPA 19KG
158 MARTA 56 th 135952424 ISPA 100/70
159 ROSMALIA 65 th 135869681 DISPEPSIA 110/70
160 IDRUS BATJO 73 th 115998221 CEPALGIA 120/80
161 UDIN 51 th 134993766 ISPA 130/80
14-Apr-14
163 AFRIANI 18 th 135119248 MIALGIA 120/70
164 AHLAN 40 th 135484064 ISPA 110/70
165 BASRAH 60 th 134822261 SEBOROIK 120/80
166 M.RIZKI 17 bl 1285531738 KATARAK CONGENITAL 130 CM RS UT
167 MUNILAH 50 th 135485559 AMXIETAS 110/70 RS MD
168 M.FRIZKI 8 th 195556061 FARINGITIS 90/70
170 RIDHO 47 bl 203031944 TONSILITIS 96 CM
171 ANGGUN 11 th 165139503 FARINGITIS 135 CM
172 AILLA 7 th 165139648 ISPA 125 CM
173 INCE ADWIA 34 th 135525767 CEPALGIA 110/70
174 A.ACO 42 th 135525778 MIALGIA 120/70
15-Apr-14
175 FEBRINO 51 bl 205424201 ISPA 13,5 KG
176 ROSMA 14 th 135891617 ISPA 51 KG
177 HAERIA 66 th 135867543 DM TIPE 2 140/80 GDS=305
178 FAHRUT 46 th 165180868 CIKUNGUNYA 110/80
179 FAJRIA 42 th 165177628 HT 140/90
180 A.RISWAN 30 th 135887949 HIPOTENSI 90/70
181 SAMSUDIN 73 th 135869826 KATARAK 110/90 RS UT
182 AGLIMA 68 th 135866204 RA 130/80
183 DIMIATI 59 th 135636254 HL 120/80
184 ASWAR 56 th 135574672 RA 130/80
185 ADNAN 62 th 135866158 RA 130/80
186 MASUNI 42 th 135866169 CEPALGIA 110/70
187 NILUH PUTU WIDYADI 49 th 135924726 MIALGIA 130/80
188 NURHAYATI 41 th 135891279 LBP 100/70 RS MD
189 KHUSNUL SYAIFUL 12 th 135891314 ISPA 28 KG
190 ZAIBAB 56 th 135870491 TUMOR MAMMAE 120/80 RS MD
16-Apr-14
191 RATMAN 61 th 134711469 HT 110/80
192 SOLICHAN 51 th 134711471 MIALGIA 120/809
193 ZAENAB 56 th 135870491 POST OP T.MAMMAE 120/80
194 FAHLINA 36 th 203397074 DISPEPSIA 100/70
195 MURNIATI 40 th 135890875 G2 VISUS 100/80 RS MD
196 ISTIHA 65 th 126826896 HHD RS UT
197 M.SYAWAL 11 th 976385654 ISPA 127 CM
198 JABIR 43 th 135485649 TB PATU + DM 110/70
199 MARTA 56 th 135952424 CEPALGIA 100/78O
200 MAANI 63 th 135601503 DM TIPE 2 100/70
201 KARMILA 31 th 134826401 FARINGITIS 90/60
202 MEYDINA 5 th 196228708 D.ALL 20 KG
203 DARWIS 52 th 135479946 DISPEPSIA 100/70
17-Apr-14
204 MASHURA 91 th 126601484 POST KLL 140/80
205 EFRIANA 41 th 1082206168 STRUMA 120/80
206 SIGIT 17 th 166206183 CEPALGIA 100/70
207 DARSIN 50th 135481580 HIPOTENSI 90/70
208 BINTANG ADYTIA 13 th 167849357 FARINGITIS 32 KG
18-Apr-14
209 ADNAN 62 th 135866158 ISPA 130/80
210 MUH.IRFAN 58 th 135580487 PJK 120/90 RS UT
19-Apr-14
212 NIKMA 54 th 169727398 CHEST PAIN 90/60
211 KAHAR ABDULLAH 54 th 160233568 RA 140/90
213 SITTI FAJRAH 42 th 135580448 DISPEPSIA 110/70
214 ASWAR 36 th 135574672 RA 130/80
215 DIMIATI 56 th 135636254 HL 130/80
216 RIZAL 59 th 134913982 A.BR 130/80
217 ADHAR 52 th 134986976 ISPA 130/80
218 KUSNO 54 th 135556132 MIALGIA 110/80
219 NURLAELA 53 th RA 120/80
21-Apr-14
220 YASMIN 46 th 134833263 ISPA 110/80
221 MAJID 55 th 135891123 CEPALGIA 110/80
222 NORMA 49 th 135891112 DISPEPSIA 100/70
223 AIDAN 205128999
224 HANAFI 52 th 135595348 ISPA 110/80
225 MUSAWIR 20 th 172835335 DISPEPSIA 110/80
226 M.FRIZKI 8 th 195556061 ISPA 26 KG
227 MUH.SYABDA 17 th 135891404 FARINGITIS 100/70
228 DARMAN 42 th 135481544 HT 150/100
229 AHMAD GIFARI 13 th 135481566 ISPA 37 KG
230 YUDHA MARDADI 8 th 135481557 FARINGITIS 30 KG
231 AHMAD RAMADHAN 1271069717 TONSILITIS 23 KG
22-Apr-14
232 KAMAREL 63 th 135868105 DM TIPE 2 120/80
233 BONI 11 th 135487113 ISPA
234 RISNAWATI 46 th 135487078 FARINGITIS 120/80
235 ZAENAB 38 th 135913983 MIALGIA 110/80
236 SUPARTI 40 th 134982112 DISPEPSIA 90/60
237 IQRAR 13 th 134982134 ISPA 90/60
238 ELIAT 51 th 135891865 RA 130/80
239 MOH.SYAWAL 13 th 135152267 ISPA 90/60
240 FATMA DAUDA 57 th 134959588 CEPALGIA 100/70
241 WIDI TRIANA PUTRI 19 th 135956608 ISPA 90/60
242 SAMIA 56 th 135736211 HT 120/80
243 MEYDINA 42 bl 196228708 ISPA
244 NURFIA 53 th 135486268 CEPALGIA 120/80
245 ALAMSYAH 34 th 171550506 MALARIA KLINIS 110/80
246 RUSIN 70 th 1358669692 RA 120/80
247 IRVAN 38 th 135890019 ISPA 110/80
23-Apr-14
248 SERLY.M 1295950702 130/90
249 DARMANSYAH 44 rh 135674302 HT 110/80
250 KRISTINA 49 th 135484097 HHD 100/70 RS UT
251 IDRUS BATJO 73 th 115998221 ISPA 140/90
252 SUMIATI 53 th 135419300 DM TIPE 2 110/80
253 ANGGA 8 th 135409319 ISPA
254 NAHAR 59 th 134913407 DM TIPE 2 110/80
255 WIDYA LUKITASARI 27 th 134665828 ISPA 100/70
256 TASDIK 28 th 210046274 CEPALGIA 110/70
24-Apr-14
257 NURFAIDA 23 th 166619171 DISPEPSIA 100/70
258 DAMARIS 58 th 135486933 RA 110/80
259 DARMIN 56 th 135752405 CEPALGIA 130/80
260 DARSIN 135481588 MIALGIA 100/70
261 RUGAYAH 56 th 135748574 MIALGIA 110/70
262 NURYETTI 1165377183 DISPEPSIA 110/80
263 DWI ERMA 1085724832 ISPA 120/80
264 AMRIN 54 th 135480025 ISPA 100/80
265 RATMAN 60 th 134711469 HT 110/80
266 CLARA CHANTIKA 1276601826
267 HASRAT 60 th 135482916 DM TIPE 2 110/70
268 HUSNI 68 th 135867881 A.B 140/80
25-Apr-14
269 ASHAR 53 th 135591434 CEPALGIA 100/70
270 M.NAWIR 45 th 135522764 RA 120/80
271 VIKY 17 th 135494561 ISPA 90/60
272 SYIFA 7 th 170775808 ISPA 22 KG
273 ANDI ACO 42 th 135525778 MIALGIA 120/70 RS MD
26-Apr-14
274 SUKRI 62 th 135870041 KATARAK 110/80
275 ARIANA 45 th 135574119 CEPALGIA 140/80
276 M.RISKI 1078338003 ISPA 11 KG
277 MEI 41 th 165857308 V.IKTUM 100/60
278 MUH.HUDA 7 th 149219256 ISPA 20 KG
279 DARMAN 42 th 135481544 ISPA 140/80
280 NUR AINUN 6 th 135913983 ISPA 17 KG
281 WAWAN SETIAWAN 37 th 1962228359 RA 120/70
282 BASRAH 61 th 1348222261 DKA 120/80
283 MUH.ROHIQ 37 th 1081341303 ISPA 17 KG RS MD
284 SAMSUL BAHAR 55 th 135945347 RUPTUR DIGIT 2 110/70
285 ISMAN 51 th 135483581 DEPRESI 130/80
28-Apr-14
286 MASTA 54 th 136709906 MIALGIA 100/70
287 MOH.ZAKI 22 th 135738224 ISPA 22 KG
288 MUH.RIZKY 6 th 165718203 ISPA 16 KG
289 MA"ANI 63 th 135560563 DM TIPE 2 110/70
290 ISRA 50 th 136708503 ISPA 90/70
291 MU.RISKI 18 th 135952446 DISPEPSIA 90/70
292 DAMARIS 58 th 135486933 NEURITIS 100/70
293 YULIANUS 45 th 135738459 RA 130/80
29-Apr-14
294 ANDI HUSYAIN 30 bl 207828808 ISPA 12 KG
295 NAILA 36 bl 210209355 ISPA 13,5 KG RS UT
296 ABD RASYID 30 th 135518152 A.B 110/80
297 ARIF NUSI 60 th 135567011 PJK 130/80
298 NADIRA 40 th 135684191 DISPEPSIA + HT 140/80
299 ANANDA GILANG 12 th 196228618 FEBRIS
300 EKA RISNAWATI 31 th 196228495 ISPA 100/70
301 NOVARITA 38 th 135402759 ISPA 90/60
30-Apr-14
302 ANDI ACO 42 th 135525778 FARINGITIS 100/70 RS MD
303 RATMAN 60 th 134711469 MIALGIA 140/80 RS UT
304 KAMAREL 63 th 135868105 DKA 100/70
305 KIKI RISKI 24 th 171542355 ISPA 100/70
307 ANSHAR 52 th 134799355 LIMPOMA 130/80
308 KARYANI 42 th 135522472 DKA 120/80

CABANG PALU BULAN MEI 2014
2 MEI 2014 TD TB/BB
1 SUMITRO 59 th 134828572 DM 160/80 160/68
2 IRAWATI 27 th 135490746 MIALGIA 100/70 155/67
3 AGUNG 21 th 135737335 ISPA 110/80 157/55
4 ANA SAFITRI 22 th 134988838 ISPA 100/70 150/48
5 HAFIZA 6 th 135589476 KEL.PERTUMBUHAN 20 KG RS UT
6 SUPARDIN 38 th 136028136 DISPEPSIA 110/80 157/58
7 YUDI 16 th 135580509 ISPA 90/70 150/45
8 ZAINUL 50 th 135738516 VERTIGO 100/70 169/75 RS MD
9 LISNAWATI 52 th 135737019 FURUNKEL 110/80 150/45 RS MD
10 RIKAWATI 33 th 171550089 ISPA 110/70 151/50
11 HARITS 19 bl 1079512762 ISPA 31 CM 10 KG
12 MASDIANA 51 th 134990447 DISPEPSIA 130/80 155/69
13 M.IBNU ASAD 18 th 135577539 MIALGIA 110/80 158/55
14 ADNAN 60 th 135866158 ISPA 130/80 160/70
15 LINISWATI 39 th 134923577 CEPALGIA 130/90 155/55
16 FARID AKBAR 29 th 172108991 ISPA 110/80 160/57
3 MEI 2014
17 MARNI 37 th 165131363 VERTIGO + HT 140/80 150/57
18 GINOL 36 bl 206320511 A.B 112CM 12 KG
19 FERDIANA 32 th 135889525 CEPALGIA 100/70 150/47
20 RASYA 48 bl 163194299 ISPA 110 CM 26 KG
21 RATRI PRATIWI 13 th 134865988 ISPA 117 CM 31 KG
22 M.ANUGRAH 13 th 162879748 BRONHITIS 123 CM 21 KG
23 OLAH 38 th 135737133 SUS.TIPOD 110/70 149/49
24 ISRA 50 th 136708503 ISK 100/70 165/90
25 JELRIN 44 th 136708514 ISPA 140/80 160/63
26 PUTRI 63 th 1270871155 CEPALGIA 150/80 150/51
27 RUKMINI 63 th 135737741 ISPA 130/80 156/80
28 EKA 19 th 134913982 SKABIES 100/70 147/45
5 MEI 2014
29 RUNISPA 48 th 135913386 HT 150/90 150/48 RS MD
30 RUKMINI 62 th 135737741 HT 130/80 156/90 RS UT
31 TANDI LOBO 67 th 1296650428 HT 140/80 162/89 RS UT
32 NAZILA 5 th 135420232 D.ALL + ISPA 110 CM 18 KG
33 ICHE 27 th 165136926 ISPA 110/70 145/76
34 AGUNG 20 th 135737335 ISPA 110/80 160/59
35 RATMAN 61 th 143711463 HT 100/70 170/74
36 SOLICHAH 52 th 134711471 RA 110/70 150/60
37 MARLIAN 30 th 171957159 AGNE 90/70 145/55
38 ALFIAN 33 th 171957554 LBP 110/70 165/65
39 NOVARITA 38 th 135483759 INFLUENZA 100/70 147/63
40 INDRA 45 th 1079297853 G2 130/80 150/50 RS MD
41 ARNIA 40 th 135684279 D.ALL 90/60 155/65
42 FAHRI 6 th 135737155 ISPA 100 CM 12 KG
43 DONI 9 th 135737144 ISPA 115 CM 16 KG
44 AMYADIN 47 th 135735581 HT 130/80 170/79
6 MEI 2014
45 SARMIUN 60 th 135965955 SKIZOFREN 120/80 150/60 RS MD
46 YASMIN 46 th 134833263 CARIES 110/80 150/60
47 ABDI 18 th 134833274 ABSES 120/80 173/65
48 GAIS 52 th 134926108 ABSES 100/70 150/75
49 RAMNA 49 th 134992089 LBP 130/80 155/55
50 DIMIATI 59 th 135636244 DM TIPE 2 100/80 GDS=201
51 ASWAR 55 th 135574672 HT 120/90 160/69
52 SHERLY 49 th 1295950702 HT 160/80 155/53
53 MA'RIFA 50 th 135906996 ISPA 100/70 157/54
54 ANGES RM 49 th 1288906446 POST OP KATARAK 120/80 150/50 RS MD
55 RIZAL 50 th 134913982 VARISELA 110/70 155/60
56 NABIL 11 th 135494572 SERUMEN 142 CM 36 KG
57 ULFA 43 th 135494559 DISPEPSIA 110/70 150/48
7 MEI 2014
58 ANDI ACO 40 th 135525778 MIALGIA 100/70 165/71
59 ICHA 5 th 165137185 ISPA 116 cm 15 kg
60 WIDYA 9 th 135580541 ISPA 121 cm 20 kg
62 MURNIATI 42 th 135485638 ISPA 130/80 153/63
63 IRSAN 45 th 135589781 ISPA 120/80 165/77
64 EDY 40 th 135889176 ISPA 110/80 161/65
65 ILHAMUDIN AKBAR 13 th 135945358 CEPALGIA 150cm 35 kg
66 ADINDA RIZKI AMALIA 10 th 135945369 ISPA 121cm 18 kg
67 FALMA PAKASI 52 th 135943336 HL 120/80 150/55
68 AHMAD KHAIRAN 8 th 135991978 SERUMEN 125 CM 23 KG
69 AHMAD OLII 135265667 HT 140/80 160/67
8 MEI 2014
70 ARWADY 45 th 134824768 FARINGITIS 130/80 168/75
71 ROSNA WAHYUNI 14 th 135891617 D.ALL 152 cm 52 KG
72 M. RIDO ALEVA 48 th 203031944 ISPA 102 cm 17 KG
73 RERUNG 55 th 135486922 PJK 140/80 170/73 RS UT
74 HAMZAH 47 th 135639257 HT 150/90 160/65
75 KUSMIATI 44 th 135737875 CEPALGIA 90/70 151/50
76 RIZAL 51 th 134913982 A.BR Oct-80 155/50
77 GAIS 52 th 134926108 ISPA 100/70 150/75
78 ALVIAN 33 th 171957554 FARINGITIS 110/70 165/55
79 SIGIT ADYTIA 18 th 166206183 ISPA 100/70 157/50
80 M.ZAKY 9 th 135738224 ISPA 141 cm 26 KG
81 IRAWATI 28 th 135490746 CEPALGIA 100/70 156/50
9 MEI 2014
82 ROFFY.C 32 th 135889334 A.BR 100/70 149/50
83 DISCA 17 th 134826884 D.ALL 90/70 152/52
84 SASNI 47 th 134826873 DM TIPE 2 110/80 GDS=178
85 ZAINUDIN 50 th 134826862 D.ALL 160/80 160/70
86 MARIA 19 th 135889503 ISK 110/70 157/47
87 KUSMIATI 44 th 135737875 STRUMA 90/70 150/60
88 M.SYAWAL 13 th 1976385654 CEPALGIA 90/70 158/40
89 SAMSUDIN 72 th 135869826 POST OP KATARAK 100/70 161/54
90 M.YUDHI 15 th 135580509 ISPA 90/70 155/70
91 AGLIMA 69 th 135866204 DM TIPE 2 130/80 150/60
92 ROSTIN 53 th 134992528 G2 AFEKTIF 130/90 150/60
93 MUSTAMIN 57 th 976207217 HT 110/80 160/65
94 AISYAH ADINDA 7 th 135522898 ISPA 125 CM 18 KG
10 MEI 2014
95 HANIZA 5 th 135589476 ISPA 93 CM 20 KG
96 SHERLY 32 th 135892089 A.BR 110/70 150/41
97 SITI HAWA 42 th 134966057 DM TIPE 2 110/70 GDS=274 KOL =249
98 IDZAR GIVARI 11 th 1086038289 PAROTITIS 140CM 28 KG
100 ALAMSYAH 17th 135482229 EPILEPSI 110/70 160/55
101 FAHLINA 35 th 203397175 G2 CEMAS 130/80 145/45 RS UT
102 YASTI 44 th 135891382 G2 VISUS 90/70 159/56 RS MD
103 ABRIYANTO 40 th 135889749 ISPA 100/70 157/56
104 NAHAR 59 th 1349913407 DM TIPE 2 100/80 GDS=243
105 RAMNA 49 th 134992089 ISPA 130/80 155/55
106 RIZAL 50 th 134913982 CEPALGIA 100/70 155/60
12 MEI 2014
107 M.ANUGRAH 13 th 162879748 ISPA 140 CM 30 KG
108 YUDITHA 8 th 135950231 IAPA 120 CM 21 KG
109 M.AMINUDIN 36 th 135738213 DISPEPSIA 110/80 163/54
110 FARIDAH 51 th 1271222313 DM TIPE 2 120/80 GDS=168
111 SAAT S.NABA 59 th 1271220614 DISPEPSIA 100/70 167/68
112 NIKMA HASSAN 54 th 169727398 HIPOTENSI 80/60 154/60
113 NELLA 20 th 135891731 ISPA 100/70 159/48
114 ISMAWATY 50 th 135907694 RA 100/70 151/58
115 M. RIDO ALEVA 48 bl 203031944 TONSILITIS 102 cm 16 KG
116 ICHA 5 th 165137185 FARINGITIS 116 cm 15 kg
117 DIMIATI 59 th 135636254 HT 130/90 155/60
118 MUTIARA 60 bl 210579175 GEA 99 CM 21 KG
119 ANANG SAPUTRA 15 th 134988849 HIPOTENSI 90/60 127/40
120 ARSYAD 60 th 1265142025 ISPA 120/80 164/61
121 NUHURIA 51 th 135581477 ISPA 120/80 149/55
122 SATRIANI 29 th 197205974 ISPA 110/80 152/50
13 MEI 2014
123 GALVIN 7 th 135889547 ISPA 116 CM 20 KG
124 RASYA 5 th 163194399 ISPA 113 CM 26 KG
125 SHERLY 49 th 1295950702 HT 160/90 52 KG
126 INTAN 10 th 1282932819 ISPA 145 CM 33 KG
127 DINI ADINDA 17 th 135891832 ISPA 152 CM 38 KG
128 NILAM 12th 135891843 ISPA 153 CM 35 KG
129 ABDI 18 th 134833274 SINUSITIS 120/70 173/68
130 M.ZULKARNAIN 12 th 135684299 ISPA 125 CM 30 KG
131 WIN 51 th 135643375 ABSES 140/80 150/55
132 WUENGI.P 48 th 135643364 STOMATITIS 120/70 150/60
133 ICHE 27 th 165136926 CEPALGIA 100/70 145/76
14 MEI 2014
134 CICI MAKAWARU 70 h 1292116263 SUS .SN 180/90 144/59
135 MUKLIS 44 th 134919821 ISPA 100/70 160/65
136 MAKNUN 42 th 136064362 ISPA 130/70 148/53
137 DWI KUSUMANINGRUM 26 th 204772509 ISPA 90/70 160/57
138 HARSAN 50 th 135490555 HL 120/80 165/72
139 KARIA 51 th 135490566 DM TIPE 2 100/80 146/55
140 JABIR 43 th 135485649 DM TIPE 2 90/60 156/51
141 IRFAN 38 th 135890019 MIALGIA 90/60 154/59
142 M.BASRAH 59 th 134822261 CHEST PAIN 100/70 161/62
144 ADINDA RIZKI AMALIA 10 th 135945369 FEBRIS 121cm 18 kg
145 FALMA PAKASI 52 th 135945336 CEPALGIA 120/80 150/55
16 MEI 2014
146 ALIYYAH KAMILAH 5 th 170699084 ISPA 116 16 KG
147 AMRIN 61 th 1265820452 PJK 100/70 160/60 RS UT
148 HAERIA 66 th 135867543 DM TIPE 2 154/60 120/80
149 JUNAEDI 37 th 134879995 ISPA 110/80 160/56
150 SAFRUDIN 56 th 135487528 CARD + IMA 120/80 157/69 RS UT
151 PAINTEN 42 th 134836751 DM TIPE 2 120/80 148/54
152 FAIDA 52 th 135958836 KOLIK 120/80 147//47
153 MARISKA 31 th 135888546 HT 160/90 155/60
154 EMIKO 46 th 135888456 POST OP TUMOR 150/90 150/54 RS MD
155 OLAH 33 th 1235737133 DIGIGIT ANJING 90/60 145/47
156 ENDAH 36 th 135889288 ISPA 100/70 151/48
157 NABIL 11 th 135494572 ISPA 142 CM 36 KG
158 SAMPELILING 32 th 205424133 FARINGITIS 100/70 155/57
159 ISMAUN 61 th 134918739 RA 130/80 158/52
160 MAHYANI 29 th 976253613 MIALGIA 100/70 153/50
17 MEI 2014
161 M.RIZKY 9 th 166212821 ISPA 130 cm 23 kg
162 M.HUDA 8 th 149214756 STOMATITIS 116 cm 20 KG
163 DIENS 10 th 165137049 FARINGITIS 126 cm 15 KG
164 ZAINAB 39 th 135913983 ISPA 110/70 149/56
165 IDRUS BATJO 72 th 115998221 ISPA 120/70 160/58
166 FAULINA 33 th 167849302 DISPEPSIA 100/70 150/42
167 SRI WIDYAWATI 17 th 134961873 MIALGIA 100/70 157/47
169 PELMAN 36 th 135527589 DISPEPSIA 130/70 171/75
170 CELSEA 8 th 193336874 ISPA 115 CM 18 KG
171 CIO 35 th 135527591 ISPA 110/70 156/55
19 MEI 2014
172 M.HUDA 8 th 149214756 CARIES 116 CM 20 KG
173 INCE ADWIA 35 th 135525767 SUS.APP 90/70 152/55
174 SUMARNI 32 th 169872671 VARICELA 110/80 155/48
175 ANANDA GILANG 13 th 196228618 ISPA 149 CM 35 KG
176 DAIMA 48 th 135523258 POST KP 140/80 138/55
177 SUMARNI 47 th 135946236 HT 150/80 150/70
178 M.SYAWAL 13 th 976385651 CEPALGIA 158 CM 43 kg
179 FATMAWATI 38 th 135889457 EMESIS 110/70 155/59
180 MAWAR 49 th 135962144 ISPA 110/80 153/55
181 KASRIR 51 th 135906085 MIALGIA 100/70 173/78
20 MEI 2014
182 MUKLIS 45 th 134919821 LBP 120/80 160/65
183 LATIFA 44 th 135050231 ISPA 110/70 145/57
184 A.HUSYAIN 31 bl 207828808 ISPA 90 CM 12 KG
185 FAHTRIZAL 30 th 135889435 KONJUNCTIVITIS 120/80 165/60
186 SAMSUDIN 74 th 135869826 HL 100/80 KOL=273
187 AGLIMA 69 th 135866204 HL 130/80 KOL=250
188 RIZAL 51 th 134913982 A.BR 100/70 155/55
189 AHMAD 10 th 1271069717 STOMATITIS 123 CM 23 KG
190 REYHAND 11 th 171963101 TB PARU 123 VCM 22 KG RS MD
191 NURHAYATI 64 th 135712416 VERTIGO 120/70 148/53
192 MULIANI 31 th 135420208 KONJUCTIVITUS 110/80 150/61
21 MEI 2014
194 M.MUSAFIR 16 th 1265187971 FEBRIS 99 CM 9 KG
195 BOBBI 34 th 135899111 GEA 110/80 161/69
196 A.FARID 38 th 38680839 A.BR 110/80 160/60
197 NASRUN 59 th 134832868 V.IKTUM 150/90 155/60
198 RUSLAN 45 th 135933096 HT + HL 130/90 160/60
200 ZAINAB 56 th 135870491 ISPA 100/70 148/58
201 ISMAN 51 th 135483581 CEPALGIA 110/80 162/58
202 RIDHO 7 th 173050391 FARINGITIS 114 cm 18 KG
203 YUDIT 8 th 135050253 TONSILITIS 117 cm 20 KG
22 MEI 2014
204 A.UMMU 37 th 135990213 DISPEPSIA 100/70 155/61
205 FAHLINA 36 th 203397074 EPISTAKSIA 110/20 148/47
206 I MADE MULIARSANA 37 th 135892754 HERPES 120/80 173/70
207 KUSNINDAR 40 th 136010992 DISPEPSIA 100/70 162/45
208 ABRIANTO 40 th 135889749 ISPA 110/70 158/53
209 SUMIATI 52 th 135491308 DISPEPSIA 110/80 150/50
210 NURDIN 55 th 135491297 HERPES 140/90 150/49
211 IFRIANI 34 th 135483388 STRUMA 100/70 149/50
212 SAID 51 th 135020373 CEPALGIA 100/70 159/60
213 ANIZAR 43 th 134987106 DISPEPSIA 110/70 157/55
214 KAFYAA 7 th 135484964 ISPA 116 CM 17 KG
23 MEI 2014
215 YASMIN 46 th 134833263 RA 110/70 160/66
217 ANWAR 61 th 135866564 DISPEPSIA 140/90 160/60
218 KALSUM 55 th 135875474 DISPEPSIA 120/80 154/60
219 SANI 47 th 134826873 DM TIPE 2 110/80 143/56
220 DISCA 17 th 134826884 G2 HAID 90/70 147/47
221 ALFIAN 33 th 171957554 LBP 100/70 165/55
222 NI MADE AYUNINGSIH 31 th 135874686 G2 VISUS 110/70 160/47
223 MASRUJI 59 th 134990695 HT 140/100 160/59
224 IIN FARLINA 37 th 162877252 ISPA 100/70 155/50
24 MEI 2014
225 MASTA 53 th 136707906 DISPEPSIA 110/70 GDS=157
226 MAS 'ANI 51 th 136064766 DM TIPE 2 110/70 GDS=168
227 SAMSUDIN 53 th 136064777 HT 130/90 160/48
228 M.HIDAYAT 15 th 135888827 ISPA 90/70 166/47
229 AMIR 40 th 135521313 NEPROPATI 120/80 170/60 RS MD
230 HANAFI 53 th 135595348 FARINGITIS 110/70 160/67
231 M.RIZKY 40 bl 198935627 GEA 99 CM 15 KG
232 PASTIN 45 th 135911384 ISPA 110/80 146/58
233 SUNARDI 62 th 135809695 G2 BICARA 140/90 150/60 RS MD
234 DINA 13 th 135498756 ISPA 118 CM 40 KG
235 NILUH ADHI 53 th 135581242 DM TIPE 2 120/80 160/90
26 MEI 2014
236 MARIANI 37 th 156897382 ISPA 100/70 160/50
237 MARTA 56 th 135952424 G2 VISUS 120/80 142/49 RS MD
238 MAKNUN 42 th 136064362 ISPA 110/70 148/50
239 SUPARDI 54 th 134885698 HHD 130/80 160/75 RS UT
240 VIKTOR 66 th 135914411 DM TIPE 2 110/80 160/55
241 ISMAUN 61 th 134918739 RA 120/80 158/52
242 IDETA 33 th 135918281 DISPEPSIA 90/60 148/50
243 JELRIN 43 th 136708514 ISPA 140/90 160/58
244 M.FALDONI 7 th 134833285 ISPA 116 cm 35 KG
245 FAHRUDDIN 20 th 136708536 ISPA 100/70 169/65
246 FIRCE 47 th 135482264 DM TIPE 2 140/80 149/55
246 M.KHUSNUL SOLEHUDIN 8 th 135891325 FARINGITIS 104 CM 26 KG
248 RESE 56 th 135963325 HT 190/90 149/58
249 NUR ENDANG 16 th 136063269 FARINGITIS 90/70 145/30
28 MEI 2014
251 KHANZA Q 7 th 1171337139 ISPA 117 CM 18 KG
252 MASHURA 91 th 1266014569 HT + KONJUCTIVITIS 150/80
253 RISNAWATI 41 th 135584234 RA 100/70 165/65
254 SITTI FAJRIA 36 th 135580498 GEA 110/70 150/53
255 WIDYA SALSABILA 9 th 135580511 GEA 116 CM 20 KG
256 ALI AMRIN 51 th 134989672 GEA 130/80 160/60
257 CAHYA 7 th 171685888 ISPA 123 CM 7,6
258 RATMAN 61 th 134711469 HT 130/80 169/65
259 SOLICHAH 52 th 134711471 RA 110/80 15058
260 NILMALASARI 18 th 1270694563 SKIZOFREN 100/70 155/49 RS MD
261 HALIJAH 53 th 1278692741 HL 100/70 KOL=280
262 RAUF 51 th 135879726 DM TIPE 2 110/80 173/75
263 ANDI ACO 41 th 135525778 ISPA 110/80 165/75
264 AKBAR 13 th 135945358 ISPA 156 CM 44 KG
265 NURUL 16 th 135908008 MIALGIA 100/70 148/45
266 CINTYA 6 th 1312598992 ISPA 124 CM 25 KG
267 FADLI 37 th 135890853 CIKUNGUNYA 90/70 166/83
268 HANAFI 37 th 135595348 ISPA 120/80 160/60
269 SRI WIDYAWATI 64 th 134961873 D.ALERGI 100/70 157/47
270 JAKUP LATEKO 17 th 135152245 GEA 110/80 151/54
271 NURFIA ISHAK 64 th 135486268 D.SEBOROIK 130/80 156/58
30 MEI 2014
272 ARIFIN 48 th 135630606 HIPOTENSI 90/70 160/59
273 ZULAEHA 60 th 135630595 HT 160/80 147/53
274 DARWIS 53 th 135479946 ISPA 100/70 178/73
275 PARHANA 38 th 165139367 HT 140/80 149/59
276 AFIKA 21 bl 1268638742 ISPA 9 KG 66
277 RAHMAT ADI PUTRA 18 th 135480216 AVITAMINOSIS 110/70 157/46
279 ELFIRA 28 th 135889075 ISPA 90/70 145/65
280 ALIF FATURAHMAN 5 th 164580052 ISPA 12 KG 107 CM
281 MASHUDIN 38 th 135737122 D.ALL 90/70 158/59
282 ASRUL 48 th 135494548 ISPA 120/80 162/49
283 KRISTINA 49 th 135484097 HHD 110/80 144/56
284 AKBAR 13 th 135945358 HIPOTENSI 45 KG 159 CM
285 ADNAN 60 th 135866158 RA 140/80 160/79 AU=7,6
286 FAJAR RIZKI 29 bl 210635921 ISPA 11 KG 75 CM
287 AQELA 8 th 135883642 D.ALL 36 KG 131 CM
288 M.FAJRUL 5 th 135883633 ISPA 37 KG 127 CM
289 IWAN TANDI 40 th 135935515 G2 VISUS 120/80 160/66
31 MEI 2014
290 CHELSEA 5 th 193336874 KONJUNCTIVITIS 106 CM 17 KG
291 SUMITRO 58 th 134828572 DM TIPE 2 120/80 160/70
292 INONG 62 th 135868061 SKIZOFREN 130/80 150/76 RS MD
293 HATE 79 th 1313160388 RA 130/80 155/65
294 ROSENI 41 th 135891819 CEPALGIA 130/80 155/67
295 IRHAM 54 th 13551649287 DM TIPE 2 110/80 160/64
296 IDRUS BATJO 72 th 115998221 CEPALGIA 110/80 160/64
297 NADIRAH 41 th 135684191 RA 110/80 147/46
298 ZAMRAH 59 th 135111205 RA 130/80 149/55
299 DEWIYANTI 46 th 197584345 D.ALL 100/80 149/77
301 ISTIHA 72 th 126826896 HT 150/100 149/55

CABANG PALU BULAN JUNI 2014
2 JUNI 2014
1 HAVIZA 5,6 th 135589476 FEBRIS 93 CM 19 KG
2 SRIMARIAWATI 34 th 135589465 ISPA 120/80 150/60
3 GUNAWAR 51 th 135576347 MALARIA 130/80 155/57 AU=3,4
4 HALIJAH 53 th 1278692741 HL + DM 110/80 146/59
5 KASRUDIN 58 th 135736817 DM TIPE 2 110/80 145/50
6 ZAINUL 51 th 135738516 HT 110/80 170/80 RS MD
7 ANA SAFITRI 21 th 134988838 T.PEDIS 120/80 151/50
8 NURHASNA 50 th 134440045 ISPA 120/80 146/50
9 ABDURAHMAN 13 th 1081557562 FEBRIS 53 CM 8 KG
10 ARUM 12 bl 1268481497 ISPA 57 CM 9 KG
12 BINTANG 13 th 167849357 ISPA 147 CM 34 KG
13 AZAK 41 th 134838178 D.ALL 100/70 163/64
3 JUNI 2014
14 ANISA 3 th FEBRIS 5,2 KG
15 SITI FAJRIAH 36 th 135580498 DISPEPSIA 90/60 149/55
18 FERDIANA 33 th 135889525 FURUNKEL 110/80 150/53 GDS-=121
19 IQRAR 13 th 134982134 ISPA 100/70 162/56
20 M.BASRAH 61 th 134822261 SEBOROIK 120/80
21 M.SYAHRUL 10 th 134702414 ISK 110/70 113 CM 18 KG
22 A.ANDRIYANI P 19 th 135487056 ISPA 110/70 150/45
23 FITRIANI 24 th 135736727 CEPALGIA 110/80 151/48
24 MAWAR 49 th 135962144 CEPALGIA 110/70 150/55
25 SUPARTINI 48 th 193825585 ISPA 110/70 150/55
4 JUNI 2014
26 MURNA 54 th 135866801 ISPA 100/80 140/40
27 SELVI HANDAYANI 30 th 1291257775 DM TIPE 2 110/80 165/80
28 ANDI RUSNIATI 38 th 135888952 VERUKA 120/80 148/50 RS MD
29 M.FAJRUL 5 ,6 th 135883653 VARICELA 105 CM 35 KG
30 NAURA 8 th 134883642 D.ALL 139 KG 40 KG
31 AZAK 41 th 134838178 G2 PENDENGARAN 140/80 165/64 RS UT
32 NAIFA 7 th 135990235 T.KAPITIS 115 CM 18 KG
33 SITI FARIDA 43 th 135896499 ISPA 110/80 155/56
34 DJONI 46 th 135896501 HT +HL 120/80 173/70
35 LAILA ARIANTI 38 th 134895802 CEPALGIA 110/70 153/57
36 MAHFUD 54 th 135478181 ISPA 120/80 160/63
37 CICI MAKAWARU 70 th 1292116263 ACITES 140/90 144/59
5 JUNI 2014
38 RISNAWATI 46 th 135487078 CEPALGIA 120/80 161/68
39 BONI 11 th 135487113 FEBRIS 143 CM 43 KG
40 JUMHARI 40 th 197205884 CEPALGIA 120/80 167/76 GDS=211 AU=9
41 IBRAHIM 54 th 135490656 CHEST PAIN 100/70 151/65
42 MULYANI 40 th 135567551 DISPEPSIA 100/70 161/59
43 ANA OKTAVIANA 17 th 1081660072 SUS.TIPOID 90/70 159/59
44 ZAENAB 56 th 135870491 ISPA 100/70 148/55
45 MARYAM 38 th 135568631 ISPA 110/80 155/65
46 NAWIR 47 th 135119237 HT 130/90 160/60
47 DARMANSYAH 41 th 135738538 HT 130/90 160/65
48 WEDA GALIH 27 th 205208065 CEPALGIA 100/70 151/48
49 ISWANTO 52 th 135498014 ISPA 120/80 160/70
6 JUNI 2014
53 SAID 51 tjh 135020375 MIALGIA 120/80 160/62
54 KIKI RIZKI 23 th 171044355 OMA 110/70 159/55 RS AP
55 SARIFUDIN 51 th 135913972 CLAVUS 110/80 150/60
56 ZAINAB 38 th 135913983 D.ALL 90/70 155/60
57 NURAINUN 6 th 135913989 D.ALL 112 CM 17 KG
58 I NYOMAN BAWA 33 th 204342197 T.CORPORIS 90/70 165/95
59 ASLI LATEKO 71 th 135866799 HT 140/90 160/60
60 TRISNO 40 th 135487247 GEA 110/80 160/61
61 LIMIN 64 th 135868375 DISPEPSIA 130/80 159/58
62 PAMPI 54 th 135486516 CEPALGIA 100/70 157/55
63 JABIR 43 th 135485649 KP 110/70 158/55
7 JUNI 2014
64 M.IQBAL 24 bl 1078109346 FEBRIS 56 cm 10 KG
65 FERDIANA 33 th 135889525 FURUNKEL 110/80 150/53
68 NILUH ADHI 54 th 134481142 OBESITAS + DM 130/80 161/110 GDS=191 RS MD
69 ZAINAB 56 th 135870401 ISPA 110/80 148/55
71 ALAMSYAH SpD 35 rh 171550506 HL + DM 120/90 160/65
72 SUMIATI 53 th 135491358 ISPA 120/80 155/50
73 ROSTIN 51 th 134992528 ISPA 130/80 150/60
74 ABDUL RISWAN 29 th 135896499 DISPEPSIA 110/70 158/50
75 AMINAH 51 th `35497935 MIALGIA 130/80 150/60
9 JUNI 2014
76 ST FAHIRA ZAHTA 29 bl 209567294 ISPA 88 CM 11 KG
77 JUMHANIS 40 th 197205884 RA 120/809 167/76 AU=9
78 ISMAN 50 th 135483581 G2 CEMAS 110/80 150/60 RS MD
79 TANDI LPBO 68 th 12966550428 HT 140/90 140/90 RSMD
80 ABD ASIS RASYID 73 th 135710537 HHD 130/80 130/80 RS MD
81 ARIPIN 49 th 135630606 G2 CEMAS 110/70 110/70 RS MD
82 MASNUN 42 th 135907762 ISPA 110/80 150/57
84 M.RAFI ZHAFRAN 3 6 bl 20652776 CORPUS ALIENUM 95 CM 14 KG RS UT
85 HALIJAH 49 th 194113989 CEPALGIA 120/80 150/55
86 NAOMI 52 th 664 CEPALGIA 130/90 162/87
87 DARMAN 41 th 135481544 HT 150/90 165/70
90 YUDHA 9 th 135481577 ISPA 129 CM 30 KG
10 JUNI 2014
91 NURUL APRILIA 14 th 135984625 V.EKORIATUM 90/70 158/45
92 HANAFI 52 th 135595348 G2 VISUS 110/80 165/60
93 HADIDJAH 51 th 135482398 EPILEPSI 160/80 155/60
94 ZAINAB 56 th 135870491 MIALGIA 100/70 149/55
95 M.IRFAN 42 th 135580487 PJK 100/70 160/61
96 ALYKA 48 bl 166235128 FARINGITIS 94 CM 12 KG
97 DABITA 5,7 th 135684202 TONSOLITIS 97 CM 13 KG
98 RAMA SAPUTRA 9 th 134865999 FARINGITIS 121 CM 20 KG
99 JELRIN 43 th 136708514 ISPA 130/80 160/63
11 JUNI 2014
100 HUSNI JONDOSE 68 th 135867881 HHD + DM
101 IFRIANA 34 th 135483388 STRUMA
102 CYNTIA 6 th 1312598992 ISPA
103 ADELIN 61 th 136711067 D.ALL
104 MURNA 48 th 135866801 ISPA
105 ANGES RM 49 th 1288906446 KATARAK 120/80 150/50 RS MD
106 ALIKA 48 bl 166235128 TONSOLITIS
107 SARJAN 49 th 135605518 ISPA
108 M.IRFAN 42 th 135580487 PJK
109 SAFRUDIN 5 th 135913983 HL
110 ZAENAB 51 th 135913983 FURUNKEL
111 BURHANUDIN 50 th 135680062 HERPER
112 IDRUS BATJO 73 th 115998221 CEPALGIA
12 JUNI 2014
113 FARIDA 51 th D.ALL 120/80 150/73
114 SUNDARI 20 th 139693763 D.ALL 100/70 149/48
115 SUPARTI 40 th 134982112 ISPA 100/70 160/75
116 HUSNI JONDOSE 68 th 135867881 ABD.DISKOM 140/90 150/70
119 FALMA 54 th 135945397 ISPA 110/80 150/55
120 NADIRA 40 th 135684191 ISPA 110/80 152/55
121 RUSDIN 48 th 134961851 ISPA 100/70
123 ISMAUN 60 th 134918739 RA 110/70 167/50
124 ADE 6.9 th 1272055094 ISPA 155 CM 32 KG
125 DAVID 49 th 134839337 HT 170/90 160/70
13 juni 2014
126 SUMIATI 52 th 135409308 DISPEPSIA 110/70 150/50 GDS=441
127 NURDIN 55 th 135491297 DISPEPSIA 110/70 150/50
128 DEDI KURNIAWAN 17 th 134824781 GEA 90/60 162/55
129 ABDUL HARIS 35 th 134844658 ISPA 110/80 164/75
130 INCE ADWIA 34 th 135525767 SUS APP 90/60 152/60
131 MAWAR 49 th 135962144 DM TIPE 2 120/80 150/60 GDS=195
133 IRHAM 15 th 134990471 DISPEPSIA 100/70 165/509
134 RAUF 50 th 135879726 HL + DM 110/80 173/75 GDS=144 KOL=245
135 ROSLANI 44 th 135933096 ISPA + DM 130/90 160/65
136 M.FALDONI 8 th 13483285 ISPA 117 CM 42 KG
137 MASHUDIN 38 th 135737122 D.ALERGI 110/80 158/59
138 OLA 34 th 135737133 D.ALERGI 120/80 148/45
14 juni 2014
139 ADITYA 48 bl 198276851 FEBRIS 104 CM 16 KG
140 RUSMIATI 43th 135737875 STRUMA 100/70 145/59
141 WIRSAN 46 th 134865966 MIALGIA 100/70 168/64
142 SUHAERIL 49 th 135558904 ISPA 100/70 165/74
143 NURHANIFAN 37 th 195611049 ISPA 90/60 147/41 GDS=349
144 SITTI FAJRAH 36 th 135580498 DISPEPSIA 100/70 146/37
145 DEWIYANTI 45 th 135132412 D.ALERGI 100/70 150/76
146 FAIDA 52 th 135958836 KOLIK ABD 120/80 147/46
16 JUNI 2014
148 ISMAUN 60 th 134918739 RA 130/80 160/52
149 RUNISPA 47 th 135913386 CEPALGIA 110/80 RS MD
150 NURSAM 60 th 135868386 DM TIPE 2 130/80
151 SAFRUDIN 56 th 135487528 POST IMA 110/80
152 WANDA 11 th 135584256 TONSILITIS 28 KG
153 SUPARMAN 55 th 135476717 HT 140/90
154 MUNADI 135030568 DISPEPSIA 140/90 RD MD
155 BARIQ 5 th 977933946 ISPA 14 KG
156 SASNI 47 th 134826873 RA 110/80
157 SARI AMENOROE 90/60
158 DIMAS 40 th 135684191 ISPA 110/80 152/55
159 ADINDA 54 th 135519287 ISPA 110/80 165/60
160 MASNUDIN 10 th 135131771 ISPA 121 CM 19 KG
161 SITI FAJRIAH 36 th 135580498 DISPEPSIA 110/80
162 AGUSFIRA 18 th 134966079 ISPA 100/70
163 SITI HAWA 43 th 134966057 D.ALERGI 110/70
164 ADNAN 62 th 135866158 CEPALGIA 120/80
17 JUNI 2014
165 HASRAN 52 th 134988816 DM TIPE 2 100/70
166 HAERIA 65 th 135867543 DM TIPE 2 130/80
167 FAROL 6 th 135892776 ISPA
168 SITI RABIATUL 20 th 125189019 DISPEPSIA 110/80
169 TRI ENDAH 21 th 1258730033 FARINGITIS 90/80
170 NUR KHOLIS 10 th 166868774 ISPA
172 ANGGA 8 th 135409319 FARINGITIS
173 H.ABBAS DJAFAR 58 th 1267507787 HT 160/90
174 M.AKBAR 31 th 166071014 D.ALERGI 110/70
175 WIDYA SALSABILA 9 th 135580341 PAROTITIS
176 SITI KHOTIJAH 41 th 41991096 CEPALGIA 110/70
177 SEPTA PUTRI 14 th 41991107 ISPA 90/60
178 JASRIN 36 th 167849155 ISPA 110/70
179 FAULINA 33 th 167849302 ADNEXITIS 100/70
180 BINTANG 13 th 167849357 FARINGITIS 150 CM 45 KG
181 YUDHI 16 th 135580509 FARINGITIS
18 JUNI 2014
182 RIKAWATI 33 th 171550089 ISPA 110/70 151/50
183 HARIST 19 bl 1079512762 ISPA 31 CM 10 KG
184 MASDIANAA 51 th 134990447 DISPEPSIA 130/80 155/69
185 EKA 19 th 134913993 SKABIES 100/70 147/45
189 AHMAD KHAIRAH 48 th 135991978 SERUMEN 125 CM 23 KG
190 AHMADI OLII 66 th 135265667 HT
192 MUSTAMIN 56 th 976207217 HT 140/90 160/65
193 AISYAH ADINDA 7 th 135522898 ISPA
194 AGLIMA 69 th 135866204 RA 150/100 150/60 AU=7
195 IDA ROYANI 35 th 135889942 ISPA 100/70 160/50
196 SYAHARANI 134891943 BEONCHITIS 101 CM 10 KG
197 SITI HAWA 42 th 134966057 DM TIPE 2 110/70 153/50 GDS=424
198 NILUH ADHI 53 th 135581242 DM TIPE 2 130/90 156/105 RS MD
19 JUNI 2014
199 SITI KHOTIJAH 40 th 41991096 ANG.PECTORIS 100/70 143/56 RS UT
200 SUPARMAN 54 th 135476717 HT 140/90 160/63
202 NURFAH 48 th 134991595 ISPA 140/100 156/73
203 NURHAYATI 64 th 1135712416 ISPA 120/80 150/52
204 HAERIA 66 th 135867543 DM TIPE 2 130/90 160/59 GDS=221
205 NURSAM 58 th 135868386 ISPA 130/80 151/61
206 KARYA 135484964 D.ALERGI 113 CM 18 KG
207 MUNILAH 49 th 135485559 G2 CEMAS 120/80 150/60 RS MD
208 M.ALIF FIKRI 11 th 135737897 KOLIK ABD 121 CM 26 KG
209 M.IBNU AS'AD 18 th 135577539 D.ALERGI 100/70 165/56
210 ROSMA WAHYUNI 14 th 135891617 CEPALGIA 149 CM 52 KG
211 SAMSUDIN 72 th 135869826 HIPOTENSI 110/80 160/58 GDS=92
212 FALMA 51 th 135945336 COUGH 120/80 150/60
213 FALMA 54 th 135945347 CEPALGIA 120/90 160/65
214 ADINDA 12 th 135945369 ABSES 140 CM 32 KG
215 PASRANTI 39 th 134824779 DISPEPSIA 120/80 155/61
216 NI KETUT SERIADI 45 th 135485954 HL + DM 110/80 160/70 KOL=250
217 MADEMADIO 51 th 135485965 ISPA 110/70 170/70
218 ISMAUN 60 th 134918739 HT 150/90 160/52
20 JUNI 2014
219 ASRUDIN 68 th 135755504 ISPA 100/60 165/48
220 MAHFUD 56 th 135478181 RA 100/80 144/58
221 CHELSEA 48 th 193336874 ISPA 104 CM 16 KG
222 CIO IBA 34 th 135527591 CEPALGIA 110/70 155/60
223 JELRIN 43 th 136708514 CEPALGIA 130/80 160/63
224 INONG 61 th 135868961 SKIZOFREN 150/100 150/71 RS MD
226 MARYAM 47 th 134990381 DM TIPE 2 90/70 153/67
227 NURDIN 54 th 135491297 CEPALGIA 120/90 150/65
228 SUMIATI 52 th 135491308 DM TIPE 2 130/90 150/55 GDS=352
229 ANGGA 8 th 135491319 KONJUCNTIVITIS 127 CM 27 KG
230 ANDI HUSYAIN 21 bl 207828808 ISPA 94 CM 9 KG
231 DJONI 48 th 1235896501 COUGH 120/90 167/60
232 DAMARIS 57 th 135486933 COUGH 110/80 147/45
233 JABIR 42 th 135485649 DM TIPE 2 100/80 156/53
234 ABD.RASYID 29 th 135518152 ISPA 120/80 166/83
21 JUNI 2014
235 M.MUSAFIR 17 bl 1265187971 FEBRIS 60 CM 9 KG
236 SUKRI 75 th 135870041 KATARAK 120/80 160/65 RS MD
237 NAFIA 35 bl 208209431 ISPA 65 CM 12 KG
238 NAYLA 5,10 135889446 ISPA 105 CM 17 KG
239 FAHRIZAL 30 th 135889435 D.ALERGI 120/80 160/65
240 NURDA 48 th 135680051 CEPALGIA 100/70 145/44
241 RATMAN 60 th 134711469 HT 110/70 165/70
242 SOLICHAH 52 th 134711471 RA 110/80 150/57
243 TIDJAH 66 th 135733432 T,PEDIS 130/80 147/65
244 MARYAM 65 th 135484661 DM TIPE 2 120/80 161/56
245 NURDJIDAN 43 th 134961862 CEPALGIA 110/70 151/50
246 NI KETUT SERIADI 46 th 135485954 ISPA 130/80 160/69
247 MADE KRESNA 19 th 135485987 RA 120/80 175/75
248 DARWIS 51 th 135479946 CHEST PAIN 100/70 178/70
249 AMINAH 51 th 135479935 HT 140/90 150/60
250 ROSDIANA 36 th 135891606 D.ALERGI 100/70 150/50
23 JUNI 2014
251 MARYAM HIPPI 41 th 134990381 DM TIPE 2 90/60 135/64 gds=231
252 HUJRAH 18 th 135487258 MIALGIA 110/70 153/55
253 ZAINUDDIN 50 th 134826862 HT 170/100 162/92
254 SASNI 47 th 134826873 DM TIPE 2 110/80 143/55 GDS=221
255 LINISWATI 39 th 134923577 ABD.DISKOM 120/80 155/55
256 TRI NURI 27 th 209108024 ISPA 110/80 150/45
257 MUNILAH 50 th 135485559 G2 CEMAS 100/70 149/57 RS MD
258 SITI RABIATUL 20 th 125189019 GV 110/80 160/60
259 A.UMMU 38 th 135990213 ISPA 100/70 153/55
260 NAIFA 7 th 135990235 ISPA 110/80 120/15
24 JUNI 2014
266 AMRIN 61 th 1265870452 HHD 130/80 162/60
267 SARIFUDIN 50 th 135913972 HL 120/80 150/60
268 AULIA AZZAHRA 5 th 1325435949 BRONKITIS 101 CM 13,5 KG RS UT
269 RIDHO 49 th 203031944 ISPA 100/70 106/18
270 IFRIANA 33 th 135483388 STRUMA 100/70 149/45
271 DISCA 17 th 134826884 D.ALERGI 100/70 147/47
272 SUARNI 58 th 135572286 PJK /HT RS UT
273 L.BAHARUN 55 th 135484121 HL + HT 150/100 162/70
275 DAIMA 48 th 135523328 CEPALGIA 110/80 145/47
276 KUSMIATI 43 th 135737875 HL 120/80 150/52
277 MURNIATI 40 th 135890875 OA 110/80 150/52
25 JUNI 2014
277 SERLI 33 135892089 G2N PENDENGARAN 109/70 149/50
278 FATMAWATI 5 th 164392536 ISPA 115 18
279 HALIJAH 49 th 1941139878 MIALGIA 110/80 150/55
280 AZIS 60 th 134838235 MIALGIA 90/60 160/55
281 JABIR 43 th 135485649 DM TIPE 2 110/80 158/51
283 FALMA 54 th 135945397 ISPA 110/80 150/55
284 AKBAR 50 bl 173154644 TONSILITIS 110CM 20 KG
285 NILU ADHI 53 th 135581242 HT 140/90 160/105
287 NIKMA 55 th 169727398 RA 110/70 154/58
289 RAFA 48 th 177037554 ISPA 95CM 14 KG
291 ROSLANI 44 th 135933096 CEPALGIA 140/90 167/75
292 NADIRA 40 th 135684191 ISPA 110/80 152/55
26 JUNI 2014
294 ASHAR 58 th 135519434 DM TIPE 2 90/70 160/69
295 HIJRAH 33 th 134844647 D.ALERGI 100/70 150/55
296 SITI FAJRAH 36 th 135580498 MIALGIA 100/70 146/47
297 WIDYA SALSABILA 9 th 135580511 ABD.DISKOM 121 20
298 KAMAREL 65 th 135868105 SERUMEN 130/90 149/55
299 ARSYA 60 th 1265142025 HHD 150/90 160/55
300 NURLAELA 54 th 127673897 MIALGIA 149/45 110/80
301 KUSNO 54 th 135556132 MIALGIA 100/70 160/59
302 ROSITA 45 th 1463005 HT 160/90 152/61
303 UDDIN SUAIB 51 th 134993766 ISPA 130/80 167/68
304 NAHAR 59 th 134913407 G2.VISUS 100/70 165/73
305 MASTA 53 th 136207906 DISPEPSIA 130/80 149/52
306 NUHURIA 50 th 135577528 ISPA 90/70 155/60
27 JUNI 2014
307 IDETA 34 th 135918281 G2 PENDENGARAN 120/80 143/53
308 ARIEF NUSI 60 th 135567011 CHF + PJK 120/80 156/62
309 GUSTIVIANUS 54 th 135602133 CHEST PAIN 140/80 173/69
310 NURHIDAYATI 13 th 198809548 OA 90/70 145/42
311 ASHAD MARJALA 55 th 135921251 VERUCA 140/80 178/76
312 SARIFUDIN 51 th 135913972 MIALGIA 100/70 149/55
313 ABD.FARID 57 th 135737381 ISPA 110/80 163/76
314 ADNAN DJUNUDIN 62 th 135866158 ISPA 130/80 160/79
28 JUNI 2014
316 ANDI ACO 41 th 235335778 ISPA 100/79 165/71
318 M.IRFAN 43 th 135580487 CEPALGIA 110/70 160/63
319 FAHLINA 36 th 203397074 DISPEPSIA 110/80 143/46
320 REZITA 6 th 203397265 FARINGITIS 116 CM 18KG
321 JELRIN 43 th 136708514 HL 130/80 160/63
322 ISRA 49 th 136708503 RA 110/80 165/92 AU=7,5
30 JUNI 2014
323 ROHANI 51 th 136067218 CHEST PAIN 110/80 158/65
324 ZAINAB 57 th 135870491 TUMOR MAMMAE 110/70 148/55 RS MD
325 I DETA 34 th 135918281 G2 PENDENGARAN 120/80 143/53
326 SUPRIADI 54 th 134885698 HHD 120/80 160/75 RS UT
327 UDIN 51 th 134993766 KOLIK ABD 120/80 173/75
328 DEWIYANTI 45 th 135132412 CEPALGIA 100/70 150/76
329 PUTRI UNA 47 th 135480036 ISPA + DM 120/80 145/43
RJK BALIK Keterangan
dari
TDK TERDAFTAR
BARU TERDAFTAR
BARU TERDAFTAR
BARU TERDAFTAR
BARU TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
tdk terdaftar
tdk terdaftar
TDK TERDAFTAR
TDK TERDAFTAR
tdk terdaftar
TDK TRDAFTAR
BARU
tdk terdaftar
tdk terdaftar
BARU
BARU
tdk terdaftar

dari
LW TDK TERDAFTAR
LW TDK TERDAFTAR
LW TDK TERDAFTAR
TDK TERDAFTAR
BARU
BARU
BARU
BARU
BARU
BARU
BARU
LW
LUAR WILAYAH

dari
BARU
TDK AKTIF
BARU
BLM TERDAFTAR
BELUM TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR/LW
TDK TERDAFTAR/LW
TDK TERDAFTAR
TDK TERDAFTAR/LW
CABANG PALU BULAN JULI 2014
NO N A M A PASIEN UMUR NO. KARTU DIAGNOSA J E N I S PE LAYANAN DIRUJUK KE RJK BALIK Keterangan
Pemeriksaan Tindakan LAB dari
1 JULI 2014
2 GINOL 34 bl 206320511 A.BR 91 CM 13 KG
3 HARSAN 50 th 135490555 SUS RA 110/70 165/65 AU=5,5
4 SRI LIRAM 27 th 209418186 LIMFOMA 110/80 152/50 RS MD
6 RATMAN 61 th 134711469 HT 110/70 165/70
7 SOLOCHA 51 th 1348711471 MIALGIA 110/80 150/57
8 NURHASNA 50 th 135550045 A.BR 110/70 146/52
9 FERDIANA 33 th 135889525 ABSES 120/80 149/50
11 BASRAH 61 th 134822261 SEBOROIK 120/80 165/68
12 BERLIAN 49 th 135978491 ISPA 100/70 152/48
2 JULI 2014
13 SUKRI 75 th 135870041 KATARAK 120/80 165/65 RS MD
14 WIDYA 22 th 134665828 AGNE 100/70 135/45
15 INONG 62 th 135868061 DEPRESI 130/90 157/75 RS MD
16 FAIDA 52 th 135958830 DISPEPSIA 130/80 147/46
17 YUSRIN 44 th 135522483 VERTIGO 140/80 160/57
18 MUH.ANUGRAH 13 th 162879748 SKABIES 29 KG 115 CM
19 WERNIDA 49 th 135586877 CEPALGIA 120/80 145/59
3 JULI 2014
22 MARIANI 27 th 156897282 G2 VISUS 100/70 160/46 RS MD
23 SOHRA 52 th 1321508114 G2 VISUS 120/80 150/57 RS MD
24 MURSYID 52 th 136017641 MIALGIA 100/70 166/66
25 MAKFIRA 50 th 135906996 D.ALERGI 110/70 157/52
26 MEI 41 th 165857308 POST OP APP 110/70 148/70
27 HASRAN 53 th 134980816 MIALGIA 100/70 150/46
28 M.IRFAN 42 thy 135580487 PJK 100/70 165/69
29 KRISTINA 49 th 135484097 HHD 100/70 144/56
30 DWI ERNA 32 th 1085724832 NEURODERMATIS 110/70 158/67
31 CINTA 7 th 165175172 ISPA 116 21
32 SUNARTIN 48 th 135488384 HT 140/90 151/58
4 JULI 2014
33 SELVI HANDAYANI 39 th 1251297775 DM TIPE 2 110/70 165/85 GDP=178
34 SITTI FAJRAH 36 th 135580498 ISPA 100/70 147/38
35 GUNAWAR 51 th 135576347 SUS RA 120/80 157/57
36 KASRUDIN 58 th 135736817 DM TIPE 2 110/80 145/50 GDS=500
37 NURUL QAIRA 32 bl 1320389368 D.ALERGI 88 CM 11 KG
38 ALMIRA 5 th 164392536 TONSILITIS 75 CM 17 KG
39 FATMAWATY 38 th 135889457 MIALGIA 120/80 150/49
40 WINDA 12 th 135891145 ISPA 113 CM 21 KG
41 AGLIMA 68 th 135866204 HT 130/90 150/65
42 IDAROYANI 36 th 134891943 ISPA 110/70 157/49
43 SYAHRANI 8 th 134891943 DKA 102 CM 13 KG
44 UMMUL 36 th ISPA 110/80 153/53
5 juli 2014
45 NURFAIDAH 26 th 166619171 GRAVID 32 MGGU 110/70 154/58
46 SARMIN 60 th 135963955 SKIZOFREN 120/80 150/60
47 NUR HAVISAH 5 th 135589476 KOLIK ABD 99 CM 15 KG
48 IDETA MARIANA 34 th 135918281 GANGUAN PENDENG 100/70 147/52
49 ANGGUN 22 th 135152616 CEPALGIA 120/80 151/48
50 USMIATI 49 th 1354849058 HT 180/100 146/50 LW DR.KETUT
51 ARUHASAN 48 th 135489069 ISPA 120/90 165/65 LW DR.KETUT
52 ISWANTO 53 th 135498014 VERUCA 120/80 160/59
53 DHARRENT 5 th 135889356 D.ALL 15 KG 113
54 M.ZAID 56 th 135757302 KONSULTASI 140/80 160/61 TDK TERDAFTAR
55 SYARIFA 35 th 135696475 CEPALGIA 100/70 155/56 LW.TDK TERDAFTAR
56 HARSAN 50 th 135490555 RA 120/80 165/65
7 JULI 2014
57 VILLY ARSILA 11 th 135892765 G2 VISUS 150 CM 47 KG RS UT
58 ZAINUDIN 50 th 134826862 HL 140/90 162/92
59 TACHMIL 56 th 135488676 MIALGIA 120/80 165/71
60 RUSMIN 54 th 135488687 SUS KP 140/90 150/47
61 AMINAH 51 th 135479925 LIMFOMA 130/90 150/65
62 NI KETUT S 46 th 135485954 DM TIPE 2 120/80 160/70 GDS=168
63 LISA HERAWATI 42 th 135704968 KOLIK ABD 120/70 151/55 TDK TERDAFTAR
64 HIJRAH 34 th 134844647 DISPEPSIA 110/80 150/51
65 MASRUJI 60 th 134990695 HT 140/90 154/64
66 EXSAL 13 th 1261816479 ISPA 142 CM 28 KG
67 LATIFA 44 th 135050231 ABD DISCOMF 120/80 145/57 KOL=118
68 ZAKIR 66 th 135168366 HL 100/70 165/62 KOL=235
69 KARYANI 92 th 135522472 CEPALGIA 120/80 144/72 RS MD
70 IDHAM 52 th 135899378 POST OP PTRIGIUM 130/80 150/53 RS MD
8 JULI 2014
71 DEDE KARTONO 35 th 148088406 ISPA 110/70 160/81
72 ZAINAL 56 th 135870491 COUGH 100/70 148/55
73 SUBRYANTO 21 th 135870502 FEBRIS 100/70 158/45
74 M.IRFAN 42 thy 135580487 HL 110/80 160/61
75 ROFFY 32 th 135889334 A.BR 110/70 148/60
76 HASAN 54 th 135531832 COMBUTIO 120/80 162/62
77 AVIQAH 18 bl 1268638942 ISPA 9 KG 82 cm
78 PARHANA 36 th 165139367 HT 170/90 150/55
79 LUISA C.N 9 th 1269524046 ISPA 28 KG 125cm
80 LAURA N.A.P 7 th 1269524553 TONSILITIS 22 KG 117 cm
81 MUH.RIFKY 27 bl 1078338003 ISPA 10 KG 65 cm
10 JULI 2014
82 DEVIT 35 th 135589454 ISPA 110/80 165/70
83 HAVIZA 5,6 th 135589476 ABD DISKOMFORT 93 CM 15 KG
84 ANISA 4 bl 1317861887 ISPA 64 CM 6,2 KG
85 M.APRILIAWAN 10 th 135890627 ISPA 115 37 KG
86 ASRI 42 th 135997301 DISPEPSIA 90/80 173/68
87 NI KT PADMAWATI 33 th 2043420963 CEPALGIA 110/80 150/55
88 MARISKA 30 th 135888546 LBP 130/90 155/50
89 HARGAN 51 th 135490555 HL 120/80 165/65
90 ARWADI 48 th 135169154 DM TIPE 2 110/80 160/58
11 JULI 2014
91 RISNA WATI 46 Tth 135487078 V.LASERATUM 120/80 161/68
92 BONI 11 th 135987113 DISPEPSIA 143 CM 43 KG
93 DANA 21 th 135905736 DISPEPSIA 110/70 157/50
94 SASNI 47 th 134826873 DISPEPSIA 100/70 157/50
95 MUSYAFIR 18 bl 1265187971 ISPA 93cm 9 KG
97 AMINAH 52 th 1354799935 GV 130/80 150/65
98 ZULRAHMAWATI 17 th 135737886 D.ALL 110/70 151/49
99 ZAMRAH 62 th 135111205 DM TIPE 2 120/80 155/60 GDS=182
100 NAJARUDDIN 69 th 135869152 DM TIPE 1 100/70 160/50 GDS=482
101 RATMAN 61 th 134711469 RA 110/80 170/74 AU=9
102 SOLICHA 54 th 134711471 SUS RA 100/70 155/60
103 KRISTINA 14 th 1327223799 ISPA 90/60 163/48
104 ASHAD 54 th 135921251 GANGUAN VISUS 140/90 178/76 RS MD
105 SAFRUDIN 56 th 135487528 IMA 100/70 157/68
12 JULI 2014
106 OZZY SAPUTRA 18 th 135483669 VARICELA 100/70 166/63
107 DEWIYANTI 45 th 135132412 D.ALL 110/80 150/75 KOL=146
108 DINI CAHYANI 18 th 135498745 TUMOR MAMMAE 110/80 148/50 RS AP
109 INCE ADWIA 34 th 1355525767 DISPEPSIA 100/70 155/100
110 YULINDAMAYANTI 15 th 1274432218 CEPALGIA 90/100 154/45
111 JAKUP 64 th 135152245 HT 130/80 151/53
112 HASAN 54 th 135531832 ISPA 110/80 162/61
113 SUNARTIN 48 th 135488384 HT 140/90 152/55
114 ROSITA 45 th 1463005 HT 160/90 155/57
115 ISMAUN 60 th 134918739 HT 140/90 167/52
116 MOH.SYABDAH 17 th 135891404 ISPA 110/70 158/55
117 HALIJAH 48 th 194113989 DISPEPSIA 110/80 150/48
14 JULI 2013
118 GUNAWAR 51 th 135576347 SUS.RA 120/70 155/57
119 LATIFA 44 th 135050231 CEPALGIA 120/80 145/56
120 KHANZA 7 th 1171337139 ISPA 117 CM 18 KG
121 NUHRIA 38 th 135029534 G2 VISUS 110/70 158/44 RS MD
122 IQRAR 5,6 th 134982134 G2 PERTUMBUHAN 93 CM 15 KG RS MD
123 M.ANUGRAH 12 th 162879748 D.ALL 110/70 55 KG
124 HI.DIMIATI 60 th 135636254 D.ALL 143 CM 32 KG
125 ASWAR 56 th 135574672 HT 120/80 165/67
126 NURHAVISAH 5,6 th 135589476 HL + HT 130/80 155/67
15 JULI 2014
127 HAERIA 66 th 135482725 DM TIPE 2 140/80 156/58
128 HAMZAH 57 th 135482725 ISPA 90/70 155/54
129 A.HUSYAIN 32 th 207828808 GEA 90 CM 12 KG
130 DZARRATUL 51 bl 202425254 ISPA 99 CM 11 KG
131 KUSNADIYANTO 38 th 976949019 DISPEPSIA 100/70 158/55
132 JOSEP 67 th 136711067 POST OP CA COLON 150/80 157/68
133 ARIANA 45 th 135574119 ISPA 160/90 146/60
134 PETRUS 63 th 1382175988 ABSES 130/80 160/65
135 DARWIS 57 th 135601492 HEMOROID 150/80 161/69
136 M.IRFAN 42 th 135601492 HL 100/70 160/61
137 BURHANUDIN 58 th 135594617 RETENSIO URINE 120/80 150/50
138 SAAT S NABA 60 th 1271220614 AS.BR 120/80 162/66
139 INDARTI 36 th 202094076 D.ALERGI 140/80 165/59
140 ZULAIDA 48 th 135921262 G2 VISUS 90/60 150/65
16 JULI 2014
141 MARIANI 27 th 156897382 DISPEPSIA 90/70 160/48
142 MAANI 66 th 135601503 DM TIPE 2 90/70 164/64 GDS=260
143 RATMAN 61 th 134711469 RA 130/80 165/65
144 SOLOCHA 54 th 134711571 SUS RA 110/70 150/55
145 JUMHANIS 40 th 197205884 ISPA 120/80 170/60
146 MASRUJI 60 th 134990695 HT + HL 110/90 153/95
147 EXSAL 15 th 1261816479 KONSULTASI 142 CM 142/28
148 TRISNO 42 th 134704585 G2 VISUS 110/70 170/65 RS MD TDK TERDAFTAR
149 ARIEF 60 th 135567011 CHF 120/80 156/61 RS UT
150 FATHIA 57 th 135496124 SUS RA 120/80 153/57 RS AP
151 KIKI 23 th 171042355 OMA 90/60 155/51 RS AP
152 WIN PETIDO 52 th 135643375 ISPA 110/70 151/60
153 NAJARUDIN 69 th 135869152 DM TIPE 1 110/80 159/60
17 JULI 2014
154 ARIFIN 49 th 135630606 DEPRESI 100/70 160/59 RS MD
155 KUSMIATI 45 th 135737875 STRUMA 90/70 145/60 RS UT
156 HJ ROSMA 65 t 135869681 DISPEPSIA 160/80 138/46
157 MARISKA 31 t 135888546 IPERTENSI 170/60 153/60
158 M.RIDHO 50 bl 203031944 TONSILITIS 113 16 KG
159 DARMAN 40 th 135481544 ISK 130/80 167/65
160 ISMAUN 60 th 134918739 HT 140/90 167/52
161 NASRUN 60 th 134832868 HHD 160/100 165/60
162 WAHIDA 44 th 135383062 DISPEPSIA 110/80 151/55
163 ISWANTO 53 th 135498014 ISPA 120/70 160/65
18 JULI 2014
164 GAIS 51 th 134926108 ISPA 90/60 155/74
165 AGNES 46 th 1288906446 POST OP KATARAK 120/80 150/50 RS MD
166 ARWADI 49 th 135169154 DM TIPE 1 100/70 160/60
167 INDRA 46 th 1079297853 DEPRESI 140/90 150/55 RD MD
168 TANDI LOBO 62 th 1296650428 HHD 130/80 162/80 RS UT
169 AJERNI 39 th 156926439 GRAID + 32 MGG 100/70 147/59
170 NILUH ADHI 53 th 135581242 Ht 150/80 155/110 RS MD
171 SIGIT 16 th 166206183 D.ALL 90/70 160/51
172 PAULINA 33 th 167849302 DISPEPSIA 110/70 155/48
173 BINTANG ADYTIA 13 th 167849357 FARINGITIS 32 KG 148 cm
174 ALAMSYAH 34 th 171550506 ISPA 110/80 161/57
19 JULI 2014
175 SRI SUMARNI 46 th 135892192 LBP 110/70 155/85 RS MD
176 NAOMI 53 th 12710460056 HT 120/80 162/88
177 JAKUP LATEKO 64 th 135152245 Vl 120/80 151/53
178 NAIRA NUR AISYA 28 bl 1263878324 ISPA 93 25 KG
179 MU.FAJRUL 5 th 136883653 ISPA 117 34 KG
180 SAFRUDIN 56 th 135487528 PJK 120/70 165/67
181 NAZAM 48 bl 1261406226 ISPA 13 KG
182 HASRAT 60 th 135482916 DM 110/80
183 BERLIAN 50 th 135978491 FARINGITIS 110/70
184 OKTAVIANI 17 th 1081660072 D,ALL 100/70
185 ASHAD 54 th 135921201 DM + HT 140/80
186 ABD RAHIM 52 th 135030058 SKABIES 110/70
187 MAHDAN 45 th 134807578 ISPA 100/70
21 JULI 2014
188 RISNAWATI 41 th 135584234 DISPEPSIA 90/70 163/65 KOL=209
189 ADNAN 62 th 135866158 RA + ht 140/80 170/76 AU=7,6
190 NURUL AIA 16 th 135908008 A.BR 130/80 161/50
191 RIZAL 51 th 134913982 SINUSITIS 110/60 155/61
192 hASTITA 36 th 135889705 ISPA 90/60 162/55
193 ZORA 56 th 1321508114 ISPA 110/80 150/60
194 ARIDMAN 37 th 135041872 ISPA 110/70 167/65
195 NURAFNI 35 th 135041883 ISPA 100/70 152/50
196 PUTRI 10 th 135044894 ISPA 121 cm 20 KG
197 DINA 7 th 135041905 ISPA 118 cm 19 KG
198 ADINDA 9 th 135945369 ISPA 125 cm 20 KG
199 SYAMSUL BAAR 55 th 135945347 POST FRAKTUR 120/80 165/60 RS UT
200 FALMA 52 th 1359453361 G2 ISUS 120/70 150/55 RS UT
201 ERWIN 40 th 165135172 ISPA 150/90 165/60
22 JULI 2014
202 ZAINUDIN 50 th 134826862 HL 160/90 160/92
203 SOFIAN 43 th 135738022 ISPA 140/80 171/71
204 MASDIANA 52 th DISPEPSIA 110/80 165/67
205 JABIR 43 th 135485649 DM TIPE 2 100/70 158/51
206 RUNISPA 48 th HT + DEPRESI 120/80 148/52 RS MD
207 SUNARTIN 51 th 135488384 ISPA 140/80 147/56
208 JAKUP LATEKO 64 th 135152245 LBP 120/80 155/65
209 MOH.RIFKI 45 bl 4078338003 FARINGITIS 10 kg 99 CM
210 SYAMSINAR 51 th 135583997 CEPALGIA 100/60 150/53
211 WIN 52 th 135643375 RINITIS ALL 90/70 151/60
212 RESKI 17 th 135643386 ISPA 29 kg 157/55
23 JULI 2014
213 FAHRI 6 th 135737155 POST TRAUMA 99 12 KG
214 OLA 34 th 135737133 GRAID + 32 MGG 110/70 143/55
215 M.IRFAN 42 th 135580487 LBP 120/80 160/65
216 WIDYA 9 th 135580511 KONJUNTIITIS 115 CM 17 KG
217 ST HAJRAH 36 th 135580498 DISPEPSIA 90/70 147/37
218 M.NOFAL 13 th 134806871 D.ALL 150 cm 59 kg LW.DR.ROYKE
219 ARIANA 46 th 135557419 KONJUCTIVITIS 110/80 150/55
220 ARDIANSYAH 20 th 135680073 FSRINGITIS 100/60 160/65
221 WIRO MARJONO 73 th 135723778 cEPALGIA 130/80 160/61
24 JULI 2014
222 ASWAR 56 th 135574672 HL 120/80 160/66
224 ROSITA 43 th 1463005 DISPEPSIA 140/80 151/51
225 JELRIN 43 th 136708514 HT 130/80 160/62
227 ANGGA 8 th
228 SUKRI 63 th 135870041 OP.KATARAK 120/80 160/60
25 JULI 2014
230 PRAYUDA 14 th 135584245 EPISTAKSIS 135 CM 31 KG
231 SAYADIN 44 th 135584223 ISPA 140/80 160/65
232 SUKRI SUPARDI 65 th 135870041 KATARAK POST OP 110/70 160/62 RS MD
233 MASRUJI 60 th 134990695 ISPA 120/80 153/63
234 NURUL AVIA 16 th 135908008 MIALGIA 110/80 161/50
235 SEPTA PUTRI 14 th 41991107 D,ALERGI 155 CM 56 KG
236 JAKUP LATEKO 64 th 135152245 VL 110/80 151/53
237 NAOMI 53 th 1276897155 HT 100/70 155/87
239 FAIDA 52 th 135958836 D.ALL 130/80 147/47
240 NASRUN 60 th 134832868 VI 130/90 150/75 GDS=311
241 ANISA 4 bl 135589476 INFLUENZA 56 CM 6 KG
242 HAVISA 5,7 bl 1317861887 ISPA 93 CM 19 KG
26 JULI 2014
243 VIRNAYANTI 20 th 1314414404 FARINGITIS 90/70 163/58
244 AUDRIA 12 th 135890548 ISPA 149 CM 37 KG
245 FEBRIYELLO 7 th 202425085 FARINGITIS 115 CM 16 KG
246 PAMPI 53 th 135486516 cEPALGIA 150/80 158/60
247 ISMAUN 61 th 134918739 RA 100/70 160/59
248 ARIFIN 49 th 135630606 G2 CEMAS 90/60 160/59
249 AILA 8 th 165539648 ISPA 19 KG 120 cm
250 YULFIN YUNUS 31 th 173154374 DISPEPSIA 80/70 159/57

CABANG PALU BULAN AGUSTUS 2014
4 AGUSTUS 2014 T DARAH TB/BB
1 INONG 52 th 135868061 DEPRESI 130/80 150/75 RS MD
2 FERDIAN 18 th 171393186 OMA 100/70 179/47
3 DARMANSYAH 43 th 135674302 DM TIPE 2 130/80 160/65
4 RIZKY 6 th 165718202 ISPA 108 CM 13 KG BLM TERDAFTAR
5 HALIJAH 53 th 1278692741 SUS.RA 120/100 146/55 AU=4,7
6 MOH.AKBAR 31 th 166071014 D.ALERGI 120/80 165/84 RS MD
7 ADELIN 61 th 136711067 ISPA 120/80 153/76
8 NUTHIDAYAH 13 th 198809548 RA 90/60 145/42
9 SASNI 47 th 134826873 DM TIPE 2 110/80 146/54
10 SAMSUDIN 72 th 135869826 SEBOROIK 110/80 161/54 RS MD
11 SYAUKI 30 bl 976960102 ISPA 71 CM 10 KG
12 GADIZAH 43 bl 199361891 ISPA 78 CM 12 KG
13 RESE 56 th 135963325 HT 140/80 150/61
14 NASRUN 59 th 134832868 A.BRONKIAL 150/90 148/60 RS MD
15 SUPARDI 54 th 1348856698 HHD 120/80 160/73 RS UT TDK TERDAFTAR
17 NURUL 16 th 135908008 MIALGIA 155 CM 45 KG
18 ISMAN 51 th 135483581 DEPRESI 110/70 65 KG RS MD
19 MOH.HUDA 8 th 149214756 TONSILITIS 116 CM 23 KG
5 AGUSTUS 2014
20 MAS 'ANI 52 th 136064766 MIALGIA 110/80 142/59
21 SERLY 33 th 135892089 MIALGIA 120/80 150/47
22 PAMPI 53 th 135486516 HT 150/80 158/60
23 DIMIATI 59 tgh 135636254 HL 120/80 156/60 KOL=268
24 ASWAR 55 th 135574672 HT 140/80 165/60
25 EDY 40 th 135889176 DEPRESI 110/70 160/66 RS MD
26 YULIANUS 46 th 135738459 RA + HT 120/80 160/67 RS MD
27 JAKUP 64 th 135152245 VL + GV 130/80 150/47
29 MARIA ENJELINA 19 th 135889503 HEMATOM 110/70 156/50 RS MD
30 ARPA 82 th 1275293935 RA 110/80 150/60
31 SITI KASMA 50 th 135914883 SUS.RA 110/80 155/56
32 ULFA WAHYUNI 45 th 135494559 D.ALERGI 110/80 150/48
33 SITA NOVITA 19 th 1389040121 cEPALGIA 90/70 151/48
6 AGUSTUS 2014
34 ROSMA WAHYUNI 14 th 135891617 ISPA 152 CM 52 KG
35 PATIMAH 54 th 135704518 RA 120/80 148/58
36 WIDYA SALSABILA 10 th 135580511 ISPA 103 CM 20 KG
37 M.IRFAN 42 th 135580487 HL 120/80 160/65
38 NIRMALA SARI 17 th 1278694563 DEPRESI 100/70 150/48 RS MD
39 FAHLINA 36 th 203397174 DEPRESI/INSOMNIA 110/80 146/43 RS MD
40 SUNASTRIA MADE 33 th 1383511476 D.ALERGI 130/80 175/82
41 FERDIAN ADITY 17 th 171393186 OMA 100/70 179/47
43 HERMAN 46 th 135595552 FARINGITIS 120/80 168/75
44 FITRIA 37 th 135595563 cEPALGIA 110/80 163/78
45 FAJRIA 42 th 165180868 G2 VISUS 130/80 148/50
46 FAHRUD 48 th 165177628 G2 VISUS 120/80 160/60
47 MUSDALIA 64 th 135869097 G2 VISUS 120/80 151/60
48 AHMAD DANI 12 th 1700623478 ISPA 145 CM 27 KG
7 AGUSTUS 2014
49 AMRIN 62 th 1265870452 PJK 120/80 163/59 RS UT
50 ZULAEHA 61 th 135630595 KONJUCNTIVITIS 130/80 147/54
51 DARSIN 51 th 135481588 ISPA 110/80 158/51
52 MISTIN 48 th 135481599 DM TIPE 2 110/80 150/63 GDS=152
53 GAIS 52 th 13492661108 ABSES 110/80 155/75
54 SUMIATI 52 th 135491308 DM TIPE 2 110/70 150/50
55 ANGGA 8 th 135491319 FARINGITIS 107 CM 25 KG
56 JELRIN 43 th 136708514 HT 130/80 160/62
57 ANISA 4 bl 1317861887 INFLUENZA 56 CM 6 KG
58 HAVISA 5,7 bl 135589476 ISPA 93 CM 19 KG
8 AGUSTUS 2014
60 MUH,RIFKY 32 bl 1078338003 ISPA 88 CM 12 KG
61 WAFIANSYAH 39 bl 2077526049 TONSILITIS 85 CM 12 KG
62 SELVIHANDAYANI 30 th 1291257775 DM TIPE 2 110/70 165/83 GDS=221
63 PUSPA INDAH 19 th 135738538 MIALGIA 100/70 152/60
64 CICI MAKAWARU 70 th 1292116263 CIROSIS HP 140/90 144/59 RS UT
65 MUKHLIS 46 th 134919821 LBP 110/80 160/65
66 ASDIA 43 th 134919819 G2 VISUS 110/80 144/49 RS UT
67 FALMAH 52 th 135947336 KONJUCTIVITIS 100/70 147/85
68 NURUL AVIA 16 th 135908008 MIALGIA 110/80 161/50
69 NAOMI 53 th 1276847155 HT 100/70 155/87
70 FAIDA 52 th 135958836 D.ALL 130/80 147/47
9 AGUSTUS 2014
72 RISNAWATI 46 th 135487078 MIALGIA 120/80 161/64
73 ANISA 4 bl 1317861887 ISPA 63 CM 9 KG
74 HAVISA 5,6 bl 135589476 FARINGITIS 93 CM 15 KG
75 IRWAN 15 th 148548126 ISPA 131 CM 25 KG
76 ROSTATI.T 42 th 135491534 FARINGITIS 120/80 150/57
77 ANA MUSDALIFA 6,4 th 173666362 DISPEPSIA 116 CM 19 KG
78 DANARTIN 49 th 135509106 TONSILITIS 135 CM 158/79
79 MASRUJI 60 th 134990695 ISPA 120/80 153/63
80 IFTITAH 10 th 135483772 CORPUS AL. 135 CM 22 KG
81 PRAYUDA 14 th 135584245 EPISTAKSIS 135 CM 31 KG
82 SAYADIN 44 th 135584223 ISPA 140/80 160/65
83 SUKRI 63 th 135870041 A.BRONKIAL 120/80 160/60
11 AGTS 2014
84 M.AGUS 16 th 1086038785 SKABIES 160 CM 45 KG
85 ISMAN 51 th 134884124 DM TIPE 2 130/80 172/64 GDS=171
86 M.MUSAFIR 19 bl 12655187971 STOMATITIS 67 CM 9 KG
87 SATRIANI 29 th 197205974 MIALGIA 100/70 150/45
88 SITI FAHIRA 30 bl 209567294 VARISELA 90 CM 11 KG
89 ARWADI 49 th 135169154 DM TIPE 2 90/80 157/60
90 ASHAR 58 th 1355914334 DM TIPE 2 120//80 163/59 GDS=350 tdk terdaftar
91 NITAWATI 28 th 1421237272 ISPA 120/80 145/54
92 MUCHLIS 59 th 135952413 DISPEPSIA 120/70 160/60
93 SARJAN 49 th 135695518 FARINGITIS 110/80 160/58
94 SUMAUN 54 th 135892315 ISPA 110/70 165/58
97 ROSITA 43 th 1463005 DISPEPSIA 140/80 151/51
98 JELRIN 43 th 136708514 HT 130/80 160/62
12 AGUSTUS 2014
99 RIZAL 51 th 134913982 A.BRONKIAL 100/70 155/58 KOL=160 AU=5,5
100 PASTIN 45 th 135911384 ISPA 110/80 148/55 KOL=174
101 NI WAYAN AYU W 19 th 1976773701 G2 VISUS 90/70 152/44 RS MD
102 FIRMAN 44 th 135946225 ISPA 110/80 165/62
103 ADITYA 23 th 135946247 ISPA 110/70 163/49
104 DARSIN 51 th 135481588 cEPALGIA 100/70 158/50
105 NURAINUN 7 th 135913983 cEPALGIA 87 CM 18 KG
106 SARIFUDIN 36 th 135913972 SUS.MALARIA 100/70 148/58
107 ZAENAB 52 th 135013983 ABSES 110/80 155/60
108 SAAD 60 th 1271220614 DISPEPSIA 110/70 162/67
109 FARIDA 52 th 1271222313 A.BRONKIAL 110/80 154/69
110 HASAN 54 th 135531832 cEPALGIA 140/90 160/60 GDS=331
111 SAFRUDIN 56 th 135487528 IMA 120/80 157/71 RS UT
112 RATMAN 61 th 134711469 HT 120/80 170/72
113 SOLOCHAH 56 th 134711471 RA 120/80 150/60
114 KASRUDIN 56 th 135736817 DM TIPE 2 110/80 145/50 RS MD
115 AULIA AZZARA 5 th 1325435949 TB 101 CM 13 KG
116 SEPTA PUTRI 13 th 41991107 DISPEPSIA 156 CM 50 KG
117 NASRUDIN 59 th 13483286 HHD 140/80 160/58 RS UT
13 AGUSTUS 2014
118 M.DICKY RAHMAN 13 th 164318782 ISPA 142 CM 34 KG
119 IDETA MARIANA 34 th 135918281 D.ALERGI 120/80 148/56
120 DIMIATI 59 th 135636254 HT 120/90 156/60
121 ASWAR 56 th 135574672 HL 120/80 165/70
122 ANDI ACO 41 th 135225770 ISPA 110/70 165/70
123 VIRNAYANTI 20 th 1314414404 FARINGITIS 90/70 163/58
125 SUKRI SUPARDI 65 th 135870041 KATARAK POST OP 110/70 160/62
126 JAKUP LATEKO 64 th 135152245 VL 110/80 151/53
127 ISMAUN 61 th 134918739 RA 100/70 160/59
129 ARIFIN 49 th 135630606 FARINGITIS 90/60 160/59
14 AGUSTUS 2014
130 QAMARIAH 53 th 135737313 cEPALGIA 120/80 155/55
131 ABD.FARID 38 th 38680839 A.BRONKIAL 120/70 160/65
132 LINCE 49 th 135498734 D.ALERGI 110/80 150/65
133 RINALDI 19 th 97605647467 ISPA 110/80 157/55
134 ASWAR 56 th 135574672 cEPALGIA 130/90 160/66
135 WATI 52 th 1327147312 G2 VISUS 130/80 152/55 RS AP
136 M.YUDHI 15 th 135580509 ABD DISKOMF 138 cm 35 KG
137 M.IRFAN 42 th 135580487 HL 110/70 165/62
138 INDHI NUR 27 bl 211618506 ISPA 73 cm 11 kg LW TDK TERDAFTAR
139 M.DWI ANUGRAH 5 th 171290068 ISPA 85 CM 19 KG
140 SHIFA 7 th 170775808 ISPA 114 18 kg
141 NAOMI 53 th 1276847155 ISPA 130/80 156/65
142 AJERNI 39 th 156926439 POST PARTUM 110/70 148/58
15 AGUSTUS 2014
143 CINDI 22 th 135487102 ISPA 100/70 160/52
144 BONI 11 th 135487113 ISPA 143 cm 43 kg
145 RERUNG 55 th 135486922 HHD 130/80 170/94 RS UT
146 RAMA SAPUTRA 10 th 134868999 FOMITUS 121 cm 20 kg
147 EKA RAHMANIA 22 th 135737324 ISPA 110/70 150/54
148 MAJID 56 th 135891123 LBP 120/80 157/65 RS MD tdk aktf/tdk ditanggung
148 ROSLANI 49 th 135879776 HT 120/80 157/65
150 RUSIN 70 th 135869692 DM TIPE 2 140/90 156/62 GDS=370
151 ROSNIAR 52 th 135583345 DISPEPSIA 130/90 160/57
152 GADISA 43 th 199361891 GEA 71 CM 10 KG
153 RAMLI 65 th 195969014 ISPA 130/80 166/72
154 SITTI RAHMA 19 th 20979742 FOMITUS 100/70 166/67
156 NAJARUDDIN 69 th 135869152 DM TIPE 2 110/80 160/57
157 SRI WIDYAWATI 17 th 134961873 POST FRAKTUR 90/70 156/43
158 DEWI 32 th 135466097 DISPEPSIA 100/70 163/65
16 AGUSTUS 2014
160 HIDAYAT 51 th 1462994 ISPA 110/80 160/65
161 HELEN 45 th 1101480636 DISPEPSIA 120/80 160/66
162 SAMUEL 32 bl 1275248338 ISPA 53 CM 12 KG
163 SITTI FAJRIA 36 th 135580498 DISPEPSIA 100/70 147/37
164 ADVANCE 53 th 135480464 FARINGITIS 130/80 164/73
165 TONI BUTARAN 56 th FARINGITIS 100/70 165/60
166 HAWA 42 th 134966057 DM TIPE 2 90/60 152/50 GDS=199
167 SUNARTIN 50 th 135488384 cEPALGIA 130/80 158/58
168 HANAFI 51 th 135535348 ISPA 110/80 160/67
169 NASRUN 60 th 134832868 V.IKTUM + G.VERBAN 130/90 150/75
171 HAVISA 5,7 th 135589476 ISPA 93 CM 19 KG
18 AGUSTUS 2014
172 QAMARIAH 53 th 135737313 CEPALGIA 130/80 155/55
173 EKA RAHMANIA 22 th 135737324 DISPEPSIA 100/70 150/54
174 PUSPA INDAH 19 th 135738538 SUS.TIPOID 90/80 153/55
175 RIZAL 51 th 135737302 AS.BRONKIAL 110/80 155/60
176 PATIMAH 54 th 135701510 D.ALERGI 120/80 148/58
177 M.MUSAFIR 19 th 1265187971 ISPA 62 CM 9 KG
179 RUKMINI 64 th 135737741 HHD 130/90 155/82 RS UT
181 IZAR 11 th FARINGITIS 135 CM 29 KG
182 IDHAM 52 th 135889378 G2 VISUS 130/80 160/57 RS MD
183 FAHRI 6 th 135737155 EPISTAKSIS 99 CM 14 KG
184 OLA 34 th 135737133 cEPALGIA 100/70 147/55
185 LINISWATI 39 th 134923577 GRAVID 8 MGG 110/80 155/60 RS MD
187 NURDIN 55 th 135491297 ISPA 120/80 160/58
189 DEWI YANTI 46 th 135135412 cEPALGIA 100/70 148/75
190 NUHURIA 38 th 135329543 D.ALERGI 100/70 158/44
191 RAMLIA S 47 th 136042907 ISPA 100/70 154/58
19 AGUSTUS 2014
192 MEI 41 th 165857308 RA 110/70 148/73
193 RAHMAN 45 th 9308098977 RA 100/70 165/66 RS MD
194 SUARNI 58 th 135572286 PJK 120/70 150/55
195 M.JUNIAWAN 14 th 135119259 ABD DISKOMF 153 CM 25 KG
196 FAIDA 52 vth 135958825 cEPALGIA 140/90 147/47
197 ABD.HALIN 14 th 135913994 FEBRIS 155 CM 47
198 ROY HERWANTO 37 th 1715472424 ISPA 100/70 153/63
199 NAZAM 36 bl 1261406226 ISPA 76 CM 11 KG
200 NURFIA 54 th 135486268 G2 VISUS 110/80 156/61 RS MD
201 HERRY 58 th 1080454882 RA+ HL 110/80 161/58
202 ARWADY 49 th 135169154 DM TIPE 2 100/70 157/55
20 AGUSTUS 2014
203 ROHANI 51 th 136067218 HL 120/80 158/65
204 ROSS 53 th 150299392 OA 110/80 156/55 RS UT
205 H.A RAUF 66 th 135765944 MIALGIA 120/80 160/55
206 HJ.NURHAYA 55 th 135571048 RA 120/70 149/49
207 INDRA 46 th 1079297853 CEPALGIA 160/100 150/52
208 DARSIN 50 th 135481588 MIALGIA 110/70 158/50
209 JAENAB 46 th 202363547 D,ALERGI 130/80 150/70
210 M.BASRAH 58 th 134822261 SEBOROIK 120/80 165/60
211 NURAFNI 35 th 135041883 ISPA 152/50 152/50
213 DINA 7 th 135041905 ISPA 118 cm 19 KG
214 M.ANUGRAH 12 th 162879748 FARINGITIS 128 cm 25 KG
215 ROSITA 45 th 1463005 HT 160/90 155/57
21 AGUSTUS 2014
216 WAHYU SETIAWAN 17 th 134914004 INFLUENZA 100/70 170/65
217 SUPARDIN 36 th 136028136 OMA 100/80 160/60
218 PATIMAH 54 th 135704518 D.ALERGI 130/80 148/58
219 AJERNI 39 th 156926434 cEPALGIA 120/80 155/55
220 M.AGUS 17 th 1086038785 SKABIES 100/70 162/49
221 SURIDA 56 th 135488485 MIALGIA 90/60 145/49
223 IRAWATI 28 th 135490746 POST GEA 110/80 155/60
224 FATMAWATI 38 th 135889457 GRAVID 8 MGG 100/70 156/60
225 ZAENAB 39 th 135913983 ABSES 120/80 152/67
226 NURJANAH 56 th 134828561 HT 150/90 165/75
227 NOVARITA 38 th 135483759 CEPALGIA 110/80 147/64
22 AGUSTUS 2014
228 ANDI RUNANG 41 th 134865977 KONSULTASI 110/80 148/47
229 ADITYA H 23 th 135946247 HERPES 100/70 160/50
230 SUMAUN 55 th 135892315 HL 110/70 165/57
231 SASNI 47 th 134826873 D.ALL 100/70 147/54
232 AGNES 49 th 88906446 G2 VISUS 110/80 155/54
233 DIMIATI 59 th 135636254 HT + HL 120/80 156/64
235 NILUH ADHI S 54 th 135581242 HT + OBES 120/80 156/110 RS MD
236 IDETA MARIANA 34 th 135918281 D.ALERGI 120/80 148/56
238 GADISA 43 bl 199361891 ISPA 71 CM 10 KG
239 ANISA 5 bln 1317861887 ISPA 52 CM 7 KG
23 AGUSTUS 2014
240 ANA OKTAVIANI 17 th 1081660072 cEPALGIA 100/70 100
241 NITAWATI 28 th GRAVID 7 MGG 130/80 145/56
242 JABIR 43 th 135985649 DM TIPE 2 100/70 159/51 GDS=205
243 ABD RASYID 22 th 1463016 ISPA 100/80 170/74
244 ICHE 27 th 165136708 MIALGIA 110/80 147/80
245 MARYAM HIPPI 42 th 134990381 DM TIPE 2 110/80 153/65
246 YASTI 44 th 135891371 G2 PENDENGARAN 110/80 159/55
247 MARLIAN 30 th 171957154 SUS.IMA 90/60 155/50 GDS=307
248 PUSPA INDAH 19 th 135738538 SUS.TIPOID 100/70 152/60
250 SEPTA PUTRI 13 th 41991107 DISPEPSIA 156 CM 50 KG
25 AGUSTUS 2014
251 DAMARIS 58 th 135486933 DISPEPSIA 110/70 148/47
252 ISRA 49 th 136708503 ISPA 110/80 153/55
254 KUSMIATI 45 th 135737875 DISPEPSIA 100/70 155/58
255 MAANI 63 th 135601503 DM TIPE 2 110/70 160/58
256 MULYANI 44 th 135890842 ISPA 110/70 150/58
257 MARHUMI 56 th 136169043 TONSILITIS 120/80 152/55
258 PUTRI 1270871155 FARINGITIS 120/80 151/55 non aktif kn premi
259 ARSYAD 60 th 1265142025 cEPALGIA 110/70 162/60
260 SUKRI 63 th 135870041 A.BRONKIAL 120/80 160/60
261 SITI FAHIRA 31 bl 209567294 ISPA 90 CM 11 KG
26 AGUSTUS 2014
262 ANDI HUSYAIN 32 bl 207828808 TONSILITIS 81 CM 10 KG
263 INCE ADWIA 35 th 135525767 DISPEPSIA 110/80 155/57
264 MAS'UD 51 th 135499149 DM TIPE 2 120/80 160/58
265 RATMAN 61 th 134711469 HT 120/80 170/72
266 HANAFI 53 th 135595348 ISPA 110/80 160/67
267 HADIJAH 50 th 135482398 EPILEPSI 130/80 150/60 RS MD
268 NABILA 6 th 163588465 ISPA 107 CM 18 KG
269 SITI KAHADIJAH 42 th 4199096 DISPEPSIA 110/80 148/55
27 AGUSTUS 2014
270 FAUZIA 60 th 136062281 HT 150/90 150/60
271 SARJAN 49 th 135605518 CEPALGIA 110/80 160/58
272 SURIDA 55 th 135488485 ISPA 100/70 150/55
273 NINDIAWATI 30 th 166071148 FARINGITIS 120/80 149/50
274 NAOMI 53 th 1276847155 HT 130/80 156/65
277 SINTA 20 th 1275176351 ISPA 100/70 151/47
278 ANISA 4 bl 1317861887 ISPA 63 CM 7,7 KG
279 MAJID 56 th 135891123 ISPA 120/80 160/57 tdk terdaftar
280 NORMA 49 th 135891112 SUSP, ISK 100/70 149/50
282 MARNI 45 th 135484569 D.ALERGI 120/80 150/55
283 LATIF 44 th 135484571 D.ALERGI 130/80 161/58
284 ZAMRAN 49 th 135475007 ISPA 120/80 150/60
285 UDIN 51 th 134993766 ISPA 120/80 170/73
286 M.YUDI 15 th 135580509 D.ALERGI 90/60 135/25
287 MAS'ANI 51 th 136064766 FARINGITIS 110/80 148/60
28 AGUSTUS 2014
288 M.RANGGA 10 th 135890864 FARINGITIS 137 CM 65 kg
289 RESITA 58 th 1078681724 D.ALERGI 90/60 150/55
290 KHAIRUL 46 th 1129566813 ISPA 110/80 158/60
291 SOFIAN 43 th 135738021 MIALGIA 120/80 163/60 tdk terdaftar
292 MARTA 56 th 135952424 DISPEPSIA 120/80 148/58
293 MUSAFIR 18 bl 1265187971 ISPA 62 CM 9 kg
295 NUDIA 73 th 135795508 D.ALERGI 130/80 150/60
296 KANDI 67 th 1428150633 RA 120/80 160/60
297 MOCH.NUR 64 th 1428147988 RA 130/80 160/58
29 AGUSTUS 2014
298 FANYA 6 th 1295326877 ISPA 99 21 KG
299 NIATI 56 th 135485998 DISPEPSIA 110/80 150/55 tdk terdaftar
300 SASNI 48 th 134826873 D.ALERGI 110/70 147/50
301 EMIATI 44 th 135973451 MIALGIA 100/70 151/56
302 KUSAIRI 33 th 135891281 ISPA 110/70 161/58
303 MEI 41 th 165857308 ISPA 110/80 149/60
304 ADNAN 62 th 135866158 ABD DISKOMF 130/90 160/72
305 OLA 34 th 135737133 cEPALGIA 100/70 147/55
306 IRAWATI 28 th 135490746 ABD DISKOMF 110/80 155/60
30 AGUSTUS 2014
310 PUSPA INDAH 19 th 135738538 SUS.TIPOID 19 th 152/60
311 M.MUSAFIR 20 bl 1265187971 ISPA 62 CM 9 KG
312 ADITYA H 23 th 135946247 HERPES 100/70 160/50
314 AJERNI 39 th 156926434 cEPALGIA 100/70 150/55

CABANG PALU BULAN SEPTEMBER 2014
1-Sep-14 TD TB/BB
1 WAZNA 50 th 135489205 ISPA 110/80 150/55
2 JILL SALSABILA 9 th 135527602 ISPA 110 CM 25 KG
3 MUSTIN 56 th 135466435 HT 120/80 160/60
4 NURUL 36 bl 1320389368 ISPA 61 CM 7 KG
5 GALVIN 7 th 135889547 FARINGITIS 110 CM 21 KG
6 NORMA 50 th 135891112 SUS.ISK 130/80 148/47
7 MUCHLIS 59 th 135952413 POST OP KATARAK 100/70 160/65 RS MD
8 NADIRA 41 th 135684191 DISPEPSIA 120/80 139/46
9 NIAYU 19 th 976773701 STOMATITIS 110/80 150/45
10 MARYAM 54 th 135568631 DM TIPE 2 150/90 153/57 GDS=250
11 ASWAR 54 th 135574672 HT 150/90 165/65
12 DIMIATI 56 th 135636254 HT 130/80 156/60
13 FAULINA 43 th 167849302 PJK + DISPEPSIA 130/80 150/45 RS MD
14 ASRUL 48 th 135494548 RA 120/80 162/48
15 KIKI RIZKI 21 th 171042355 D.ALERGI 100/70 150/50 RS AP
16 RUNISPA 48 th 135953386 DISPEPSIA 100/70 148/52 RS MD
2-Sep-13
17 INONG 62 th 135868061 DISPEPSIA 130/90 150/75 RS MD
18 MUTIARA HANISA 43 th 210595175 ISPA 111 CM 19 KG
19 YASID 36 bl 207114715 ISPA 95 CM 14 KG
20 MEI 41 th 165857308 ISPA 110/80 148/73
21 MERSINTA 26 th 202990278 RA 120/80 165/80
22 PATIMA 54 th 135704518 D.ALL 110/70 147/50
23 OKTOROSADI 19 th 135912407 ISPA 90/70 161/51
25 HADIJAH 50 th 135482398 EPILEPSI 130/80 160/65 RS MD
26 NURZAM 60 th 135868386 DM TIPE 2 130/80 151/50 GDS=355
27 NADIA JAMILA 73 th 135795508 TUMOR 120/80 145/28 RS MD
28 JAKUP LATEKO 64 rh 135152245 HT 130/80 151/53
3-Sep-14
29 M.LANG ALAMANDA 7 bl 1431203894 KONSTIPASI + ISPA 61 CM 8 KG
30 ANISA 5 bl 1317861887 ISPA 57 cm 7,7 kg
31 AHMADI 67 th 135265667 DISPEPSIA 130/80 165/71
32 HAJRAH 61 th 162356086 DM TIPE 2 130/80 160/75
33 HADIJAH MAULANA 32 th 135887951 DISMENOROE 120/80 155/70
34 RUSTAM 43 th 134920822 INSOMNIA 140/90 157/53
35 PAMPI 54 th 135486516 KONJUCTIVITIS 130/80 158/59
36 M.SYAWAL 14 th 376385654 DISPEPSIA 158 cm 42 KG
37 NOVARITA 38 th 135483759 DISPEPSIA 100/70 147/64
38 ADNAN DJUNADIN 62 th 135866158 ABD DISKOMFOR 130/80 160/79 RS UT
4-Sep-14
39 ANDI ACO 41 th 135525776 ISPA 110/70 165/73
40 IDHAM 52 th 135889378 VL 120/80 158/53
43 ANGGA 10 th 135491319 ISPA 117 CM 31 KG
44 KRISTINA 50 th 135489097 HHD 90/70 144/58
45 NADJARUDDIN 69 th 135869152 DM TIPE 2 100/70 160/55
46 JILL SALSABILA 9 th 135527602 ISPA 110 CM 25 KG
47 KIKI RIZKI 21 th 171042355 D.ALERGI 100/70 150/50
48 M.MUSAFIR 20 bl 1265187971 ISPA 62 CM 9 KG
50 WAZNA 50 th 135489205 ISPA 110/80 150/55
51 GALVIN 7 th 135889547 FARINGITIS 110 CM 21 KG
5-Sep-14
52 MUSTIN 56 th 135466435 HT 140/90 165/60
53 MUCHLIS 59 th 135952413 CEPALGIA + HT 120/80 165/65
54 AFIKA 24 bl 1268638942 ISPA 83 CM 9 KG
55 PARHANA 34 th 165139367 HT 140/90 150/60
56 ARWADI 49 th 135169154 ISPA + DM 110/70 16051
57 SAMSUDDIN 73 th 135869826 D.SEBOROIK 110/80 GDS= 138
58 ABD.FARID LEWA 38 th 386808839 A.BR 110/70 160/67
59 H.M NUR ICHSAN 64 th 1428147988 ISPA 130/80 170/70
60 MUNILA 50 th 135485559 G2 CEMAS 100/70 149/56 RS MD
61 RATMAN 60 th 134711469 HT + RA 130/90 172/73
62 SOLICHA 52 th 134711471 RA 110/70 150/60
63 IWAN 44 th 135483748 ISPA 110/80
64 IFTITA 10 th 135483772 ISPA 137 31 KG
65 M.MUSAFIR 20 Bl 1265187971 ANOREKSIA 62 CM 9 kg RS MD
6-Sep-14
66 PAINTEM 42 th 134836751 DM TIPE 2 120/80 148/46 GDS=285
67 SYAKIR 5 th 162984532 TONSILITIS 111 CM 19 KG
68 SYAKIRAH 11 th 162984475 ISPA 147 CM 43 KG
69 MASLINDA 43 th 134850251 MIOMA UTERI 110/80 150/51 RS UT
70 ISMAN 51 th 135483581 DEPRESI 110/80 150/70 RS MD
71 AHMAD GIFARI 13 th 135481566 D.ALL 141 CM 37 KG
72 WERAIDA 51 th 135586877 DISPEPSIA 120/80 145/59
73 NORMAWATI 22 th 203278612 CEPALGIA 110/70 140/50
74 NOVARITA 38 th 135483759 DISPEPSIA 100/70 147/64
8-Sep-14
77 SAMSUDIN 53 th 136064777 SEBOROIK 120/80 155/50
78 ENDAH 36 th 135889288 D.ALL 100/70 157/58
79 AIDIL 10 th 135889301 T.CORPORIS 107 CM 25 KG
80 MARIA YUDITA 23 th 1305341212 DISPEPSIA 90/70 157/46
82 AMINA 52 th 135479935 RA 120/80 150/63
83 SOFIAN 43 th 135738022 DIDPEPSIA 120/80 150/60
84 M.TAUHID 16 th 135888726 SKABIES 100/70 165/57
85 IWAN 33 th 1324319624 DISPEPSIA 100/70 175/56
86 EVA.A 45 th 1324320906 DISPEPSIA 130/80 150/49
87 FAHLINA 36 th 203397074 DISPEPSIA + DEPRESI 120/80 48 KG RS MD
88 GALVIN 7 th 135889547 FARINGITIS 119 21 KG
89 GINOL 36 bl 206320511 TONSILITIS 77 12 KG
90 MARTHEN 38 th 135889536 CORPUS ALIENUM 100/70 160/57 RS MD
91 HIJRA 34 th 134844647 D.ALL 100/70 153 /50
92 ARIPIN 49 th 135630606 DEPRESI 110/80 160/58 RS MD
93 HAVICA 5 th 135589476 ISPA 93 CM 15 KG
94 ANISA 6 th 1317861887 ISPA 61 CM 7 KG
95 SITTI FAJRAH 36 th 135580498 DISPEPSIA 100/80 36 KG
96 M.IRFAN HAFID 43 th 135580487 HL 110/70 165/62
97 NURFAH 49 th 134991595 CEPALGIA 120/80 156/80
98 ARIEF NUSI 60 th 1355671011 HHD 130/80 160/60 RS UT
99 TRIFAYANTI 32 th 134920833 D.ALERGI 100/70 155/50
100 FAHRUDIN 46 th 134870141 CEPALGIA 110/70 178/82
101 NAJARUDIN 69 th 135869152 DM INSULIN 110/70 158/55
102 SITI MARYAM 45 th 135252472 ISPA 100/70 165/55
103 NURUL AVIA 16 th 135908008 MIALGIA 161 CM 51 KG
104 ZAMRAH 62 th 135111205 DM TIPE 2 120/80 150/60 GDS=185
9-Sep-14
105 RUGAYA 57 th 135748574 DM TIPE 2 110/70 145/47
106 IDHAM 52 th 135889378 KONJUCNTIVITISS 110/70 158/55
107 AMRIN 61 th 1265870452 CHF / HHD 130/80 162 RS UT
109 SABRINA 15 th 135483671 D.ALERGI 153 CM 68 KG
110 ULFA WAHYUNI 44 th 135494559 FURUNKEL 100/70 150/45
111 FAJRIA 42 th 165177628 PTERIGIUM 130/80 147/47 RS MD
112 MUSDALIA 64 th 135869095 KATARAK 120/80 150/60 RS MD
113 H.M.NUR ICHSAN 64 th 1428147988 ISPA 120/80 170/70
115 KARYANI 41 th 135522472 ISPA 110/70 148/55
10-Sep-14
116 NASRUN NURDIN 134832868 HHD
117 MULYANI 36 th 135890842 D,ALERGI 120/80 160/60
118 M.RANGGA 10 th 135890864 ISPA 153 cm 67 KG
119 ABD GAFUR FAJRI 30 bl 211026701 D.ALERGI 94 cm 16 KG
120 KASRIR TIMBOWO 52 th 135906074 ISPA 130/80 180/98
121 MAWAR 50 th 135962144 DM TIPE 2 130/80 GDS=177
122 RESE 135963325 HT 120/80 150/60
123 JUPAN TUNA 58 th 1095500439 RA 160/70 140/90 AU=78
124 SRI WIDYAWATI 17 th 134961879 POST FRAKTUR 120/80 157/47
125 GAIS 52 th 134926108 ABSES 110/80 78
126 ASWAR 56 th 135574672 HT 120/80 165/60
11-Sep-14
127 WULAN 10 th 162877331 KONJUNCTIVITIS 129 CM 22 KG
128 AGUS BUDIMAN 17 th 1086038785 SKABIES 90/60 90/60
129 SOMEN 56 th 1434614409 MIALGIA 130/80 165/56
130 DISKA M.SARI 17 th 134826884 GEA 90/60 147/45
131 SASNI 56 th 134826873 D.ALL +DM TIPE 2 100/70 146/55
132 FAUZIA 60 th 136062281 HL + HT 140/90 159/69
133 RUSIN 70 th 135869692 DM TIPE 2 130/80 160/65 GDS=140
134 DINA 30 th 135892361 CEPALGIA 149/45 100/70
135 LINDA 34 th 135736931 EMESIS 100/70 155/62
12-Sep-14
136 MAYA KARIZA 9 th 1164293728 D.ALERGI 126 CM 46 KG
137 ASHAR 58 th 135591434 DM TIPE 2 110/80 165/60 TDK TERDAFTAR
138 FEBRI YELLO 7,6 th 202425085 ISPA 123 CM 22 KG
139 MUSTIN 56 th 135466435 HT 140/90 160/65
140 DWI 36 th 204884717 FOMITUS 95 CM 15 KG
141 TALITHA 5 th 198105862 ISPA 112 CM 18 KG
142 DENI S ICHSAN 32 th 135466097 GRAVID 90/60 66 KG
143 AYUDHIA 46 bl 198085904 VARISELLA 99 CM 14 KG
144 FAIDA 52 th 135458825 CEPALGIA 130/80 147/47
145 AHMAD GIFARI 16 bl 1315420749 INFLUENZA 55 CM 10 KG
146 M.YAMIN 19 th MIALGIA 110/70 163/60
147 FAHNI 35 th 135735952 ISPA 110/80 171/60
13-Sep-14
148 M.RIDHO 5 bln 203031944 FOMITUS 103 CM 16 KG
149 ADYSTI RAHMADANI 8 th 135890109 D.ALERGI 120 CM 24 kg
150 DINDA SANIA 13 th 167801411 V.LASERATUM 123 cm 27 kg
151 ADHAR 52 th 134986476 MIALGIA 110/70 155/51
152 MARKUS 47 th 135890537 D.ALERGI 130/80 155/51
154 H.M NUR ICHSAN 64 th 1428147988 ISPA 120/80 170/70
155 KARDI 14288150633 ISPA 100/70 160/62
156 FAHRIZAL 31 th 135889435 DISPEPSIA 120/70 165/70
157 M.RANGGA 10 th 135890864 ISPA 153 cm 66 KG
158 KARYANI 41 th 135522472 FARINGITIS 110/70 148/55
159 SITI MARYAM 45 th 135252472 ISPA 100/70 165/55
160 ABD GAFUR FAJRI 30 bl 211026701 TONSILITIS 94 cm 16 KG
15-Sep-14
161 ZAINUL 51 th 135738516 POST STROKE 110/80 169/78 RS MD
162 NI MADE MADYO 47 th 135485365 ISPA 120/80 160/71 KOL=225
163 NADHIRA 41 th 135684191 ISPA 130/80 139/46,5
164 MAYA KARIZA 9 th 1164293728 D.ALERGI 126 CM 27 KG
165 GUSTIVIANUS 54 th 135602133 MIALGIA 110/80 175/70
166 FADHILA 9 th 136009811 ISPA 138 CM 25 KG
167 FADLY 51 th 136002464 ISPA 90/60 171/73
168 YULIANUS 46 th 135738459 RA 120/80 165/70
169 WIJI 42 th 135529108 G2 VISUS 120/80 150/60
170 M.FRIZKY 9 th 195556061 FARINGITIS 120 CM 25 KG
171 ST.KHODIJAH 41 th 41991096 MIALGIA 110/70 143/65
172 UDIN 52 th 134993766 ISPA 120/80 175/70
173 SOMEN 48 th 1434614409 G2 SARAF 120/80 165/56 RS MD
174 SAID 51 th 135020373 MIALGIA 120/80 160/62
175 EKA 19 th 134913993 FARINGITIS 90/60 147/45
176 RIZAL 51 th 134913982 A.BR 110/80 155/57
177 YULIANIZHA 15 th 135235168 V.LASERATUM 147 CM 47 KG
178 RASYA 5,,10 163194399 ISPA 113 CM 26,5 KG
179 ZAENAB 39 th 135913983 DISPEPSIA 90/70 156/60
180 A.GULAM 17 th DISPEPSIA 121 CM 16 KG
181 AINUN 7 th 135913994 ISPA 110/70 165/60
182 IQRAR 13 th 134982134 FARINGITIS 165 CM 57 KG
184 WIDYA 10 th 135580341 INFLUENZA 110/70 126/21,5
185 MEI 41 th 165857308 ISPA 110/70 148/65
16-Sep-14
187 FALMA 52 tj 135945336 ISPA 110/70 150/50
188 PUSPA 19 th 135738538 POST TIPOID 90/70 150/50
189 CICI MAKAWARU 70 th 1292116263 SIROSIS HEPATIS 140/90 144/55 RS UT
190 GUSTIVIANUS 54 th 135602133 G2 VISUS 100/70 172/68 RS UT
191 RIZAL 47 th 135773649 FARINGITIS 120/80 160/60
193 MARTHA 46 th 135552424 RA 110/70 149/44 TDK TERDAFTAR
194 NI PUTU SRI 35 th 134728356 DISPEPSIA 110/80 150/50
195 HISYAMUL ARBY 6 th 164155858 FEBRIS 115 CM 22 KG
196 H.M.NUR IHSAN 64 th 1428147988 ISPA 120/80 170/70
197 M.KHUSNUL S 8 th 135891325 ISPA 133 CM 26 KG
17-Sep-14
198 HASAN 55 th 135531832 DM TIPE 2 120/80 165/65
199 HARSAN 50 th 135490555 RA 130/80 165/72
200 M.SURYADI 22 th 1354805888 ISPA 100/70 170/65
201 VIBRA 9 th 135484953 ISPA 128 CM 21 KG
202 MUSTIN 56 th 135466435 HT 130/80 165/65
203 BINTANG 13 th 167849357 D,.ALL 151 CM 34 KG
204 DWI ERNA 32 th 1085724832 DISPEPSIA 110/70 158/70
205 ST FAHIRA 31 bl 209567294 ISPA 90 CM 12 KG
206 YULIANUZHA 15 th 135235168 VL 147 CM 47 KG
18-Sep-14
208 ABD RAHIM 52 th 135030058 ISPA 110/60 168/56
209 NURUL QAIRA 32 bl 1320389368 D.ALERGI 88 CM 11 KG
210 LANG ALAMANDA 7 bl ISPA 7 KG
211 DHARRENT 5 th 135889356 ISPA 113 CM 16 KG
212 CHELSEA 5 th 193336874 ISPA
216 PASTIN 46 th 135911384 DISPEPSIA 110/70 140/60
19-Sep-14
217 NORMA 50 th 135891112 ISPA 100/70 150/50
219 M.ZAKY 9 th 1357388224 ISPA 126 CM 20 KG
220 M.RIZAL 13 th 135486549 ISPA 135 CM 31 KG
221 PAMPI 54 th 135486516 INFLUENZA 130/90 157/58
222 SERLI 33 th 135892089 GEA 100/70 154/41
223 SAID 51 th 135020373 ABD DISCONFORD 130/80 160/60
224 AHMADI 13 th 135481566 ISPA 146 CM 42 KG
225 ERLINA 43 th 135481553 ISPA 120/80 150/55
226 DARMAN 42 th 135481544 HT 130/80 165/70
227 WEDEIDA 55 th 135892675 ISPA 120/80 150/50
228 NASRUN NURDIN 60 th 134832868 A.BR 150/90 149/65 RS UT
229 SITI MARYAM 46 th 135252472 DISPEPSIA 100/70 165/56
230 SAHLAN 43 th 135913577 DM TIPE 2 110/80 110/70 GDS=241
20-Sep-14
231 HAERIA 66 th 135867543 ISPA + DM 120/80 160/56
232 SUNARTIN 51 th 135488384 CHEST PAIN 120/80 147/58
233 M.IRFAN HAFID 43 th 135580487 ISPA 110/80 165/61
234 WISYE 42 th 134826052 SUS ASMA 110/80 149/69
235 NIRMALASARI 17 th 127869563 SKIZOPREM 110/80 150/47
236 M.ICHSAN 64 th 1428147988 ISPA 130/80 170/70
237 LABIDIN 55 th 135484121 A.BRO 150/90 155/73
238 MUH.ZIAULHAQ 7 th 197206143 KOMBUTIO 121 CM 16 KG
22-Sep-14
239 MAJID 56 th 135466391 LBP 110/80 159/70
240 SAMSIAR 54 th 100/80 155/69
241 DHABITA 5,9 th 135684202 DISPEPSIA 99 CM 14 KG
242 NAADHIRA 41 th 135684191 CEPHALGIA 120/80 150/50 GDS=134
243 TAUFIQ 38 th 165139108 INFLUENZA 110/80 160/58
244 AILLA 8 th 165139648 INFLUENZA 113 CM 14 KG
245 AFIQAH 24 bl 1268638942 ISPA 74 CM 11 KG
246 ERNA 54 th 135889367 HEPATITIS 110/70 150/56 RS MD
247 RATMAN 60 th 134711469 HT + RA 130/90 172/73
248 SOLICHAC 54 th RA 110/80 150/60
249 WAHIDIN 57 th 135483028 DM TIPE 2 120/80 165/56
250 M.N.ICHSAN 64 th 142894788 ISPA 120/80 170/70
251 YULIANUSHA 15 th VL 147 CM 47 KG
23-Sep-14
252 KISMAN 58 th D.ALERGI 110/80 155/49
253 SAMPELILING 31 th 205424133 RA 110/80 155/57
255 SARKIAH 26 th 171866621 CHES PAIN 110/80 152/49
256 ELIM 36 bl 207655132 ISPA 87 13 KG
257 RUSLI 35 th 135881908 FISTEL 110/70 165/66
258 JUDAN 58 th 1095500439 HT 150/90 160/70
259 SUPARDI 54 th 134885698 HHD 150/90 160/73 RS UT
260 ARPA 84 th 1275293935 HT 140/90 162/70 RS UT
261 SAFRUDIN 56 th 135487528 IMA 110/80 157/72
262 NUDIA 73 th 135795508 ABSES 130/80 141/28
263 ANGGA 8 th 135409319 GEA 118 CM 26 KG
24-Sep-14
264 ARIANA 46 th 135574119 HT 140/90 150/60
265 FANYA 6 th 1295326877 V.IKTUM 120 CM 21 KG
266 KUSMIATI 45 th 135737875 HIPERTIROID 100/70 145/60
267 M.NABIL 11 th 135494572 INFLUENZA 141 CM 38 KG
268 DARWIS 58 th 135601492 HT 160/80 169/70
270 WUENGI 47 th 135643364 RA 130/80 155/60
271 RIZKY 12 th 135643397 D.ALL 133 CM 33 KG
272 NURFIA 54 th 135486268 D.ALL 120/80 156/60
273 HASAN 53 th 135531832 GEA 120/80 169/61
274 TASDIK 20 th 210046274 GEA 100/70 170/66
25-Sep-14
275 FADILA 58 th 99100405 DISPEPSIA 130/80 150/60
276 SASNI 47 th 134826873 DM TIPE 2 110/80 146/55
277 DISKA M.SARI 18 th 134826884 D.ALL 90/70 149/45
278 M.NUR ICHSAN 64 th 1429197988 ISPA 130/80 170/70
279 HIJRAH 34 th 134844647 DISPEPSIA 110/80 150/51
280 EXSAL 13 th 1261816479 ISPA 142 CM 28 KG
281 PARHANA 36 th 165139367 HT 170/90 150/55
282 ASRI 42 th 135997301 DISPEPSIA 90/80 173/68
283 BONI 11 th 135987113 DISPEPSIA 143 CM 43 KG
284 KRISTINA 14 th 1327223799 ISPA 90/60 163/48
285 HI.DIMIATI 60 th 135636254 D.ALL 143 CM 32 KG
287 DANA 21 th 135905736 DISPEPSIA 110/70 157/50
26-Sep-14
288 A.HUSYAIN 51 th 207828808 ISPA 90 CM 12 5 KG
289 ALI AMRIN 9 th 134989672 DM TIPE 2 110/70 166/47
290 MAYA 9 th 1164293728 D,.ALL 128 CM 25 KG
291 RIZKINA ANANDA 12 th 1301279411 ISPA 150 CM 38 KG
292 JUMHANIS 40 h 197205884 HL + RA 110/80 75 KG
293 SEPTA PUTRI 12 th 41991107 D.ALL 156 CM 50 KG
294 M.FRIZKY 9 th 195556061 FOMITUS 130 CM 25 KG
27-Sep-14
295 SAMSUDIN 53 th 136064777 FARINGITIS 110/70 155/49
296 MEI 41 th 165857308 MIALGIA 110/80 148/73
297 NURLIA 47 th 135030047 DISPEPSIA 140/88 150/68
298 ISRA 49 th 136708503 RA 90/70 165/92
299 JELRIN 43 th 136708514 HT 110/80 160/62
300 KUSNADIYANTO 38 th 976949019 DISPEPSIA 100/70 158/55
301 M.RIDHO 50 bl 203031944 TONSILITIS 113 16 KG
302 DARMAN 40 th 135481544 DM TIPE 2 130/80 167/65
303 DINA 7 th 135041905 ISPA 118 cm 19 KG
304 FALMA 52 th 135945361 HL 120/70 150/55
305 ADINDA 9 th 135945369 ISPA 125 cm 20 KG
29-Sep-14
306 DEWI S.IKSAN 32 th 135466097 ISPA 90/60 166/65
307 ABDI 18 th 134833274 POLIP 100/70 173/68 RS UT
308 M.FALDONI 8 th 134833285 ISPA 136 cm 46 kg
309 GAIS 52 th 134926108 FISTEL 110/80 155/78
310 SUPARTI 40 th 1349821112 DISPEPSIA 110/70 160/74
311 M.IRFAN HAFID 43 th 135580487 PJK 100/70 60 kg RS UT
312 MARYAM HIPPI 43 th 134990381 DM TIPE 2 100/70 65 kg GDS=256
313 M.ARSYAD 37 th 174030693 MIALGIA 110/70 165/62
314 YULAN 19 th 1078910381 GRAVID 10 MGG 100/65 157/53
315 ABDURAHMAN 19 th 1081557562 ISPA 74 cm 9 kg
316 ELFIS 18 th 134883696 HT 120/90 165/55
317 NILUH ADHI 54 th 135581242 OBESITAS 130/80 104 kg RS MD
318 M.ZIAULHAQ 7 th 197206143 ISPA 10o cm 19 kg
319 SITI FAKHIRA 31 th 209567294 ISPA 90 cm 11 kg
320 ROFFI 32 th A.BR 100 cm 57 kg
321 SITTI HAJAR 44 th 135119226 METRORAGI 120/80 159/80 RS MD
322 NAJARUDIN 64 th 134832868 ISPA 110/70 158/55
30-Sep-14
323 JUSRI 47 th 136009798 VARESELA 110/70 151/42
324 AHMAD GULAM 17 th 127673921 V.EKS 90/60 163/52
325 RATMAN 62 th 134711469 HT 110/80 110/80
326 SOLICHAC 54 th 134711471 RA 150/60 110/70
327 NANI 28 th 198249579 D,ALL 110/70 152/52
328 MUDIONO 73 th 138000588 D.SEBOROIK 110/80 162/56
329 IDRUS BATJO 72 th KLL 110/70 160/60 RS.MD
330 LINDSANUR 34 th 135736931 HIPEREMESIS 100/70 155/61
331 AHMAD FAGYZA 17 th 1315420749 INFLUENZA 81 CM 10 KG
LAPORAN PELAYANAN DOKTER KELUARGA PT.ASKES (PERSERO) NO NAMA PESERTA
CABANG PALU BULAN OKTOBER 2014
KODE DOKKEL : 319U033 SUMITRO
NO N A M A PASIEN UMUR NO. KARTU DIAGNOSA J E N I S PE LAYANAN DIRUJUK KE RJK BALIK Keterangan NURLIA
Pemeriksaan Tindakan LAB dari FAIDA
1 oktober 2014 TAHIR
1 KARTINI 44 th 135736762 CKD 110/70 155/60 RS UT SARPIA
2 PAMPI 54 th 135486516 HT + RA 130/80 156/59 KAMAREL
3 SAMSUDIN 53 th 136064777 CEPALGIA 110/80 155/50 RUNISPA
4 SOFIAN 43 th 135738022 CHES PAIN 110/80 171/71 ROSLANI
5 MUSTIN 56 th 135466435 VERTIGO 140/90 165/65 PUTRI
6 SAMSUDIN 73 th 135869826 CEPALGIA 120/80 161/54 GDS=190 AMINA
7 FARIDA 51 th 1271222313 DM TIPE 2 130/80 154/60 GDS=210 TAHIR
8 AISYA 8 th 135522898 ISPA 117 CM 19 KG JELRIN
9 NAHARIAH 42 th 135522876 DISMENOROE 155/60 DARMANSYAH
10 MUNADIR 53 th 135487034 ISPA 120/80 160/48 ISMAUN
11 ALI AMRIN 42 th 134982652 ISPA HAERIA
12 REYHAN 11 th 171963101 TB PARU 122 CM 21 KG RS MD SUNARDI
2 OKTOBER 2014 PARHANA
13 ALDRIANSYAH 21 th DISPEPSIA 110/70 167/60 RS MD NURLIAH
14 WIDYA SALSABILA 10 th 135580341 ISPA 126 CM 23 KG HAERIA
15 GADIZA 46 bl 100361891 ISPA FAJRIA
16 MOH.TAUHID 16 th 135888726 FARINGITIS 100/70 165/60 MASHURA
17 ALAMSYAH 19 th 135482229 EPILEPSI 100/70 160/70 KAHAR ABDULLAH
18 AFRIANI 29 th 147836147 LBP 110/70 158/45 DARMAN
19 SAHADIN 52 th 135912396 D 165/85 120/80 SERLY.M
20 WAZNA 50 th 135489205 CEPALGIA 100/70 156/61 IDRUS BATJO
21 NAOMI 53 th 1276847155 HT 110/80 156/75 HUSNI
22 ABD. FARID 38 th 38680839 HT 100/70 165/78 ARIANA
23 ADNAN 62 th 135866158 HT + CAD 120/80 165/78 RS UT DARMAN
24 DEWIYANTI 35 th 135132412 ISPA 120/80 150/75 RATMAN
3 OKTOBER 2014
25 INONG 62 th 135868061 DEPRESI 120/80 RS MD
26 RAHMAT 62 th 208098977 MIALGIA 110/70 158/60 `
27 MAYA 9 th 1164293728 D.ALERGI 128 CM 26 KG
28 M.NAWIR 46 th 135522764 CEPALGIA 130/90 171/65 RS UT
29 FAJAR 33 bl 210635921 ISPA 90 CM 12 KG
30 ICHA 5,8 bl 165137185 BELLS PALSY 116 CM 15 KG RS MD
31 ANISA 7 bl 1317861887 ISPA 57 CM 7 KG
32 HAVISA 5 th 135589476 ISPA 94 CM 15 KG
33 ROSTIN 53 th 134992528 ISPA 100/70 150/63 RS MD KARTINI 44 th
34 NAJARUDIN 62 th 135869152 ISPA 110/70 158/55 PAMPI 54 th
35 JAKUP 64 th 135152245 HT 110/80 151/54 SAMSUDIN 53 th
36 DONI 11 th 135747144 TONSILITIS 130 CM 25 KG SOFIAN 43 th
37 NASRUN 59 th 135737133 HT 160/80 150/65 MUSTIN 56 th
38 DIMIATI 60 th 135636254 HT 130/90 155/64 SAMSUDIN 73 th
4 OKTOBER 2014 FARIDA 51 th
39 ROSS M.O .A 53 th 150299392 OA 110/80 155/55 RS UT AISYA 8 th
40 IDETA 34 th 1359118281 D,ALL 110/70 143/52 NAHARIAH 42 th
41 M.FALDONI 7 th 134833285 FARINGITIS 137 CM 38 th MUNADIR 53 th
42 ABDUL MUKTI 17 th 134833274 SINUSITIS 100/70 173/68 ALI AMRIN 42 th
43 GAIS 51 th 134926108 FISTEL 110/80 150/79 REYHAN 11 th
44 YUSRIN 44 th 135522483 HT 140/80 160/57
45 NURLIA 48 th 1350300047 CEPALGIA 140/90 150/59
46 SAMSUDIN 55 th 136064777 ISPA 120/80 160/60
47 BERLIAN 49 th 135978491 ISPA 100/70 152/48
48 M.ARSYAD 37 th 174030693 ISPA 110/70 160/61
49 M.FRIZKY 7 th 195555061 BRONHITIS 138 CM 29 KG
50 SUPARTI 47 th 134982112 DISPEPSIA 110/70 149/55
7 OKTOBER 2014
51 KRISTINA 50 th 135484097 HHD 100/70 147/55
52 MEI 41 th 165857308 MIALGIA 110/70 148/70
53 ANDONG 49 th 135483658 CEPALGIA 120/80 150/60
54 ERNI 43 th 134840777 TONSILITIS 120/80 151/55
55 ROHANI 51 th 136067218 ISPA 110/80 149/55
56 ROSMA 65 th 135869681 CEPALGIA 140/90 147/45
57 NURHASNA 50 th 135550045 DISPEPSIA 130/80 150/63
58 I KOMANG 34 th 1436996158 FARINGITIS 87 CM 11 KG RS BK
59 JELRIN 43 th 136708514 HT 100/70 160/62
60 KARYANI 42 th 135522472 ISPA 110/80 147/45
61 FAHLINA 36 th 203397074 DEPRESI 110/70 156/60 RS MD
62 ROSTIATI 49 th 135891898 TUMOR MAMAE 150/90 156/65
63 RINALDI 19 th 976056467 ISPA 100/70
64 FATMAWATI 38 th 135889457 GRAVID 28 MGG 110/80 157/60 RS MD
65 ADINDA 10 th 135945369 ISPA 126 CM 21
8 OKTOBER 2014
66 RERUNG 55 th 135486922 HHD 110/80 170/75 RS UT
68 ERNI 43 th 134840777 CEPALGIA 110/80 146/59
69 MARWIAH 46 th 135639235 STOMATITIS 110/80 155/73
70 NURHAYATI 51 th 135565569 MIALGIA 110/80 147/48
71 VIBRA 9 th 135484957 SUS.TIPOID 128 CM 21 KG
72 AJERNI 39 th 156926439 ISPA 110/80 147/54
73 AHMAD DANI 12 th 170628478 ISPA 90/60 29 TH
74 WAFIANSYAH 41 bl 207752049 ISPA 96 CM 12 KG
75 ASYIWARAHMA 14 th 135483761 MIALGIA 154 CM 36 KG
76 ANISA 8 bl 1317861887 INFLUENZA 67 CM 7,5 KG
77 HAVISA 5 th 135589976 G2 PERTUB MOTORIK 94 CM 17 RS MD
78 SAAT 60 th 1271220614 DISPEPSIA 110/80
9 oktober 2014
79 ASNIDAR 36 th 1081248579 ISPA 120/80 150/55
80 NITAWATI 28 th 1421237272 DISPEPSIA 130/80 145/44
82 PARHANA 37 th 165139367 CEPALGIA 150/90 145/60
83 ZAIDA 51 th 135489429 FARINGITIS 110/80 146/61
84 ILHAMUDIN 13 th 135945359 ISPA 156 CM 35 KG
85 MARNI 45 th 135484569 DISPEPSIA 110/80 151/64
86 TIARA 12 th 135484582 ISPA 141 CM 141/43
87 JUSRI 47 th 1360099798 FURUNKEL 110/70 151/42
88 ROSTIATI 49 th 135891898 TUMOR MAMAE 140/80 155/60 RS UT
89 I KETUT PUTRA 58 th 135736389 HHD 140/90 170/76 RS UT
90 BASIA 54 th 1267507789 MIALGIA 120/80 147/58
91 ABBAS 59 th 1267507787 CEPALGIA 150/90 160/59
93 FERDIANA 33 th 135889525 ABSES 120/80 149/50
10 OKTOBER 2014
94 ASHAR 58 th 158274707 DM TIPE 2 120/80 160/59
95 FAULINA 33 th 167849302 SINUSITIS 110/70 152/42
96 SUMIATI 32 th 135892293 MIALGIA 90/60 155/62
97 MEI 41 th 165857308 LBP 110/80 148/73
98 ISMAN 51 th 135483581 DEPRESI 140/90 150/60 RS MD
99 DARMAN 42 th 135448154 HT 130/80 167/70
100 SRINUTFA 39 th 134862647 ISPA 90/60 145/52
101 ELY 33 th 147784138 D.ALL 90/60 152/51
102 M.HIDAYAT 8 th 135889198 VARICELLA 123 CM 19 KG
103 ROSMA 65 th 135869681 FARINGITIS 110/80 145/43
104 NAOMI 55 th 1276847155 HT 110/80 156/75
107 HARSAN 50 th 135490555 SUS RA 110/70 165/65
11 OKTOBER 2014
109 EKO 28 th 209598928 G2 VISUS 120/80 182/82
110 QUEISHA M.Z 47 bl 1089039711 ISPA 98 CM 13 KG
111 AVIKA 35 bl 1268638942 ISPA 83 CM 9 KG
112 HUSNI JONDOSE 69 th 135867881 PJK/DM TIPE2 130/90 151/65
113 IFRIANA 34 th STRUMS 110/70 149/45
114 RATMAN 62 th 134711469 HT 120/80 176/70
115 SOLICHAC 52 th 134711471 RA 120/80 150/60
116 ABBAS 59 th 1267507787 POST KLL 150/90 160/59
117 VIRNAYANTI 20 th 1314414404 TONSILITIS 90/70 163/58
118 YULFIN YUNUS 31 th 173154374 DISPEPSIA 80/70 159/57
119 MARNI 45 th 135484569 D.ALERGI 120/80 150/55
13 OKTOBER 2014
120 DWINURFITRIANA 8 th 135907749 SKABIES 116 CM 19 KG
122 AMINAH 52 th 135479935 ISPA 120/80 150/64
123 RUNISPA 48 th 135413286 DISPEPSIA + HT 120/80 120/80 RS MD
124 WIDI KRIANA 19 th 135966608 ISPA 100/70 100/70
125 ANUGRAH 13 th 162879748 ISPA 145 CM 33 KG
126 SITTI HAJAR 44 th 135119226 DISPEPSIA 110/80 159/80
127 ZAENAB 48 th 135913983 CEPALGIA 100/70 152/60
128 SUMIATI 44 th 1448971571 FARINGITIS 110/70 150/60
129 HANAFI 53 th 135595348 ISPA 100/70 155/69
130 ARSYAD 52 th 1429317426 MIALGIA 120/80 151/64
131 DIMIATI 59 th 135636254 RA 130/80 155/64
132 EMIKO 46 th 135888456 KONJUCTIVITIS 90/60 152/55
133 MUSTIN 56 th 135466435 HT 130/80 165/65
134 FATMA 58 th 134959588 ISPA 100/70 155/45
136 NI PUTU WAHYUNI 27 th 135742476 STRUMA 110/70 163/66 RS UT
14 OKTOBER 2014
137 M.HIDAYAT 8 th 135889198 ABD DISKOMF 123 CM 19 KG
138 EMIKO 46 th 135888456 POST OP TOMOR 110/70 152/55
139 SAMSUDIN 63 th 135869826 SEBOROIK 120/80 165/60
140 MASRUDJI 60 th 134990695 HT 130/80 160/60
141 SURAENI 48 th 134990706 POST KLL 120/80 146/60
142 KHAILILAH 24 bl 1085724944 D.ALL 87 CM 12 KG
143 WERMIDA 50 th 135586877 DM TIPE 2 120/80 145/62 GDS=394
144 ILHAM 55 th 135889953 DM TIPE 2 120/70 169/67 GDS=299
145 ROSMA 65 th 135869681 DISPEPSIA 110/80 145/43
146 INDRA 46 th 1079297853 METRORAGI 130/80 150/52 RS MD
147 NURSAM 60 th 135868 DM TIPE 2 130/80 151/59 GDS=159
148 LIMIN 64 th 135868386 DM TIPE 2 140/80 150/55 GDS=248
15 OKTOBER 2014
149 LATIFA 42 th 135050231 CEPALGIA
150 AWALIANSYAH 5,2 th 193814998 ISPA 114 CM 21 KG
152 NADJARUDDIN 69 th 135869152 ISPA 130/80 159/50
153 RAMLAH 52 th 135865945 SUS.RA 120/80 150/60 RS MD
154 ABBAS 59 th 1261507787 POST KLL 150/90 160/59
155 ARIFIN 49 th 135630606 G2 CEMAS 90/60 160/59
156 ISMAUN 61 th 134918739 RA 100/70 160/59
158 ZAMRAN 49 th 135475007 ISPA 120/80 150/60
159 NORMA 49 th 135891112 SUSP, ISK 100/70 149/50
160 AILA 8 th 165539648 ISPA 19 KG 120 cm
16 OKTOBER 2014
161 KISMAN 59 th 135704507 SEBOROIK 100/70 153/49
162 ARWADI 49 th 135169154 DM TIPE 2 110/70 157/53
163 NADHIRA 41 th 135684191 DISPEPSIA 110/70 140/46
164 WERMIDA 50 th 135586877 DM TIPE 2 120/80 145/62
166 MARNI 45 th 135484569 D.ALL 120/80 150/50
167 PAMPI 53 th 135486516 cEPALGIA 150/80 158/60
168 MAS'ANI 51 th 136064766 FARINGITIS 110/80 148/60
169 M.YUDI 15 th 135580509 D.ALERGI 90/60 135/25
170 EMIATI 44 th 135973451 MIALGIA 100/70 151/56
171 ADNAN 62 th 135866158 ABD DISKOMF 130/90 160/72
172 UDIN 51 th 134993766 ISPA 120/80 170/73
173 SASNI 48 th 134826873 D.ALERGI 110/70 147/50
174 AUDRIA 12 th 135890548 FARINGITIS 149 CM 37 KG
175 KUSAIRI 33 th 135891281 INFLUENZA 110/70 161/58
17 OKTOBER 2014
176 A.HUSYAIN 34 bl 207828802 ISPA 90 CM 13KG
177 SOFYAMIN 39 th 135528333 HT 140/90 165/70
178 GAIS 52 th 134926108 FISTEL 100/80 150/79
179 SRINUTFA 39 th 134862647 ISPA 100/70 145/52
180 ADITYA H 23 th 135946247 D.ALERGI 100/70 160/50
181 LATIF 44 th 135484571 D.ALERGI 130/80 161/58
183 IFTITA 10 th 135483772 ISPA 137 31 KG
184 IWAN 44 th 135483748 ISPA 110/80 161/58
185 GINOL 34 bl 206320511 A.BR 91 CM 13 KG
186 NURHASNA 50 th 135550045 A.BR 110/70 146/52
18 OKTOBER 2014
188 SYAHWIYAN 7 th 135736672 ISPA 125 CM 26 KG
189 GUSTIVIANUS 54 th 135602133 DM TIPE 2 110/70 173/65
190 REZKY AYU 23 th 1327128311 ISPA 120/80 165/63
191 NURUL HIKMA 17 th 134769813 FEBRIS 90/60 148/41
192 ROSTATI 49 th 135891898 FIBROADENOMA 150/90 155/60 RS UT
193 VIRNAYANTI 20 th 1314414404 DISPEPSIA 110/70 150/49
194 KHUSNUL 14 th 135907784 INFLUENZA 142 CM 38 KG
196 L.BURHANUDIN 55 th 135484121 RA 120/80 150/65
197 SAHLAN 54 th 205424133 DISPEPSIA 100/70 160/60
20 oktober 2014
198 SOMEN 48 th 1434614409 DISTONIA 120/80 165/65 RS MD
200 HUSNI DJONDOSE 69 th 135567881 COUGH 140/90 150/70
201 SUMIATI 43 th 1448971571 POST OP HERNIA 90/60 149/51 RS MD
202 BURHAN 31 th 1321508092 RA 100/70 163/65
203 SELVI 30 th 1291257775 DM TIPE 2 120/80 165/83
204 OLA 35 th 135737133 GRAVID 28 MGG 100/70 147/56
205 FAHRI 6,5 th 135737155 ISPA 127 15 KG
206 MUSTIN 5,5 th 135466435 HT 140/90 165/60
207 RASYA 8 th 134920822 KONJUCTIVITIS 120 CM 20 KG
208 RUSTAM 43 th 134920833 ISPA 150/90 160/58
209 SITTI FAJRIA 36 th 135580509 D.ALL 110/70 147/36
21 OKTOBER 2014
210 SITTI HAWA 44 th 134966057 DM TIPE 2 100/70 155/50
211 ASWAR 56 th 135574672 COUGH 130/80 160/60
212 RINALDI 19 th 976056467 D.ALL 100/70 166/51
213 WIN 52 th 135643375 MIALGIA 110/70 150/57
214 SITI NURANISA 6 th 1440595563 ISPA 112 CM 16 KG
215 A.UMMU 38 th 135990213 ABD DISKOMF 110/70 157/58
216 WIDYA SALSABILA 10 th 135580509 FEBRIS 126 CM 22 KG
217 NAIFA 7 th 135990235 ISPA 120 CM 18 KG
22 0KTOBER 2014
222 ISWANTO 53 th 135498014 ISPA 110/80 168/57
223 ARIEF NUSI 60 th 135567011 HHD 120/80 160/60 RS UT
224 M.FRIZKY 8,5 th 195556061 ISPA 130 CM 27 KG
225 ALMIRA 18 bl 164392536 ISPA 118 CM 54 KG
226 ABBAS 59 th 1267507787 POST KLL 150/90 164/54
227 ILHAMUDIN AKBAR 13 th 135945359 ISPA 156 CM 36 KG
228 RAHMAN 43 th 208098977 FARINGITIS 90/60 160/65
229 FARIDA 52 th 1271222313 DM TIPE 2 120/80 160/59
230 GUNAWAR 51 th 135576347 CEPALGIA 90/60 143/53
231 FERDIANA 13 th 1261815479 ISPA 143 CM 28 KG
232 ANGGUN 33 th 135889525 MIALGIA 120/80 144/51
233 EXAL 22 th 135152616 CEPALGIA 90/60 143/53
23 OKTOBER 2014
234 ALIF FATURAHMAN 5 th 164580052 TONSILITIS 115 CM 19 KG
235 MATIUS 71 th 135717311 A.BR 150/90 164/57
236 NURINDAYANI 19 th 135503008 DISPEPSIA 90/60 153/43
237 SASNI 47 th 134826873 D.ALL + RA 110/80 147/54
238 CINTYA 6,9 th 1312598992 SUSP.TIPOID 126 CM 25 KG
239 NUDIA DJALIHA 135795508 ISPA 120/80 141/28
240 FADLI 37 th 135890853 D.ALL 90/70 166/83
241 AILA 8 th 165139648 ISPA 126 CM 20 KG
242 ZIAULHAQ 7,5 th 197206143 D.ALL 106 CM 19 KG
243 AFIQA 26 bl 1268638942 ISPA 83 CM 9 KG
244 RANGGA 10 th 135890869 D.ALL 121 CM 35 KG
245 RIDHO 53 bl 203031944 ISPA 103 CM 16 KG
246 KAMAREL 63 th 135868105 cEPALGIA 130/80 140/60
247 AHMAD 10 th 1271069717 ISPA 123 CM 23 KG
248 ZAINAB 56 th 135870491 FARINGITIS 100/70 148/58
249 SAID 51 th 135020373 ISPA 100/70 159/60
250 YASMIN 46 th 134833263 DISPEPSIA 110/70 160/66
251 M.HIDAYAT 15 th 135888827 TONSILITIS 90/70 166/47
24 OKTOBER 2014
252 SURIDA 56 th 135488485 ISPA 90/60
253 KHARIZA 8 th 1171337139 TONSILITIS
254 TRINURI 27 th 209108024 FARINGITIS 90/60
255 RIZAL 51 th 134913982 A.BR 100/70
256 AHMAD 9 th 1271069717 ISPA
257 ARIDMAD 44 th 135041872 DISPEPSIA 120/80
258 PUTRI 11 th 135041894 ISPA 24 kg
259 WIRAWAN 147728771 ISPA 31 kg tdk terdaftar
260 JABIR 43 th 135485649 DM TIPE 2 100/70 158/48
261 MAWAR 49 th 135962144 DISPEPSIA 110/80 153/55
27 OKTOBER 2014
262 TEKAIL 52 th 135738347 ISPA 120/80 160/58
263 SUPARDI 54 th 134885698 DM TIPE 2 120/70 160/60
264 HAERIA 66 th 135867543 DM TIPE 2 150/90 156/60
265 PRAISY 7 th 165001004 ISPA 110/70
266 GUSTIVIANUS 54 th 135602133 RA 100/70 173/68
268 HAJAR 69 th 1450258571 RA 180/100 148/50
269 SOFIAN 43 th 135738022 CEPALGIA 110/80 160/57
270 NABILA 11 th 163588465 ISPA 135 CM 18 KG
271 MUSTIN 56 th 135466435 HT 140/90 160/65
273 DIMIATI 60 th 135636254 HT 130/80 156/60
274 SITI MARYAM 46 th 135252473 DISPEPSIA 90/60
275 ADRI 30 th 1132760709 ISPA 100/70
276 MAYA 8 th 1164293728 D.ALL
277 RISNAWATI 46 th 135487078 CEPALGIA 140/80
278 TRIYA 14 th 1316588376 TONSILITIS 100/70
28 OKTOBER 2014
279 M.IBNU ASAD 18 th 135577539 FARINGITIS 110/80
280 SARDI 52 th 134828842 ISPA 100/80
281 KALSUM 50 th 134989659 COUGH 120/80
282 TAUFIQ 37 th 165139108 FARINGITIS 110/70
283 NURDA 46 th 135680014 DISPEPSIA 100/60
284 LINTJE 49 th 135498734 INFLUENZA 100/70
285 ZULKIFLI 12 th 134961884 TONSILITIS 44 KG
286 SAHDIN 52 th 135912396 ISPA 130/80
287 DARMAN 40 th 135481544 ISK 130/80 167/65
288 RUDI 46 th 134826041 ISK 120/80 167/65
289 UDIN 51 th 134993766 ISPA 120/80 170/73
29 OKTOBER 2014
290 ABD.RAHIM 53 th 135030058 ISPA 120/80 165/52
291 HIDAYAT 52 th 1462994 HHD 130/80 158/56 RS UT
292 NURLIA 50 th 135030047 HT 130/90 150/60
293 SALMA 65 th 1447165326 RETENTIO URINE 140/90 159/45 RS MD
294 NURUL AVIA 16 th 135908008 ISPA 100/70 161/52
295 GAIZ 52 th 134926108 FISTEL 100/70 155/79
296 KANTI 57 th 1428150633 MIALGIA 120/80 GDS=138
297 HANAFI 37 th 135595348 ISPA 120/80 160/60
298 AQELA 8 th 135883642 TONSILITIS 36 KG 131 CM
299 ELFIRA 28 th 135889075 ISPA 90/70 145/65
300 CAHYA 7 th 171685888 ISPA 123 CM 7,6
30 OKTOBER 2014
301 DWI KUSUMAWATI 26 th 204772509 D.ALERGI 100/70 160/51
302 RENI 41 th 135451181 D.ALERGI 120/80 144/73
303 ALIYYAH 6 th 170699084 ISPA 108 CM 16 KG
304 MUKHLIS 45 th 134919821 LBP 110/70 161/61
305 HAERIA 66 th 135867543 DM TIPE 2 140/90 158/58
306 RATMAN 62 th 134711469 HT + RA 120/80 172/73
307 SOLICHAH 54 th 134711471 RA 130/90 150/60
308 JABIR 47 th 135485649 DM TIPE 2 100/70 158/50 RS MD
309 M.ICHSAN 64 th 1428147988 ISPA 100/70 170/68
310 SUKRI. S 75 th 135870041 A.BR 130/80 160/63
311 RISKI RIVALDI 8 th 134836762 FARINGITIS 80 CM 63 KG
312 WERMIDA 51 th 135586877 DM TIPE 2 118 CM 24 KG
313 ANNAS 44 th DM TIPE 2 100/70 169/69 GDS=275
314 SALMAH 38 th DM TIPE 2 90/60 150/70 GDS=144
315 BARIQ 55 bl 977933946 ISPA 103 CM 15 KG
316 NI PUTU SRI 35 th DISTONIA 120/80 157/55 RS MD
317 M.FAUZAN 20 th 135890717 G2 PENDENGARAN 90/60 160/44
318 HUSNI 69 th 135867881 A.BR 130/90 150/82
319 FAHRUDIN 46 th 134870141 SEBOROIK 120/80
31 OKTOBER 2014
320 KUSMIATI 45 th 135737875 HIPERTIROID 100/70
321 ANDONG 49 th 135483658 SKABIES 110/70
322 BAGUS HIDAYAT 7 th 1448986836 SKABIES 118 CM 20 KG
324 I MADE RESTU 6 th 135904285 D.ALERGI 123 CM 21 KG
325 RESE 57 th 135963325 HT 150/90 150/62
326 RUSIN 70 th 135869692 DM TIPE 2 140/90 156/56
327 FAUZIAH 60 th 136062281 HT + DM TIPE 2 140/90 159/69
328 DIMIATI 69 th 135636254 HT 120/80 156/60
329 ASWAR 56 th 135574672 HT 130/90 160/65
330 RINALDI 19 th 976056467 ISPA 100/70 166/51
331 GUSTIVIANUS 54 th 135602133 CEPALGIA 110/70 172/69 RS UT
332 HASRAN 53 th 134988816 DISPEPSIA 100/70 155/47
333 REZKI AYU 23 th 1327128311 ISPA 90/70 165/61
334 HADIYANTO 40 th 135890616 PTERIGIUM 120/80 166/67
335 KIKI 23 th 171042355 D.ALL 110/80 157/48 RS AP
336 SITI FAKHIRA 31 bl 209567294 D.ALL 85 CM 11 KG
337 ABD FARID LEWA 38 th 38680839 A.BR 100/80 165/73

CABANG PALU BULAN DESEMBER 2014
1 DESEMBER 2014
1 MUSLIMAN LAKANDU 49 135877476 RA 100/70
2 SUMARNI 41 135946236 HT 160/100
3 GUSTIVIANUS 55 135602133 ISPA 110/70
4 HALIJA 52 1278692741 CEPALGIA 110/70
5 MOH.GIVAN SYAHPUTRA 11 135647302 GEA 175 CM 66 KG

6 WAWAN SETIA 37 196228359 ABSES 110/80 RS MD
7 NIRMALASARI 15 1278694563 DEPRESI 100/70 RS MD
8 SIR HENRI 12 135644242 G2 PENDENGARAN 152 CM 39 KG
9 FARIDA 51 1271222313 SKABIES 120/80
10 WAZNA 49 135489205 PJK 110/80 RS UT
11 CINTYA NURDAIMAN ODE 5 1312598992 D,ALL 126 CM 26 KG BARU

12 NASRUN SH 59 134832868 HT 170/80
13 MERSINTA 25 202940278 METRORAGI 110/80 RS MD
14 NILUH ADHI SUTEJA E.S. 53 135581242 OBESITAS 140/80 RS MD

15 MASDIANA 51 134990447 DISPEPSIA 130/80
2 DESEMBER 2014
16 KARIA, BBA 50 135490566 DM TIPE 2 120/80 156/59 GDS=207
17 MARNI 29 1150211935 LBP 100/70 147/69 BARU
18 HARSAN LADJINTA 49 135490555 DM TIPE 2 120/80 169/70 GDS=146
19 IDRUS BATJO,SH 72 115998221 CHEST PAIN 130/80 156/59
20 ABD FARID LEWA 38 38680839 A.BR 110/80 163/76
21 DINI AULIANUR 6 1196860904 TONSILITIS 122 CM 25 KG
22 ROSLANI, SE 44 135933096 HT 150/90 168/89
23 JAKUB LATEKO 63 135152245 HT 130/80 151/54
24 NURHANIFAN 37 195611049 DM TIPE 2 100/70 148/50 GDS=166
25 SOMEN 46 1434614409 DISTONIA 130/80 160/65 RS MD
26 MUH. SYAWAL 14 976385654 ISPA 100/70 158/41
27 ABD, RAUF 66 135765944 D.ALL 110/80 160/64
3 DESEMBER 2014
28 ALYA 5 170699084 D.ALL 108 CM 17 KG
29 HAERIA 65 135867543 DM + HT 130/80 158/60
30 NAWIR 45 135522764 CEPALGIA 110/70 170/75
31 JAENAB 44 202363547 CEPALGIA 150/80 150/70
32 DARWIS 51 135479946 HT 160/90 178/68
33 MASNUR 39 134883707 ISPA 110/70 149/53
34 GIVAN 11 135647302 ISPA 147 CM 40 KG RS MD
35 NIATI 56 135485998 DISPEPSIA 120/80 145/57
36 SALMA 64 1447165326 ISPA 140/80 149/61 RS MD
37 NI KETUT 69 1482835869 FARINGITIS 140/80 158/85
38 GAIS 51 134926108 FISTEL 110/80 155/79
39 RUKMINI 63 135737741 HHD 140/90 156/90 RS UT
40 MARIA 23 1305341212 ISPA 100/70 156/55 BARU
41 IBRAHIM 54 135490656 CHETS PAIN 130/80 151/65 RS MD
42 ADNAN 61 135866158 MIALGIA 140/80 160/79
4 DESEMBER 2014
43 TRIANA 34 135890098 DISPEPSIA 120/80 150/55 TDK TERTANGGUNG
44 SYAMSIAR 46 134884135 ISPA 110/80 148/50
45 JABIR 42 135485649 DM TIPE 2 100/70 156/48 RS MD
46 RAFIKA, S.SI 29 206132646 ISPA 120/80 152/50 RS MD
47 ZAINUDDIN 49 134826862 IMA 130/80 165/65 RS UT
48 MURNANI 49 135594639 DISPEPSIA 110/70 151/48
49 SAHADIN LASAU 52 135912396 DISPEPSIA 120/80 165/89
50 MURDIAZ ARIKARNA 11 147788627 ISPA 135 CM 24 KG
51 DARSIN 49 135481588 ISPA 100/70 160/60
52 AFIQAH RAMADANI 1 1268638942 ISPA 83 CM 9 KG
53 NAIFA RAHMA AMELIA 6 135990235 TONSILITIS 131 CM 21 KG
54 MASWALI H.AMBO MASSE 54 135868645 MIALGIA 100/70 150/53

56 ROSMA 64 135869681 DISPEPSIA 140/80 143/40
57 JAKUB LATEKO 63 135152245 HT 130/80 155/60
58 SATRIANI 63 th 197205974 FARINGITIS 100/70 148/56
5 DESEMBER 2014
59 DWI NURFITRIANA S. 8 135907795 SKABIES 116 CM 19 KG
60 SATRIANI 28 197205974 LBP 100/70 150/45
61 ROSMA 64 135869681 DISPEPSIA 100/70 143/40
62 ABD.RAUF LANASI 65 135765944 D.ALL 130/80 160/57
63 DARMANSYAH, S.SOS 43 135674302 DM TIPE 2 130/80 165/58
64 DRS.M,BASRAH B 60 134822261 SKABIES 130/80 165/60
65 SASNI 47 134826873 D.ALL 100/70 146/54
66 HJ HASNI 50 1429318574 DM TIPE 2 150/90 150/57
67 KARYANI 41 135522472 DISPEPSIA 120/80 148/72
68 DEVIT 34 135589454 MIALGIA 100/70 162/86
69 h. moch. nur ichsan 63 1428147988 ISPA 120/80 170/70
70 ANNA SAFITRI 21 134988838 DISPEPSIA 110/70 151/50
71 RERUNG RERUNGAN 54 135486922 HHD 130/80 170/73
72 AIDAN SYAH KALANI 3 205128999 FEBRIS 98 CM 13 KG BARU
73 MOH. RIZAL 12 135486549 FARINGITIS 138 CM 31 KG
74 RISNAWATI 45 135487078 CEPALGIA 120/80 161/66
6 DESEMBER 2014
75 RIZAL 50 134913982 A.BR 110/70 156/61
76 NELLA GAZNIAWATI 19 135891731 ISPA 90/60 165/45
77 RAMLI NAGAULA SE 64 195969014 ISPA 120/80 166/75
78 CHYNTIA SAKTI 3 1265140618 ISPA 107 CM 16 KG
79 DEFRI YANTI 21 135478214 ISPA 100/70 145/37
80 MOH. HIDAYAT A.MATUTU 15 135888827 SKABIES 90/60 166/47

81 ANANDA AMALLYA 8 135888838 ISPA 124 CM 22 KG
82 WARDA 26 1139236154 GRAVID 120/80 153/67
83 WAHYU SETIAWAN 17 134914004 D.ALL 120/70 156/66
84 YAZID ZIDAN 2 207114715 ISPA 96 CM 8 KG BARU
85 AHMAD LAONGKO 20 134966068 SUS.KP 90/60 160/50
QUEISHA MACAYLA
86 ZALIKA 3 1079039711 D.ALL 112 CM 13 KG
87 MERSINTA 25 202940278 FARINGITIS 90/70 151/48 BARU
8 DESEMBER 2014
88 SASNI 47 134826873 SKABIES 120/80 146/47
89 KARYANI 41 135522472 DM TIPE 2 120/80 148/60
90 NUR HAFIZA 5 135589476 DISPEPSIA 98 CM 15 KG RS MD
91 H.M NUR 63 1428147988 G2.PERKEMBANGAN 120/80 170/70

92 MASDIANA 51 134990447 DM TIPE 2 120/80 158/69
93 WAWAN SETIA 37 196228359 DISPEPSIA 120/80 165/74
94 SUMARNI 41 135946236 ISPA 150/100 150/69
95 RAUF 50 135879726 CEPALGIA 100/80 160/69
96 FAUZIAH ILYAS 59 136062281 FARINGITIS 120/80 159/61
97 h. ABBAS DJAFAR 58 1267507787 DM TIPE 2 120/80 160/59
98 HASMI 51 1429318574 MIALGIA 120/80 150/58 GDS=158
99 SELVI 30 1291257775 DM TIPE 2 120/80 150/57
9 DESEMBER 2014
100 RERUNG RERUNGAN 54 135486922 HHD + CAD 130/80 170/74 RS UT
101 AIDAN SYAH KALANI 3 205128999 CEPALGIA 98 CM 15 KG
102 RASYA MAULANA 4 163194399 TONSILITIS 116 CM 26 KG
103 MOH. RIZAL 12 135486549 FARINGITIS 138 CM 31 KG
104 RISNAWATI 45 135487078 CEPALGIA 140/80 161/66
105 SYAMSIAR 46 134884135 F.ALBUS 100/70 153/54
106 ZAINAB 55 135870491 ABD DISCOMFOR 100/70 148/55
107 ABD.RAUF LANASI 65 135765944 SUS. RA 116 CM 19 KG
108 DWI NURFITRIANA S. 8 135907795 D.ALL 116 CM 19 KG
109 KUSNINDAR 39 136010992 CEPALGIA 120/80 163/61
110 HASRAT IDHAM 59 135482916 DM TIPE2 110/80 148/50 GD=S305
111 YASMIN 46 134833263 DISPEPSIA 110/80 150/55
112 SUMIATI 53 135491308 V,IKTUM 110/70 150/55
10 DESEMBER 2014
113 NELLA GAZNIAWATI 19 135891731 ISPA 90/70 160/45
114 ROSMA 64 135869681 DISPEPSIA 110/70 144/45
115 RAMLI NAGAULA SE 64 195969014 ISPA 120/80 166/75
116 DEFRI YANTI 21 135478214 ISPA 100/70 145/37
117 ASLI LATEKO 70 135866799 HT 130/80 155/60
118 RIZAL 50 134913982 A.BR 120/80 155/60
119 MOH. HIDAYAT A 15 135888827 SKABIES 166 CM 47 KG
120 ANANDA AMALLYA 8 135888838 SKABIES 124 CM 22 KG
121 CHYNTIA SAKTI 3 1265140618 SKABIES 102 CM 16 KG
122 WARDA 26 1139236154 GRAVID 35 MGG 120/80 153/67
123 REVAN ANDIKA 5 1177705798 ISPA 123 CM 18 KG BARU
124 SUDARNO 33 1177705787 ISPA 110/80 162/64 BARU
125 AHMAD LAONGKO 20 134966068 SUS.TB 90/70 160/49
126 SITTI HAWA 43 134966057 DM TIPE 2 110/70 153/53
127 YAZID ZIDAN 2 207114715 ISPA 95 CM 14 KG
128 QUEISHA MACAYLA Z 3 1079039711 ISPA 105 CM 18 KG
11 DESEMBER 2014
129 MARNI 29 1150211935 METRORAGI 110/70 147/69 BARU
130 DAFFA KHALIS 6 135521785 TONSILITIS 120/70 24 KG
131 AILLA RAUDATUL J 7 165139648 ISPA 130/80 21 KG
132 PARHANA 36 165139367 ISPA 124 CM 149/59
133 SITI FAK. AZZAHRAH 1 209567294 D.ALL 92 CM 12 KG
134 NUR SARWA 15 BL BARU
135 NAIRA NUR AISYAH 1 1263878324 STOMATITIS 96 CM 42 KG BARU
136 SUSANTY ADRIANI 31 135883631 MIALGIA 100/70 165/80
137 NUR MUTIARA REZKY 11 207341853 ISPA 140 CM 40 KG
138 MUH. ZIUL HAQ 6 197206143 D.ALL 107 CM 19 KG
139 RAMLI NAGAULA SE 64 195969014 INFLUENZA 110/80 165/65
140 SYAMSIAR 46 134884135 DISPEPSIA 100/70 153/54
12 DESEMBER 2014
141 ERNA H S AKHMAD 54 135889367 HT 120/80 155/61 RS MD
142 PRAMANAN SIDIK 13 135889391 D,ALL 162 CM 41 KG RS MD
143 AKBAR FATHAN 10 135908019 ISPA 142 CM 42 KG
144 CINTYA NURDAIMAN ODE 5 1312598992 FEBRIS 128 CM 26 KG

145 AHMAD JAYDAN 6 166276607 ISPA 122 CM 29 KG
146 DIAN ANDRIANI 32 134839732 MIGREN 110/70 142/68
147 EFRIANA 17 135486538 HORDEOLUM 90/60 140/41 GDS=574
148 MAWAR 49 135962144 DM TIPE 2 120/80 150/70
149 THAMRIN YUNUS 55 135019563 CEPALGIA 120/80 173/80
150 h. moch. nur ichsan 63 1428147988 ISPA 120/80 170/70
151 JUMHANIS 39 197205884 CEPALGIA 110/80 168/65
152 DWI NURFITRIANA S. 8 135907795 D.ALL 116 CM 19 KG
153 NURHAYATI 33 135565569 CEPALGIA 110/70 153/48
154 IQKRAR S. PRAWIRA 12 134982134 TONSILITIS 153 CM 35 KG
13 DESEMBER 2014
155 HADIDJAH LATRINJA 50 135482398 EPILEPSI 164/104 154/68 RS MD
156 NI PUTU SRI MARDEWI 34 134728356 DISTONIA 110/70 153/55 RS MD

157 MUH . RAZIQ 4 171879052 ISPA 113 CM 19 KG
158 ARSYAD ABDULLAH COI 51 1429317426 HT 130/80 151/65 GDS=118 BARU

159 MADE KRESNA D.ALL 110/80
160 MARIANI 27 156897382 HIPOTENSI 90/60 160/47
161 BONI SAMUDRA RIZKI 10 135487113 ABD.DISKOMFOR 143 CM 43 KG
162 SIGIT ADITIA 17 166206183 HIPOTENSI 100/70 47 KG BARU
163 DARSIN 49 135481588 ISK 110/70 50 KG
164 MUNADI SOEPRAPTO 71 138030568 HERNIA 80 CM 10 KG
165 MUHAMMAD MUSAFIR 23 BL 1265187971 TB KELENJAR 110/80 165/50 RS MD BARU

166 ABD RAHIM 51 135030058 D.ALL 140/90 165/70
167 ASWAR 55 135574672 HT 120/80 155/65
168 DIMIATI 59 135636254 MIALGIA 120/80 155/65
169 WAHIDIN A.SUNUSI 56 135483028 DM TIPE 2 120/80 154/56 GDS=211
170 ANDI MUNADIR 55 135487034 COUGH 110/70 160/55
171 NURHAYATI 33 135565569 ISPA 110/70 153/48
15 DESEMBER 2014
172 SIELTJE KOMIMBING 56 135914409 HL 120/80 152/67
173 SUPARDI 54 134885698 PJK 130/80
174 ARIEF NUSI 59 135567011 HHD 120/80
175 ADNAN 135866158 HHD 140/80
176 HAERIA LABIDO 65 135867543 ISPA 130/80
177 ANDI INDRYANI 19 135487056 ISPA 90/60
ZAENONG .H.
178 LASANDRIMA 39 1478171171 HT 150/90 BARU
179 SUDARNI U LABODU 35 1478172958 TONSILITIS BARU
180 DJONNY SAMPELAN 50 1094321136 ISPA 130/90 BARU
181 MUH. ZIUL HAQ 6 197206143 D.ALL 107 CM
182 MUHAMMAD IRFAN 42 135869152 PJK 90/70
183 FAHLINA 35 203397074 DEPRESI 110/80
184 DHARRENT 4 135889345 TONSILITIS 128 CM 26 KG
185 DHEA YEMIMA PRATIWI L. 7 135914409 FARINGITIS 115 CM 16 KG

186 DRS.HI,NADJARUDIN L 68 135482398 BRONKITIS 100/70 158/55
16 DESEMBER 2014
187 DWI KUSUMA 25 204772509 KONJUCTIVITIS 90/60 160/59
188 ROSMA 64 135869681 MIALGIA 110/80 145/40
189 SAMUELAZRIEL 2 1275248338 FEBRIS 90 CM 10 KG BARU
190 HELEN KANDATI 43 1101480636 INFLUENZA 100/70 155/60 BARU
191 SAFRUDIN M YARSAD 55 135487528 IMA 140CM 160/69
192 AHMADI A.OLI'I 66 135265667 HT 130/80 165/70
193 HAJRAH 60 162356084 DM TIPE 2 130/90 26 KG GDS=459
194 CHELSEA ALYAH 4 193336874 D.ALL 114 CM 26 KG
195 JELRIN MOGELEA 43 136708514 HT 110/70 160/63
196 ALAMSYAH H 16 135482229 EPILEPSI 110/80 160/60
197 PELMAN 36 135527589 DISPEPSIA 91 CM 36 KG
198 FAZAR RIZKY PRASETYA 2 210635921 ISPA 100/70 173/68

199 ISRA 49 136708503 KONJUCTIVITIS 110/70 151/55
200 ZAINAB 55 135870491 COUGH 110/70 148/55
201 FAHLINA 35 203397074 EPISTAKSIS 110/70 147/47
17 DESEMBER 2014
202 INCE ADWIATI 34 135525767 FARINGITIS 90/60 155/60
203 ABDUL RASYID 30 135518152 DISPEPSIA 120/80 160/67 RS UT
204 DINA 25 204772509 ISPA 120/80 153/69
205 ANDI HUSYAIN 2 207828808 SUS.ISK 98 CM 15 KG
206 PELMAN 36 135527589 DISPEPSIA 110/80 170/75
207 ALAMSYAH H 16 135482229 ISPA 110/80 160/60
208 DWI KUSUMA 25 197114589 FARINGITIS 90/60 160/60 BARU
209 ISMAUN 60 134918739 RA 120/80 158/52
210 NURUL AVIA 16 135908008 MIALGIA 100/70 148/45
18 DESEMBER 2018
211 SITTI TAQIAH,S.SOS 44 135131769 DM TIPE 2 120/80 148/47
212 AMYADIN 46 135735581 D.ALL 120/80 170/76
213 SAMIA LARUFA 56 135736211 ISPA 120/80 142/40
214 SAMSIDAR 40 th 1203069047 SUS ISK 110/80 157/64 TDK TERTANGGUNG
215 M.FADEL 8 th 1203069058 BRONKITIS 130 CM 23 KG TDK TERTANGGUNG
216 ABD.HALIN PRATAMA 14 135913994 ISPA 155 CM 49 KG
217 NAADHIRA, SP 40 135684191 ADNEXITIS 110/70 140/45 RS UT
218 ZAENAB 39 135913983 DISPEPSIA 100/70 152/67
219 DHABITA ADHIRANI 5 135684202 ISPA 101 CM 14 KG
220 ALYKA ZAHARA 3 166235128 ISPA 99 CM 12 KG
221 AMANDA 13 135735603 ISPA 125 CM 28 KG
222 YUSUF 47 135523708 CEPALGIA 110/70 166/55
19 DESEMBER 2014
223 NURLIN LAONGKO, S.PD 49 134966046 CEPALGIA 100/70 155/58

224 INCE ADWIATI 34 135525767 CEPALGIA 90/60 155/60
225 PATIMAH 59 135770679 DM TIPE 2 100/70 145/47
226 DRS.TEGOEH S 47 136001452 INFLUENZA 110/80 165/60
227 RIZAL 50 134913982 D,ALL 110/70 155/55 GDS=131
228 NURHAYATI 33 135565569 ISPA 120/80 140/47
229 GAIS 51 134926108 FISTEL 90/70 150/75 RS UT
230 MASRUDJI LABOMBA 59 134990695 DM 110/80 154/65 GDS=200
231 PA INTEM 43 134836751 DM TIPE 2 100/70 148/48 DGS=201
232 FADLY Y TANTU 51 136002464 CEPALGIA 100/70 165/66
233 NI MADE URIP 46 135891009 ABSES 110/70 155/65 RS MD
234 ALIF FURQAN 13 211452579 GEA 146 CM 34 KG TDK TERDAFTAR
235 MOH NAWIR 45 135522764 HT 140/90 171/78 RS MD
236 FADHILAH 9 136009811 ISPA 121 CM 19 KG
20 DESEMBER 2014
237 FAUZIAH ILYAS 59 136062281 DM TIPE 2 130/80 158/62 GDS=159
238 RUSIN LARANTJA 69 135869692 HT 120/80 159/65
239 HANAFI. 52 135595348 ISPA 110/80 160/60
VERUKA
240 NI NYOMAN WINARTI 47 135891055 120/80 156/55 LW DR,KETUT
241 HJ HASNI 50 1429318574 ISPA
242 SAHADIN LASAU 52 135912396 DISPEPSIA 120/85 165/80
243 MOHAMMAD RUM 59 135466413 HT 140/90 163/65
244 ROFFY CHRISTIANE 31 135889334 A.BR 110/70 149/50
245 HASAN 54 135531832 DM TIPE 2 110/80 160/60 GDS=283
246 MUHAMMAD RIZKY 5 165718203 ISPA 110 CM 16 KG
ISPA
247 MUHAMMAD DZAKY 9 135738224 126 CM 23 KG
22 DESEMBER 2014
248 EMIKO TANTJUBE 45 135888456 POST OP T.CEREBRI 100/60 150/55
249 HARTATI 31 135955754 DISPEPSIA 110/80 150/53
250 IFRIANA 34 135483388 ISPA 100/70 145/43
251 KALSUM NAGAULA, HJ 69 135868239 ISPA 110/70 143/40
252 ZULFA NAGAULA 61 135489486 DM TIPE 2 100/70 145/40
253 SAAT S. NABA 59 1271220614 SUS.RA 100/70 162/67 BARU
254 FARIDA 51 1271222313 F.ALBUS 130/80 155/70 BARU
255 FAJRIAH, SH 41 165177628 HEMOROID 140/90 149/47
256 MUSDALIAH 66 135869095 KATARAK 110/80 150/65 RS MD
257 SYAMSUDDIN 54 136064777 HT 120/80 152/49
258 MARYA DEVIANA 31 135890605 SUS RA 110/80 153/82
259 SIELTJE K 56 135914409 HL 110/80 152/67 RS UT
260 DARMANSYAH, 43 135674302 HHD + CAD 120/80 160/68 GDS=226

261 ASRUDDIN 68 135755504 DM TIPE 2 110/70 161/49 135755504
262 SUMARTINA 42 135488305 SUS .IMA 130/80 156/62 LW PANTOLOAN
263 MUH. SYAWAL 14 976385654 ISPA 90/60 158/43

264 RUGAIYA 56 135748574 DM TIPE 2 110/80 148/55 GDS=407
265 FAIDA 51 135958825 SUS.RA 130/80 147/50
266 WIDI TRIANA 18 135956608 VOMITUS 90/60 150/38
23 DESEMBER 2014
267 OLAH FANDRIATI 37 135737133 VOMITUS GRAVID 110/70 148/58
268 FAHRI RIZKY 5 135737155 D. ALL 100 CM 15 KG
269 FAULINA 32 167849302 ISPA 100/70 155/43
270 AHMADI A.OLI'I 66 135265667 CHEST PAIN 120/80 165/79 RS UT
271 IBRAHIM 54 135490656 CEPALGIA 110/80 151/62

272 GUSTIVIANUS 53 135602133 G2 AFEKTIF 110/70 173/70 RS MD
273 TRI ENDAH PRATIWI 20 135873033 ISPA 90/60 156/60

274 DARWIS PANDY 58 135601492 HT 140/90 162/68
275 SAMSUDIN DJ 72 135869826 KONTIPASI 110/80 165/60
276 AGLIMA, HJ 68 135866204 HT + RA 140/90 AU=7,3
277 NURLIAH 47 135030047 ISPA + HT 140/90 155/67
278 ABD RAHIM 51 135030058 SUS ISK 100/70 165/54
281 ARIANA 46 th 135557419 HT 110/80 150/55
282 WIN 52 th 135643375 RINITIS ALL 90/70 151/60
24 DESEMBER 2014
283 HAERIA 67 135867543 DM + HT 130/80 165/55
284 ROSMA 66 135869681 ISPA 100/70 143/40
285 ROSTIN 55 134992528 G2 AFEKTIF 110/80 148/60 RS MD
286 ANISSA 1 1317861887 VARISELA 65 CM 9 KG BARU
287 DEVIT 36 135589454 ISPA 110/70 156/80
288 MOH. WARSILA 7 135891437 ISPA 117 CM 19 KG
289 CINTYA 7 1312598992 DISPEPSIA 108 CM 26 KG BARU
290 SASNI 49 134826873 D.ALL 110/70 147/55
291 DISCA 19 134826884 KECACINGAN 148 CM 45 KG
292 NAOMI T 54 1276847155 HT 110/70 156/75 BARU
293 MOH. RIZAL 14 135486549 MIALGIA 138 CM 31 KG
294 PAMPI, 55 135486516 SINUSITIS 130/80 156/58
295 ANANDA 10 135888838 VARISELA 124 CM 22 KG
296 MOH. HIDAYAT 17 135888827 SKABIES 90/70 166/47
297 CHYNTIA SAKTI 5 1265140618 ISPA 107 CM 16 KG
298 ARSYAD SIRI 62 1265142025 HHD 140/70 155/75 RS UT
299 HJ.MUSNANI 62 1265142835 INSOMNIA 130/80 152/60
300 ST.KHOTIJAH 43 41991096 SUS.IMA 100/70 143/55 RS UT
301 AULIA 6 1325435949 BRONKITIS 101 CM 13 KG RS UT
26 DESEMBER 2014
302 H.M N ICHSAN 64 1428147988 DISPEPSIA 120/80 150/57
303 HJ HASNI 52 1429318574 RA 130/80 158/55
304 ISMAUN 62 134918739 ISPA 110/70 155/48
305 FAHLINA 37 203397074 ISPA 120/80 160/60

306 HANAFI 37 th 135595348 ISPA 90/70 145/65
307 ELFIRA 28 th 135889075 ISPA 11 KG 75 CM
308 FAJAR RIZKI 29 bl 210635921 CEPALGIA 110/80 160/64
309 IDRUS BATJO 72 th 115998221 CHEST PAIN 110/80 160/65
310 NAADHIRA, SP 41 th 135684191 SUS ADNEXITIS 110/80 146/46
311 AJERNI 39 th 156926439 CEPALGIA 100/70 147/59
312 EXSAL 15 th 1261816479 FARINGITIS 142 CM 28 KG
314 DINA 7 th 135041905 ISPA 118 cm 19 KG
29 DESEMBER 2014
315 MATIUS 71 th 135717311 A.BR 150/90 164/57
316 MISTIN 48 th 135481599 DM TIPE 2 110/80 150/63
317 ARIFIN 49 th 135830606 FARINGITIS 100/70 160/58
318 IDETA MARIANA 34 th 135918281 ISPA 100/70 147/52
319 RATMAN 61 th 134711469 HT 110/70 165/70
320 SOLOCHA 51 th 134711471 MIALGIA 110/80 150/57
321 IDAROYANI 35 th 135889942 BRONKITIS 110/80 157/48
322 SYAHRANI 8 th 134891943 ISPA 99 CM 12 KG
323 GALVIN 7 th 135889547 FARINGITIS 119 21 KG
324 GINOL 36 bl 206320511 TONSILITIS 77 12 KG
30 DESEMBER 2014
325 PRAISY WASHIYATUL 9 165001004 D.ALL 135 CM 29 KG
326 ARSYAD 53 1429317426 SUS KATARAK 130/80 151/65 BARU
327 SUMARNI 43 135946236 HT 120/80 150/70
328 DIMIATI 61 135636254 RA 130/80 155/65
329 DRS.HI,NADJARUDIN L 70 135869152 BRONKITIS 160/90 159/43
330 HJ.RAMLAH TUMPUGI 68 135865945 CEPALGIA 120/70 150/60
331 ADITYA HILMAWAN F. 23 135946247 FARINGITIS 100/70 157/50
332 ASWAR 57 135574672 HT 130/80 165/65
333 FITRIANI , A.ND 32 193815358 AB.INKOMPLIT 130/80 155/40 RS BKARI
334 KRISTINA MARTHA 51 135484097 HHD 120/80 144/58
31 DESEMBER 2014
335 KIKI 23 th 171042355 D.ALL 100/70 155/51
336 ANTONIUS 40 thj 135635624 G2 PENDENGARAN 110/80 160/58
337 RIDHO 7 th 173050391 ISPA 115CM 16 KG
338 FAJAR 9 th 134990807 ISPA 125 CM 21 KG
339 FATTAN 5 th 134990818 ISPA 113 CM 14 KG
340 HAMZAH 47 th 135639257 HT 150/90 160/65
341 UDIN 51 th 134993766 ISPA 120/80 173/75
344 WAHIDA 43 th 135478192 ISPA 110/80 153/62
NO KARTU JENIS P/I/S/A BULAN
ASKES KELAMIN TERDAFTAR ALAMAT NO.TELP/HP TEK.DARAH KET
SISTOLE DIASTOLE
134828572 DM TIPE 2 2-Apr-14 140 80
1465042 HT 2-Apr-14 140 90
135958825 HT 2-Apr-14 130 90
135554049 CEPALGIA 3-Apr-14 160 80
205171121 CEPALGIA 3-Apr-14 130 80
135868105 DM TIPE 2 3-Apr-14 160 80
135913386 ht 3-Apr-14 150 80
135933096 HT 4-Apr-14 140 90
1270871155 RA 5-Apr-14 140 80
135479935 ISPA 5-Apr-14 140 80
1`35554049 CEPALGIA 7-Apr-14 160 80
136708514 HT 9-Apr-14 130 90
135674302 HT 9-Apr-14 140 80
134918739 HT 9-Apr-14 130 90
1358657543 DM + HT 10-Apr-14 150 80
135809695 MIALGIA 11-Apr-14 140 90
165139367 HT 11-Apr-14 140 90
135030047 CEPALGIA 12-Apr-14 140 80
135867543 DM TIPE 2 15-Apr-14 GDS=305 140 80
165177628 HT 15-Apr-14 140 90
126601484 POST KLL 17-Apr-14 140 80
160233568 RA 19-Apr-14 140 90
135481544 HT 21-Apr-14 150/100 100
1295950702 23-Apr-14 130/90 90
115998221 ISPA 23-Apr-14 140 90
135867881 A.B 23-Apr-14 140 80
135574119 CEPALGIA 26-Apr-14 140 80
135481544 ISPA 26-Apr-14 140 80
134711469 MIALGIA 30-Apr-14 140 80
135736762 CKD 110/70 155/60

135486516 HT + RA 130/80 156/59
136064777 CEPALGIA 110/80 155/50
135738022 CHES PAIN 110/80 171/71
135466435 VERTIGO 140/90 165/65
135869826 CEPALGIA 120/80 161/54 GDS=190
1271222313 DM TIPE 2 130/80 154/60 GDS=210
135522898 ISPA 117 CM 19 KG
135522876 DISMENOROE 155/60
135487034 ISPA 120/80 160/48
134982652 ISPA
171963101 TB PARU 122 CM 21 KG
RS MD
RS UT
RS MD
RS UT
RS MD
RS MD
RS MD
RS UT
RS UT
tdk terdaftar
RS UT
RS MD
RS MD
RS UT
RS MD
RS UT
LW
BARU
BARU
BARU
LAPORAN UTILISASI BERDASARKAN JENIS KELAMIN DAN GOL.PESERTA PT ASKES (PERSERO)
CABANG PALU BULAN JANUARI 2014
KODE DOKKEL : 319U033 JANUARI 2014
NO KODE DOKKEL JML PESERTA JUMLAH JUMLAH KUNJUNGAN JML GOLONGAN UMUR JML KUNJUNGAN/KLPK UMUR
TERDAFTAR KUNJUNGAN I II III IV <5 th 5 - 40 >40 - 55 > 55 TH
L P
1 0319U033 2265 298 145 153 21 93 123 61

CABANG PALU BULAN FEBRUARI 2014
KODE DOKKEL : 319U033 FEBRUARI 2014
L P
1 0319U033 2268 309 158 151 21 114 116 59

CABANG PALU BULAN MARET 2014
KODE DOKKEL : 319U033 MARET 2014
L P
1 0319U033 2268 275 138 137 13 112 97 53

CABANG PALU BULAN A P R I L 2014
KODE DOKKEL : 319U033 APRIL 2014
L P
1 0319U033 2302 308 146 162 12 103 110 83

CABANG PALU BULAN M E I 2014
KODE DOKKEL : 319U033 M E I 2014
L P
1 0319U033 2326 301 155 146 18 138 96 49

CABANG PALU BULAN J U N I 2014
KODE DOKKEL : 319U033 JUNI 2014
L P
1 0319U033 2326 328 153 175 26 114 126 62

CABANG PALU BULAN J U L I 2014
KODE DOKKEL : 319U033 J U L I 2014
L P
1 0319U033 2356 250 133 117 17 84 91 60

CABANG PALU BULAN A G U S T U SI 2014
KODE DOKKEL : 319U033 A G U S T U S 2014
L P
1 0319U033 2344 315 131 184 29 109 113 64

CABANG PALU BULAN S E P T E M B E R 2014
KODE DOKKEL : 319U033 S E P T E M B E R 2014
L P
1 0319U033 2333 331 163 168 31 125 111 59

CABANG PALU BULAN O K T O B B E R 2014
KODE DOKKEL : 319U033 O K T O B E R 2014
L P
1 0319U033 2334 337 159 178 20 124 131 62

CABANG PALU BULAN N O P E M B E R 2014
KODE DOKKEL : 319U033 N O P E M B E R 2014
L P
1 0319U033 2343 341 149 192 14 138 114 75

CABANG PALU BULAN D E S E M B E R 2014
KODE DOKKEL : 319U033 D E S E M B E R 2014
L P
1 0319U033 2347 344 149 195 31 129 114 70

LAPORAN PELAYANAN DOKTER KELUARGA PT ASKES (PERSERO)
CABANG PALU BULAN JANUARI TH 2014
NO KABUPATEN /KOTA JML TERDAFTAR JML DOKKEL JUMLAH RUJUKAN

DI DOKKEL Kunjungan
1 PALU 2268 1 298 28

CABANG PALU BULAN FEBRUARI TH 2014

DI DOKKEL Kunjungan
1 PALU 2273 1 309 29

CABANG PALU BULAN M A R E T TH 2014

DI DOKKEL Kunjungan
1 PALU 2268 1 275 22

CABANG PALU BULAN APRIL TH 2014

DI DOKKEL Kunjungan
1 PALU 2302 1 308 27

CABANG PALU BULAN M E I TH 2014
DI DOKKEL Kunjungan
1 PALU 2326 1 301 28

CABANG PALU BULAN J U N I TH 2014

DI DOKKEL Kunjungan
1 PALU 2326 1 328 30

CABANG PALU BULAN J U L I TH 2014

DI DOKKEL Kunjungan
1 PALU 2356 1 250 25

CABANG PALU BULAN A G U S T U S TH 2014

DI DOKKEL Kunjungan
1 PALU 2344 1 315 29
CABANG PALU BULAN S E P T E M B E R TH 2014

DI DOKKEL Kunjungan
1 PALU 2333 1 331 29

CABANG PALU BULAN O K T O B E R TH 2014

DI DOKKEL Kunjungan
1 PALU 2334 1 337 31

CABANG PALU BULAN N O P E M B E R TH 2014

DI DOKKEL Kunjungan
1 PALU 2347 1 341 31

CABANG PALU BULAN D E S E M B E R TH 2014

DI DOKKEL Kunjungan
1 PALU 2347 1 344 34
RUJUKAN KETERANGAN
BALIK
RUJUKAN KETERANGAN
BALIK
RUJUKAN KETERANGAN
BALIK
RUJUKAN KETERANGAN
BALIK
RUJUKAN KETERANGAN
BALIK
RUJUKAN KETERANGAN
BALIK
RUJUKAN KETERANGAN
BALIK
RUJUKAN KETERANGAN
BALIK
RUJUKAN KETERANGAN
BALIK
RUJUKAN KETERANGAN
BALIK
RUJUKAN KETERANGAN
BALIK
RUJUKAN KETERANGAN
BALIK
10 PENYAKIT TERBANYAK DI DOKTER KELUARGA
PT ASKES PERSERO CABANG PALU BULAN JANUARI 2014
NO JENIS PENYAKIT JUMLAH KASUS KETERANGAN
1 ISPA 66 I
2 HT 34 II
3 DISPEPSIA 20 III
4 DM 16 IV
5 ISK 13 V
6 RA 11 VI
7 D.ALL 10 VII
8 FARINGITIS 9 VII
9 HHD 9 VII
10 SKABIES 8 VIII
11 CEPALGIA 6 IX
12 MALARIA 6 IX
13 INFLUENZAA 5 X

PT ASKES PERSERO CABANG PALU BULAN FEBRUARI 2014
1 ISPA 71 I
2 DM TIPE2 23 II
3 FSRINGITIS 25 III
4 HT 20 IV
5 DISPEPSIS 17 V
6 DKA 11 VI
7 HHD 8 VII
8 CEPSLGIS 8 VII
9 G2.VISUS 7 VIII
10 GEA 6 IX
11 MIALGIA 6 IX
12 RA 6 IX
13 KP 5 X

PT ASKES PERSERO CABANG PALU BULAN M A R E T 2014
1 ISPA 86 1
2 CEPALGIA 23 11
3 DM TIPE 2 23 111
4 RA 17 1V
5 HT 17 IV
6 DISPEPSIA 10 V
7 FARINGITIS 9 VI
8 MIALGIA 6 VII
9 SKABIES 6 VII
10 TONSILITIS 6 VII
11 D.ALL 5 VIII
12 AS.BR 5 VIII
13 G2 VISUS 4 IX
14 SERUMEN 4 IX
15 CIKINGUNYA 4 IX
16 SEBOROIK 4 IX
17 SUS. LBP 3 X
18 SUS. LBP 3 X

PT ASKES PERSERO CABANG PALU BULAN A P R I L 2014
1 ISPA 81 I
2 CEPALGIA 30 II
3 MIALGIA 30 II
4 HT 23 III
5 DM TIPE 2 22 IV
6 RA 21 V
7 DYSPEPSIA 19 VI
8 FARINGITIS 14 VII
9 A.BR 6 VIII
10 DKA 5 IX
11 TONSILITIS 5 IX
12 KATARAK 4 X
13 HL 4 X

PT ASKES PERSERO CABANG PALU BULAN M E I 2014
1 ISPA 87 I
2 HT 24 II
3 DM 19 III
4 DISPEPSIA 16 IV
5 CEPALGIA 15 V
6 RA 10 VI
7 FARINGITIS 9 VII
8 D.ALL 8 VIII
9 MIALGIA 8 VIII
10 GEA 7 IX
11 HL 6 X
12 A.BR 6 X

PT ASKES PERSERO CABANG PALU BULAN JUNI 2014
1 ISPA 79 I
2 HT 29 II
3 DM TIPE 2 26 III
4 CEPALGIA 25 IV
5 DISPEPSIA 23 V
6 D.ALL 20 VI
7 RA 10 VII
8 MIALGIA 10 VII
9 HL 10 VII
10 FARINGITIS 8 VIII
11 FEBRIS 7 IX
12 TONSOLITIS 5 X

PT ASKES PERSERO CABANG PALU BULAN JULI 2014
1 ISPA 43 I
2 DISPEPSIA 18 II
3 DM TIPE 2 16 III
4 HT 15 IV
5 D.ALERGI 14 V
6 SUS RA 11 VI
7 CEPALGIA 11 VI
8 G2 VISUS 8 VII
9 HL 7 VIII
10 FARINGITIS 6 IX
11 MIALGIA 6 IX
12 AB 4 X
13 LBP 4 X
PT ASKES PERSERO CABANG PALU BULAN AGUSTUS 2014
1 ISPA 74 1
2 DEPRESI 26 2
3 DM TIPE 2 24 3
4 cEPALGIA 21 4
5 HT 20 5
6 D.ALERGI 19 6
7 FARINGITIS 16 7
8 RA 14 8
9 MIALGIA 13 9
10 G2 VISUS 9 10
11 A.BRONKIAL 9 10

PT ASKES PERSERO CABANG PALU BULAN SEPTEMBER 2014
1 ISPA 45 I
2 DISPEPSIA 33 II
3 D.ALL 26 III
4 HT 24 IV
5 DM TIPE 2 22 V
6 RA 16 VI
7 CEPALGIA 10 VII
8 MIALGIA 10 VII
9 FARINGITIS 10 VII
10 V.LASERATUM 8 VIII
11 INFLUENZA 7 IX
12 D.SEBOROIK 6 X

PT ASKES PERSERO CABANG PALU BULAN OKTOBER 2014
NO JENIS PENYAKIT JUMLAH KASUS KET
1 ISPA 71 I
2 HT 29 II
3 DISPEPSIA 25 III
4 DM TIPE 2 24 IV
5 D.ALL 24 IV
6 CEPALGIA 21 V
7 FARINGITIS 18 VI
8 RA 13 VII
9 MIALGIA 11 VIII
10 A.BR 6 IX
11 SKABIES 3 X
Mamboro, 3 Noveber 2014

dokkel

PT ASKES PERSERO CABANG PALU BULAN NOPEMBER 2014

1 ISPA 69 I
2 HT 29 II
3 DM TIPE 2 25 III
4 CEPALGIA 22 IV
5 DISPEPSIA 22 IV
6 RA 16 V
7 D.ALERGI 12 VI
8 AS.BR 8 VII
9 MIALGIA 8 VIII
10 FARINGITIS 7 IX
11 G2 VISUS 5 X
Mamboro, 3 Desember 2014

PT ASKES PERSERO CABANG PALU BULAN DESEMBER 2014
1 ISPA 67 I
2 DM TIPE 2 26 II
3 HT 25 III
4 DISPEPSIA 22 IV
5 D,ALL 21 V
6 CEPALGIA 18 VI
7 RA 9 VII
8 FARINGITIS 9 VII
9 SKABIES 9 VII
10 MIALGIA 9 VII
11 HHD 8 VIII
12 TONSILITIS 7 IX
13 BRONKITIS 5 X
14 SUS ISK 5 X
15 CHETS PAIN 5 X
16 IMA 5 X
207828808
235335778
135580498
135580487
203397074
203397265
136708514
136708503
136067218
135870491
135918281
134885698
134993766
135132412
135480036
LAPORAN PEMANTAUAN STATUS KESEHATAN PESERTA PROLANIS DM
KLINIK /DOKTER KELUARGA :

BULAN JANUARI 2014
BULA
NO NAMA PESERTA NO KARTU JENIS P/I/S/A BULAN
ASKES KELAMIN TERDAFTAR IMT/kg/M2 GDS
1 NILUH ADHI SUREJA 135581242 P I 2 JANUARI 2014

2 SITI TAQIAH 135131769 P I 3 JANUARI 2014
3 ZAMRAN 135475007 L P 3 JANUARI 2014
4 SASNI 134826873 P I 4 JANUARI 2014
5 HAERIA 135867543 P P 7 JANUARI 2014
6 SITI HAWA 134966057 P I 7 JANUARI 2014
7 SAMSUDIN 135869826 L I 7 JANUARI 2014
8 FIRCE 135482264 P I 7 JANUARI 2014
9 HARSAN 135490555 L P 9 JANUARI 2014
10 ILHAM 135889953 L P 9 JANUARI 2014
11 ZAMRAN 135475007 L P 10 JANUARI 2014
12 NURHAYA 135571048 P I 13 JANUARI 2014 GDS=583
13 ARWADI 135169154 L P 15 JANUARI 2014
14 ASHAR 135591434 L P 16 JANUARI 2014
15 ASHAD 135591434 L P 20 JANUARI 2014
16 LIMIN 135868375 L P 21 JANUARI 2014
17 MAANI 135580511 P I 29 JANUARI 2014
189 ARWADI 135169154 L P 29 JANUARI 2014

BULAN FEBRUARI 2014
B
1 HUSNI DJONDOSE 135867881 L P 3 FEBRUARI 2014

2 HASRAT 135482916 P 1 3 FEBRUARI 2014
3 SUMIATI 135491308 P 1 4 FEBRUARI 2014
4 HASAN 135531832 L P 6 FEBRUARI 2014
5 HAERIA 135867543 P P 7 FEBRUARI 2014
6 MARYAM 135484661 1 P 8 FEBRUARI 2014
7 TDJAH T 135733432 1 P 8 FEBRUARI 2014 179
8 KAMAREL 135868105 P P 8 FEBRUARI 2014
9 MARYAM 134990381 I P 10 FEBRUARI 2014 319
10 JABIR 135485649 P L 10 FEBRUARI 2014
11 DARMANSYAH 135674302 L P 11 FEBRUARI 2014
12 ASNA 135480701 P 1 11 FEBRUARI 2014
13 DARWIS 13547946 L P 12 FEBRUARI 2014
14 JABIR 135485649 L P 15 FEBRUARI 2014
15 MAS'UD 135499149 P L 15 FEBRUARI 2014 248
16 HJ.HAJRAH 162356084 1 P 17 FEBRUARI 2014
17 HAMSAH `135482725 P L 17 FEBRUARI 2014
18 MASTA 136707906 1 P 18 FEBRUARI 2014
19 ASHAR 135591434 P L 19 FEBRUARI 2014
20 HAJERAH 162356084 1 P 19 FEBRUARI 2014
21 SOFIAN 135738022 P L 19 FEBRUARI 2014
22 ARWADI 135169154 P L 19 FEBRUARI 2014 283
23 ABBAS 1267507787 P L 20 FEBRUARI 2014 176
24 ILHAM 135889953 P L 20 FEBRUARI 2014 193
25 FIRCE 135482284 1 P 21 FEBRUARI 2014 364
26 MASTA 136707906 1 P 21 FEBRUARI 2014

BULAN MARET 2014

1 MAS'UN 135499149 P ISPA 5 MARET 2014

2 VIKTOR 135914411 L P 5 MARET 2014 344
3 NADJARUDDIN 135869152 L P 5 MARET 2014
4 NILUH ADHI 135380242 P P 5 MARET 2014
5 HASRAT 135482916 P I 5 MARET 2014
6 HAERIA 135867543 P P 7 MARET 2014
7 SITI HAWA 134966046 P 1 7 MARET 2014 493
8 JABIR 135485649 L P 10 MARET 2014 295
9 PATIMA 135770679 P I 12 MARET 2014
10 ARWADI 135169154 L P 12 MARET 2014 412
11 SAMSUDIN 135869026 L P 13 MARET 2014 191
12 AGLIMA 135866204 P I 13 MARET 2014 163
13 ROSTIN 134992528 P P 14 MARET 2014
14 ARLANI 134918245 L I 15 MARET 2014 243
15 HASAN 135531832 L P 17 MARET 2014 342
16 NAHAR 134913407 L P 19 MARET 2014 231
17 NURSAM 135868386 P P 19 MARET 2014 314
18 DEWI PRATIWI 207196907 P I 21 MARET 2014
19 DARMANSYAH 135674382 L P 21 MARET 2014
20 SITI MARYAM 135252472 P P 22 MARET 2014

BULAN APRIL 2014

1 SUMITRO 134828572 L P 1-Apr-14

2 SUMIATI 135491308 P I 1-Apr-14
3 NAHAR 134913407 L P 2-Apr-14
4 KAMAREL 135868105 P P 3-Apr-14 GDS=331
5 MARYAM 134990381 P I 3-Apr-14 GDS=247
6 MAANI 135601503 P I 4-Apr-14
7 PA INTEM 135836751 P I 4-Apr-14
8 HASRAT 135482916 P I 8-Apr-14
9 HAERIA 1358657543 P P 10-Apr-14
10 JABIR 135485649 L P 11-Apr-14
11 AGLIMA 135866204 P I 11-Apr-14
12 HUSNI 135867881 L P 24-Apr-14

BULAN M E I 2014

1 SUMITRO 134828572 L P 3 MEI 2014

2 DIMIATI 135636244 P P 6 MEI 2014 201
3 SASNI 134826873 P I 9 MEI 2014 178
4 AGLIMA 135866204 P I 9 MEI 2014
5 SITI HAWA 134966057 P I 10 MEI 2014 274
6 NAHAR 1349913407 L P 10 MEI 2014 243
7 FARIDAH 1271222313 P I 12 MEI 2014 168
8 KARIA 135490566 P I 14 MEI 2014
9 JABIR 135485649 L P 14 MEI 2014
8 HAERIA 135867543 P P 16 MEI 2014
10 PAINTEN 134836751 P I 16 MEI 2014
11 MAS 'ANI 136064766 P I 24 MEI 2014 168
12 NILUH ADHI 135380242 P P 24 MEI 2014
13 VIKTOR 135914411 L P 26 MEI 2014
14 FIRCE 135482284 P P 26 MEI 2014
15 ASHAR 135591434 L P 28 MEI 2014 253
16 RAUF 135879726 L P 28 MEI 2014
17 SUMITRO 134828572 L P 31 MEI 2014
18 IRHAM 135569287 L P 31 MEI 2014
LAPORAN PEMANTAUAN STATUS KESEHATAN PESERTA PR

BULAN JUNI 2014

1 HALIJAH 1278692741 P P 2 JUNI 2014

2 KASRUDIN 135736817 L P 2 JUNI 2014
3 SELVI HANDAYANI 1291257775 P P 4 JUNI 2014
4 JUMHARI 197205884 L P 5 JUNI 2014 211
5 KASRUDIN 135736817 L P 6 JUNI 2014
6 SITI HAWA 134966057 P I 7 JUNI 2014
7 NILUH ADHI 134481142 P P 7 JUNI 2014 191
8 HUSNI JONDOSE 135867881 L P 11 JUNI 2014
9 MAWAR 135962144 P I 13 juni 2014 195
10 MASDIANA 134990447 P I 13 juni 2014
11 IRHAM 134990471 L P 13 juni 2014
12 RAUF 135879726 L P 13 juni 2014 144
13 ROSLANI 135933096 P I 13 juni 2014
14 NURHANIFAN 195611049 P I 14 juni 2014 349
15 NURSAM 135868386 P I 16 JUNI 2014
16 HASRAN 134988816 L P 17 JUNI 2014
17 HAERIA 135867543 P I 17 JUNI 2014
18 SITI HAWA 134966057 P I 18 JUNI 2014 424
19 NILUH ADHI 135581242 P I 18 JUNI 2014
20 SUMITRO 134828572 L P 19 JUNI 2014
21 HAERIA 135867543 P P 19 JUNI 2014 221
22 NI KETUT SERIADI 135485954 P P 19 JUNI 2014 250
23 MARYAM 134990381 P P 20 JUNI 2014
24 SUMIATI 135491308 P I 20 JUNI 2014 352
25 JABIR 135485649 L P 20 JUNI 2014
26 MARYAM 135484661 P I 21 JUNI 2014
27 MARYAM HIPPI 134990381 P I 23 JUNI 2014 231
28 SASNI 134826873 P I 23 JUNI 2014 221
29 JABIR 135485649 L P 25 JUNI 2014
30 ASHAR 135519434 L P 26 JUNI 2014
31 ROHANI 136067218 P P 30 JUNI 2014 163
32 PUTRI UNA 135480036 P I 30 JUNI 2014 GDS=196

BULAN J U L I 2014

1 SUMITRO 58 th L P 1 JULI 2014

2 SELVI HANDAYANI 39 th P P 4 JULI 2014 178
3 KASRUDIN 58 th L P 4 JULI 2014 500
4 NI KETUT S 46 th P P 7 JULI 2014 168
5 ARWADI 48 th L P 10 JULI 2014
6 ZAMRAH 62 th P I 11 JULI 2014 182
7 NAJARUDDIN 69 th L P 11 JULI 2014 482
8 HAERIA 66 th P P 15 JULI 2014
9 MAANI 66 th P I 16 JULI 2014 260
10 NAJARUDIN 69 th L P 16 JULI 2014
11 ARWADI 49 th L P 18 JULI 2014
12 HASRAT 60 th P P 19 JULI 2014
13 ASHAD 54 th L P 19 JULI 2014
14 JABIR 43 th L P 22 JULI 2014
15 SUMITRO 58 th L P 24 JULI 2014
16 SUMIATI 52 th P P 24 JULI 2014 352
17 NAJARUDIN 69 th L P 25 JULI 2014

BULAN AGUSTUSI 2014

1 DARMANSYAH 135674302 L DM TIPE 2 8/4/2014

2 SASNI 134826873 P DM TIPE 2 8/4/2014
3 MISTIN 135481599 P DM TIPE 2 8/7/2014 GDS=152
4 SUMIATI 135409309 P DM TIPE 2 8/7/2014
5 SELVIHANDAYANI 1291257775 P DM TIPE 2 8/8/2014 GDS=221
6 SUMITRO 134828572 L DM TIPE 2 8/8/2014
7 ISMAN 134884124 L DM TIPE 2 8/11/2014 GDS=171
8 ARWADI 135169154 L DM TIPE 2 8/11/2014
9 ASHAR 1355914334 L DM TIPE 2 8/11/2014 GDS=350
10 KASRUDIN 135736817 L DM TIPE 2 8/12/2014
11 NAJARUDIN 135869152 L DM TIPE 2 8/13/2014
12 RUSIN 135869692 L DM TIPE 2 8/15/2014 GDS=370
13 NAJARUDDIN 135869152 L DM TIPE 2 8/15/2014
14 HAERIA 139867543 P DM TIPE 2 8/16/2014 GDS=191
15 HAWA 134966057 P DM TIPE 2 8/16/2014 GDS=199
16 SUMIATI 135491308 P DM TIPE 2 8/18/2014
17 ARWADY 135169154 L DM TIPE 2 8/19/2014
19 JABIR 135985649 L DM TIPE 2 8/23/2014 GDS=205
20 MARYAM HIPPI 134990381 P DM TIPE 2 8/23/2014
21 MAANI 135601503 P DM TIPE 2 8/25/2014
22 MAS'UD 135499149 L DM TIPE 2 8/26/2014

BULAN SEPTEMBER 2014
1 MARYAM 135568631 P P 1-Sep-14 250

2 NURZAM 135868386 P I 2-Sep-13 355
3 HAJRAH 162356086 P I 3-Sep-14
4 SUMIATI 135491308 P I 4-Sep-14 383
5 NADJARUDDIN 135869152 L P 4-Sep-14
6 ARWADI 135169154 L P 5-Sep-14
7 PAINTEM 134836751 P I 6-Sep-14 285
8 NAJARUDIN 135869152 L P 8-Sep-14
9 ZAMRAH 135111205 P I 8-Sep-14 185
10 RUGAYA 135748574 P I 9-Sep-14
11 MAWAR 135962144 P I 10-Sep-14 177
12 SASNI 134826873 P I 11-Sep-14
13 RUSIN 135869692 L P 11-Sep-14 140
14 ASHAR 135591434 L P 12-Sep-14
15 HASAN 135531832 L P 17-Sep-14
16 SAHLAN 135913577 L P 17-Sep-14 241
17 HAERIA 135867543 P P 20-Sep-14
18 WAHIDIN 135483028 L P 22-Sep-14
19 SASNI 134826873 P I 25-Sep-14
20 ALI AMRIN 134989672 L P 26-Sep-14
21 DARMAN 135481544 L P 27-Sep-14
22 MARYAM HIPPI 134990381 P I 29-Sep-14 256

BULAN OKTOBER 2014

1 FARIDA 1271222313 P I 1 oktober 2014 25,3 210

2 SUMITRO 134828572 L P 9 oktober 2014 24,6
3 ASHAR 158274707 L P 10 OKTOBER 2014 23
4 WERMIDA 135586877 P I 14 OKTOBER 2014 21 394
5 ILHAM 135889953 L P 14 OKTOBER 2014 23.5 299
6 NURSAM 135868 P I 14 OKTOBER 2014 25,9 159
7 LIMIN 135868386 L P 14 OKTOBER 2014 24,4 248
8 ARWADI 135169154 L P 16 OKTOBER 2014 21,5
9 WERMIDA 135586877 P I 16 OKTOBER 2014 29,5
10 GUSTIVIANUS 135602133 L P 18 OKTOBER 2014 21,7
11 SELVI 1291257775 P P 20 oktober 2014 30,5
12 SITTI HAWA 134966057 P I 21 OKTOBER 2014 22.2
13 FARIDA 1271222313 P I 22 0KTOBER 2014 23
14 JABIR 135485649 L P 24 OKTOBER 2014 19,2
15 SUPARDI 134885698 L P 27 OKTOBER 2014 23,4
16 HAERIA 135867543 P P 30 OKTOBER 2014 23,2
17 JABIR 135485649 L I 30 OKTOBER 2014 20
18 WERMIDA 135586877 P P 30 OKTOBER 2014 30,9
19 ANNAS L I 30 OKTOBER 2014 24.2 275
20 SALMAH P P 30 OKTOBER 2014 31 144
21 RUSIN 135869692 L I 31 OKTOBER 2014 23
22 FAUZIAH 136062281 P P 31 OKTOBER 2014 27,3

BULAN DESEMBER 2014

1 KARIA, BBA 135490566 P I 2 DES 2014 LAMA 207

2 HARSAN LADJINTA 135490555 L P 2 DES 2014 LAMA 146
3 NURHANIFAN 195611049 P I 2 DES 2014 LAMA 166
4 HAERIA 135867543 P P 3 DES 2014 LAMA 273
5 JABIR 135485649 L P 4 DES 2014 LAMA 207
6 DARMANSYAH, S.SOS 135674302 L P 5 DESE 2014 LAMA 220
7 HJ HASNI 1429318574 P I 5 DESE 2014 BARU 177
8 HASMI 1429318574 P P 8 DES 2014 BARU 158
9 SELVI 1291257775 P P 8 DES 2014 BARU 204
10 HASRAT IDHAM 135482916 P P 9 DES 2014 LAMA 305
11 SITTI HAWA 134966057 P I 10 DES 2014 LAMA 230
12 MAWAR 135962144 P I 12 DESE 2014 BARU 574
13 WAHIDIN A.SUNUSI 135483028 L P 13 DESE 2014 BARU 211
14 HAJRAH 162356084 P P 16 DES 2014 LAMA 459
15 PATIMAH 135770679 P P 19 DES 2014 LAMA 283
16 MASRUDJI LABOMBA 134990695 P P 19 DES 2014 BARU 200
17 PA INTEM 134836751 P I 19 DES 2014 LAMA 201
18 FAUZIAH ILYAS 136062281 P P 20 DES 2014 BARU 159
19 HASAN 135531832 L P 20 DES 2014 LAMA 283
20 ZULFA NAGAULA 135489486 L P 22 DESE 2014 BARU 480
21 DARMANSYAH, 135674302 L P 22 DESE 2014 LAMA 226
22 ASRUDDIN 135755504 L P 22 DESE 2014 BARU 205
23 RUGAIYA 135748574 P P 22 DESE 2014 LAMA 407
37 MARLIAN 30 th 171957159 AGNE 90/70 145/55

38 ALFIAN 33 th 171957554 LBP 110/70 165/65
39 NOVARITA 38 th 135483759 INFLUENZA 100/70 147/63
40 INDRA 45 th 1079297853 G2 130/80 150/50
41 ARNIA 40 th 135684279 D.ALL 90/60 155/65
42 FAHRI 6 th 135737155 ISPA 100 CM 12 KG
43 DONI 9 th 135737144 ISPA 115 CM 16 KG
44 AMYADIN 47 th 135735581 HT 130/80 170/79
6 MEI 2014
45 SARMIUN 60 th 135965955 SKIZOFREN 120/80 150/60
46 YASMIN 46 th 134833263 CARIES 110/80 150/60
47 ABDI 18 th 134833274 ABSES 120/80 173/65
48 GAIS 52 th 134926108 ABSES 100/70 150/75
49 RAMNA 49 th 134992089 LBP 130/80 155/55
50 DIMIATI 59 th 135636244 DM TIPE 2 100/80 GDS=201
51 ASWAR 55 th 135574672 HT 120/90 160/69
52 SHERLY 49 th 1295950702 HT 160/80 155/53
53 MA'RIFA 50 th 135906996 ISPA 100/70 157/54
54 ANGES RM 49 th 1288906446 POST OP KATARAK 120/80 150/50
7 MEI 2014
58 ANDI ACO 40 th 135525778 MIALGIA 100/70 165/71
59 ICHA 5 th 165137185 ISPA 116 cm 15 kg
60 WIDYA 9 th 135580541 ISPA 121 cm 20 kg
62 MURNIATI 42 th 135485638 ISPA 130/80 153/63
63 IRSAN 45 th 135589781 ISPA 120/80 165/77
64 EDY 40 th 135889176 ISPA 110/80 161/65
66 ADINDA RIZKI AMALIA 10 th 135945369 ISPA 121cm 18 kg
67 FALMA PAKASI 52 th 135943336 HL 120/80 150/55
68 AHMAD KHAIRAN 8 th 135991978 SERUMEN 125 CM 23 KG
69 AHMAD OLII 135265667 HT 140/80 160/67
8 MEI 2014
70 ARWADY 45 th 134824768 FARINGITIS 130/80 168/75
71 ROSNA WAHYUNI 14 th 135891617 D.ALL 152 cm 52 KG
72 M. RIDO ALEVA 48 th 203031944 ISPA 102 cm 17 KG
73 RERUNG 55 th 135486922 PJK 140/80 170/73
74 HAMZAH 47 th 135639257 HT 150/90 160/65
75 KUSMIATI 44 th 135737875 CEPALGIA 90/70 151/50
76 RIZAL 51 th 134913982 A.BR Oct-80 155/50
77 GAIS 52 th 134926108 ISPA 100/70 150/75
78 ALVIAN 33 th 171957554 FARINGITIS 110/70 165/55
79 SIGIT ADYTIA 18 th 166206183 ISPA 100/70 157/50
80 M.ZAKY 9 th 135738224 ISPA 141 cm 26 KG
81 IRAWATI 28 th 135490746 CEPALGIA 100/70 156/50
9 MEI 2014
82 ROFFY.C 32 th 135889334 A.BR 100/70 149/50
83 DISCA 17 th 134826884 D.ALL 90/70 152/52
84 SASNI 47 th 134826873 DM TIPE 2 110/80 GDS=178
85 ZAINUDIN 50 th 134826862 D.ALL 160/80 160/70
86 MARIA 19 th 135889503 ISK 110/70 157/47
87 KUSMIATI 44 th 135737875 STRUMA 90/70 150/60
88 M.SYAWAL 13 th 1976385654 CEPALGIA 90/70 158/40
89 SAMSUDIN 72 th 135869826 POST OP KATARAK 100/70 161/54
90 M.YUDHI 15 th 135580509 ISPA 90/70 155/70
91 AGLIMA 69 th 135866204 DM TIPE 2 130/80 150/60
93 MUSTAMIN 57 th 976207217 HT 110/80 160/65
94 AISYAH ADINDA 7 th 135522898 ISPA 125 CM 18 KG
10 MEI 2014
95 HANIZA 5 th 135589476 ISPA 93 CM 20 KG
96 SHERLY 32 th 135892089 A.BR 110/70 150/41
97 SITI HAWA 42 th 134966057 DM TIPE 2 110/70 GDS=274 KOL =249
98 IDZAR GIVARI 11 th 1086038289 PAROTITIS 140CM 28 KG
100 ALAMSYAH 17th 135482229 EPILEPSI 110/70 160/55
101 FAHLINA 35 th 203397175 G2 CEMAS 130/80 145/45
102 YASTI 44 th 135891382 G2 VISUS 90/70 159/56
103 ABRIYANTO 40 th 135889749 ISPA 100/70 157/56
104 NAHAR 59 th 1349913407 DM TIPE 2 100/80 GDS=243
105 RAMNA 49 th 134992089 ISPA 130/80 155/55
106 RIZAL 50 th 134913982 CEPALGIA 100/70 155/60
12 MEI 2014
108 YUDITHA 8 th 135950231 IAPA 120 CM 21 KG
109 M.AMINUDIN 36 th 135738213 DISPEPSIA 110/80 163/54
110 FARIDAH 51 th 1271222313 DM TIPE 2 120/80 GDS=168
111 SAAT S.NABA 59 th 1271220614 DISPEPSIA 100/70 167/68
112 NIKMA HASSAN 54 th 169727398 HIPOTENSI 80/60 154/60
113 NELLA 20 th 135891731 ISPA 100/70 159/48
114 ISMAWATY 50 th 135907694 RA 100/70 151/58
115 M. RIDO ALEVA 48 bl 203031944 TONSILITIS 102 cm 16 KG
116 ICHA 5 th 165137185 FARINGITIS 116 cm 15 kg
117 DIMIATI 59 th 135636254 HT 130/90 155/60
118 MUTIARA 60 bl 210579175 GEA 99 CM 21 KG
119 ANANG SAPUTRA 15 th 134988849 HIPOTENSI 90/60 127/40
120 ARSYAD 60 th 1265142025 ISPA 120/80 164/61
121 NUHURIA 51 th 135581477 ISPA 120/80 149/55
122 SATRIANI 29 th 197205974 ISPA 110/80 152/50
13 MEI 2014
125 SHERLY 49 th 1295950702 HT 160/90 52 KG
126 INTAN 10 th 1282932819 ISPA 145 CM 33 KG
127 DINI ADINDA 17 th 135891832 ISPA 152 CM 38 KG
128 NILAM 12th 135891843 ISPA 153 CM 35 KG
130 M.ZULKARNAIN 12 th 135684299 ISPA 125 CM 30 KG
131 WIN 51 th 135643375 ABSES 140/80 150/55
132 WUENGI.P 48 th 135643364 STOMATITIS 120/70 150/60
133 ICHE 27 th 165136926 CEPALGIA 100/70 145/76
14 MEI 2014
134 CICI MAKAWARU 70 h 1292116263 SUS .SN 180/90 144/59
135 MUKLIS 44 th 134919821 ISPA 100/70 160/65
136 MAKNUN 42 th 136064362 ISPA 130/70 148/53
137 DWI KUSUMANINGRUM 26 th 204772509 ISPA 90/70 160/57
138 HARSAN 50 th 135490555 HL 120/80 165/72
139 KARIA 51 th 135490566 DM TIPE 2 100/80 146/55
140 JABIR 43 th 135485649 DM TIPE 2 90/60 156/51
141 IRFAN 38 th 135890019 MIALGIA 90/60 154/59
142 M.BASRAH 59 th 134822261 CHEST PAIN 100/70 161/62
144 ADINDA RIZKI AMALIA 10 th 135945369 FEBRIS 121cm 18 kg
145 FALMA PAKASI 52 th 135945336 CEPALGIA 120/80 150/55
16 MEI 2014
146 ALIYYAH KAMILAH 5 th 170699084 ISPA 116 16 KG
147 AMRIN 61 th 1265820452 PJK 100/70 160/60
148 HAERIA 66 th 135867543 DM TIPE 2 154/60 120/80
149 JUNAEDI 37 th 134879995 ISPA 110/80 160/56
150 SAFRUDIN 56 th 135487528 CARD + IMA 120/80 157/69
151 PAINTEN 42 th 134836751 DM TIPE 2 120/80 148/54
152 FAIDA 52 th 135958836 KOLIK 120/80 147//47
153 MARISKA 31 th 135888546 HT 160/90 155/60
155 OLAH 33 th 1235737133 DIGIGIT ANJING 90/60 145/47
156 ENDAH 36 th 135889288 ISPA 100/70 151/48
159 ISMAUN 61 th 134918739 RA 130/80 158/52
160 MAHYANI 29 th 976253613 MIALGIA 100/70 153/50
17 MEI 2014
161 M.RIZKY 9 th 166212821 ISPA 130 cm 23 kg
162 M.HUDA 8 th 149214756 STOMATITIS 116 cm 20 KG
163 DIENS 10 th 165137049 FARINGITIS 126 cm 15 KG
164 ZAINAB 39 th 135913983 ISPA 110/70 149/56
166 FAULINA 33 th 167849302 DISPEPSIA 100/70 150/42
167 SRI WIDYAWATI 17 th 134961873 MIALGIA 100/70 157/47
169 PELMAN 36 th 135527589 DISPEPSIA 130/70 171/75
170 CELSEA 8 th 193336874 ISPA 115 CM 18 KG
171 CIO 35 th 135527591 ISPA 110/70 156/55
19 MEI 2014
172 M.HUDA 8 th 149214756 CARIES 116 CM 20 KG
173 INCE ADWIA 35 th 135525767 SUS.APP 90/70 152/55
174 SUMARNI 32 th 169872671 VARICELA 110/80 155/48
175 ANANDA GILANG 13 th 196228618 ISPA 149 CM 35 KG
176 DAIMA 48 th 135523258 POST KP 140/80 138/55
177 SUMARNI 47 th 135946236 HT 150/80 150/70
178 M.SYAWAL 13 th 976385651 CEPALGIA 158 CM 43 kg
179 FATMAWATI 38 th 135889457 EMESIS 110/70 155/59
180 MAWAR 49 th 135962144 ISPA 110/80 153/55
181 KASRIR 51 th 135906085 MIALGIA 100/70 173/78
20 MEI 2014
182 MUKLIS 45 th 134919821 LBP 120/80 160/65
183 LATIFA 44 th 135050231 ISPA 110/70 145/57
185 FAHTRIZAL 30 th 135889435 KONJUNCTIVITIS 120/80 165/60
186 SAMSUDIN 74 th 135869826 HL 100/80 KOL=273
187 AGLIMA 69 th 135866204 HL 130/80 KOL=250
188 RIZAL 51 th 134913982 A.BR 100/70 155/55
189 AHMAD 10 th 1271069717 STOMATITIS 123 CM 23 KG
190 REYHAND 11 th 171963101 TB PARU 123 VCM 22 KG
191 NURHAYATI 64 th 135712416 VERTIGO 120/70 148/53
192 MULIANI 31 th 135420208 KONJUCTIVITUS 110/80 150/61
21 MEI 2014
194 M.MUSAFIR 16 th 1265187971 FEBRIS 99 CM 9 KG
195 BOBBI 34 th 135899111 GEA 110/80 161/69
196 A.FARID 38 th 38680839 A.BR 110/80 160/60
197 NASRUN 59 th 134832868 V.IKTUM 150/90 155/60
198 RUSLAN 45 th 135933096 HT + HL 130/90 160/60
200 ZAINAB 56 th 135870491 ISPA 100/70 148/58
201 ISMAN 51 th 135483581 CEPALGIA 110/80 162/58
202 RIDHO 7 th 173050391 FARINGITIS 114 cm 18 KG
203 YUDIT 8 th 135050253 TONSILITIS 117 cm 20 KG
22 MEI 2014
205 FAHLINA 36 th 203397074 EPISTAKSIA 110/20 148/47
206 I MADE MULIARSANA 37 th 135892754 HERPES 120/80 173/70
207 KUSNINDAR 40 th 136010992 DISPEPSIA 100/70 162/45
208 ABRIANTO 40 th 135889749 ISPA 110/70 158/53
210 NURDIN 55 th 135491297 HERPES 140/90 150/49
211 IFRIANI 34 th 135483388 STRUMA 100/70 149/50
212 SAID 51 th 135020373 CEPALGIA 100/70 159/60
213 ANIZAR 43 th 134987106 DISPEPSIA 110/70 157/55
214 KAFYAA 7 th 135484964 ISPA 116 CM 17 KG
23 MEI 2014
215 YASMIN 46 th 134833263 RA 110/70 160/66
217 ANWAR 61 th 135866564 DISPEPSIA 140/90 160/60
219 SANI 47 th 134826873 DM TIPE 2 110/80 143/56
220 DISCA 17 th 134826884 G2 HAID 90/70 147/47
221 ALFIAN 33 th 171957554 LBP 100/70 165/55
222 NI MADE AYUNINGSIH 31 th 135874686 G2 VISUS 110/70 160/47
223 MASRUJI 59 th 134990695 HT 140/100 160/59
224 IIN FARLINA 37 th 162877252 ISPA 100/70 155/50
24 MEI 2014
225 MASTA 53 th 136707906 DISPEPSIA 110/70 GDS=157
226 MAS 'ANI 51 th 136064766 DM TIPE 2 110/70 GDS=168
227 SAMSUDIN 53 th 136064777 HT 130/90 160/48
228 M.HIDAYAT 15 th 135888827 ISPA 90/70 166/47
229 AMIR 40 th 135521313 NEPROPATI 120/80 170/60
231 M.RIZKY 40 bl 198935627 GEA 99 CM 15 KG
232 PASTIN 45 th 135911384 ISPA 110/80 146/58
233 SUNARDI 62 th 135809695 G2 BICARA 140/90 150/60
234 DINA 13 th 135498756 ISPA 118 CM 40 KG
26 MEI 2014
236 MARIANI 37 th 156897382 ISPA 100/70 160/50
237 MARTA 56 th 135952424 G2 VISUS 120/80 142/49
238 MAKNUN 42 th 136064362 ISPA 110/70 148/50
239 SUPARDI 54 th 134885698 HHD 130/80 160/75
240 VIKTOR 66 th 135914411 DM TIPE 2 110/80 160/55
241 ISMAUN 61 th 134918739 RA 120/80 158/52
242 IDETA 33 th 135918281 DISPEPSIA 90/60 148/50
243 JELRIN 43 th 136708514 ISPA 140/90 160/58
244 M.FALDONI 7 th 134833285 ISPA 116 cm 35 KG
245 FAHRUDDIN 20 th 136708536 ISPA 100/70 169/65
246 FIRCE 47 th 135482264 DM TIPE 2 140/80 149/55
246 M.KHUSNUL SOLEHUDIN 8 th 135891325 FARINGITIS 104 CM 26 KG
248 RESE 56 th 135963325 HT 190/90 149/58
249 NUR ENDANG 16 th 136063269 FARINGITIS 90/70 145/30
28 MEI 2014
251 KHANZA Q 7 th 1171337139 ISPA 117 CM 18 KG
252 MASHURA 91 th 1266014569 HT + KONJUCTIVITIS 150/80
253 RISNAWATI 41 th 135584234 RA 100/70 165/65
254 SITTI FAJRIA 36 th 135580498 GEA 110/70 150/53
255 WIDYA SALSABILA 9 th 135580511 GEA 116 CM 20 KG
256 ALI AMRIN 51 th 134989672 GEA 130/80 160/60
257 CAHYA 7 th 171685888 ISPA 123 CM 7,6
258 RATMAN 61 th 134711469 HT 130/80 169/65
259 SOLICHAH 52 th 134711471 RA 110/80 15058
260 NILMALASARI 18 th 1270694563 SKIZOFREN 100/70 155/49
261 HALIJAH 53 th 1278692741 HL 100/70 KOL=280
262 RAUF 51 th 135879726 DM TIPE 2 110/80 173/75
263 ANDI ACO 41 th 135525778 ISPA 110/80 165/75
264 AKBAR 13 th 135945358 ISPA 156 CM 44 KG
265 NURUL 16 th 135908008 MIALGIA 100/70 148/45
267 FADLI 37 th 135890853 CIKUNGUNYA 90/70 166/83
268 HANAFI 37 th 135595348 ISPA 120/80 160/60
269 SRI WIDYAWATI 64 th 134961873 D.ALERGI 100/70 157/47
270 JAKUP LATEKO 17 th 135152245 GEA 110/80 151/54
271 NURFIA ISHAK 64 th 135486268 D.SEBOROIK 130/80 156/58
30 MEI 2014
272 ARIFIN 48 th 135630606 HIPOTENSI 90/70 160/59
273 ZULAEHA 60 th 135630595 HT 160/80 147/53
274 DARWIS 53 th 135479946 ISPA 100/70 178/73
275 PARHANA 38 th 165139367 HT 140/80 149/59
276 AFIKA 21 bl 1268638742 ISPA 9 KG 66
277 RAHMAT ADI PUTRA 18 th 135480216 AVITAMINOSIS 110/70 157/46
279 ELFIRA 28 th 135889075 ISPA 90/70 145/65
280 ALIF FATURAHMAN 5 th 164580052 ISPA 12 KG 107 CM
281 MASHUDIN 38 th 135737122 D.ALL 90/70 158/59
282 ASRUL 48 th 135494548 ISPA 120/80 162/49
283 KRISTINA 49 th 135484097 HHD 110/80 144/56
284 AKBAR 13 th 135945358 HIPOTENSI 45 KG 159 CM
285 ADNAN 60 th 135866158 RA 140/80 160/79 AU=7,6
286 FAJAR RIZKI 29 bl 210635921 ISPA 11 KG 75 CM
287 AQELA 8 th 135883642 D.ALL 36 KG 131 CM
288 M.FAJRUL 5 th 135883633 ISPA 37 KG 127 CM
289 IWAN TANDI 40 th 135935515 G2 VISUS 120/80 160/66
31 MEI 2014
290 CHELSEA 5 th 193336874 KONJUNCTIVITIS 106 CM 17 KG
292 INONG 62 th 135868061 SKIZOFREN 130/80 150/76
293 HATE 79 th 1313160388 RA 130/80 155/65
294 ROSENI 41 th 135891819 CEPALGIA 130/80 155/67
295 IRHAM 54 th 13551649287 DM TIPE 2 110/80 160/64
297 NADIRAH 41 th 135684191 RA 110/80 147/46
298 ZAMRAH 59 th 135111205 RA 130/80 149/55
299 DEWIYANTI 46 th 197584345 D.ALL 100/80 149/77
301 ISTIHA 72 th 126826896 HT 150/100 149/55

CABANG PALU BULAN JUNI 2014
2 JUNI 2014
1 HAVIZA 5,6 th 135589476 FEBRIS 93 CM 19 KG
2 SRIMARIAWATI 34 th 135589465 ISPA 120/80 150/60
3 GUNAWAR 51 th 135576347 MALARIA 130/80 155/57 AU=3,4
4 HALIJAH 53 th 1278692741 HL + DM 110/80 146/59
6 ZAINUL 51 th 135738516 HT 110/80 170/80
7 ANA SAFITRI 21 th 134988838 T.PEDIS 120/80 151/50
8 NURHASNA 50 th 134440045 ISPA 120/80 146/50
9 ABDURAHMAN 13 th 1081557562 FEBRIS 53 CM 8 KG
10 ARUM 12 bl 1268481497 ISPA 57 CM 9 KG
12 BINTANG 13 th 167849357 ISPA 147 CM 34 KG
13 AZAK 41 th 134838178 D.ALL 100/70 163/64
3 JUNI 2014
14 ANISA 3 th FEBRIS 5,2 KG
18 FERDIANA 33 th 135889525 FURUNKEL 110/80 150/53 GDS-=121
19 IQRAR 13 th 134982134 ISPA 100/70 162/56
20 M.BASRAH 61 th 134822261 SEBOROIK 120/80
21 M.SYAHRUL 10 th 134702414 ISK 110/70 113 CM 18 KG
22 A.ANDRIYANI P 19 th 135487056 ISPA 110/70 150/45
23 FITRIANI 24 th 135736727 CEPALGIA 110/80 151/48
24 MAWAR 49 th 135962144 CEPALGIA 110/70 150/55
25 SUPARTINI 48 th 193825585 ISPA 110/70 150/55
4 JUNI 2014
26 MURNA 54 th 135866801 ISPA 100/80 140/40
27 SELVI HANDAYANI 30 th 1291257775 DM TIPE 2 110/80 165/80
28 ANDI RUSNIATI 38 th 135888952 VERUKA 120/80 148/50
29 M.FAJRUL 5 ,6 th 135883653 VARICELA 105 CM 35 KG
30 NAURA 8 th 134883642 D.ALL 139 KG 40 KG
31 AZAK 41 th 134838178 G2 PENDENGARAN 140/80 165/64
32 NAIFA 7 th 135990235 T.KAPITIS 115 CM 18 KG
33 SITI FARIDA 43 th 135896499 ISPA 110/80 155/56
34 DJONI 46 th 135896501 HT +HL 120/80 173/70
35 LAILA ARIANTI 38 th 134895802 CEPALGIA 110/70 153/57
36 MAHFUD 54 th 135478181 ISPA 120/80 160/63
37 CICI MAKAWARU 70 th 1292116263 ACITES 140/90 144/59
5 JUNI 2014
38 RISNAWATI 46 th 135487078 CEPALGIA 120/80 161/68
39 BONI 11 th 135487113 FEBRIS 143 CM 43 KG
40 JUMHARI 40 th 197205884 CEPALGIA 120/80 167/76 GDS=211
41 IBRAHIM 54 th 135490656 CHEST PAIN 100/70 151/65
42 MULYANI 40 th 135567551 DISPEPSIA 100/70 161/59
43 ANA OKTAVIANA 17 th 1081660072 SUS.TIPOID 90/70 159/59
44 ZAENAB 56 th 135870491 ISPA 100/70 148/55
45 MARYAM 38 th 135568631 ISPA 110/80 155/65
46 NAWIR 47 th 135119237 HT 130/90 160/60
47 DARMANSYAH 41 th 135738538 HT 130/90 160/65
48 WEDA GALIH 27 th 205208065 CEPALGIA 100/70 151/48
49 ISWANTO 52 th 135498014 ISPA 120/80 160/70
6 JUNI 2014
53 SAID 51 tjh 135020375 MIALGIA 120/80 160/62
54 KIKI RIZKI 23 th 171044355 OMA 110/70 159/55
55 SARIFUDIN 51 th 135913972 CLAVUS 110/80 150/60
56 ZAINAB 38 th 135913983 D.ALL 90/70 155/60
57 NURAINUN 6 th 135913989 D.ALL 112 CM 17 KG
58 I NYOMAN BAWA 33 th 204342197 T.CORPORIS 90/70 165/95
59 ASLI LATEKO 71 th 135866799 HT 140/90 160/60
60 TRISNO 40 th 135487247 GEA 110/80 160/61
61 LIMIN 64 th 135868375 DISPEPSIA 130/80 159/58
62 PAMPI 54 th 135486516 CEPALGIA 100/70 157/55
63 JABIR 43 th 135485649 KP 110/70 158/55
7 JUNI 2014
64 M.IQBAL 24 bl 1078109346 FEBRIS 56 cm 10 KG
65 FERDIANA 33 th 135889525 FURUNKEL 110/80 150/53
68 NILUH ADHI 54 th 134481142 OBESITAS + DM 130/80 161/110 GDS=191
69 ZAINAB 56 th 135870401 ISPA 110/80 148/55
71 ALAMSYAH SpD 35 rh 171550506 HL + DM 120/90 160/65
72 SUMIATI 53 th 135491358 ISPA 120/80 155/50
73 ROSTIN 51 th 134992528 ISPA 130/80 150/60
74 ABDUL RISWAN 29 th 135896499 DISPEPSIA 110/70 158/50
75 AMINAH 51 th `35497935 MIALGIA 130/80 150/60
9 JUNI 2014
76 ST FAHIRA ZAHTA 29 bl 209567294 ISPA 88 CM 11 KG
77 JUMHANIS 40 th 197205884 RA 120/809 167/76 AU=9
78 ISMAN 50 th 135483581 G2 CEMAS 110/80 150/60
79 TANDI LPBO 68 th 12966550428 HT 140/90 140/90
80 ABD ASIS RASYID 73 th 135710537 HHD 130/80 130/80
81 ARIPIN 49 th 135630606 G2 CEMAS 110/70 110/70
82 MASNUN 42 th 135907762 ISPA 110/80 150/57
84 M.RAFI ZHAFRAN 3 6 bl 20652776 CORPUS ALIENUM 95 CM 14 KG
86 NAOMI 52 th 664 CEPALGIA 130/90 162/87
87 DARMAN 41 th 135481544 HT 150/90 165/70
90 YUDHA 9 th 135481577 ISPA 129 CM 30 KG
10 JUNI 2014
91 NURUL APRILIA 14 th 135984625 V.EKORIATUM 90/70 158/45
92 HANAFI 52 th 135595348 G2 VISUS 110/80 165/60
93 HADIDJAH 51 th 135482398 EPILEPSI 160/80 155/60
94 ZAINAB 56 th 135870491 MIALGIA 100/70 149/55
95 M.IRFAN 42 th 135580487 PJK 100/70 160/61
96 ALYKA 48 bl 166235128 FARINGITIS 94 CM 12 KG
97 DABITA 5,7 th 135684202 TONSOLITIS 97 CM 13 KG
98 RAMA SAPUTRA 9 th 134865999 FARINGITIS 121 CM 20 KG
99 JELRIN 43 th 136708514 ISPA 130/80 160/63
11 JUNI 2014
100 HUSNI JONDOSE 68 th 135867881 HHD + DM
101 IFRIANA 34 th 135483388 STRUMA
102 CYNTIA 6 th 1312598992 ISPA
103 ADELIN 61 th 136711067 D.ALL
104 MURNA 48 th 135866801 ISPA
105 ANGES RM 49 th 1288906446 KATARAK 120/80 150/50
106 ALIKA 48 bl 166235128 TONSOLITIS
107 SARJAN 49 th 135605518 ISPA
108 M.IRFAN 42 th 135580487 PJK
109 SAFRUDIN 5 th 135913983 HL
110 ZAENAB 51 th 135913983 FURUNKEL
111 BURHANUDIN 50 th 135680062 HERPER
112 IDRUS BATJO 73 th 115998221 CEPALGIA
12 JUNI 2014
113 FARIDA 51 th D.ALL 120/80 150/73
114 SUNDARI 20 th 139693763 D.ALL 100/70 149/48
115 SUPARTI 40 th 134982112 ISPA 100/70 160/75
116 HUSNI JONDOSE 68 th 135867881 ABD.DISKOM 140/90 150/70
119 FALMA 54 th 135945397 ISPA 110/80 150/55
120 NADIRA 40 th 135684191 ISPA 110/80 152/55
121 RUSDIN 48 th 134961851 ISPA 100/70
123 ISMAUN 60 th 134918739 RA 110/70 167/50
124 ADE 6.9 th 1272055094 ISPA 155 CM 32 KG
125 DAVID 49 th 134839337 HT 170/90 160/70
13 juni 2014
126 SUMIATI 52 th 135409308 DISPEPSIA 110/70 150/50 GDS=441
127 NURDIN 55 th 135491297 DISPEPSIA 110/70 150/50
128 DEDI KURNIAWAN 17 th 134824781 GEA 90/60 162/55
129 ABDUL HARIS 35 th 134844658 ISPA 110/80 164/75
130 INCE ADWIA 34 th 135525767 SUS APP 90/60 152/60
131 MAWAR 49 th 135962144 DM TIPE 2 120/80 150/60 GDS=195
134 RAUF 50 th 135879726 HL + DM 110/80 173/75 GDS=144
135 ROSLANI 44 th 135933096 ISPA + DM 130/90 160/65
136 M.FALDONI 8 th 13483285 ISPA 117 CM 42 KG
137 MASHUDIN 38 th 135737122 D.ALERGI 110/80 158/59
138 OLA 34 th 135737133 D.ALERGI 120/80 148/45
14 juni 2014
139 ADITYA 48 bl 198276851 FEBRIS 104 CM 16 KG
140 RUSMIATI 43th 135737875 STRUMA 100/70 145/59
141 WIRSAN 46 th 134865966 MIALGIA 100/70 168/64
142 SUHAERIL 49 th 135558904 ISPA 100/70 165/74
143 NURHANIFAN 37 th 195611049 ISPA 90/60 147/41 GDS=349
144 SITTI FAJRAH 36 th 135580498 DISPEPSIA 100/70 146/37
145 DEWIYANTI 45 th 135132412 D.ALERGI 100/70 150/76
146 FAIDA 52 th 135958836 KOLIK ABD 120/80 147/46
16 JUNI 2014
148 ISMAUN 60 th 134918739 RA 130/80 160/52
149 RUNISPA 47 th 135913386 CEPALGIA 110/80
150 NURSAM 60 th 135868386 DM TIPE 2 130/80
151 SAFRUDIN 56 th 135487528 POST IMA 110/80
152 WANDA 11 th 135584256 TONSILITIS 28 KG
153 SUPARMAN 55 th 135476717 HT 140/90
154 MUNADI 135030568 DISPEPSIA 140/90
155 BARIQ 5 th 977933946 ISPA 14 KG
156 SASNI 47 th 134826873 RA 110/80
157 SARI AMENOROE 90/60
158 DIMAS 40 th 135684191 ISPA 110/80 152/55
159 ADINDA 54 th 135519287 ISPA 110/80 165/60
160 MASNUDIN 10 th 135131771 ISPA 121 CM 19 KG
161 SITI FAJRIAH 36 th 135580498 DISPEPSIA 110/80
162 AGUSFIRA 18 th 134966079 ISPA 100/70
163 SITI HAWA 43 th 134966057 D.ALERGI 110/70
164 ADNAN 62 th 135866158 CEPALGIA 120/80
17 JUNI 2014
165 HASRAN 52 th 134988816 DM TIPE 2 100/70
166 HAERIA 65 th 135867543 DM TIPE 2 130/80
167 FAROL 6 th 135892776 ISPA
168 SITI RABIATUL 20 th 125189019 DISPEPSIA 110/80
169 TRI ENDAH 21 th 1258730033 FARINGITIS 90/80
170 NUR KHOLIS 10 th 166868774 ISPA
172 ANGGA 8 th 135409319 FARINGITIS
173 H.ABBAS DJAFAR 58 th 1267507787 HT 160/90
174 M.AKBAR 31 th 166071014 D.ALERGI 110/70
175 WIDYA SALSABILA 9 th 135580341 PAROTITIS
176 SITI KHOTIJAH 41 th 41991096 CEPALGIA 110/70
177 SEPTA PUTRI 14 th 41991107 ISPA 90/60
178 JASRIN 36 th 167849155 ISPA 110/70
179 FAULINA 33 th 167849302 ADNEXITIS 100/70
180 BINTANG 13 th 167849357 FARINGITIS 150 CM 45 KG
181 YUDHI 16 th 135580509 FARINGITIS
18 JUNI 2014
182 RIKAWATI 33 th 171550089 ISPA 110/70 151/50
183 HARIST 19 bl 1079512762 ISPA 31 CM 10 KG
184 MASDIANAA 51 th 134990447 DISPEPSIA 130/80 155/69
185 EKA 19 th 134913993 SKABIES 100/70 147/45
189 AHMAD KHAIRAH 48 th 135991978 SERUMEN 125 CM 23 KG
190 AHMADI OLII 66 th 135265667 HT
192 MUSTAMIN 56 th 976207217 HT 140/90 160/65
193 AISYAH ADINDA 7 th 135522898 ISPA
194 AGLIMA 69 th 135866204 RA 150/100 150/60 AU=7
195 IDA ROYANI 35 th 135889942 ISPA 100/70 160/50
196 SYAHARANI 134891943 BEONCHITIS 101 CM 10 KG
197 SITI HAWA 42 th 134966057 DM TIPE 2 110/70 153/50 GDS=424
19 JUNI 2014
199 SITI KHOTIJAH 40 th 41991096 ANG.PECTORIS 100/70 143/56
200 SUPARMAN 54 th 135476717 HT 140/90 160/63
202 NURFAH 48 th 134991595 ISPA 140/100 156/73
203 NURHAYATI 64 th 1135712416 ISPA 120/80 150/52
205 NURSAM 58 th 135868386 ISPA 130/80 151/61
206 KARYA 135484964 D.ALERGI 113 CM 18 KG
207 MUNILAH 49 th 135485559 G2 CEMAS 120/80 150/60
208 M.ALIF FIKRI 11 th 135737897 KOLIK ABD 121 CM 26 KG
209 M.IBNU AS'AD 18 th 135577539 D.ALERGI 100/70 165/56
210 ROSMA WAHYUNI 14 th 135891617 CEPALGIA 149 CM 52 KG
211 SAMSUDIN 72 th 135869826 HIPOTENSI 110/80 160/58 GDS=92
212 FALMA 51 th 135945336 COUGH 120/80 150/60
213 FALMA 54 th 135945347 CEPALGIA 120/90 160/65
214 ADINDA 12 th 135945369 ABSES 140 CM 32 KG
215 PASRANTI 39 th 134824779 DISPEPSIA 120/80 155/61
216 NI KETUT SERIADI 45 th 135485954 HL + DM 110/80 160/70 KOL=250
217 MADEMADIO 51 th 135485965 ISPA 110/70 170/70
218 ISMAUN 60 th 134918739 HT 150/90 160/52
20 JUNI 2014
219 ASRUDIN 68 th 135755504 ISPA 100/60 165/48
220 MAHFUD 56 th 135478181 RA 100/80 144/58
222 CIO IBA 34 th 135527591 CEPALGIA 110/70 155/60
223 JELRIN 43 th 136708514 CEPALGIA 130/80 160/63
224 INONG 61 th 135868961 SKIZOFREN 150/100 150/71
226 MARYAM 47 th 134990381 DM TIPE 2 90/70 153/67
229 ANGGA 8 th 135491319 KONJUCNTIVITIS 127 CM 27 KG
231 DJONI 48 th 1235896501 COUGH 120/90 167/60
232 DAMARIS 57 th 135486933 COUGH 110/80 147/45
233 JABIR 42 th 135485649 DM TIPE 2 100/80 156/53
234 ABD.RASYID 29 th 135518152 ISPA 120/80 166/83
21 JUNI 2014
236 SUKRI 75 th 135870041 KATARAK 120/80 160/65
237 NAFIA 35 bl 208209431 ISPA 65 CM 12 KG
238 NAYLA 5,10 135889446 ISPA 105 CM 17 KG
239 FAHRIZAL 30 th 135889435 D.ALERGI 120/80 160/65
240 NURDA 48 th 135680051 CEPALGIA 100/70 145/44
241 RATMAN 60 th 134711469 HT 110/70 165/70
242 SOLICHAH 52 th 134711471 RA 110/80 150/57
243 TIDJAH 66 th 135733432 T,PEDIS 130/80 147/65
244 MARYAM 65 th 135484661 DM TIPE 2 120/80 161/56
245 NURDJIDAN 43 th 134961862 CEPALGIA 110/70 151/50
246 NI KETUT SERIADI 46 th 135485954 ISPA 130/80 160/69
247 MADE KRESNA 19 th 135485987 RA 120/80 175/75
249 AMINAH 51 th 135479935 HT 140/90 150/60
250 ROSDIANA 36 th 135891606 D.ALERGI 100/70 150/50
23 JUNI 2014
251 MARYAM HIPPI 41 th 134990381 DM TIPE 2 90/60 135/64 gds=231
252 HUJRAH 18 th 135487258 MIALGIA 110/70 153/55
253 ZAINUDDIN 50 th 134826862 HT 170/100 162/92
254 SASNI 47 th 134826873 DM TIPE 2 110/80 143/55 GDS=221
255 LINISWATI 39 th 134923577 ABD.DISKOM 120/80 155/55
256 TRI NURI 27 th 209108024 ISPA 110/80 150/45
257 MUNILAH 50 th 135485559 G2 CEMAS 100/70 149/57
258 SITI RABIATUL 20 th 125189019 GV 110/80 160/60
259 A.UMMU 38 th 135990213 ISPA 100/70 153/55
260 NAIFA 7 th 135990235 ISPA 110/80 120/15
24 JUNI 2014
266 AMRIN 61 th 1265870452 HHD 130/80 162/60
267 SARIFUDIN 50 th 135913972 HL 120/80 150/60
268 AULIA AZZAHRA 5 th 1325435949 BRONKITIS 101 CM 13,5 KG
269 RIDHO 49 th 203031944 ISPA 100/70 106/18
271 DISCA 17 th 134826884 D.ALERGI 100/70 147/47
272 SUARNI 58 th 135572286 PJK /HT
273 L.BAHARUN 55 th 135484121 HL + HT 150/100 162/70
276 KUSMIATI 43 th 135737875 HL 120/80 150/52
277 MURNIATI 40 th 135890875 OA 110/80 150/52
25 JUNI 2014
277 SERLI 33 135892089 G2N PENDENGARAN 109/70 149/50
278 FATMAWATI 5 th 164392536 ISPA 115 18
280 AZIS 60 th 134838235 MIALGIA 90/60 160/55
281 JABIR 43 th 135485649 DM TIPE 2 110/80 158/51
283 FALMA 54 th 135945397 ISPA 110/80 150/55
284 AKBAR 50 bl 173154644 TONSILITIS 110CM 20 KG
285 NILU ADHI 53 th 135581242 HT 140/90 160/105
287 NIKMA 55 th 169727398 RA 110/70 154/58
289 RAFA 48 th 177037554 ISPA 95CM 14 KG
291 ROSLANI 44 th 135933096 CEPALGIA 140/90 167/75
292 NADIRA 40 th 135684191 ISPA 110/80 152/55
26 JUNI 2014
294 ASHAR 58 th 135519434 DM TIPE 2 90/70 160/69
295 HIJRAH 33 th 134844647 D.ALERGI 100/70 150/55
296 SITI FAJRAH 36 th 135580498 MIALGIA 100/70 146/47
297 WIDYA SALSABILA 9 th 135580511 ABD.DISKOM 121 20
298 KAMAREL 65 th 135868105 SERUMEN 130/90 149/55
299 ARSYA 60 th 1265142025 HHD 150/90 160/55
300 NURLAELA 54 th 127673897 MIALGIA 149/45 110/80
301 KUSNO 54 th 135556132 MIALGIA 100/70 160/59
302 ROSITA 45 th 1463005 HT 160/90 152/61
303 UDDIN SUAIB 51 th 134993766 ISPA 130/80 167/68
304 NAHAR 59 th 134913407 G2.VISUS 100/70 165/73
305 MASTA 53 th 136207906 DISPEPSIA 130/80 149/52
306 NUHURIA 50 th 135577528 ISPA 90/70 155/60
27 JUNI 2014
308 ARIEF NUSI 60 th 135567011 CHF + PJK 120/80 156/62
309 GUSTIVIANUS 54 th 135602133 CHEST PAIN 140/80 173/69
310 NURHIDAYATI 13 th 198809548 OA 90/70 145/42
311 ASHAD MARJALA 55 th 135921251 VERUCA 140/80 178/76
312 SARIFUDIN 51 th 135913972 MIALGIA 100/70 149/55
313 ABD.FARID 57 th 135737381 ISPA 110/80 163/76
314 ADNAN DJUNUDIN 62 th 135866158 ISPA 130/80 160/79
28 JUNI 2014
316 ANDI ACO 41 th 235335778 ISPA 100/79 165/71
318 M.IRFAN 43 th 135580487 CEPALGIA 110/70 160/63
319 FAHLINA 36 th 203397074 DISPEPSIA 110/80 143/46
320 REZITA 6 th 203397265 FARINGITIS 116 CM 18KG
321 JELRIN 43 th 136708514 HL 130/80 160/63
322 ISRA 49 th 136708503 RA 110/80 165/92 AU=7,5
30 JUNI 2014
323 ROHANI 51 th 136067218 CHEST PAIN 110/80 158/65
324 ZAINAB 57 th 135870491 TUMOR MAMMAE 110/70 148/55
325 I DETA 34 th 135918281 G2 PENDENGARAN 120/80 143/53
326 SUPRIADI 54 th 134885698 HHD 120/80 160/75
327 UDIN 51 th 134993766 KOLIK ABD 120/80 173/75
328 DEWIYANTI 45 th 135132412 CEPALGIA 100/70 150/76
329 PUTRI UNA 47 th 135480036 ISPA + DM 120/80 145/43
N PESERTA PROLANIS DM BLN JANUARI 2014
BULAN JANUARI 2014 Tek.darah
GDPP GDP HBA1C CHOL LDL HDL TG SISTOL DIASTOL

TOTAL
130 90
110 70
120 80
110 70
130 90
120 80
120 80
120 80
120 80
120 80
120 80
120 80
120 90
110 70
120 80
120 80
120 70
120 80
N PESERTA PROLANIS DM BLN FEBRUARI 2014
BULAN FEBRUARI 2014 Tek.darah

TOTAL
140 90
110 80
120 70
140 80
120 80
120 80
120 80
120 80
90 80
150 60
140 80
90 70
100 70
90 70
120 80
130 90
90 70
140 80
110 80
180 80
110 70
110 80
170 90
130 80
140 80
90 70
N PESERTA PROLANIS DM BLN MARET 2014
BULAN MARET 2014 Tek.darah

TOTAL
120 80
120 80
110 80
120 80
120 80
140 90
252 120 80
120 80
110 80
110 70
167 100 70
198 140 80
100 70
120 80
100 70
130 80
80 60
120 80
90 60
N PESERTA PROLANIS DM BLN APRIL 2014
BULAN A P R I L 2014 Tek.darah

TOTAL
140 80
110 80
130 80
160 80
90 70
100 70
110 80
120 80
150 80
90 60
130 80
140 80
N PESERTA PROLANIS DM BLN MEI 2014
BULAN MARET M2014

EI 2014 Tek.darah

TOTAL
160 80
100 80
110 80
130 80
KOL =249 110 70
100 80
120 80
100 80
90 60
120 80
120 80
110 70
120 80
110 80
140 80
110 80
110 80
120 80
110 80
KESEHATAN PESERTA PROLANIS DM BLN JUNI 2014
BULAN JUNI 2014

JUNI 2014 TEK.DARAH

TOTAL
110 80
110 80
110 80
120 80
110 80
100 70
130 80
130 90
120 80
100 70
100 70
245 110 80
130 90
90 60
130 80
100 70
130 80
110 70
130 90
130 80
130 90
110 80
90 70
130 90
100 80
1 80
90 60
110 80
110 80
90 70
110 80
120 80
N PESERTA PROLANIS DM BLN JULI 2014
BULAN JULI 2014

JULI 2014 Tek.darah

TOTAL
120 80
110 70
110 80
120 80
110 80
120 80
100 70
140 80
90 70
110 80
100 70
110 80
140 80
100 70
120 80
120 80
130 80
N PESERTA PROLANIS DM BLN AGUSTUSI 2014
BULAN AGUSTUS 2014 2014 Tek.darah

TOTAL
130/80 70
110/80 80
110/80 80
110/70 80
110/70 80
120/80 70
130/80 70
90/80 80
120//80 80
110/80 80
130/80 80
140/90
110/80
120/80
90/60
120/80
100/70
110/70
100/70
110/80
110/70
120/80
110/70
110/70
N PESERTA PROLANIS DM BLN SEPTEMBER 2014


TOTAL
150 90
130 80
130 80
110 80
100 70
110 70
120 80
110 70
120 80
110 70
130 80
100 70
130 80
110 80
120 80
110 80
120 80
120 80
110 80
110 70
130 80
100 70
N PESERTA PROLANIS DM BLN OKTOMBER 2014

TOTAL
130 80
120 80
120 80
120 80
120 70
130 80
140 80
110 70
120 80
110 70
120 80
100 70
120 80
100 70
120 70
140 90
100 70
120 80
100 70
90 60
140 90
140 90
N PESERTA PROLANIS DM BLN DESEMBER 2014
BULAN D E S E M B E R 2014 Tek.darah

TOTAL
120 80
120 80
100 70
130 80
100 70
130 80
150 90
120 80
120 80
120 80
120 80
120 80
100 80
100 70
120 80
120 80
130 90
120 80
100 70
110 70
120 80
110 80
100 70
RS MD
RS MD
BARU
RS MD BARU
RS UT
RS UT
RS MD
BARU
BARU
BARU
BARU
RS UT
RS UT
RS MD
RS MD
RS MD
RS MD
RS MD
RS UT
RS MD
LW
RS MD
LUAR WILAYAH
DIRUJUK KE RJK BALIK Keterangan
dari
RS MD
BARU
TDK AKTIF
BARU
RS MD BLM TERDAFTAR
RS UT
AU=9
RS AP
BELUM TERDAFTAR
RS MD
RS MD
RSMD
RS MD
RS MD
RS UT
RS MD
KOL=245
RS MD
RD MD TDK TERDAFTAR
TDK TERDAFTAR/LW
TDK TERDAFTAR/LW
RS MD
RS UT
RS MD
RS MD
TDK TERDAFTAR
RS MD
TDK TERDAFTAR/LW
RS MD
RS UT
RS UT
RS MD
RS UT
KET
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
KET
KET
KET
LAMA
LAMA
LAMA
LAMA
LAMA
LAMA
LAMA
LAMA
LAMA
LAMA
LAMA
LAMA
KET
KET
KET
KET
KET
KET
BARU
KET
LAPORAN PELAYANAN PESERTA ASKES YANG BARU TERDAFTAR DI KLINIK APT SWA FARMA
BELUM TERDAFTAR DI BULAN NOPEMBER 2014
NO NAMA UMUR NO. KARTU DIAGNOSA ALAMAT
PESERTA NO.ASKES
1 REZKI AYU 23 th 1327128311 ISPA 90/80
2 M.CHAIRUL 46 bl 1479739138 ISPA 90 CM
3 ARDIRAN 24 th 134799366 CEPALGIA 100/70
4 HALIJAH 52 th 1278692741 MIALGIA 110/70
5 NIRMALASARI 19 th 1278694563 DEPRESI 110/70
6 M.YAMIN 19 th 1079625521 ISPA 110/70
7 FARIDA 51 th 1271222313 DM TIPE 2 120/80
8 M.LANG ALAMANDA 9 bl 1431203894 ISPA
9 H,M.NUR ICHSAN 62 1428147988 RA 120/80
10 EXAL 14 th 1261816479 GEA 90/60
11 SAAT S NABA 60 th 1271220614 ISPA 110/80
12 MASLAN 47 th 151828571 HT 100/80
13 BENY 28 th 1095346034 SUS.HEPATITIS 118/75
14 FARIDA 51 th 127222313 V.IK 110/80
15 ZAENONG 40 th 1478171171 HT 188/84
16 SUDARNI 36 th 1478172958 RA 110/80
17 EMELY 30 bl 1188320927 CORP.ALIEN. NASI 85 cm
18 NI KETUT SANTIANI 70 th 1482893586 RA 158/88
19 ADRI 30 th 1132760709 KONJUCTIVITIS 156 CM
21 LINISWATI 40 th 127673897 DISPEPSIA 139/62
22 NURLAELA 54 th 127673897 CEPALGIA 110/80
23 ARSYAD 61 th 1265142025 HHD 140/90
24 MUSNANI 61 th 1265142835 INSOMNIA 130/809
25 SELVI 30 th 1291257775 DM TIPE 2 110/70
26 SAMUEL 36 bl 1275248338 D.ALL 88 CM
27 LUTFI 31 th 1785336153 CEPALGIA 100/80
28 AFIQA 22 trh 1268638942 ISPA
29 SARASWATI 24 th 1164293717 CEPALGIA 100/70
30 BASIA 54 th 1267507989 LBP 120/80
31 MAYA 9 th 1104293798 D.ALL 140/80
Mamboro, 2 Januari 2015

dokkel
dr.Tenrisa'na Rifai
LAPORAN PELAYANAN PESERTA ASKES YANG BARU TERDAFTAR DI KLINIK APT SWA FARMA
BELUM TERDAFTAR DI BULAN DESEMBER 2014
NO NAMA UMUR NO. KARTU DIAGNOSA ALAMAT
PESERTA NO.ASKES
1 CINTYA NURDAIMAN ODE 5 1312598992 D,ALL 126 CM
2 HALIJA 52 1278692741 CEPALGIA 110/70
3 NIRMALASARI 15 1278694563 DEPRESI 100/70
4 FARIDA 51 1271222313 SKABIES 120/80
5 MARNI 29 1150211935 LBP 100/70
6 MARIA 23 1305341212 ISPA 100/70
7 AIDAN SYAH KALANI 3 205128999 FEBRIS 98 CM
8 YAZID ZIDAN 2 207114715 ISPA 96 CM
9 MERSINTA 25 202940278 FARINGITIS 90/70
10 REVAN ANDIKA 5 1177705798 ISPA 123 CM
11 SUDARNO 33 1177705787 ISPA 110/80
12 MARNI 29 1150211935 METRORAGI 110/70
13 NUR SARWA 15 BL
14 NAIRA NUR AISYAH 1 1263878324 STOMATITIS 96 CM
15 ARSYAD ABDULLAH COI 51 1429317426 HT 130/80
16 SIGIT ADITIA 17 166206183 HIPOTENSI 100/70
17 MUHAMMAD MUSAFIR 23 BL 1265187971 TB KELENJAR 110/80
18 ZAENONG . 39 1478171171 HT 150/90
19 SUDARNI U LABODU 35 1478172958 TONSILITIS
20 DJONNY SAMPELAN 50 1094321136 ISPA 130/90
21 SAMUELAZRIEL 2 1275248338 FEBRIS 90 CM
22 HELEN KANDATI 43 1101480636 INFLUENZA 100/70
23 DWI KUSUMA 25 197114589 FARINGITIS 90/60
24 ANISSA 1 1317861887 VARISELA 65 CM
25 CINTYA 7 1312598992 DISPEPSIA 108 CM
26 NAOMI T 54 1276847155 HT 110/70
27 CHYNTIA SAKTI 5 1265140618 ISPA 107 CM
28 ARSYAD SIRI 62 1265142025 HHD 140/70
29 HJ.MUSNANI 62 1265142835 INSOMNIA 130/80
30 AULIA 6 1325435949 BRONKITIS 101 CM
SUS KATARAK 130/80
31 ARSYAD 53 1429317426
Mamboro, 2 Januari 2015

dokkel
dr.Tenrisa'na Rifai
NIK APT SWA FARMA
TANGGAL KETERANGAN
BULAN
165/61 11/1/2014
12 KG 11/3/2014
161/56 11/3/2014
148/55 11/3/2014
150/45 11/3/2014
163/58 11/5/2014
164/69 11/5/2014
11/6/2014
170/70 11/6/2014
146/30 11/7/2014
162/68 11/8/2014
180/80 11/10/2014
170/70 11/13/2014
155/68 11/13/2014
164/85 11/14/2014
154/55 11/14/2014
11 kg 11/14/2014
146/55 11/15/2014
58 KG 11/17/2014
148/50 11/17/2014
155/66 11/17/2014
150/46 11/17/2014
155/65 11/22/2014
152/60 11/22/2014
165/80 11/24/2014
13 KG 11/26/2014
160/68 11/28/2014
11/28/2014
150/74 11/29/2014
147/59 11/29/2014
160/59 11/29/2014
NIK APT SWA FARMA
TANGGAL KETERANGAN
BULAN
26 KG 12/1/2014
12/1/2014
12/1/2014
12/1/2014
147/69 12/2/2014
156/55 12/3/2014
13 KG 12/5/2014
8 KG 12/6/2014
151/48 12/6/2014
18 KG 12/10/2014
162/64 12/10/2014
147/69 12/11/2014
12/11/2014
42 KG 12/11/2014
151/65 12/13/2014
47 KG 12/13/2014
165/50 12/13/2014
12/15/2014
12/15/2014
12/15/2014
10 KG 12/16/2014
155/60 12/16/2014
160/60 12/17/2014
9 KG 12/24/2014
26 KG 12/24/2014
156/75 12/24/2014
16 KG 12/24/2014
155/75 12/24/2014
152/60 12/24/2014
13 KG 12/24/2014
151/65
12/30/2014
LAPORAN PEMANTAUAN PESERTA PROGRAM PENGELOLAAN HIPERTENSI
KLINIK /DOKTER KELUARGA : dr.Tenrisa'na Rifai

BULAN JANUARI 2014
ASKES KELAMIN TERDAFTAR ALAMAT NO.TELP/HP TEK.DARAH
SISTOLE
1 MINHAR 135591928 L P 2 JANUARI 2014 MBR 140
2 JAKUP LATEKO 135152245 L P 2 JANUARI 2014 MBR 130
3 NILUH ADHI SUREJA 135581242 P P 2 JANUARI 2014 MBR 130
4 ARIEF NUSI 135567011 L P 3 JANUARI 2014 MBR 120
5 L.BAHARI 135484121 L P 4 JANUARI 2014 MBR 160
6 SUMITRO 134828572 L P 7 JANUARI 2014 MBR 130
7 HAERIA 135867543 P P 7 JANUARI 2014 MBR 130
8 TIJAH 135773432 P I 8 JANUARI 2014 MBR 140
9 NURJIDAN 134961862 P I 8 JANUARI 2014 MBR 130
10 RUNISFA 135913286 P I 9 JANUARI 2014 MBR 140
11 PAINTEM 134836751 P I 10 JANUARI 2014 MBR 130
12 ELISABETH 135873009 P I 10 JANUARI 2014 MBR 150
13 JELRIN 136708514 P I 11 JANUARI 2014 MBR 140
14 KRISTINA 135484097 P I 13 JANUARI 2014 MBR 110
15 ASHAD 135921251 L P 13 JANUARI 2014 MBR 130
16 JUMHANIS 197205884 L P 15 JANUARI 2014 MBR 140
117 IDRUS BATJO 115998221 L P 15 JANUARI 2014 MBR 150
18 RATMAN 134711469 L P 15 JANUARI 2014 MBR 140
19 SUMARNI 135946236 P I 16 JANUARI 2014 MBR 160
20 SAMLIA 135548979 P I 16 JANUARI 2014 MBR 130
21 RESE 135737774 P P 18 JANUARI 2014 MBR 140
22 ELFIS 134883696 L P 21 JANUARI 2014 MBR 130
23 ERNA 135889367 P P 22 JANUARI 2014 MBR 130
24 I KETUT PUTRA 135736389 L P 22 JANUARI 2014 MBR 130
25 ASWAR 135574672 L P 25 JANUARI 2014 MBR 130
26 DIMIATI 135636254 P I 25 JANUARI 2014 MBR 130
27 PAMPI 135486516 L P 28 JANUARI 2014 MBR 140
28 ADNAN 135866158 L P 28 JANUARI 2014 MBR 140
29 RERUNG 135486922 L P 29 JANUARI 2014 MBR 140
30 HARSAN 135490555 L P 29 JANUARI 2014 MBR 130
31 ROSLANI 135933096 P I 29 JANUARI 2014 MBR 140
32 RUKMINI 135737741 P P 29 JANUARI 2014 MBR 140
33 ISMAUN 134918739 L P 29 JANUARI 2014 MBR 140

BULAN FEBRUARI 2014
SISTOLE
1 MINHAR 135591928 L P 1 FEBRUARI 2014 MBR 140
2 NASRUN 134832868 L P 1 FEBRUARI 2014 MBR 160
3 HUSNI DJONDOSE 135867881 L P 3 FEBRUARI 2014 MBR 140
4 SUPARMAN 135476717 L P 3 FEBRUARI 2014 MBR 130
5 NUR HASNAH 135550045 P 1 3 FEBRUARI 2014 MBR 140
6 JAKUP LATEKO 135152245 L P 3 FEBRUARI 2014 MBR 130
7 RESE 135963325 P P 4 FEBRUARI 2014 MBR 130
8 ASHAD 135921201 L P 4 FEBRUARI 2014 MBR 140
9 HAERIA 135867543 P P 7 FEBRUARI 2014 MBR 140
10 AGLIMA 135899695 P 1 7 FEBRUARI 2014 MBR 160
11 PAMPI 135486516 L P 8 FEBRUARI 2014 MBR 150
12 MARYAM 135484661 P 1 8 FEBRUARI 2014 MBR 130
13 GUNAWAR 1355763487 P 1 11 FEBRUARI 2014 MBR 150
14 DARMANSYAH 135674302 L P 11 FEBRUARI 2014 MBR `40
15 DARWIS 135601492 L P 11 FEBRUARI 2014 MBR 160
16 JELRIN 136708514 L 1 11 FEBRUARI 2014 MBR 140
18 NAWIR 135119237 L P 11 FEBRUARI 2014 MBR 130
19 ETJE LAMAKA 134921406 P P 12 FEBRUARI 2014 MBR 150
20 IBRAHIM 135410656 L P 12 FEBRUARI 2014 MBR 140
21 ZAINUDDIN 134826862 L P 12 FEBRUARI 2014 MBR 180
22 KARIA 135490566 P P 14 FEBRUARI 2014 MBR 130
23 CENDA 126580812 P 1 15 FEBRUARI 2014 MBR 190
24 ARVANCE 135480464 P 1 15 FEBRUARI 2014 MBR 140
25 ISMAUN 134918739 L P 15 FEBRUARI 2014 MBR 130
26 TAMSIR 135488744 L P 15 FEBRUARI 2014 MBR 140
27 AHMADI 135265667 L P 17 FEBRUARI 2014 MBR 150
28 HJ.HAJRAH 162356084 P 1 17 FEBRUARI 2014 MBR 130
29 UDIN 134993766 L P 17 FEBRUARI 2014 MBR 150
30 HASAN 135531832 L P 17 FEBRUARI 2014 MBR 140
31 SAMSUDIN 136064777 L P 18 FEBRUARI 2014 MBR 130
31 MASTA 136707906 P 1 18 FEBRUARI 2014 MBR 140
32 NAHAR HALIDO 135864163 L P 19 FEBRUARI 2014 MBR 160
33 ABBAS 1267507787 L P 20 FEBRUARI 2014 MBR 170
34 M.ZAID 135757302 L P 20 FEBRUARI 2014 MBR 140
35 ILHAM 135889953 L P 20 FEBRUARI 2014 MBR 130
36 FIRCE 135482284 P P 21 FEBRUARI 2014 MBR 140
37 DAVID 134839337 L P 21 FEBRUARI 2014 MBR 170
38 AMRIN 1265870452 L P 22 FEBRUARI 2014 MBR 130
39 PARHANA 165139367 P 1 22 FEBRUARI 2014 MBR 170
40 ROSITA 1463005 P 1 24 FEBRUARI 2014 MBR 160
41 SUNARTIN 135488384 P 1 24 FEBRUARI 2014 MBR 140
42 HAMZAH 135639257 L P 25 FEBRUARI 2014 MBR 170
43 MASDIANA 134990447 P P 25 FEBRUARI 2014 MBR 160
44 FAJRIA 165177628 P P 25 FEBRUARI 2014 MBR 150
46 MUSDALIAH 135869095 P 1 25 FEBRUARI 2014 MBR 130
47 SUNARDI 135809695 L P 26 FEBRUARI 2014 MBR 130
48 MASHURA 126601484 P 1 26 FEBRUARI 2014 MBR 140
49 JUSUF TALAWA 135868195 L P 26 FEBRUARI 2014 MBR 130
50 DIMIATI 135636254 P P 26 FEBRUARI 2014 MBR 130
51 USMIATI 1354849058 P P 26 FEBRUARI 2014 MBR 180
52 FAIDA 135958836 P P 26 FEBRUARI 2014 MBR 130
53 SUPARDI 134885698 L P 26 FEBRUARI 2014 MBR 140
54 KASRIR 135906074 L P 28 FEBRUARI 2014 MBR 130
55 RUSNIPAR 135913386 P 1 28 FEBRUARI 2014 MBR 130
LAPORAN PEMANTAUAN KESE PESERTA PROGRAM PENGELOLAAN HIPERTENSI

BULAN MARET 2014
SISTOLE
1 DIMIATI 135636254 P P 3/6/2014 MBR 130
2 USMIATI 135737875 P I 3/6/2014 MBR 180
3 HAERIA 135867543 P P 7 MARET 2014 MBR 140
4 SRI WAHYUNI 134988827 P I 8 MARET 2014 MBR 140
5 JAKUP LATEKO 135152245 L P 10 MARET 2014 MBR 130
6 ADNAN 135866158 L P 130/80 MBR 130
7 MASRUJI 134990695 L P 140/90 MBR 140
8 ASLI LATEKO 135866799 L P 13 MARET 2014 MBR 150
9 AGLIMA 135866204 P I 13 MARET 2014 MBR 140
10 DARMAN 135481544 L P 15 MARET 2014 MBR 150
11 SUPARMAN 135476717 L P 18 MARET 2014 MBR 150
12 INDO TANG 135800379 P I 19 MARET 2014 MBR 170
13 RESE 135963323 P P 21 MARET 2014 MBR 130
14 ISMAUN 134918739 L P 22 MARET 2014 MBR 150
15 DIDI PRYANTO 1080009393 L 1 22 MARET 2014 MBR 140

BULAN APRIL 2014
SISTOLE
1 SUMITRO 134828572 L P 2-Apr-14 MBR 140
2 NURLIA 1465042 P P 2-Apr-14 MBR 140
3 FAIDA 135958825 P I 2-Apr-14 MBR 130
4 TAHIR 135554049 L P 3-Apr-14 MBR 160
5 SARPIA 205171121 P I 3-Apr-14 MBR 130
6 KAMAREL 135868105 P P 3-Apr-14 MBR 160
7 RUNISPA 135913386 P I 3-Apr-14 MBR 150
8 ROSLANI 135933096 P I 4-Apr-14 MBR 140
9 PUTRI 1270871155 P I 5-Apr-14 MBR 140
10 AMINA 135479935 P I 5-Apr-14 MBR 140
11 JELRIN 136708514 P I 9-Apr-14 MBR 130
12 DARMANSYAH 135674302 L P 9-Apr-14 MBR 140
13 ISMAUN 134918739 L P 9-Apr-14 MBR 130
14 HAERIA 1358657543 P P 10-Apr-14 MBR 150
15 SUNARDI 135809695 L P 11-Apr-14 MBR 140
16 PARHANA 165139367 P I 11-Apr-14 MBR 140
17 NURLIAH 135030047 P P 12-Apr-14 MBR 140
18 FAJRIA 165177628 P I 15-Apr-14 MBR 140
19 MASHURA 126601484 P I 17-Apr-14 MBR 140
20 KAHAR ABDULLAH 160233568 L P 19-Apr-14 MBR 140
21 DARMAN 135481544 L P 21-Apr-14 MBR 150/100
22 SERLY.M 1295950702 P I 23-Apr-14 MBR 130/90
23 IDRUS BATJO 115998221 L P 23-Apr-14 MBR 140
24 HUSNI 135867881 L P 23-Apr-14 MBR 140
25 ARIANA 135574119 P P 26-Apr-14 MBR 140
26 RATMAN 134711469 L P 30-Apr-14 MBR 140

BULAN MEI 2014
SISTOLE
1 SUMITRO 134828572 P I 2 MEI 2014 MBR 160
2 LINISWATI 134923577 P I 2 MEI 2014 MBR 130
3 MARNI 165131363 P P 3 MEI 2014 MBR 140
4 RUNISPA 135913386 L P 5 MEI 2014 MBR 150
5 RUKMINI 135737741 L P 5 MEI 2014 MBR 130
6 TANDI LOBO 1296650428 L P 5 MEI 2014 MBR 140
7 RATMAN 143711463 L P 5 MEI 2014 MBR 130
8 AMYADIN 135735581 P P 5 MEI 2014 MBR 130
9 ASWAR 135574672 P I 6 MEI 2014 MBR 120
8 SHERLY 1295950702 L P 6 MEI 2014 MBR 160
10 JAKUP LATEKO 135152245 L P 7 MEI 2014 MBR 140
11 AHMAD OLII 135265667 L P 7 MEI 2014 MBR 140
12 HAMZAH 135639257 L P 8 MEI 2014 MBR 150
13 MUSTAMIN 976207217 P I 9 MEI 2014 MBR 140
14 DIMIATI 135636244 P P 12 MEI 2014 MBR 130
15 MARISKA 135888546 P P 16 MEI 2014 MBR 160
16 SUMARNI 135946236 L P 19 MEI 2014 MBR 150
17 RUSLAN 135933096 L P 21 MEI 2014 MBR 130
18 MASRUJI 134990695 L P 23 MEI 2014 MBR 140
19 SAMSUDIN 136064777 L P 24 MEI 2014 MBR 130
20 RESE 135963325 P P 26 MEI 2014 MBR 190
21 RATMAN 134711469 L P 28 MEI 2014 MBR 160
22 ZULAEHA 135630595 P P 30 MEI 2014 MBR 160
23 PARHANA 165139367 P I 30 MEI 2014 MBR 140
24 KRISTINA 135484097 P I 30 MEI 2014 MBR 110
25 ISTIHA 126826896 P P 31 MEI 2014 MBR 150

BULAN J U N I 2014
SISTOLE
1 ZAINUL 135738516 L 2 JUNI 2014 MBR 110/80
2 CICI MAKAWARU 1292116263 P 4 JUNI 2014 MBR 140/90
3 NAWIR 135119237 L 5 JUNI 2014 MBR 130/90
4 DARMANSYAH 135738538 L 5 JUNI 2014 MBR 130/90
5 ASLI LATEKO 135866799 L 6 JUNI 2014 MBR 140/90
6 TANDI LEBO 1.2967E+10 L 9 JUNI 2014 MBR 140/90
7 ABD ASIS RASYID 135710537 L 9 JUNI 2014 MBR 130/80
8 JAKUP LATEKO 135152245 L 9 JUNI 2014 MBR 120/80
9 NAOMI 1276847155 P 9 JUNI 2014 MBR 130/90
10 DARMAN 135481544 L 9 JUNI 2014 MBR 150/90
11 HADIDJAH 135482398 P 10 JUNI 2014 MBR 160/80
12 JELRIN 136708514 P 10 JUNI 2014 MBR 130/80
13 HUSNI JONDOSE 135867881 L 12 JUNI 2014 MBR 140/90
14 MINHAR 135591928 L 12 JUNI 2014 MBR 140/90
15 DAVID 134839337 L 12 JUNI 2014 MBR 170/90
16 ROSLANI 135933096 P 13 juni 2014 MBR 130/90
17 SUPARMAN 135476717 L 16 JUNI 2014 MBR 140/90
18 MUNADI 135030568 L 16 JUNI 2014 MBR 140/90
19 HAERIA 135867543 P 17 JUNI 2014 MBR 130/80
20 H.ABBAS DJAFAR 1267507787 L 17 JUNI 2014 MBR 160/90
21 AHMADI OLII 135265667 L 18 JUNI 2014 MBR
22 ROSTIN 134992528 P 18 JUNI 2014 MBR 130/90
23 MUSTAMIN 976207217 L 18 JUNI 2014 MBR 140/90
24 AGLIMA 135866204 P 18 JUNI 2014 MBR 150/100
25 SUPARMAN 135476717 L 19 JUNI 2014 MBR 140/90
26 NURFAH 134991595 P 19 JUNI 2014 MBR 140/100
27 HAERIA 135867543 P 19 JUNI 2014 MBR 130/90
28 FALMA 135945347 P 19 JUNI 2014 MBR 120/90
29 ISMAUN 134918739 L 19 JUNI 2014 MBR 150/90
30 JELRIN 136708514 P 20 JUNI 2014 MBR 130/80
31 INONG 135868961 P 20 JUNI 2014 MBR 150/100
32 SUMIATI 135491308 P 20 JUNI 2014 MBR 130/90
33 DJONI 1235896501 L 20 JUNI 2014 MBR 120/90
34 AMINAH 135479935 P 21 JUNI 2014 MBR 140/90
35 ROSDIANA 135891606 P 21 JUNI 2014 MBR 100/70
36 ZAINUDDIN 134826862 L 23 JUNI 2014 MBR 170/100
37 AMRIN 1265870452 L 24 JUNI 2014 MBR 130/80
38 SUARNI 135572286 P 24 JUNI 2014 MBR
39 L.BAHARUN 135484121 L 24 JUNI 2014 MBR 150/100
40 NILU ADHI 135581242 P 25 JUNI 2014 MBR 140/90
41 KAHAR ABDULLAH 160233568 L 25 JUNI 2014 MBR 150/100
42 ROSLANI 135933096 P 25 JUNI 2014 MBR 140/90
43 KAMAREL 135868105 P 26 JUNI 2014 MBR 130/90
44 ARSYA 1265142025 L 26 JUNI 2014 MBR 150/90
45 ROSITA 1463005 P 26 JUNI 2014 MBR 160/90
MBR

BULAN J U L I 2014
SISTOLE
1 RATMAN 134711469 L P 1 JULI 2014 MBR 110

2 M.IRFAN 135580487 L P 3 JULI 2014 MBR 100
3 KRISTINA 135484097 P I 3 JULI 2014 MBR 100
4 SUNARTIN 135488384 P I 3 JULI 2014 MBR 140
5 AGLIMA 135866204 P I 4 JULI 2014 MBR 139
6 USMIATI 1354849058 P I 5 juli 2014 TAIPA 180
7 MASRUJI 134990695 L P 7 JULI 2014 MBR 140
8 PARHANA 165139367 P I 8 JULI 2014 MBR 170
9 SAFRUDIN 135487528 L P 11 JULI 2014 MBR 100
10 JAKUP 135152245 L P 12 JULI 2014 MBR 130
11 SUNARTIN 135488384 P I 12 JULI 2014 MBR 140
12 ROSITA 1463005 P I 12 JULI 2014 MBR 160
13 ISMAUN 134918739 L P 12 JULI 2014 MBR 140
14 ASWAR 135574672 L P 14 JULI 2013 MBR 120
15 MASRUJI 134990695 L P 16 JULI 2014 MBR 100
26 MARISKA 135888546 P P 17 JULI 2014 MBR 170
27 ISMAUN 134918739 L P 17 JULI 2014 MBR 140
28 NASRUN 134832868 L P 17 JULI 2014 MBR 160
29 TANDI LOBO 1296650428 L P 18 JULI 2014 MBR 130
20 NILUH ADHI 135581242 P P 18 JULI 2014 MBR 150
21 NAOMI 1.271E+10 P P 19 JULI 2014 MBR 120
22 ASHAD 135921201 L P 19 JULI 2014 MBR 140
23 ADNAN 135866158 L P 21 JULI 2014 MBR 140
24 RUNISPA 135913386 P I 22 JULI 2014 MBR 120
25 JELRIN 136708514 P I 24 JULI 2014 MBR 130
26 NAOMI 1276897155 P P 25 JULI 2014 MBR 100

BULAN A G U S T U S 2014
SISTOLE
1 INONG 135868061 P P 8/4/2014 MBR 130/80
2 DARMANSYAH 135674302 L P 8/4/2014 MBR 130/80
3 RESE 135963325 P P 8/4/2014 MBR 140/80
4 NASRUN 134832868 L P 8/4/2014 MBR 150/90
5 SUPARDI 1348856698 L P 8/4/2014 MBR 120/80
6 PAMPI 135486516 L P 8/5/2014 MBR 150/80
7 ASWAR 135574672 L P 8/5/2014 MBR 140/80
8 JELRIN 136708514 P I 8/7/2014 MBR 130/80
9 NAOMI 1276897155 P P 8/8/2014 MBR 100/70
10 JELRIN 136708514 P I 8/11/2014 MBR 130/80
11 HASAN 135531832 L P 8/12/2014 MBR 140/90
12 RATMAN 134711469 L P 8/12/2014 MBR 120/80
13 NASRUDIN 13483286 L P 8/12/2014 MBR 140/80
14 DIMIATI 135636254 P P 8/13/2014 MBR 120/90
15 ASWAR 135574672 L P 8/13/2014 MBR 120/80
16 ASWAR 135574672 L P 8/14/2014 MBR 130/90
17 RERUNG 135486922 L I 8/15/2014 MBR 130/80
18 RUSIN 135869692 L P 8/15/2014 MBR 140/90
19 JAKUP LATEKO 135152245 L P 8/15/2014 MBR 120/80
20 HAERIA 139867543 P P 8/16/2014 MBR GDS=199 120/80
21 NASRUN 134832868 P P 8/16/2014 MBR 130/90
22 RUKMINI 135737741 P P 8/18/2014 MBR 130/90
23 FAIDA 135958825 P P 8/19/2014 MBR 140/90
24 INDRA 1079297853 P P 8/20/2014 MBR 160/100
25 ROSITA 1463005 P I 8/20/2014 MBR 160/90
26 NURJANAH 134828561 P I 8/21/2014 MBR 150/90
27 DIMIATI 135636254 P P 8/22/2014 MBR 120/80
28 FAUZIA 136062281 P I 8/27/2014 MBR 150/90
29 NAOMI 1276847155 P P 8/27/2014 MBR 130/80

BULAN S E P T E M B E R 2014
SISTOLE
1 MUSTIN 135466435 P 1-Sep-14 MBR 120
2 ASWAR 135574672 P 1-Sep-14 MBR 150
3 DIMIATI 135636254 I 1-Sep-14 MBR 130
4 JAKUP LATEKO 135152245 P 1-Sep-14 MBR 130
5 RUSTAM 134920822 P 3-Sep-14 MBR 140
6 KRISTINA 135489097 I 4-Sep-14 MBR 90
7 MUSTIN 135466435 P 5-Sep-14 MBR 140
8 MUCHLIS 135952413 P 5-Sep-14 MBR 120
9 PARHANA 165139367 I 5-Sep-14 MBR 140
10 RATMAN 134711469 P 5-Sep-14 MBR 140
11 FAUZIA 136062281 I 5-Sep-14 MBR 140
12 MUSTIN 135466435 P 12-Sep-14 MBR 140
13 MUSTIN 135466435 P 17-Sep-14 MBR 130
14 RATMAN P 22-Sep-14 MBR 120
15 JUDAN 1095500439 P 23-Sep-14 MBR 150
16 SUPARDI 134885698 P 23-Sep-14 MBR 150
17 ARPA 1275293935 P 23-Sep-14 MBR 140
18 ARIANA 135574119 I 24-Sep-14 MBR 140
19 DARWIS 135601492 P 24-Sep-14 MBR 160
20 PARHANA 165139367 I 25-Sep-14 MBR 170
21 JELRIN 136708514 I 27-Sep-14 MBR 110
22 ELFIS 134883696 P 29-Sep-14 MBR 170

BULAN O K T O B E R 2014
SISTOLE
1 PAMPI 135486516 L P 10/1/2014 MBR 130
2 NASRUN 135737133 L P 10/3/2014 MBR 160
3 DIMIATI 135636254 P I 10/3/2014 MBR 130
4 YUSRIN 135522483 L I 10/4/2014 MBR 140
5 KRISTINA 135484097 P I 10/7/2014 MBR 100
6 DARMAN 135448154 L P 10/10/2014 MBR 130
7 RATMAN 134711469 L P 10/11/2014 MBR 130
8 MUSTIN 135466435 L P 10/13/2014 MBR 140
9 JAKUP LATEKO 135152245 L P 10/13/2014 MBR 140
10 MUSTIN 135466435 L P 10/27/2014 MBR 130
11 DIMIATI 135636254 P I 10/27/2014 MBR 130
12 NURLIA 135030047 P I 10/29/2014 MBR 150
13 RESE 135963325 P P 10/31/2014 MBR 130
14 FAUZIAH 136062281 P P 10/31/2014 MBR 140

BULAN N O P E M B E R 2014
SISTOLE
1 RESE 135963325 P HT 11/1/2014 MBR 150
2 MARISKA 135888546 P HT 3-Nov-14 MBR 140
3 ASWAR 135574672 L HT 3-Nov-14 MBR 150
4 DIMIATI 135636254 P RA 3-Nov-14 MBR 130
5 RUSTAM 134920822 L HT 3-Nov-14 MBR 150
6 DARWIS 135601492 L HT 3-Nov-14 MBR 150
7 NILUH 135581242 P HT 3-Nov-14 MBR 140
8 DJASMIN 135495321 L HT 3-Nov-14 MBR 140
9 ROSMA 135869681 P HT 5-Nov-14 MBR 140
10 HAJRAH 162356084 P HT 6-Nov-14 MBR 140
11 HAJAR 1.4503E+10 P HT 6-Nov-14 MBR 160
12 NURLIAH 135030064 P RA 7-Nov-14 MBR 130
13 DWI J 134665817 P HT 7-Nov-14 MBR 130
14 IBRAHIM 135490656 L HT 8-Nov-14 MBR 160
15 SARDIN 135912396 L HT 8-Nov-14 MBR 165
16 DARWIS 135479946 L HT 10-Nov-14 MBR 178
17 MASDIANA 134990447 P HT 10-Nov-14 MBR 162
18 ZAENONG 1478171171 L HT 14-Nov-14 MBR 188
19 BIDRIA 135890706 P HT 14-Nov-14 MBR 160
20 NAOMI 1276847155 P HT 14-Nov-14 MBR 162
21 JELRIN 136708514 P HT 14-Nov-14 MBR 168
22 NI KETUT SANTIANI 1482893586 P HT 15-Nov-14 MBR 158
23 KRISTINA 135484097 P HT 14-Nov-14 MBR 160
24 ASHAR 158274707 L HT 18-Nov-14 MBR 150
25 AHMADI 162356004 L HT 14-Nov-14 MBR 155
26 ELIA 135891865 P HT 14-Nov-14 MBR 165
27 DJASMIN 135495371 L HT 19-Nov-14 MBR 158
28 ARSYAD 1265142025 L HT 22-Nov-24 MBR 140
29 ASLI LATEKO 135866799 L HT 26-Nov-24 MBR 160
30 WARNI 134788577 P HT 27-Nov-24 MBR 140
31 PARHANA 165139367 P HT 28-Nov-24 MBR 150

BULAN D E S E M B E R 2014
SISTOLE
1 SUMARNI 135946236 P I 1 DES 2014 MBR 160
2 NASRUN SH 134832868 L P 1 DES 2014 MBR 170
3 ROSLANI, SE 135933096 P P 2 DES 2014 MBR 150
4 JAKUB LATEKO 135152245 L P 2 DES 2014 MBR 130
5 HAERIA 135867543 P P 3 DES 2014 MBR 130
6 JAENAB 202363547 P I 3 DES 2014 MBR 150
7 DARWIS 135479946 L P 3 DES 2014 MBR 160
8 SALMA 1447165326 P I 3 DES 2014 MBR 140
9 NI KETUT 1482835869 P I 3 DES 2014 MBR 140
10 RUKMINI 135737741 P P 3 DES 2014 MBR 140
11 ADNAN 135866158 L P 3 DES 2014 MBR 140
12 ROSMA 135869681 P I 4 DES 2014 MBR 140
13 JAKUB LATEKO 135152245 L P 4 DES 2014 MBR 130
14 ABD.RAUF LANASI 135765944 L P 5 DES 2014 MBR 130
15 DARMANSYAH, S.SOS 135674302 L P 5 DES 2014 MBR 130
16 DRS.M,BASRAH B 134822261 L P 5 DES 2014 MBR 130
17 HJ HASNI 1429318574 P I 5 DES 2014 MBR 150
18 RERUNG RERUNGAN 135486922 L S 5 DES 2014 MBR 130
19 RISNAWATI 135487078 P I 9 DES 2014 MBR 140
20 ASLI LATEKO 135866799 L P 10 DES 2014 MBR 130
21 PARHANA 165139367 P I 11 DES 2014 MBR 130
22 ARSYAD ABDULLAH 1429317426 L P 13 DES 2014 MBR 140
23 ABD RAHIM 135030058 L S 13 DES 2014 MBR 140
24 SUPARDI 135567011 L P 15 DES 2014 MBR 130
25 ARIEF NUSI 135867543 L P 15 DES 2014 MBR 120
26 ADNAN L P 15 DES 2014 MBR 140
27 HAERIA LABIDO 135487056 P P 15 DES 2014 MBR 130
28 ZAENONG .H. 1478172958 L P 15 DES 2014 MBR 150
29 AHMADI A.OLI'I 135265667 L P 16 DES 2014 MBR 130
30 HAJRAH 162356084 P I 16 DES 2014 MBR 130
31 FAUZIAH ILYAS 136062281 P I 20 DES 2014 MBR 130
32 MOHAMMAD RUM 135466413 L P 20 DES 2014 MBR 140
33 FARIDA 1271222313 P P 22 DES 2014 MBR 130
34 FAJRIAH, SH 165177628 P P 22 DES 2014 MBR 140
35 SUMARTINA 135488305 P P 22 DES 2014 MBR 130
36 FAIDA 135958825 P P 22 DES 2014 MBR 130
37 DARWIS PANDY 135601492 L P 23 DES 2014 MBR 140
38 AGLIMA, HJ 135866204 P I 23 DES 2014 MBR 140
39 NURLIAH 135030047 P P 23 DES 2014 MBR 140
40 ABD RAHIM 135030058 L S 23 DES 2014 MBR 100
41 HAERIA 135867543 P P 24 DES 2014 MBR 130
42 PAMPI, 135486516 L P 24 DES 2014 MBR 130
43 HJ.MUSNANI 1265142835 P P 24 DES 2014 MBR 130
44 HJ HASNI 1429318574 P P 26 DES 2014 MBR 130
45 ARSYAD 1429317426 L P 30 DES 2014 MBR 130
46 DIMIATI 135636254 P P 30 DES 2014 MBR 130
47 HI,NADJARUDIN 135869152 L P 30 DES 2014 MBR 160
48 ASWAR 135574672 L P 30 DES 2014 MBR 130
49 FITRIANI , A.ND 193815358 P P 30 DES 2014 MBR 130
TEK.DARAH KET
DIASTOLE
90
80
90
90
90
90
90
90
90
90
90
70
90
80
90
90
90
90
80
90
90
80
90
90
90
90
90
100
100
90
100
90
90
TEK.DARAH KET
DIASTOLE
90 LAMA
100 LAMA
90 LAMA
90 LAMA
90 LAMA
80 LAMA
90 LAMA
80 LAMA
80 LAMA
80 BARU
80 LAMA
80 LAMA
80 LAMA
80 LAMA
90 LAMA
80 LAMA
80 LAMA
80 BARU
80 LAMA
100 LAMA
80 LAMA
80 BARU
80 LAMA
80 LAMA
80 LAMA
80 BARU
90 LAMA
80 BARU
80 LAMA
80 LAMA
80 LAMA
80 LAMA
90 LAMA
80 BARU
80 BARU
80 BARU
90 LAMA
80 BARU
90 BARU
90 BARU
90 LAMA
90 LAMA
80 LAMA
90 LAMA
80 LAMA
90 LAMA
80 LAMA
90 LAMA
80 LAMA
100 BARU
80 LAMA
90 BARU
90 LAMA
90 LAMA
TEK.DARAH KET
DIASTOLE
80 LAMA
100 LAMA
90 LAMA
90 LAMA
80 LAMA
80 LAMA
90 LAMA
100 LAMA
80 LAMA
100 LAMA
90 LAMA
100 BARU
90 LAMA
80 LAMA
80 BARU
TEK.DARAH KET
DIASTOLE
80
90
90
80
80
80
80
90
80 BARU
80
90
80
90
80
90
90
80
90
80
90
100 BARU
90
90
80 BARU
80
80
TEK.DARAH KET
DIASTOLE
80
90
80
90
90
80
80
90 BARU
80
90 BARU
80
80
80
90
80
90
90
80
90
100
90
80
90
90
80
100 LW BARU
TEK.DARAH KET
DIASTOLE
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TEK.DARAH KET
DIASTOLE
70
70
70
90
90
100 TDK TERDAFTAR
90
90
70
80
90
90
90
80
90
60
90
100
80
80
80
80
80
80
80
70
TEK.DARAH KET
DIASTOLE
80 LAMA
80 LAMA
80 LAMA
90 LAMA
80 LAMA
80 BARU
80 LAMA
80 LAMA
70 BARU
80 LAMA
90 LAMA
80 LAMA
80 LAMA
90 LAMA
80 LAMA
90 LAMA
80 LAMA
90 LAMA
80 LAMA
80 LAMA
90 LAMA
90 LAMA
90 LAMA
100 BARU
90 BARU
90 BARU
80 LAMA
90 BARU
80 BARU
TEK.DARAH KET
DIASTOLE
80
90
80
80
90
70
90
80
90
90
90
90
80
80
90
90
90
90
80
90
80
90
TEK.DARAH KET
DIASTOLE
80
80
90
80
70
80
80
90
90
80
90
90
90
90
TEK.DARAH KET
DIASTOLE
90 LAMA
90 LAMA
90 LAMA
80 LAMA
90 LAMA
80 LAMA
90 LAMA
80 BARU
90 BARU
80 LAMA
100 LAMA
90 LAMA
90 LAMA
80 LAMA
85 LAMA
69 LAMA
92 LAMA
84 BARU
88 BARU
90 LAMA
109 LAMA
88 BARU
100 BARU
60 LAMA
95 LAMA
67 BARU
108 BARU
90 LAMA
90 LAMA
90 BARU
80 LAMA
TEK.DARAH KET
DIASTOLE
100 BARU
80 LAMA
90 LAMA
80 LAMA
80 LAMA
80 BARU
90 BARU
80 BARU
80 LAMA
90 LAMA
80 LAMA
80 BARU
80 LAMA
80 BARU
80 LAMA
80 BARU
90 BARU
80 LAMA
80 LAMA
80 LAMA
90 LAMA
90 LAMA
90 BARU
80 LAMA
80 LAMA
80 LAMA
80 LAMA
90 BARU
80 LAMA
90 LAMA
80 BARU
90 BARU
80 BARU
90 LAMA
80 BARU
80 BARU
90 LAMA
90 LAMA
90 LAMA
70 BARU
80 LAMA
80 LAMA
80 BARU
80 BARU
80 BARU
80 LAMA
90 LAMA
80 LAMA
80 BARU
LAPORAN PELAYANAN PESERTA ASKES LUAR WILAYAH (LW) YANG DATANG BEROBAT
DI APOTEK MAMBORO FARMA DAN BELUM TERDAFTAR DIBULAN JANUARI 2014
NO NAMA UMUR NO. KARTU DIAGNOSA ALAMAT TANGGAL

PESERTA NO.ASKES
1 MAKRIFA 40 th 135906996 DISPEPSIA MBR 2 JANUARI 2014
2 YUSNADI 46 th 134847209 DISPEPSIA MBR 3 JANUARI 2014
3 GINA 13 th 135740024 FARINGITIS MBR 4 JANUARI 2014
4 DARMIN 56 th 135712405 RA MBR 6 JANUARI 2014
5 MULIANI 29 th 134880006 CEPALGIA MBR 6 JANUARI 2014
6 URWAH 19 bl 207937034 DKA MBR 10 JANUARI 2014
7 BEATRIS 31 th 195984123 ISPA MBR 10 JANUARI 2014
8 SITI HAZANAH 53 th 136695339 CEPALGIA MBR 13 JANUARI 2014
9 SAMLIA 59 th 135548979 PJK/HHD MBR 16 JANUARI 2014
10 SIGIT 43 th 135891718 CHEST PAIN MBR 24 JANUARI 2014
DI APOTEK MAMBORO FARMA DAN BELUM TERDAFTAR DIBULAN FEBRUARI 2014

PESERTA NO.ASKES
1 M.RAFI ZHAFRAN 36 bl 266506776 DISLOKASI PATETTLA MBR 2/3/2014
2 ISTIKA 126826896 HHD MBR 2/3/2014
3 NURDA 48 th 135680051 CEPSLGIS MBR 2/6/2014
4 ASNA 58 th 135480701 DM TIPE 2 MBR 2/11/2014
5 MUSYAWIR 1265187971 ISPA MBR 2/13/2014
6 RASYA DKA MBR 2/17/2014
7 SITI HASANA 54 th 136695339 RA MBR 2/28/2014
DI APOTEK MAMBORO FARMA DAN BELUM TERDAFTAR DIBULAN MARET 2014

PESERTA NO.ASKES
1 ARSYAD 60 th 1265142025 ISPA MBR 3/14/2014
2 NYOMAN WINATI 48 th 135891055 MENOMETRORAGI MBR 3/15/2014
3 NURDA 48 th 135680051 CEPSLGIS MBR 2/6/2014
4 IDZAR 11 th 108638989 FEBRIS MBR 3/19/2014
5 IQRAR 12 th 134982134 ISPA MBR 3/20/2014
6 BUYANDAYA 48 th 135872201 FIBROADENOMA MAMMAE MBR 3/26/2014
DI APOTEK MAMBORO FARMA DAN BELUM TERDAFTAR DIBULAN APRIL 2014

PESERTA NO.ASKES
1 FUAD HASSAN 36 th 135696464 HL 120/70 1-Apr-14
2 SARIFA 34 th 135696475 ISPA 110/70 9-Apr-14
3 MALIKA 6 th 135696497 CEPALGIA 90/70 11-Apr-14
4 FAIQ 9 th 135696486 ISPA 25 KG 12-Apr-14
5 AHLAN 40 th 135484064 ISPA 110/70 14-Apr-14
6 ISTIHA 65 th 126826896 HHD 16-Apr-14
7 MASHURA 91 th 126601484 POST KLL 140/80 17-Apr-14
8 DARSIN 50th 135481580 HIPOTENSI 90/70 17-Apr-14
9 AHMAD RAMADHAN 1271069717 TONSILITIS 23 KG 21-Apr-14
10 ALAMSYAH 34 th 171550506 MALARIA KLINIS 110/80 22-Apr-14
12 DARSIN 135481588 MIALGIA 100/70 24-Apr-14
13 NURYETTI 1165377183 DISPEPSIA 110/80 24-Apr-14
14 ANSHAR 52 th 134799355 LIMPOMA 130/80 30-Apr-14
DI APOTEK MAMBORO FARMA DAN BELUM TERDAFTAR DIBULAN M E I 2014
PESERTA NO.ASKES
1 RIKAWATI 33 th 171550089 ISPA JL.IPI N0. 2 2 MEI 2014
2 HARITS 19 bl 1079512762 ISPA MBR 2 MEI 2014
3 MARNI 37 th 165131363 VERTIGO + HT MBR 3 MEI 2014
4 ISTIHA 72 th 126826896 HT MBR 31 MEI 2014
LAPORAN PELAYANAN PESERTA ASKES LUAR WILAYAH (LW) / TIDAK TERDAFTAR YANG DATANG
DI APOTEK MAMBORO FARMA DAN BELUM TERDAFTAR DIBULAN J U N I 2014
PESERTA NO.ASKES
1 FITRIANI 24 th 135736727 CEPALGIA JL.TALUA KONCI 3 JUNI 2014
2 ANDI RUSNIATI 38 th 135888952 VERUKA JL.TALUA KONCI 4 JUNI 2014
3 I NYOMAN BAWA 33 th 204342197 T.CORPORIS MBR 6 JUNI 2014
4 MUNADI 135030568 DISPEPSIA MBR 16 JUNI 2014
5 RIKAWATI 33 th 171550089 ISPA MBR 18 JUNI 2014
6 HARIST 19 bl 1079512762 ISPA MBR 18 JUNI 2014
7 DJONI 48 th 1235896501 COUGH JL.KARANA 20 JUNI 2014
8 NURDA 48 th 135680051 CEPALGIA MBR 21 JUNI 2014
LAPORAN PELAYANAN PESERTA ASKES LUAR WILAYAH (LW) / TIDAK TERDAFTAR YANG DATANG BEROBAT
DI APOTEK MAMBORO FARMA DAN BELUM TERDAFTAR DI BULAN JULI 2014
PESERTA NO.ASKES
1 USMIATI 49 th 1354849058 HT MBR 5 JULI 2014
2 ARUHASAN 48 th 135489069 ISPA MBR 5 JULI 2014
3 M.ZAID 56 th 135757302 KONSULTASI MBR 5 JULI 2014
4 SYARIFA 35 th 135696475 CEPALGIA MBR 5 JULI 2014
5 LISA HERAWATI 42 th 135704968 KOLIK ABD MBR 7 JULI 2014
6 TRISNO 42 th 134704585 G2 VISUS MBR 16 JULI 2014
7 M.NOFAL 13 th 134806871 D.ALL MBR 23 JULI 2014
DI APOTEK MAMBORO FARMA DAN BELUM TERDAFTAR DI BULAN A G U S T U S 2014
PESERTA NO.ASKES
1 RIZKY 6 th 165718202 ISPA MBR 4/8/201
2 SUPARDI 54 th 1348856698 HHD MBR 4/8/201
3 SITI KASMA 50 th 135924883 SUS.RA 110/80 8/5/2014
4 SITA NOVITA 19 th 128904121 cEPALGIA 90/70 8/5/2014
5 WIDYA SALSABILA 10 th 135580341 ISPA 103 CM 8/6/2014
6 INDHI NUR 27 bl 211618506 ISPA MBR 8/14/2014
DI APOTEK MAMBORO FARMA DAN BELUM TERDAFTAR DI BULAN S E P T E M B E R 2014
PESERTA NO.ASKES
1 ASHAR 58 th 135591434 DM TIPE 2 110/80 165/60
2 MARTHA 46 th 135552424 RA 110/70 149/44
DI APOTEK MAMBORO FARMA DAN BELUM TERDAFTAR DI BULAN O K T O B E R 2014
PESERTA NO.ASKES
1 WIRAWAN 147728771 ISPA 31 kg
2
DI APOTEK MAMBORO FARMA DAN BELUM TERDAFTAR DI BULAN NOPEMBER 2014
PESERTA NO.ASKES
1 UMMU AMINAH 135888816 MBR 4-Nov-14
2 RAHMAT 62 th 208098977 CEPALGIA MBR 8-Nov-14
3 KUSMIATI 45 th 135737864 HIPERTIROID MBR 145/60
4 SITI HASANA 54 th 136695339 RA MBR 152/60
DI APOTEK MAMBORO FARMA DAN BELUM TERDAFTAR DI BULAN DESEMBER 2014
PESERTA NO.ASKES
1 TRIANA 34 135890098 DISPEPSIA MBR 4 DESEMBER 2014
2 SAMSIDAR 40 th 1203069047 SUS ISK MBR 18 DESEMBER 2018
3 M.FADEL 8 th 1203069058 BRONKITIS MBR 18 DESEMBER 2018
4 ALIF FURQAN 13 211452579 GEA MBR 18 DESEMBER 2018
VERUKA
NI NYOMAN
5 WINARTI 47 135891055 MBR 20 DESEMBER 2014
6 SUMARTINA 42 135488305 SUS .IMA MBR 22 DESEMBER 2014
TANG BEROBAT
KETERANGAN
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TANG BEROBAT
KETERANGAN
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
LW DINKES KOTA
TDK TERDAFTAR
BELUM TERDAFTAR
TDK TERDAFTAR
TANG BEROBAT
KETERANGAN
TDK TERDAFTAR
DR.KETUT
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TANG BEROBAT
KETERANGAN
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
tdk terdaftar
tdk terdaftar
TDK TERDAFTAR
TDK TERDAFTAR
tdk terdaftar
TDK TRDAFTAR
tdk terdaftar
tdk terdaftar
tdk terdaftar
H (LW) YANG DATANG BEROBAT

LAN M E I 2014
KETERANGAN
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
LW
IDAK TERDAFTAR YANG DATANG BEROBAT

LAN J U N I 2014
KETERANGAN
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
R YANG DATANG BEROBAT
KETERANGAN
LW DR.KETUT
LW DR.KETUT
TDK TERDAFTAR
LW.TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
LW.DR.ROYKE
AFTAR YANG DATANG BEROBAT

G U S T U S 2014
KETERANGAN
BLM TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
TDK TERDAFTAR
LW TDK TERDAFTAR

P T E M B E R 2014
KETERANGAN
TDK TERDAFTAR
TDK TERDAFTAR

K T O B E R 2014
KETERANGAN
10/24/2014
PEMBER 2014
KETERANGAN
TDK DITANGGUNG
TDK DITANGGUNG
TDK TERDAFTAR
LW KAYMANA

SEMBER 2014
KETERANGAN
TDK TERTANGGUNG
TDK TERTANGGUNG
TDK TERTANGGUNG
TDK TERDAFTAR
LW DR,KETUT
LW PANTOLOAN

Askes 2014

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LAPORAN PELAYANAN DOKTER KELUARGA PT.

LAPORAN PELAYANAN DOKTER KELUARGA PT.ASKES (PERSERO)

LAPORAN PELAYANAN DOKTER KELUARGA PT.ASKES (PERSERO)

PE LAYANAN DIRUJUK KE RJK BALIK Keterangan

PE LAYANAN DIRUJUK KE RJK BALIK Keterangan

PE LAYANAN DIRUJUK KE RJK BALIK Keterangan

LAPORAN PELAYANAN DOKTER KELUARGA PT.ASKES (PERSERO)

LAPORAN PELAYANAN DOKTER KELUARGA PT.ASKES (PERSERO)

RJK BALIK Keterangan

RJK BALIK Keterangan

LAPORAN PELAYANAN DOKTER KELUARGA PT.ASKES (PERSERO)

LAPORAN PELAYANAN DOKTER KELUARGA PT.ASKES (PERSERO)

LAPORAN PELAYANAN DOKTER KELUARGA PT.ASKES (PERSERO)

5 MOH.GIVAN SYAHPUTRA 11 135647302 GEA 175 CM 66 KG

11 CINTYA NURDAIMAN ODE 5 1312598992 D,ALL 126 CM 26 KG BARU

14 NILUH ADHI SUTEJA E.S. 53 135581242 OBESITAS 140/80 RS MD

53 NAIFA RAHMA AMELIA 6 135990235 TONSILITIS 131 CM 21 KG

54 MASWALI H.AMBO MASSE 54 135868645 MIALGIA 100/70 150/53

80 MOH. HIDAYAT A.MATUTU 15 135888827 SKABIES 90/60 166/47

91 H.M NUR 63 1428147988 G2.PERKEMBANGAN 120/80 170/70

144 CINTYA NURDAIMAN ODE 5 1312598992 FEBRIS 128 CM 26 KG

156 NI PUTU SRI MARDEWI 34 134728356 DISTONIA 110/70 153/55 RS MD

158 ARSYAD ABDULLAH COI 51 1429317426 HT 130/80 151/65 GDS=118 BARU

165 MUHAMMAD MUSAFIR 23 BL 1265187971 TB KELENJAR 110/80 165/50 RS MD BARU

185 DHEA YEMIMA PRATIWI L. 7 135914409 FARINGITIS 115 CM 16 KG

198 FAZAR RIZKY PRASETYA 2 210635921 ISPA 100/70 173/68

223 NURLIN LAONGKO, S.PD 49 134966046 CEPALGIA 100/70 155/58

260 DARMANSYAH, 43 135674302 HHD + CAD 120/80 160/68 GDS=226

263 MUH. SYAWAL 14 976385654 ISPA 90/60 158/43

271 IBRAHIM 54 135490656 CEPALGIA 110/80 151/62

273 TRI ENDAH PRATIWI 20 135873033 ISPA 90/60 156/60

304 ISMAUN 62 134918739 ISPA 110/70 155/48

305 FAHLINA 37 203397074 ISPA 120/80 160/60

135736762 CKD 110/70 155/60

1 0319U033 2265 298 145 153 21 93 123 61

LAPORAN UTILISASI BERDASARKAN JENIS KELAMIN DAN GOL.PESERTA PT ASKES (PERSERO)

1 0319U033 2268 309 158 151 21 114 116 59

LAPORAN UTILISASI BERDASARKAN JENIS KELAMIN DAN GOL.PESERTA PT ASKES (PERSERO)

1 0319U033 2268 275 138 137 13 112 97 53

LAPORAN UTILISASI BERDASARKAN JENIS KELAMIN DAN GOL.PESERTA PT ASKES (PERSERO)

1 0319U033 2302 308 146 162 12 103 110 83

LAPORAN UTILISASI BERDASARKAN JENIS KELAMIN DAN GOL.PESERTA PT ASKES (PERSERO)

1 0319U033 2326 301 155 146 18 138 96 49

LAPORAN UTILISASI BERDASARKAN JENIS KELAMIN DAN GOL.PESERTA PT ASKES (PERSERO)

1 0319U033 2326 328 153 175 26 114 126 62

LAPORAN UTILISASI BERDASARKAN JENIS KELAMIN DAN GOL.PESERTA PT ASKES (PERSERO)

LAPORAN UTILISASI BERDASARKAN JENIS KELAMIN DAN GOL.PESERTA PT ASKES (PERSERO)

1 0319U033 2344 315 131 184 29 109 113 64

LAPORAN UTILISASI BERDASARKAN JENIS KELAMIN DAN GOL.PESERTA PT ASKES (PERSERO)

1 0319U033 2333 331 163 168 31 125 111 59

LAPORAN UTILISASI BERDASARKAN JENIS KELAMIN DAN GOL.PESERTA PT ASKES (PERSERO)

1 0319U033 2334 337 159 178 20 124 131 62

1 0319U033 2343 341 149 192 14 138 114 75

LAPORAN UTILISASI BERDASARKAN JENIS KELAMIN DAN GOL.PESERTA PT ASKES (PERSERO)

1 0319U033 2347 344 149 195 31 129 114 70

NO KABUPATEN /KOTA JML TERDAFTAR JML DOKKEL JUMLAH RUJUKAN

LAPORAN PELAYANAN DOKTER KELUARGA PT ASKES (PERSERO)

NO KABUPATEN /KOTA JML TERDAFTAR JML DOKKEL JUMLAH RUJUKAN

LAPORAN PELAYANAN DOKTER KELUARGA PT ASKES (PERSERO)

NO KABUPATEN /KOTA JML TERDAFTAR JML DOKKEL JUMLAH RUJUKAN

LAPORAN PELAYANAN DOKTER KELUARGA PT ASKES (PERSERO)

NO KABUPATEN /KOTA JML TERDAFTAR JML DOKKEL JUMLAH RUJUKAN

LAPORAN PELAYANAN DOKTER KELUARGA PT ASKES (PERSERO)

LAPORAN PELAYANAN DOKTER KELUARGA PT ASKES (PERSERO)