REKAP PASIEN JANUARI 2011 JUNI 2011

RSUD SIMO
Dr.DWI PUTRI YULIANITA
JANUARI 2011
NO
1

NAMA
Ny Kasiah

UMUR
60 th

ALAMAT
Sempu, Andong

2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Ny Painem
Tn Harsono
Tn Hadi W
Ny.Tuminah
Ny.Siti Zulaikah
An. Isyani
Ny.Sri suyanti
Ny.Wiji
Tn.Slamet
An.Rizal A
Ny.Tutik
Ningsih
Ny.Suryani
An.Karisma
Tn.Warsono
An.Syahrul
An.Hana
Melinda
Ny. Rumiyatun
Tn. Warsi
Tn.Sukiman
Nn.Maya
Ny.Siti
Rohmatun
Tn.Suyono
An.Abdul R
Ny.Wasiyah
Tn Hadi W
Tn.Joko M
An. Haryani
Tn. Maulana M

52 th
42 th
38 th
70 th
55 th
8 th
35 th
80 th
50 th
7 th
35 th
28 th
5 th
43 th
7 th
10 th
28 th
35 th
75 th
24 th
22 th
25 th
8 th
30 th
38 th
50 th
70 th
3 th
28 th
1 th
70 th

Rembun, Nogosari
Blagung, Simo
Bendungan, Simo
Blagung, Simo
Candi Asri, Bendungan
Nglembu, Simo
Jagoan, Sambi
Krisik, Pelem
Talak Broto
Jagoan Sambi
Munggur, andong
Sempu, Andong
Tempuran, Simo
Temon, Simo
Glonggong, Nogosari
Jaten, Teter, Simo
Blagung, Simo
Pulutan, Nogosari
Sumber Agung, Klego
Ngaliyan, Simo
Sempu andong
Gunung, Simo
Wates, Simo
Trombo, Kemusu
Bendungan, Simo
Titang, Simo
Tanjung, Klego
Sumber, Simo
Karangjati, wonosegoro
Ngaglik, Sambi
Nogosari

DIAGNOSA
Abdominal Pain susp App
akut
Myalgia
ISPA
Vulnus laceratum
PPOK ex Akut
Hipertensi stg 2
Vulnus laceratum
Inpartu
Dispepsi
GEA
Hordeolum eksternum
Obs febris hr 5
Hiperemesis Gravidarum
Corpal Auricula dextra
PPOK
Konjungtivitis ODS
GEA
Susp. Abortus incomplet
Susp. CF R antebracii dx
Obs.Retensio urin
Dispepsi
G1P0A0 KPD 8 jam
Dispespsi
Asma Bronkhiale
Susp.Abortus imminens
Kontrol vulnus laceratum
HT stg 2
OMI, HHD
Febris konvulsi
Abses Pedis dx
Febris Konvulsi
Obs. Hematemesis melena

33
34
35
36
37
38
39
40
41
42
43
44
45
46
47

Ny.Rini W
An.Astrid C
Tn. Bejo W
Ny. Rukini
An.Zahra
Tn.Singo Rejo
Ny. Setiyani
Ny.Ngatemi
Tn.Tukiman
Ny.Parsih
Tn.Pamuji
Ny.Rumlah
An. Isyani
An.Safitri
Tn. Prapto

60 th
4 th
70 th
68 th
2 th
79 th
22 th
28 th
35 th
50 th
40 th
28 th
8 th
5 th
30 th

Kleco, Sambi
Sumber, Simo
Mojo, andong
Teter, Simo
Talak Broto, Simo
Wates, Simo
Sempu, andong
Ketitang
Candi asri, Bendungan
Wates, simo
Sange, Klego
Bojong, wonosegoro
Nglembu, Simo
Banaran, Sempu
Sempu, Andong

Dispepsi
Febris konvulsi
PPOK
Hipertensi stg 2
Obs.vomitus
Dispepsi
Obs. Febris hr 3
Obs.perdarahan pervaginam
VL digiti 1 pedis dx
Dispepsi
Obs abdominal pain
Susp. Abortus Incomplet
Kontrol vulnus laceratum
GEA
Obs.Vomitus

TINDAKAN
Lab DR
Hecting, medikasi
Nebulizer, EKG
EKG
Hecting, medikasi
Lab DR
Lab DR, Widall
Lab DR, GDS
Ekstraksi corpal
Nebulizer
Irigasi mata
Lab DR
Pasang spalk, Ro
Pasang DC
Lab DR
Nebulizer
Lab DR
Medikasi
EKG
EKG
Lab DR
Medikasi
Lab DR
Bilas lambung, psg
NGT
Lab DR
Nebulizer, EKG
Lab DR
Lab DR
Naegle, hecting
Lab DR
Lab DR
Medikasi
-

48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81

Tn.Juni
Tn Hadi W
Tn.Cipto
An.Dwi Saputra
Ny.Ngadinah
Ny.Wagiyem
Ny.Sarti
Tn.kasimin
Tn.Sastro H
An.Ratna
Ny.Sawitri
Ny.Kasno R
Tn.Tukiman
An.Andika
Ny.Kamsini
Ny.Ratna
Tn.Tukiman
An. Isyani
Tn.Sarbini
Ny.Markonah
Tn.Roso Semito
Tn Hadi W
Tn. Jumeri
Tn.Jumadi
Tn.Cipto
Tn.Sarman
Ny.Paryanti
Ny.Suliyem
Tn.Muhtadi
An. Isyani
An.Rahma
Ny.Sriyanti
Tn.kasmino
Tn.Jumari

70 th
38 th
35 th
2 th
60 th
69 th
50 th
70 th
75 th
5 th
30 th
50 th
68 th
5 th
35 th
20 th
35 th
8 th
58 th
60 th
75 th
38 th
53 th
17 th
35 th
60 th
58 th
34 th
70 th
8 th
5 th
25 th
60 th
67 th

Wates, Simo
Bendungan, Simo
Blagung, Simo
Nogosari
Sempulur, Karang Gede
Pelem, Simo
Bendungan, Simo
Tanjung, Klego
Pelem, Simo
Candi asri, Simo
Catur, Sambi
Bendo, Nogosari
Gunung, Simo
Ringin Wok
Catur, Sambi
Gunung, Simo
Candi asri, Bendungan
Nglembu, Simo
Kd.lengkong, Simo
Temon, simo
Sempu, andong
Bendungan, Simo
Jaweng, Simo
Temon, Simo
Blagung, Simo
Bendo, Nogosari
Gempolsari, wates
Temon, Simo
Gunung, Simo
Nglembu, Simo
Sumber, Simo
Pelem, Simo
Blumbang, Klego
Sempu, Andong

Obs.Febris hari 5
Kontrol vulnus laceratum
Vulnus laceratum
ISPA
Dispesi
Obs.Vomitus
DM Tipe 2 NO
PPOK ex Akut
Susp CVA non hemoragik
Obs.Vomitus
Hiperemesis Gravidarum
Hipertensi stg 2
Atralgia
Obs Febris hr 2
Hipertensi stg 1
Hiperemesis Gravidarum
Kontrol VL digiti1 pedis dx
Kontrol Vulnus laceratum
PPOK ex akut
Dispepsi
Susp CVA nonhemoragik
Kontrol vulnus laceratum
Vertigo
Obs.Febris hr 2
Kontrol vulnus laceratum
DC, HHD
ISK
Dispepsi
Anemia Gravis
Kontrol vulnus laceratum
GEA
Hiperemesis Gravidarum
PPOK ex akut
Obs.Hematemesis melena

82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104

Tn.Ngatmin
An.Indriani
Tn.Tukiman
An.Ririn
Ny.Nasita
Tn.hadi S
An. Isyani
Ny.Partini
Ny.Angraini
Tn.Cipto Hadi S
Tn.Samidi
Tn.Jojo S
Ny.Ratna indiah
Ny.Lisa L
An.Eko P
Tn.Samhudi
Ny.Reso D
Tn.Cipto W
An.Danang
An.Aminah
Ny.Reso D
Tn.kamaludin
Tn.Budi J

70 th
3 th
35 th
4 th
20 th
39 th
8 th
50 th
30 th
35 th
60 th
29 th
25 th
30 th
3 th
60 th
74 th
55 th
2 th
5 th
70 th
68 th
30 th

Karang Gede
Simo
Candi asri
Jagoan, Sambi
Blagung, Simo
Teter, Simo
Nglembu, Simo
Randu Kuning
Simo
Blagung, Simo
Simo
Walen, Simo
Nogosari
Temon, Simo
Teter, Simo
Bendungan
Sempu, Andong
Pelem, Simo
Walen, Simo
Kemusu
Mangurejo, Nogosari
Candi Asri
Temon, Simo

Susp CVA non hemoragik

Febris konvulsi
Kontrol VL
GEA
Dismenorhea
Dispepsi
Kontrol Vulnus laceratum
Obs febris hr 4
Dispepsi
Kontrol vulnus laceratum
PPOK ex akut
Konjuntivitis
G1P0A0 KPD 6 jam
Hiperemesis gravidarum
Dermatitis atopi
Hipertensi stg 2
Vertigo
Vulnus laceratum
Febris konvulsi
GEA vomitus
Anemia Gravis
PPOK
Dispepsi

Lab DR, Widal

Medikasi
Hecting, medikasi
GDS
Nebulizer
Lab DR
Lab DR
Lab DR
medikasi
Medikasi
Nebulizer
Lab DR, GDS, EKG
Aff Hecting, medikasi
GDS
medikasi
EKG
Lab DR
Lab DR, gol darah
Medikasi
Nebulizer
Psg NGT,bilas
lambung
EKG, GDS, psg DC
medikasi
Aff hecting, medikasi
Lab DR
medikasi
Nebulizer
Lab DR
EKG
Hecting, medikasi
Lab DR
Lab DG, Gol Darah
Nebu
-

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107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
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126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162

Ny.kasmini
Ny.Dina
Tn.Tukiman
An.Zahra
Nn.retno D
Tn. Wahyu S
An.emilia
Ny. Ratna
Tn.Cipto
An.Sabrina
Tn.Reso H
Ny.Suliyem
Tn.Joko S
An.safitri
Tn. Cipto W
Ny.Untari
Tn.Semito
An.Sri Rahayu
Ny.Ratna K
Ny.Kusminah
Ny.Windasari
Tn.Suripto
Tn.Heri S
Tn.Cipto W
An.Indah S
Ny.Ratna D
Tn.Jaka Setiana
Tn.Reso Segito
An.Mintarsi
Tn.Joko M
Ny.Suliyem
Tn.kabul D
Ny.Suliyah
An.Sari W
Tn.Reso M
Tn.Karso S
An.Melinda
Ny.Suwarni
An.Gita H
Tn.Ngatiman
Ny.Jinem
Tn.Sarno
Tn.Ngadimin
Ny.Nanik
Ny. Suminah
Tn.Cipto W
Tn.Ngatemin
An.Yani Y
Tn.Sidirjo
Ny.Markonah
Tn.Muhtadi
Ny.Masiyem
Ny.Sumarsi
Tn.Sugiyo
Nn.Eva Zufra
An.lutfiana
Ny.Anik W
Ny. Ngatinah

59 th
28 th
35 th
5 th
19 th
49 th
2 th
39 th
35 th
4 th
70 th
45 th
50 th
8
55 th
28 th
80 th
7 th
54 th
70 th
28 th
29 th
40 th
55 th
4 th
29 th
35 th
69 th
5 th
70 th
55 th
50 Th
44 th
4 th
70 th
76 th
5 th
55 th
13 th
60 th
60 th
63 th
59 th
30 th
60 th
55 th
70 th
12 th
72 th
70 th
54 th
60 th
40 th
63 th
!8 th
8 th
40 th
34 th

Kr.Mojo, Klego
Simo
Candi Asri
Sempu Andong
Walen, Simo
Temon, Simo
Glintang, sambi
Talak Broto, Simo
Blagung, Simo
Ringin, Ketitang
Kr.Mojo,Klego
Andong
Bendungan
Mangurejo, Nogosari
Pelem, Simo
Kd.Lengong, Simo
Kepoh, Sambi
Talak Broto, Simo
Jagoan, Sambi
Kd.Lengkong, Simo
Nogosari
Sempu, Andong
Talak Broto, Simo
Pelem Simo
Walen, Simo
Sempu, andong
Krajan, Glonggong
Tanjung, Klgo
Kd.Lengkong simo
Teter, Simo
Cermo Sambi
Sambi
Candi Asri, Simo
Simo baru, Simo
Sempulur Karang Gede
Teter, Simo
Walen, Simo
Simo 01/03, Simo
Teter, Simo
Kd.Lengkong, Simo
Kalangan, Klego
Giriharjo, Gunung,Simo
Pakel, Andong
Teter, Simo
Nogosari
Pelem Simo
Sumber, Simo
Sambi
Kaliwungu, Semarang
Wates, Simo
Gempolsari, water
Temon, Simo
Trosobo, sambi
Sendang, Kenal
Pelem, Simmo
Blagung, simo
Sempu, andong
Karang gede

Obs.Vomitus
Asma Bronkhiale
Kontrol VL
Obs vomitus
Obs.Febris hr 4
Vertigo
GEA
Hipertensi stg 2
Kontrol vulnus laceratum
ISPA
Obs Retensio Urin
Vertigo
Dertmatitis venenata
GEA
Kontrol vulnus laceratum
Hiperemesis Gravidarum
Susp.CVA non hemoragik
Obs.Vomitus
GEA
Vertigo
Hiperemesis Gravidarum
Konjungtivitis
Obs Febris hr 4
Kontrol Vulnus laceratum
Fenris konvulsi
G3P2A0 KPD 7 jam
Obs Febris hr 2
Obs Retensio Urin
GEA
OA genu Sinistra
DM tipe 2 NO
Snake Bite
Dispepsi
Febris Konvulsi
PPOK ex Akut
Hipertensi Urgensi
Obs.Fenris hr 2
Hipertensi stg 2
Epistaksis anterior
PPOK ex akut
Anemia gavis
Obs retensio urin
Obs hematemesis melena
Obs Febris hr 3
GEA
Kontrol Vulnus laceratum
PPOK ex akut
GEA
vertigo
Hipertensi stg 2
Dispepsi
Anemia Gravis
Obs febris hr 3
Obs.Heamtemesis melena
Stomatits
Dermatitis Atopi
Hipertensi stg 2
Hordeolum eksternum

Nebu
Aff hecting, medikasi
Lab DR
EKG
Aff hecting
Pasang Dc
Medikasi
EKG
Lab DR
Medikasi
Lab DR
Lab DR
Pasang DC
Lab GDS
Medikasi
Lab DR
Nebulizer
EKG
EKG
Tampon anterior
Nebu
Lab DR, Gol Darah
Pasang DC
Bilas lambung, lab
Lab DR
Medikasi
Nebulizer
EKG
Lab DR, Gol darah
Lab DR
Bilas lambung, lab
-

163
164
165
166
167
168
169
170
171
172
173
174
175

Ny. Sarti
Ny.Janatun
Ny.Sumarni
An. Bayu W
Ny.Rasiyem
Tn.Joko
Nn.Indri W
Tn.Cipto W
Tn/Wates
Ny.Lasiyem
Ny.Suyanti
An.Firda
Tn. Pamungkas

25 th
70 th
40 th
8 th
40 th
34 th
30 th
55 th
68 th
50 th
49 th
1 th
55 th

Blumbang, Klego
Sempu,Andong
Pantaran
Sumber, Simo
Sempu, Andong
Pelem, Simo
Kr.Gede
Pelem Simo
Kemusu
Mojo, Andong
Sumer, Simo
Teter, Simo
Ngaliyan, Simo

G2P1A0 KPD 8 jam

PPOK ex Akut
Asma Bronkhiale
Obs.Febris hr 3
Vertigo
Corpal cotton bud
Dispepsi
Kontrol Vulnus laceratum
DM hiperglikemi
Obs. Vomitus
Dispepsi
Febris konvulsi
DM tipe 2 NO

Lab DR
Nebu, EKG
Nebulizer
Lab DR
Ekstraksi corpal AD
Aff Hecting, Medikasi
Lab DR, GDS
Lab DR
GDS

MENGETAHUI
KEPALA SIE PELAYANAN MEDIK

Dr.MAHAD NUR MUNDARIS

NIP. 19740308 200312 1 003
FEBRUARI 2011 : CUTI MELAHIRKAN
MARET 2011 : CUTI MELAHIRKAN
APRIL 2011 : CUTI MELAHIRKAN

MENGETAHUI
KEPALA SIE PELAYANAN MEDIK

Dr.MAHAD NUR MUNDARIS

NIP. 19740308 200312 1 003

MEI 2011
NO
1
2
3
4

NAMA
Tn.Joko M
Ny.Sriyanti
Tn.Reso Joyo
An.Erni S

UMUR
68 th
70 th
70 th
2 th

ALAMAT
Titang, Simo
Ngaglik, Sambi
Temon, Simo
Jatisari, Sambi

DIAGNOSA
Hipertensi Stg 2
Obs Febris hr 4
Hipertensi Stg 2
GEA

TINDAKAN
EKG
Lab DR
EKG
-

5
6

Ny.Gito D
Tn.kasmino

70 th
82 th

Andong
Nogosari

Vertigo
Obs.Hematemesis Melena

7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61

Tn.Jumari
Tn.Ngatmin
Ny.Partumi
Ny. Diah Ratna
An.Angelia
Tn.Sowirejo
An.Rudi P
Nn.Indah Y
Ny.Indriani
Sdr.Didik
An.Ririn
Ny.Nasita
Tn.hadi S
Tn.Sugandi
Tn.Mulyono
Ny.Suliyem
Tn.kabul D
Ny.Suliyah
Tn.Joko S
Ny.Marinah
Sdr.Anto T
Tn.Mulyono
Ny.Ngatemi
Tn.Tukiman
Ny.Parsih
Tn.Pamuji
An.Nina
Tn.Gito S
Ny.Juminem
Ny.Sumarni
Nn.Winarni
Ny.Surip
Tn.Reso M
Ny.Meinita
Tn.Karso S
An.Janatun
Sdr.Arfi
Ny.Sumarni
Tn.Tukiman
Ny.Jinem
Ny. Aulia
Tn.Rajiman
Ny.Rina M
Ny.Ginem
An.Melinda
Ny.Suwarni
An.Rabani
Tn.Suratno
Ny,Sumirah
Ny.Parmi
Tn.Aris M
Ny. Ngatinah
Ny. Sarti
An.Gita H
Tn.Ngatiman

50 th
70 th
70 th
43 th
5 th
74 th
8 th
19 th
56 th
15 th
6 th
27 th
80 th
45 th
50 th
11 th
58 th
50 th
75 th
46 th
26 th
41 th
50 th
68 th
70 th
70 th
2 th
70 th
82 th
50 th
20 th
70 th
73 th
55 th
74 th
8 th
19 th
56 th
75 th
76 th
27 th
80 th
45 th
60 th
11 th
28 th
5 th
75 th
46 th
26 th
41 th
50 th
55 th
3 th
70 th

Pelem, Simo
Jagoan, Sambi
Krisik, Pelem
Blagung, Simo
Talak Broto, Simo
Nglembu, Simo
Jaten, Teter, Simo
Glonggong, Nogosari
Bendo, Nogosari
Teter, Simo
Kemusu
Sempu, Andong
Pojok, Nogosari
Blagung
Sumber, Simo
Mroji, Sambi
Wonosari, Bendo
Titang, Simo
Cermo, Sambi
Wates, Simo
Manyaran, Kr.Gede
Simo
Ngablak, Kenteng
Sempu, Andong
Candi Asri, Simo
Simo baru, Simo
Sempulur Karang Gede
Teter, Simo
Sempu andong
Wonosari, Bendo
Klebem, Simo
Munggur, andong
Pondok, Teter
Ngaliyan, Simo
Sumber, Simo
Wates, Simo
Candi Asri, Simo
Temon, Sambi
Pelem,Simo
Kd.Sentul, Wates
Pondok, Teter
Sempu, Andong
Tempuran, Simo
Sumber, Simo
Trosobo,Sambi
Simo
Gunung, Simo
Blagung, Simo
Pulutan, Nogosari
Sumber Agung, Klego
Wates, Simo
Pelem, Simo
Munggur, Andong
Kandel, Kemusu
Teter, Simo

DM tipe 2 NO
Dispepsi
Myalgia
Asma Bronkhiale
ISPA
GEA
GEA
Dismenorhea
Susp TIA
Obs Febris hr 5
Hordeolum eksternum
G2P1A0 KPD 8 jam
Obs Hematemesis, Melena
DM Tipe 2 NO
Dispepsi
Vulnus excoriasi
ISPA
Vertigo
Dispepsi
Kontrol post VL
Obs.Febris hr 4
Dispepsi
Kontrol post VL
PPOK ex akut
Rheumatoid artritis
Obs Febris hr 3
Febris Konvulsi
Vertigo
DC, HHD
Dispepsi
Vulnus laceratum
Konjungtivitis ODS
Myalgia
Dispepsi
CHF, IHD
Corpal cotton bud AD
GEA
Dispepsi
Dermatitis atopi
Konjungtivitis ODS
Dispepsi
PPOK ex akut
Dispepsi
Hipertensi stg 2
ISPA
G1P0A0 Inpartu
ISPA
ISK
DM Tipe 2 NO
Susp Abortus inkomplet
Dispepsi
Dispepsi
DC, IHD
GEA
Vulnus excoriasi

Bilas Lambung, psg

NGT
GDS
Nebu
EKG, DR, GDS
Lab DR, Widal
Lab DR
Bilas lambung
EKG, GDS
medikasi
Aff hecting, medikasi
Lab DR
medikasi
Nebulizer
Lab DR
Lab DR
EKG
Hecting, medikasi
Irigasi
EKG
Extraksi corpal
Irigasi
Nebulizer
EKG
Lab DR, UR
GDS
Lab DR
EKG
medikasi

62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119

Ny.Jinem
Tn.Sarno
Ny. Sayem
Sdr.Jumar
Tn.Purwaji
Nn.Yumi
Ny.Wakinem
Ny.Nur halimah
Tn.Parmo
Ny,Iswanti
Ny.Sri Mulyani
An.Lastri
Sdr.Joko K
Ny.Siti K
Ny.Rubinem
Ny.Kusniati
Tn Hadi W
Ny.Sumiyatun
Sdr.Rahman
Ny.Narti
Tn. Jumeri
Nn.Aliyah
Ny.Wahyuni
Tn.Supono
Tn.Musofir
Tn.Surdi
Sdr.Wahyu
Tn.Sumarmo
An.Gita H
Ny.Pariyem
Tn.Sukir
Ny.Fitriyah
Ny.Astuti
Tn.Amir
Ny.nasifah
Tn.Samsudin
Ny.Tyas
Nn.Lilis
Tn.Bejo
Nn.Sani P
Tn.Ikhsan
Ny.Salamah
Ny.Bibit
Sdr.Rahmanto
Ny.Retno
Ny.Tumini
Tn.Mulyadi
Sdr.Wisnu K
Ny.Kayati
An.Agus P
Tn.Tri N
An.Sri Mulyani
Ny.Amini
Sdr.Umar
Tn.Fendi
Ny.Siti Aminah
An.Habib

35 th
80 th
63 th
19 th
56 th
15 th
76 th
27 th
80 th
45 th
50 th
11 th
28 th
59 th
75 th
46 th
26 th
41 th
20 th
55 th
43 th
20 th
35 th
80 th
63 th
69 th
30 th
55 th
3 th
50 th
67 th
66 th
54 th
35 th
38 th
41 th
28 th
20 th
80 th
18 th
5 th
5 th
68 th
47 th
21 th
40 th
18 th
80 th
67 th
55 th
45 th
6 th
31 th
11 th
60 th
19 th
42 th
60 th

Ngaliyan, Simo
Sempu, Andong
Duwet, Simo
Pelem, Simo
Kauman, Kemusu
Gumuk Rejo, Sambi
Sempu, Andong
Nglembu, Sambi
Andong
Pelem, Simo
Candi Asri, Simo
Babadan, Sambi
Duwet, Simo
Nogosari
Teter, Simo
Ngaliyan, Simo
Bojong, Wonosegoro
Kadipaten
Gumuk Rejo, Sambi
Babadan, Sambi
Teter, Simo
Sempu, Andong
Kr.Gede
Nglembu, Sambi
Blagung
Walen, Simo
Nglembu, Sambi
Nogosari
Sumber, Simo
Babadan, Sambi
Teter, Simo
Walen, Simo
Nglembu, Sambi
Sempu, Andong
Kr.Gede
Duwet, Simo
Nogosari
Babadan, Sambi
Tempur Sari
Mroji, Sambi
Walen, Simo
Teter, Simo
Talak Broto
Gumuk Rejo, Sambi
Teter, Simo
Titang, Simo
Kepoh, Sambi
Walen, Simo
Ringin Wok
Jagoan Sambi
Klego
Nogosari
Titang, Simo
Duwet, Simo
Sendang, Kr.Gede
Blagung
Sumber, Simo
Babadan, Sambi

Dispepsi
PPOK ex akut
OA genu
Vulnus laceratum
Anemia Gravis
Obs febris hr 4
Vertigo
GEA
DC, HHD
Dispepsi
ISK
Obs Febris hr 6
Obs Febris hr 4
DC, HHD
Vertigo
Cephalgi
Vl Digiti 2 pedis sn
Gastritis
Obs Febris hr 3
GEA
Hipertensi stg 2
OMA Auricula sinistra
ISK
Vertigo
Anemia Gravis
DC, HHD
Dispepsi
Dermatitis venenata
Konjungtivitis ODS
Obs Febris hr 5
GEA
Hipertensi stg 2
Obs.Vomitus

Nebulizer, Ro
Hecting, Medikasi
Lab DR, Gol Darah
Lab DR
EKG
Lab DR, UR
Lab DR, Widal
Lab DR
EKG
Naegle, hecting
Lab DR
EKG
Lab DR, UR
Lab DR, Gol darah
EKG
Lab DR, Widal
EKG
-

Obs.Febris hr 3
Dispepsi
GEA
Dermatitis venenata
PPOK ex Akut
Obs.Febris hr 3

Lab DR
Nebu, EKG
Lab DR
Nebulizer
Lab DR
GDS
Lab DR, Widal
Naegle, hecting
Lab DR. EKG
Lab DR
Lab UR, DR
-

Asma Bronkhiale
Obs febris hr 4
DM Tipe 2 NO
Dispepsi
Vertigo
Dispepsi
Obs.Febris hr 6
Dispepsi
Vulnus laceratum digiti 1
Obs.Abdominal pain
Tonsilitis
faringitis
ISPA
ISK
GEA
Obs Cephalgi

120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157

Ny.Surip
Tn.Firdaus
Tn.Slamet W
An.Lisa Dona
Tn.Sugito
Tn.Pawiro
Ny.Ita S
Ny.Sutarnmi
Tn.Tumino
Tn.Surahman
Sdr. Panji A
Ny.anik
Ny.Kismani
Ny.Nanik T
Tn.Pawiro R
An.Andika
Ny.Kamsini
Ny.Ratna
Sdr.Tomi P
Ny.Jinah
Tn.Wahono
Tn.Suwarno
Tn.Bahtiar
An.Fajar
Tn.Ali
Tn.Surdianto
Ny.Mahyani
Tn.Sadiman
Nn.Aulia
Tn.Sarbini
Ny.Juwariyah
An.Fajar B
Ny.Markonah
Ny.Aminatun
Ny.Siti S
Tn.Roso Semito
Ny.Setyowati
Tn.Mahmud

5 th
75 th
41 th
77 th
8 th
75 th
45 th
23 th
24 th
46 th
60 th
27 th
23 th
24 th
57 th
70 th
48 th
40 th
41 th
19 th
60 th
77 th
73 th
24 th
6 th
70 th
48 th
40 th
31 th
19 th
50 th
40 th
3 th
70 th
34 th
60 th
68 th
49 th

Candirejo, Demangan
Sempu, Andong
Kr.Gede
Teter, Simo
Pelem, Simo
Nogosari
Kleben, Simo
Karang Jati
Sempu, andong
Pelem, Simo
Wonosegoro
Dadapan, kepoh
Simo
Keongan, Nogosari
Klego
Andong
Pelem, Simo
Pelem, Simo
Duwet, Simo
Kepoh, Sambi
Blagung
Sumber, Simo
Babadan, Sambi
Titang, Simo
Duwet, Simo
Babadan, Sambi
Tempur Sari
Jagoan, Sambi
Kemusu
Sempu, Andong
Candi Asri, Simo
Pelem, Simo
Wonosegoro
Kemusu
Pelem, Simo
Sempu, Andong
Titang, Simo
Babadan, Sambi

Dispepsi
Obs.Febris hr 3
PPOK ex akut
Keracunan makanan
PPOK ex akut
GEA
Snake bite
Serumen AS
Dispepsi
Dispepsi
Kontrol VL
Obs febris hr 4
Dermatitis venenata
Vulnus excoriasi
Asma Bronkhiale
Dispepsi
Obs Febris hr 3
GEA
Vertigo
Chest discomfort
GEA
Vulnus laceratum
PPOK ex akut
OMI anteeroseptal
Dermatitis atopi
Post hecting VL
GEA
Dispepsi
dispepsi
Kontrol VL
Obs Febris hr 4
Obs.Vomitus
Vulnus excoriasi
Asma Bronkhiale
GEA
Obs.Febris hr 3
Vertigo
Dispepsi

Lab DR
Nebulizer
Bilas lambung
EKG, GDS
medikasi
Serumen Prop
Aff hecting, medikasi
Lab DR
medikasi
Nebulizer
Lab DR
EKG
Hecting, medikasi
Nebulizer
EKG, GDS
medikasi
Aff hecting, medikasi
Lab DR
medikasi
Nebulizer
Lab DR
-

MENGETAHUI
KEPALA SIE PELAYANAN MEDIK

Dr.MAHAD NUR MUNDARIS

NIP. 19740308 200312 1 003

JUNI 2011
NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

NAMA
Ny.Mulyati
Tn.Sunarto
Tn.Tukar
Ny.Mukiyem
An.Rasisa
Ny.Sumini
An.Rendi
Tn.Umar
Sdr.Fendi
Ny.Siti Aminah
Ny.Kasmi
An.Saluna
Ny.Tumirah
Tn.Sulomo
Tn.Suparman
An.Alfi
Ny.Sukirah
Tn.Sukir
Ny.Fitriyah
Sdr.Wahyu
Ny.Sumiyatun
Tn.Sumarmo
Ny.Astuti
Ny.Tyas
Ny.Sani P
Ny.Tumini
Tn.Ikhsan
Tn.Amir

UMUR
80 th
67 th
55 th
45 th
6 th
31 th
11 th
60 th
19 th
42 th
60 th
5 th
75 th
61 th
47 th
8 th
75 th
45 th
23 th
24 th
46 th
60 th
27 th
23 th
24 th
67 th
70 th
48 th

ALAMAT
Nglembu, Sambi
Nglembu, Sambi
Tanjung, Klego
Banyurejo, Nogosari
Nglembu, Sambi
Bendo, Nogosari
Sempulur,Karang Gede
Pelem, Simo
Teter, Simo
Jagoan, Sambi
Kemusu
Sempu, Andong
Blagung, Simo
Talak Broto, Simo
Wates, Simo
Blagung, Simo
Nlembu, Sambi
Tawang, Susukan
Kadipaten, andong
Tejobang, Simo
Cermo, Sambi
Babadan, Sambi
Pulung, Simo
Klumpit, Kr.Gede
Tegal sari
Pojok, Nogosari
Blagung
Sumber, Simo

DIAGNOSA
Dispepsi
Ht stg 2
Susp.CVA hemoragik
Hipertensi stg 2
Vulnus laceratum
G2P1A0 Inpartu
Kontrol post vulnus laceratum
Decompensasi cordis
Rhinitis alergi
Dispepsi
Dispepsi
Obs.Febris hr 2
CHF
Dispepsi
Hipertensi stg 2
Hordeolum internum
GEA
GEA vomitus
G1P0A0 inpartu
PPOK ex akut
Snake bite
Obs.Febris hr 5
Hiperemesis Gravidarum
Dispepsi
Obs vomitus
Hipertensi stg 2
DC, HHD
Epistaksis anterior

29
30
31
32
33
34
35
36
37
38
39
40

Ny.Kayati
Tn.Lagimin
Tn.Tri N
Ny.Sri Mulyani
Ny.Amini
An.Firdaus
Tn.Pawiro
Ny.Ita S
Ny.Sutarnmi
Ny.Painem
Ny.Kismani
Ny.Nanik Puji

40 th
31 th
19 th
50 th
40 th
3 th
70 th
34 th
60 th
68 th
49 th
34 th

Babadan, Sambi
Tempur Sari
Mroji, Sambi
Walen, Simo
Titang, Simo
Kepoh, Sambi
Jitingan, Kepoh
Teter, Simo
Blagung, Simo
Babadan, Sambi
Pereng, Andong
Pentur, Simo

Dispepsi
Obs,Febris hr 2
Corpal auricula dx
Obs Vomitus
Dispepsi
Febrios konvulsi
Hipertensi stg 2
Vertigo
GEA
Konjungtivitis ODS
GEA vomitus
Myalgia

TINDAKAN
EKG
EKG
Lab DR, GDS,EKG
EKG
Hecting, medikasi
Medikasi
EKG
Lab DR
EKG
EKG
Nebulizer
Medikasi
Lab DR
EKG
EKG
Pasang tampon
anterior
Ekstraksi corpal
Lab DR
EKG
Irigasi
-

41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98

An.Angelia
Tn.Ali
Musatofa
Tn.Ngatiman
Ny.Maryani
Ny.Sriyatun
Ny.Kasmi
An.Tomi
Ny.Jami
Tn.Mukadi
Ny.Sigiyanti
Ny.Ngaisah
Tn.Samiji
Tn.Muhtarom
Tn.Bibit
Tn.Basuni
An.Panji
Sdr.Rahmad
Tn.Tumirin
Sdr.Hayam
Ny.Kuisia
Tn.Sarto
Tn.Tumino
Tn.Sastro
Ny.Juminem
An.Rendi
Ny.Maryati
An.Adi T
Tn.Sastro
Ny.Jasirah
Ny.Tatik
Tn.Jumar
Ny.Yumi
Tn.Parmo
Ny.Siti K
Ny.Rifanti
Ny.Umi
Ny.Tukiyem
Ny.Sugiyem
Tn.Harjo S
Ny.Marni
Ny.Sugiyem
An.Fero A
Tn.Suparno
Tn.Supardi
Ny.Rajiyem
Ny.Suyatun
Ny.Siti Romlah
Ny.Sulimah
Ny.Suyatun
Ny.Tri Minatun
Tn.ali Rosidi
Ny.Endang
Nn.Kanafi
An.Hamidah
An.Gilang
Ny.Ngatinem
Tn.Jauhari

3 th
40 th
55 th
68 th
70 th
70 th
2 th
70 th
82 th
50 th
70 th
70 th
43 th
55 th
74 th
8 th
19 th
56 th
15 th
76 th
27 th
80 th
45 th
50 th
11 th
28 th
5 th
75 th
46 th
26 th
41 th
50 th
55 th
43 th
20 th
35 th
80 th
63 th
69 th
30 th
55 th
3 th
50 th
67 th
66 th
54 th
35 th
38 th
41 th
28 th
60 th
30 th
18 th
5 th
5 th
68 th
37 th
21 th

Pakel, Andong
Pentur, Simo
Blagung, Simo
Kr.Dowo, Andong
Walen, Simo
Ketitang, Nogosari
Blagung
Sempu, Andong
Kd.Lengkong, Simo
Talak Broto
Simo
Titang, Simo
Titang, Simo
Temon, Sambi
Trosobo,Sambi
Simo
Pelem,Simo
Kd.Sentul, Wates
Pondok, Teter
Sumber, Simo
Wates, Simo
Manyaran, Kr.Gede
Simo
Ngablak, Kenteng
Sempu, Andong
Wonosari, Bendo
Klebem, Simo
Ringin Wok
Ngaglik, Sambi
Cermo, Sambi
Duwet, Simo
Pelem, Simo
Kauman, Kemusu
Gumuk Rejo, Sambi
Bojong, Wonosegoro
Kadfipaten
Gumuk Rejo, Sambi
Teter, Simo
Teter, Simo
Walen, Simo
Sempu, Andong
Kr.Gede
Sendang, Kr.Gede
Karang Jati
Wonosegoro
Kepoh, Sambi
Klego
B;aguing, Simo
Trosobo, Simo
Sumber, Simo
Blagung
Titang, Simo
Jatirejo, Sempu
Klego
Pelem, Simo
Tanjung, Klego
Pelem Rejo
Demangan, Sambi

Epistaksis anterior
Hi[pertensi stg 2
Vertigo
DM Tipe 2 NO
PPOK ex akut
Kontrol post VL
ISPA
Dispepsi
PPOK ex akut
Kolik renal
Obs.Vomitus
Hipertensi stg 2
GEA
Retensio urin
Chest discomfort
Konjungtivitis ODS
Obs Febris hr 3
Hipertensi stg 2
GEA
Veertigo
ISK
Obs.Hematemesis Melena
Obs febris hr 2
GEA
Obs vomitus
Obs.Perdarahan pervaginam
ISPA
PPOK
Hordeolum internum
Cephalgi
Kolik renal
DC, HHD
PPOK ex akut
Obs.Febris hr 6
Dispepsi
GEA
PPOK
RA
Myalgia
Vulun laceratum
Dermatitis atopi
Febris konvulsi
Vertigo
DM tipe 2 NO
Serumen AD
Myalgia
DM tipe 2
Dispepsi
Dispepsi
Obs Abdominal Pain
Vertigo
Dispepsi
Obs febris hr 3
GEA
Susp Pneumoni
Susp CVA non hemoragik
Deramatitis venenata
Vulnus laceratum

Tampon anterior
EKG
GDS
GDS
Nebulizer
Mediksai
Nebulizer
EKG
Pasang DC
EKG, DC
Irigasi
EKG
Lab DR, UR
Bilas lambung
Lab DR, Gol Darah
Nebu
EKG
Nebu
Lab DR, Widal
Nebulaizer, EKG
Hecting, medikasi
Lab GDS
Serumen proop
GDS
Lab DR
Lab DR
Lab DR, RO
Lab DR, EKG
Hecting, medikasi

99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143

Sdr Roni
Ny.Sukini
Nn.Hartatik
Nn.Puji H
Tn.Suroso
Tn.Wahyudi
Ny.Windarti
Ny.Puji L
Ny.Sri P
Tn.Paino
An.Fuad B
Tn.Sumarto
An.Maya
Ny.Ngatini
Nn. Siti M
Nn. Tutik
Tn,Ngadino
Tn.marji
Sdr. Subekti
Tn.Ngatiman
Ny.Wasiyem
Tn.Marsudi
Ny.Sami
An.Dina F
Ny.Semi
Tn. Zaenudin
Tn.Sunardi
Ny,Jiyem
Tn.Mujimin
Ny.Partinah
Ny.Juminem
Ny.Sumarni
Tn.Rajiman
Tn.Supono
Sdr.Musofir
Tn.Surdi
Tn.Suwarno
Tn.Bahtiar
An.Fajar
Tn.Ali
Tn.Surdianto
Sdr.Wahyu
Tn.Parjo Sastro
Ny.Ngatmi
Ny.Sarsini
Tn.Komari

40 th
18 th
17 th
50 th
29 th
41 th
29 th
43 th
70 th
2 th
58 th
4 th
50 th
25 th
17 th
70 th
45 th
24 th
69 th
56 th
64 th
58 th
4 th
50 th
49 th
70 th
68 th
57 th
60 th
68 th
34 th
75 th
78 th
18 th
37 thg
45 th
65 th
2 th
35 th
64 th
17 th
61 th
50 th
45 th
78 th

Talak Broto
Gondang Rawe
Kadipaten
Bl;agung, Simo
Trosobo, Sambi
Ngaliyan, Pelem
Klego
Kragilan, Wates
Sempu Andong
Blagung, Simo
Bendungan, Simo
Sempu, Andong
Temon, Simo
Kr.Gede
Blagung, Simo
Sepu, Andong
Temon, Simo
Kr.Gede
Blagung, Simo
Sumber, Simo
Bendungan, Simo
Sempu, Andong
Temon, Simo
Pengkol, Kr Gede
Blagung, Simo
Sumber, Simo
Ngablak, Kenteng
Gunung, Simo
Blagung, Simo
Dawung, Tawengan
Kr.Mojo, Klego
Jaten, Klego
Keposong, Musuk
Talak Broto
Ketitang, Nogosari
Kr.Gede
Sumber, Simo
Gunung, Simo
Jatisari, Sambi
Andong
Nogosari
Pelem, Simo
Bendo, Nogosari
Teter, Simo
Banyu urip, Klego

Urtikaria
Obs febris hr 4
GEA
Vulnus laceratum
Vomitus
Hipertensi stg 2
Vulnus ekskoriasi
DM tipe 2 NO
Vertigo
Obs Febris hr 3
Hipertensi stg 2
Febris konvulsi
Kontrol Vulnus laceratum
Kontrol post naegle
Deramtitis venenata
PPOK ex akut
DM tipe 2 NO
Dipepsi
Hipertensi stg 2
GEA
Obs.Febris hr 3
Myalgia
Fenris konvulsi
ISPA
ISPA
Hipertensi stg 2
Urtikaria
Obs vomitus
ISPA
Vertigo
Obs.Febris hr 2
Hipertensi stg 2
Hipertensi stg 2
Obs.Febris hr 3
Dermatitis atopi
Myalgia
Myalgia
Obs.Febris hr 4
Dispepsi
PPOk ex Akut
Vulnus excoriasi
Dispepsi
Anemia Gravis
Dispepsi
PPOK ex Akut

Lab DR
Hecting, medikasi
EKG
Medikasi
GDS
EKG
Lab DR
EKG
Lab DR
Medikasi
Medikasi
Nebulizer
Lab GDS
EKG
Lab DR
EKG
GDS
EKG
EKG
Lab Dr
Lab DR
Nebulizer
Medikasi
Lab DR, Gol Dar
Nebulizer

MENGETAHUI
KEPALA SIE PELAYANAN MEDIK

Dr.MAHAD NUR MUNDARIS

NIP. 19740308 200312 1 003