NAMA-NAMA PASIEN RAWAT INAP YANG BERSUBSIDI APBD PEMERINTAH KABUPATEN LABUHANBATU UTARA THN 2016

PUSKESMAS : TANJUNG LEIDONG

BULAN : JANUARI 2016

Tanggal Biaya / Hari Lama Rawat

No Nama Pasien L/P Umur Alamat No.KTP.KK/Identitas Lain Diagnosa Total (Rp)
Berobat (Rp) Inap (Hari)

1 1/5/2016 Bambang L 23 thn Sei Bomban, Tg. Leidong 122302310595930004 Dyspepsia 25,000 3 75,000
2 1/13/2016 Uci Paramita Sigalingging P 14 thn Blok VIII, Pangkal Lunang 1223024807010001 ISPA 25,000 3 75,000
3 1/14/2016 M. Yunus L 57 thn Kelapa Sebatang 1223021812620001 Dyspepsia 25,000 4 100,000
4 1/16/2016 Randi Purba L 5 thn Sei Bomban, Tg. Leidong 1223023103110002 GE + DRS 25,000 2 50,000
5 1/19/2016 Harman L 60 thn Tg. Leidong 1223023112390005 Dyspepsia 25,000 3 75,000
6 1/20/2016 Rustam L 59 thn Pangkal Lunang 1223021705600004 Susp. Asam Urat 25,000 5 125,000
7 1/22/2016 Sabar Silalahi L 42 thn Tg. Leidong 1223020303710001 Dyspepsia 25,000 3 75,000
8 1/23/2016 Judi L 47 thn Jatuhan golok, Simandulang 1223021303690001 Susp. BSK 25,000 3 75,000
9 1/24/2016 Suwarno L 20 thn Sei Apung 1223030902950002 Dyspepsia 25,000 3 75,000
10 1/25/2016 Syahnuddin L 42 thn Tg. Leidong 1223021004720001 Dyspepsia 25,000 3 75,000
11 1/26/2016 Muhammad Riski L 2 thn Teluk Pulai Dalam 1223021203140002 GE + DRS 25,000 3 75,000
12 1/27/2016 Misna Razia P 16 thn Tg. Leidong 1223026610990002 ISPA 25,000 3 75,000
13 1/29/2016 Sujini P 42 thn Pangkal Lunang 122303426711710001 DM 25,000 3 75,000
JUMLAH 41 1,025,000
NAMA-NAMA PASIEN RAWAT INAP YANG BERSUBSIDI APBD PEMERINTAH KABUPATEN LABUHANBATU UTARA THN 2017

PUSKESMAS : TANJUNG LEIDONG

BULAN : JANUARI 2017
Lama
Tanggal No.KTP.KK/Identita Biaya / Hari
No Nama Pasien L/P Umur Alamat Diagnosa Rawat Inap Total (Rp)
Berobat s Lain (Rp)
(Hari)
1 1/1/2017 Piter Tamba L 72 Thn P.Barat Tanjung Leidong 1223021504480001 Asma 45,000 4 180,000
2 1/2/2017 Rusmilawati P 37 Thn Tanjung Leidong 1223026911600001 Partus 45,000 1 45,000
3 1/2/2017 Warni P 56 Thn Pangkal Lunang 1223026911600001 Dyspepsia 45,000 3 135,000
4 1/4/2017 Ismi Sudidy Harahap P 50 Thn Tanjung Leidong 1223024903660001 Hypertensi 45,000 4 180,000
5 1/6/2017 Usup L 14 Thn Tanjung Leidong 1223022606920003 Dyspepsia 45,000 2 90,000
6 1/6/2017 Briyan Alpon Tamba L 6 Thn Pangkal Lunang 1223020907160001 Diare 45,000 4 180,000
7 1/9/2017 Zulpah P 44 Thn Tanjung Leidong 1223024710730003 Susp.Malaria 45,000 6 270,000
8 1/12/2017 Satini P 52 Thn Teluk.Pulai Luar 1223027112640006 Dyspepsia 45,000 5 225,000
9 1/13/2017 Dimas Arwana L 9 Thn Pangkal Lunang 1223021906080002 Febris 45,000 3 135,000
10 1/13/2017 Asni Sirat P 44 Thn Pangkal Lunang 1223024407730001 Asma 45,000 4 180,000
11 1/14/2017 Herman L 28 Thn Teluk Pulai Dalam 1223020803890004 Ispa 45,000 4 180,000
12 1/17/2017 Dimas Arwana L 9 Thn Pangkal Lunang 1223021906080002 Febris 45,000 3 135,000
13 1/18/2017 Jusni Nasution P 34 Thn Teluk.Pulai Luar 1223020504830007 Dyspepsia 45,000 3 135,000
14 1/21/2017 Nurmi Tanjung P 49 Thn Tanjung Leidong 122302612810001 Dyspepsia 45,000 3 135,000
15 1/22/2017 Mariana Margolang P 72 Thn Tanjung Leidong 0207195201460001 Diare 45,000 5 225,000
16 1/23/2017 Muhammad Nur L 60 Thn Air Hitam 1223020204560003 Ispa 45,000 4 180,000
17 1/24/2017 Ertina Lumban Tobing P 69 Thn Pangkal Lunang 1223024307470001 Dyspepsia 45,000 3 135,000
18 1/25/2017 Halimah Sinaga P 60 Thn Tanjung Leidong 1223025209540001 Dyspepsia 45,000 5 225,000
19 1/25/2017 Tarida Manurung P 53 Thn Tanjung Leidong 1223024103640001 Dyspepsia 45,000 2 90,000
20 1/26/2017 Fahri Akbar L 5 Thn Tanjung Leidong 1223022503120002 Diare 45,000 3 135,000
21 1/28/2017 Musriza L 43 Thn Tanjung Leidong 1223021003820005 Dyspepsia 45,000 5 225,000
22 1/9/2017 Warni Ks P Thn 1223024710820001 Partus 45,000 1 45,000
23 1/15/2017 Leni P Thn 1223020504830007 Partus 45,000 1 45,000
24 1/20/2017 Sri Mulyani P Thn 122302612810001 Partus 45,000 1 45,000
25 1/22/2017 Bahriyah P Thn 122302612810001 Partus 45,000 1 45,000
26 1/31/2017 Sri Wahyuni P Thn 122302612810001 Partus 45,000 1 45,000
27 1/25/2017 Fitriayani P Thn 122302612810001 Partus 45,000 1 45,000
28 12/27/2017 Napsiah P Thn 122302612810001 Partus 45,000 1 45,000
32 JUMLAH 83 3,735,000
NAMA-NAMA PASIEN RAWAT INAP YANG BERSUBSIDI APBD PEMERINTAH KABUPATEN LABUHANBATU UTARA THN 2017

PUSKESMAS : TANJUNG LEIDONG

BULAN : JANUARI 2017
Lama
Tanggal No.KTP.KK/Identita Biaya / Hari
No Nama Pasien L/P Umur Alamat Diagnosa Rawat Inap Total (Rp)
Berobat s Lain (Rp)
(Hari)
1 1/1/2017 Piter Tamba L 72 Thn P.Barat Tanjung Leidong 1223021504480001 Asma 45,000 5 225,000
2 1/2/2017 Rusmilawati P 37 Thn Tanjung Leidong 1223026911600001 Febris 45,000 2 90,000
3 1/2/2017 Warni P 56 Thn Pangkal Lunang 1223026911600001 Dyspepsia 45,000 3 135,000
4 1/3/2017 Fitriayani P 25 Thn Tanjung Leidong 122302612810001 Diare 45,000 3 135,000
5 1/4/2017 Hilma P 37 Thn Tanjung Leidong 1223027012790003 Hypertensi 45,000 4 180,000
6 1/4/2017 Ismi Sudidy Harahap P 50 Thn Tanjung Leidong 1223024903660001 Hypertensi 45,000 5 225,000
7 1/6/2017 Usup L 14 Thn Tanjung Leidong 1223022606920003 Dyspepsia 45,000 3 135,000
8 1/6/2017 Briyan Alpon Tamba L 6 Thn Pangkal Lunang 1223020907160001 Diare 45,000 5 225,000
9 1/9/2017 Zulpah P 44 Thn Tanjung Leidong 1223024710730003 Susp.Malaria 45,000 7 315,000
10 1/9/2017 Wani Ks P 52 Thn Teluk.Pulai Luar 1223027112640006 Dyspepsia 45,000 3 135,000
11 1/12/2017 Satini P 52 Thn Teluk.Pulai Luar 1223027112640006 Dyspepsia 45,000 5 225,000
12 1/13/2017 Dimas Arwana L 9 Thn Pangkal Lunang 1223021906080002 Febris 45,000 3 135,000
13 1/13/2017 Asni Sirat P 34 Thn Tanjung Leidong 1223024710820001 Asma 45,000 4 180,000
14 1/14/2017 Herman L 28 Thn Teluk Pulai Dalam 1223020803890004 Ispa 45,000 5 225,000
15 1/15/2017 Leni P 35 Thn Tanjung Leidong 1223020504830007 Malaria 45,000 6 270,000
16 1/17/2017 Dimas Arwana L 9 Thn Pangkal Lunang 1223021906080002 Febris 45,000 3 135,000
17 1/18/2017 Jusni Nasution P 34 Thn Teluk.Pulai Luar 1223020504830007 Dyspepsia 45,000 3 135,000
18 1/20/2017 Sri Mulyani P 18 Thn Pangkal Lunang 1223026005980001 Febris 45,000 3 135,000
19 1/21/2017 Nurmi Tanjung P 49 Thn Tanjung Leidong 122302612810001 Dyspepsia 45,000 3 135,000
20 1/22/2017 Mariana Margolang P 72 Thn Tanjung Leidong 0207195201460001 Diare 45,000 5 225,000
21 1/22/2017 Bahriyah L 26 Thn Tanjung Leidong 1223024106910001 Asma 45,000 4 180,000
22 1/23/2017 Muhammad Nur L 60 Thn Air Hitam 1223020204560003 Ispa 45,000 4 180,000
23 1/24/2017 Ertina Lumban Tobing P 69 Thn Pangkal Lunang 1223024307470001 Dyspepsia 45,000 5 225,000
24 1/25/2017 Halimah Sinaga P 60 Thn Tanjung Leidong 1223025209540001 Dyspepsia 45,000 5 225,000
 25 1/25/2017 Tarida Manurung P 53 Thn Tanjung Leidong 1223024103640001 Dyspepsia 45,000 3 135,000
26 1/26/2017 Fahri Akbar L 5 Thn Tanjung Leidong 1223022503120002 Diare 45,000 3 135,000
27 1/26/2017 Yusnita P 43 Thn Tanjung Leidong 1223025710830002 Dyspepsia 45,000 4 180,000
28 1/27/2017 Maspah P 67 Thn Tanjung Leidong 1223025203700002 Dyspepsia 45,000 4 180,000
29 1/28/2017 Musriza L 43 Thn Tanjung Leidong 1223021003820005 Dyspepsia 45,000 5 225,000
30 1/28/2017 Musriza L 43 Thn Tanjung Leidong 1223021003820005 Dyspepsia 45,000 5 225,000
31 1/29/2017 Sri Wahyuni P 29 Thn Tanjung Leidong 1223026401900001 Febris 45,000 3 135,000
32 1/31/2017 Heriansyah L 17 Thn Tanjung Leidong 1223022005990002 TB-Paru 45,000 3 135,000
33 1/31/2017 Toni Pranoto P 35 Thn Tanjung Leidong 1223021311820003 Asma 45,000 3 135,000
JUMLAH 101 4,545,000
Terbilang : Empat Juta Lima Ratus Empat Puluh Lima Ribu Rupiah

Diketahui :
Kepala Puskesmas Tanjung Leidong Petuga Puskesmas Tanjung Leidong

RIVA ARYA RITONGA, SKM DEWI DAULAY, SKM

PENATA NIP.19770502 200801 2 003
NIP.19840118 201101 1 004
NAMA-NAMA PASIEN RAWAT INAP YANG BERSUBSIDI APBD PEMERINTAH KABUPATEN LABUHANBATU UTARA THN 2017

PUSKESMAS : TANJUNG LEIDONG

BULAN : Februari 2017
Lama
Tanggal No.KTP.KK/Identita Biaya / Hari
No Nama Pasien L/P Umur Alamat Diagnosa Rawat Inap Total (Rp)
Berobat s Lain (Rp)
(Hari)
1 2/1/2017 Waliyani L 72 Thn 1223024809900003 45,000 1 45,000
2 2/8/2017 Irma Susanti P Thn Pangkal Lunang 1223026911600001 Partus 45,000 1 45,000
3 2/10/2017 Halimah Lubis P 56 Thn Pangkal Lunang 1223026911600001 Partus 45,000 1 45,000
4 2/15/2017 Rita Andriani P 50 Thn Tanjung Leidong 1223024903660001 Partus 45,000 4 180,000
5 2/2/2017 Musrizal L 43 Thn Tanjung Leidong 1223021003820005 Dyspepsia 45,000 8 360,000
6 2/2/2017 Heriansyah L 17 Thn Air Hitam 1223022005990002 TB-Paru 45,000 4 180,000
7 2/3/2017 Toni Pronoto L 35 Thn Pangkal Lunang 1223021311820003 Asma 45,000 4 180,000
8 2/6/2017 Hermanto L 42 Thn Tanjung Leidong 1223022802750001 Dyspepsia 45,000 5 225,000
9 2/8/2017 Mila Siregar P 22 Thn Tanjung Leidong 1223026708940002 Dyspepsia 45,000 3 135,000
10 2/8/2017 Abdul Latif L 72 Thn Teluk Pulai Dalam 1223020102460002 Asma 45,000 4 180,000
11 2/9/2017 Misni P 56 Thn Pangkal Lunang 1223025003650002 Asma 45,000 3 135,000
12 2/9/2017 Misriadi L 25 Thn Pangkal Lunang 1223020202820003 Dyspepsia 45,000 4 180,000
13 2/14/2017 Maslina P 25 Thn Teluk.Pulai Luar 1223024812910003 Dyspepsia 45,000 3 135,000
14 2/16/2017 Asni Sinurat P 44 Thn Pangkal Lunang 1223024407730001 Asma 45,000 3 135,000
15 2/24/2017 Rajwa Nazira Putri P 5 Thn Kelapa Sebatang 1223024801120001 Diare 45,000 4 180,000
16 2/24/2017 Handari Adzani L 34 Thn Tanjung Leidong 1223022610840002 Dyspepsia 45,000 3 135,000
17 2/25/2017 Meynasrani Elprida P 16 Thn Teluk Pulai Dalam 1223035305010002 Diare 45,000 3 135,000
18 2/25/2017 Mulyadi L 43 Thn Tanjung Leidong 1223022104740004 Dyspepsia 45,000 3 135,000
32 JUMLAH 61 2,745,000
NAMA-NAMA PASIEN RAWAT INAP YANG BERSUBSIDI APBD PEMERINTAH KABUPATEN LABUHANBATU UTARA THN 2017

PUSKESMAS : TANJUNG LEIDONG

BULAN : Februari 2017
Lama
Tanggal No.KTP.KK/Identita Biaya / Hari
No Nama Pasien L/P Umur Alamat Diagnosa Rawat Inap Total (Rp)
Berobat s Lain (Rp)
(Hari)
1 2/1/2017 Waliyani L 27 Thn Pangkal Lunang 1223024809900003 Partus 45,000 3 135,000
2 2/2/2017 Musrizal L 43 Thn Tanjung Leidong 1223021003820005 Dyspepsia 45,000 4 180,000
3 2/2/2017 Heriansyah L 17 Thn Air Hitam 1223022005990002 TB-Paru 45,000 5 225,000
4 2/3/2017 Toni Pronoto L 35 Thn Pangkal Lunang 1223021311820003 Asma 45,000 4 180,000
5 2/6/2017 Hermanto L 42 Thn Tanjung Leidong 1223022802750001 Dyspepsia 45,000 5 225,000
6 2/8/2017 Mila Siregar P 22 Thn Tanjung Leidong 1223026708940002 Dyspepsia 45,000 3 135,000
7 2/8/2017 Abdul Latif L 72 Thn Teluk Pulai Dalam 1223020102460002 Asma 45,000 5 225,000
8 2/9/2017 Misni P 56 Thn Pangkal Lunang 1223025003650002 Asma 45,000 3 135,000
9 2/9/2017 Misriadi L 25 Thn Pangkal Lunang 1223020202820003 Dyspepsia 45,000 4 180,000
10 2/10/2017 Halimah Lubis P 56 Thn Pangkal Lunang 1223026911600001 Malaria 45,000 2 90,000
11 2/14/2017 Maslina P 25 Thn Teluk.Pulai Luar 1223024812910003 Dyspepsia 45,000 4 180,000
12 2/14/2017 Maslina P 25 Thn Teluk.Pulai Luar 1223024812910003 Dyspepsia 45,000 3 135,000
13 2/15/2017 Rita Andriani P 50 Thn Tanjung Leidong 1223024903660001 Malaria 45,000 2 90,000
14 2/16/2017 Asni Sinurat P 44 Thn Pangkal Lunang 1223024407730001 Malaria 45,000 2 90,000
15 2/24/2017 Rajwa Nazira Putri P 5 Thn Kelapa Sebatang 1223024801120001 Diare 45,000 4 180,000
16 2/24/2017 Handari Adzani L 34 Thn Tanjung Leidong 1223022610840002 Dyspepsia 45,000 3 135,000
17 2/25/2017 Meynasrani Elprida P 16 Thn Teluk Pulai Dalam 1223035305010002 Diare 45,000 6 270,000
18 2/25/2017 Mulyadi L 43 Thn Tanjung Leidong 1223022104740004 Dyspepsia 45,000 3 135,000
19 2/25/2017 Misna Razia P 27 Thn Teluk Pulai Dalam 1223035305010002 Diare 45,000 4 180,000
20 2/25/2017 Sujini L 30 Thn Tanjung Leidong 1223022104740004 Malaria 45,000 2 90,000
 21 2/25/2017 Piter Tamba L 72 Thn P.Barat Tanjung Leidong 1223021504480001 Asma 45,000 4 180,000
22 2/25/2017 Rusmilawati P 37 Thn Tanjung Leidong 1223026911600001 Malaria 45,000 5 225,000
23 2/25/2017 Warni P 56 Thn Pangkal Lunang 1223026911600001 Dyspepsia 45,000 3 135,000
JUMLAH 83 3,735,000

Diketahui :
Kepala Puskesmas Tanjung Leidong Petuga Puskesmas Tanjung Leidong

RIVA ARYA RITONGA, SKM DEWI DAULAY, SKM

PENATA NIP.19770502 200801 2 003
NIP.19840118 201101 1 004
NAMA-NAMA PASIEN RAWAT INAP YANG BERSUBSIDI APBD PEMERINTAH KABUPATEN LABUHANBATU UTARA THN 2017

PUSKESMAS : TANJUNG LEIDONG

BULAN : Maret 2017
Lama
Tanggal No.KTP.KK/Identita Biaya / Hari
No Nama Pasien L/P Umur Alamat Diagnosa Rawat Inap Total (Rp)
Berobat s Lain (Rp)
(Hari)
1 3/5/2017 Sarah Mulianan P Thn 1223028707880001 Partus 45,000 1 45,000
2 3/5/2017 Mita Rukmana P Thn 1223024412990003 Partus 45,000 1 45,000
3 3/10/2017 Demi P Thn 1223026409820002 Partus 45,000 1 45,000
4 3/12/2017 Rahayu Susanti P Thn 1223024903660001 Partus 45,000 1 45,000
5 3/15/2017 Erni L Thn 1223025306940005 Partus 45,000 1 45,000
6 3/29/2017 Hotma Emilda L Thn 1223026703830003 Partus 45,000 1 45,000
7 3/1/2017 Nova Cantika Lubis P 19 Thn Tanjung Leidong 1223025211980001 Dyspepsia 45,000 3 135,000
8 3/2/2017 Santika P 12 Thn Air Hitam 1223024908040001 Diare 45,000 3 135,000
9 3/3/2017 Lestari P 12 Thn Simandulang 1223026107050001 Febris 45,000 2 90,000
10 3/6/2017 Aprina Romauli P 30 Thn Tanjung Leidong 1223026904860002 Diare 45,000 3 135,000
11 3/6/2017 Jakobus Limbong L 90 Thn Pangkal Lunang 1223020510370001 Dyspepsia 45,000 2 90,000
12 3/12/2017 Diana Derbi P 56 Thn Tanjung Leidong 1223025001590001 Asma 45,000 2 90,000
13 3/15/2017 Sunardi L 38 Thn Teluk Pulai Dalam 1223020511780001 Febris 45,000 2 90,000
14 3/19/2017 Zulia P 24 Thn Tanjung Leidong 1223026207930001 Asma 45,000 4 180,000
15 3/21/2017 Sahrial Bakti DL L 22 Thn Air Hitam 1223022411940002 Dyspepsia 45,000 3 135,000
16 3/21/2017 Lasidi L 48 Thn Pangkal Lunang 1223023010690001 Dyspepsia 45,000 3 135,000
17 3/25/2017 Adi Saputra Tambunan L 17 Thn Simandulang 1223020278000001 Dyspepsia 45,000 3 135,000
18 3/27/2017 Sri Antika P 22 Thn Air Hitam 1223026103940001 Dyspepsia 45,000 3 135,000
19 3/27/2017 Zulfadli L 35 Thn Tanjung Leidong 1223022209820001 Diare 45,000 4 180,000
20 3/27/2017 Santi Sartika P 20 Thn Tanjung Leidong 12230263002990001 Diare 45,000 3 135,000
21 3/28/2017 Surianto Siregar L 34 Thn Pangkal Lunang 1223022308800001 Dyspepsia 45,000 3 135,000
22 3/28/2017 Rahimin L 43 Thn Tanjung Leidong 1223021005680002 Susp Malaria 45,000 3 135,000
JUMLAH 52 2,340,000
NAMA-NAMA PASIEN RAWAT INAP YANG BERSUBSIDI APBD PEMERINTAH KABUPATEN LABUHANBATU UTARA THN 2017

PUSKESMAS : TANJUNG LEIDONG

BULAN : Maret 2017
Lama
Tanggal No.KTP.KK/Identita Biaya / Hari
No Nama Pasien L/P Umur Alamat Diagnosa Rawat Inap Total (Rp)
Berobat s Lain (Rp)
(Hari)
1 3/1/2017 Nova Cantika Lubis P 19 Thn Tanjung Leidong 1223025211980001 Dyspepsia 45,000 4 180,000
2 3/2/2017 Santika P 12 Thn Air Hitam 1223024908040001 Diare 45,000 3 135,000
3 3/3/2017 Lestari P 12 Thn Simandulang 1223026107050001 Febris 45,000 3 135,000
4 3/5/2017 Sarah Mulianan P 29 Thn Pangkal Lunang 1223028707880002 Dyspepsia 45,000 2 90,000
5 3/5/2017 Mita Rukmana P 19 Thn Air Hitam 1223024412990003 Dyspepsia 45,000 4 180,000
6 3/6/2017 Aprina Romauli P 30 Thn Tanjung Leidong 1223026904860002 Diare 45,000 5 225,000
7 3/6/2017 Jakobus Limbong L 90 Thn Pangkal Lunang 1223020510370001 Dyspepsia 45,000 4 180,000
8 3/10/2017 Demi P 35 Thn Tanjung Leidong 1223026409820002 Dyspepsia 45,000 4 180,000
9 3/12/2017 Rahayu Susanti P 27 Thn Kelapa Sebatang 1223024903660001 Malaria 45,000 3 135,000
10 3/12/2017 Diana Derbi P 56 Thn Tanjung Leidong 1223025001590001 Asma 45,000 2 90,000
11 3/14/2017 Erni L 23 Thn Tanjung Leidong 1223025306940005 Diare 45,000 2 90,000
12 3/15/2017 Sunardi L 38 Thn Teluk Pulai Dalam 1223020511780001 Malaria 45,000 4 180,000
13 3/19/2017 Zulia P 24 Thn Tanjung Leidong 1223026207930001 Asma 45,000 4 180,000
14 3/21/2017 Sahrial Bakti DL L 22 Thn Air Hitam 1223022411940002 Dyspepsia 45,000 3 135,000
15 3/21/2017 Lasidi L 48 Thn Pangkal Lunang 1223023010690001 Dyspepsia 45,000 3 135,000
16 3/25/2017 Adi Saputra Tambunan L 17 Thn Simandulang 1223020278000001 Dyspepsia 45,000 3 135,000
17 3/27/2017 Sri Antika P 22 Thn Air Hitam 1223026103940001 Dyspepsia 45,000 3 135,000
18 3/27/2017 Zulfadli L 35 Thn Tanjung Leidong 1223022209820001 Diare 45,000 3 135,000
19 3/27/2017 Santi Sartika P 20 Thn Tanjung Leidong 12230263002990001 Diare 45,000 2 90,000
20 3/28/2017 Surianto Siregar L 34 Thn Pangkal Lunang 1223022308800001 Dyspepsia 45,000 3 135,000
21 3/25/2017 Adi Saputra Tambunan L 17 Thn Simandulang 1223020278000001 Dyspepsia 45,000 3 135,000
22 3/27/2017 Bambang L 23 thn Sei Bomban, Tg. Leidong 1223026103940001 Dyspepsia 45,000 3 135,000
23 3/27/2017 Uci Paramita Sigalingging P 14 thn Blok VIII, Pangkal Lunang 1223022209820001 Diare 45,000 2 90,000
 24 3/27/2017 M. Yunus L 57 thn Kelapa Sebatang 12230263002990001 Diare 45,000 5 225,000
25 3/28/2017 Randi Purba L 5 thn Sei Bomban, Tg. Leidong 1223022308800001 Dyspepsia 45,000 3 135,000
26 3/28/2017 Harman L 60 thn Tg. Leidong 1223021005680002 Susp Malaria 45,000 5 225,000
27 3/29/2017 Rustam L 59 thn Pangkal Lunang 1223026703830003 Malaria 45,000 5 225,000
JUMLAH 90 4,050,000

Diketahui :
Kepala Puskesmas Tanjung Leidong Petuga Puskesmas Tanjung Leidong

RIVA ARYA RITONGA, SKM DEWI DAULAY, SKM

PENATA NIP.19770502 200801 2 003
NIP.19840118 201101 1 004