No.

RM Kunjungan Cara
No NIK Nama Tgl Lahir Umur JK No Peserta Alamat Unit
Baru Lama DW LW B L Bayar

1 17.2004.00209.033 NURUL MULYANI 15-10-2009 10 Pr Gebang anom rt 4/rw 2 x x gratis bp

2 17.2011.01064 AHMAD FAHMINABIL 16-06-2014 5 Lk Jungsemi x x gratis bp

3 17.2010.0076101 ASIYAH Pr Karangmalang RT 03/02 x x gratis bp

4 17.2012.0018031 SOVI SALSABILA 11/10/2010 9 Pr Kangkung RT 06/03 x x gratis bp

5 SOLEKAH

6 17.2011.01020 ADIBA QOTHRUN NADA 22-11-2-13 6 P Jungsemi RT 04/01 x x gratis bp

7 17.2013. 00740 SUSANTI 1/6/1986 33 p Tanjungmojo RT 04/06 x x gratis KIA

8 17.2013.00787 ENDANG RIWAYATI 10/11/1995 24 p Tanjungmojo RT 04/03 x x gratis KIA

9 AZIDNA

10 17.2013.00618 NAILA HAZINA 7/12/2018 8 bln Tanjungmojo 04/05 x x gratis bp

11 MUSTHOFIYAH

12 17.2011.00634 ARJUNA 26-10-2014 Jungsemi RT 02/02 x x gratis

13 17.2012.00702 3324171308960002 M. AGUS SETIAWAN 13-08-1996 23 Lk Kangkung RT 01/01 x x gratis BP

14 17.2002.00567 3324154204820000 FORIA HERLIANA 2/2/1982 37 Lebosari RT 03/01 x x gratis KIA

15 17.2004.0010702 KHASANATUL 15-10-1966 53 Gebanganom RT 05/02 x x gratis BP

16 17.2002.00395 MASDHIKY 1/12/2010 Lk Lebosari RT 03/03 x x gratis Gigi

17 17.2010.00085 ILENA SAFITRI 16-07-2015 4,1 p Karangmalang RT 03/02 x x gratis BP

18 17.2014.00235 JUMANI 9/10/1954 65 Lk Rejosari x x gratis

19 17.2010.00714 SENAH 65 p Karangmalang RT 03/01 x x gratis BP

20 17.2005.00096 3324177112480007 RATMI 31-12-1948 71 p Kaliyoso RT 04/03 x x gratis Gigi

21 SITI FATIMAH

22 17.2010.00627 RANGGA HAFIS ALHADI 6/8/2015 4 L Karangmalang RT 05/01 x x Gratis BP

23 IMAS DWI SEPTIANINGSIH

24 13.2008.00005 MURIDI 8/10/1956 62 L Gondang RT 02/04 x x Gratis BP

25 AFA FARIS

26 17.2004.0000902 JUMIASRI 63 p Gebanganom RT 06/02 x x Gratis BP

27 17.2010.0036902 3324176208880001 LU'LU'AH FIKRIYAH 22-08-1988 31 P Karangmalang RT 01/03 x x Gratis KIA

28 FUJI AJARIAN

29 ADIB GUATIAN NIGARA

30 IKA RISKI AGUSTINI

11.2011.00054 ASIKIN L Tlahab RT 03/04 x x Gratis BP

31 SRI WAHYUNI

32 17.2010.00416032 AGILERA ZAKA 13-04-2011 8,4 L Karangmalang RT 07/01 x x Gratis BP

33 17.20120065 ATIK ZULAEKAH 21-10-1989 31 P Kangkung RT 04/04 x x Gratis KIA

34 17.2015.00892 3324176505930001 SITI ANIFAH 25-05-1993 26 p Kalirejo RT 09/05 x x Gratis KIA
35 11.2011.00188.03 NABA ANNUR 28-09-2017 1.11 L Tlahab RT 01/02 x x Gratis BP
36 AKYA FITRI
37 SUNANDAR
38 FATINATUN
39 ROMDANAH
40 17.2012.00085.02 SITI MUAYANAH kangkung RT 02/02 x x gratis KIA
41 ROHMAH
42 EKA HANDANI
43 YULI ASTUTIK
44 SENO
45 FAYAH
46 MUSTOFA
17.201300792 3324171310600001 KUZAERI 13-10-1960 59 L Tanjungmojo RT 03/04 x x Gratis BP
17.2013.06249.03 HABIB RIZKY 28-02-2017 2.2 L Tanjungmojo RT 03/04 x x Gratis BP
17.2011.01027 3324175008730001 SUNDARMI 10/8/1973 46 P Jungsemi RT07/02 x x Gratis KIA
17.2002.00546.02 FATIMATUN NAFIAH 18-03-1996 23 P Lebosari RT03/05 x x Gratis KIA
Rujuk Diagnosis

ispa

ispa

ispa

Diare

ispa

Hamil

Hamil

Diare

Diare

Hamil

ispa

Persistensi

ispa
Artritis

Gingivitis

Tifoid

Comcold

Diare

Hamil

Gastritis

Faringitis

Hamil
Hamil
Faringitis

Hamil
Gastritis
ISPA
Hamil
Hamil