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LAPORAN HARIAN BP.

GIGI PUSKESMAS KARANGANYAR KOTA TASIKMALAYA


BULAN JANUARI TAHUN 2017

UMUR KELURAHAN JENIS KEGIATAN JENIS KELAINAN

EXO GIGI SULUNG


Luar Wilayah

KELAINAN PULPA
TUMPATAN GIGI

TUMPATAN GIGI
KARANGANYAR

EXO GIGI TETAP


TANGGAL

PERIODONTAL
PENGOBATAN

PENGOBATAN
CILAMAJANG

KEL.PULPA &
KARIES GIGI
PERIAPIKAL
APRAS
TENSI

JARINGAN
UKGS

LAIN-LAIN
SULUNG
NO. NAMA PASIEN NO. KARTU ALAMAT bb tb DIAGNOSA

CIBEUTI

BUMIL

PULPA
TETAP
L P DARAH

B L B L
1 02 Tn anggani 514342113 31 kp asta 110/70 1 36 gr 1
2 zainal 1667479961 48 saguling panyand 120/80 1 47 karies sekund 1 1
3 an sari 514468089 8 segleng 1 1 65 gr, 75 mobility 1
4 tn zenal 1710005/17 48 cihonje 3/2 110/70 1 48 gp, 36 hp 1 1 1 1
5 tati suryati 513479889 7 sk dana 1 1 46 pulp 1 1
6 ny nia 51437783 23 sk dana 110/70 1 38 gp 1 1
7 03 tn opik heryanto 1667478194 29 cibogo 110/70 1 36 gp 1 1
8 h sugandi 17100019/17 77 cibeuti 120/80 1 12 fraktur 1
9 kokoy 1945/13 53 nagrog 1/2 120/80 1 11'1 1
10 salwa 14.00.1578 12 cijeruk 1/1 1 1 46 gp 1 1
11 risma siti 16002098/16 24 cihonje 1/2 100/70 1 12,21,22 gp 3 3
12 04 tn usep 513745389 28 asta baru 90/70 1 46 gp 1 1
13 amelia 514126157 7 taman sari 1 1 71 persist 1
14 dhea ramadani 1600224/16 12 saguling panyand 1 84 persist 1
15 ny aan 2273/13 41 gn guntur 130/90 1 16 periodontitis 1 1
16 mitha 105/14 9 mekarjaya 1 1 83 ulkus 1
17 tn andri hardian 514299161 36 cijerah 110/70 1 13 gp 1 1
18 ny teti 512598688 34 cikedewul 100/80 1 26 pi, gusi nekrosis 1 1
19 tn jejen zaenal 1667627098 29 sk dana 100/70 1 37 pulp 1 1
20 05 m. Nursochib 514620022 37 cijeruk hilir 140/100 1 35 pulp 1 1
21 tn arif 1326488916 28 selaawi 120/80 1 46 gr 1
22 ny anah 514831768 74 cibuluh 140/100 1 27 period, calc ++ 1 1
23 ayu tiara 515039106 23 kr tengah 110/70 1 47 pulp 1 1
24 ny robiah 16000452/16 44 cihonje 110/70 1 22 gp 1 1
25 sari putri 514468084 8 segleng 1/9 1 1 75 pst 1
26 06 ny elin herlina 16000512/16 36 bbkn pendey 110/70 1 34 pulp rev 1 1
27 elvari 513210126 10 bj gaok 1 1 frenulum tinggi 1
28 m rizki 513049768 11 bj gaok 1 1 74 gr 1
29 tn zainal 1667479961 48 saguling panyand 110/70 1 47 hp 1 1
30 Tn anggani 514342113 31 kp asta 110/70 1 36 gr 1 1
31 08 demi darmawanti 4526/10 34 tambir 120/70 1 36 abses 1
32 dede aan mansuroh 515121524 19 tambir lapang 100/70 1 47 abses 1
33 kris diantara 70743846 24 cijerah 110/70 1 36 gp 1 1
34 ny ayi 5114450889 45 rc bungur 1 46,47 pulp 2 2
35 desy naysilla 1667613554 7 cijeruk 1 1 71-81 pst 2
36 tn adi 513482297 35 saguling panj 120/70 1 47 gp 1 1
37 09 tn deni 17100071/17 25 cibogo 110/70 1 38 imperted 1
38 eha 513323932 30 gn.bitung 3/8 110/70 1 48 hp egnol flcr 1 1
39 suryani 515251091 26 sk.senang 4/7 110/70 1 46 chkm/f( 0clus) 1 1
40 bayu 514300094 11 cijerah 03/ 03 1 1 53pst.exo 1 1
41 andri 514299161 34 cijerah 03/ 03 120/70 1 13 calxil fuji 1 1
42 tn mamun 2158/12 57 kr tengah 120/70 1 25 abses 1
43 hendriansyah 514365243 17 cicondong 120/70 1 36,37 pulp 2 2
44 10 ny atin 204858202 46 cipancur 120/70 1 24 gr, abses 1 1
45 ny dede sopiah 514351451 44 cijeruk hilir 120/70 1 26 abses, calc++ 1 1
46 wiwi 514448774 35 conggeang 120/70 1 18,28 pulp 2 2
47 an rida 4917/10 9 cibogo 1 1 36,46 pulp 2 2
48 11 ny mimi 1014708273 29 sindang sari 110/70 1 26 pi 1 1
49 mutia 514669421 7 kr tengah 1 1 61 pst 1 1
50 ny mimin 514667002 45 kr tengah 110/70 1 46 abses 1
51 nurfadillah 1640/12 15 bj parang 1 26 arse/ 1 1
52 ahmad 639484064 13 selaawi cibeuti 1 1 46 egenol flc 1 1
53 ny yuli 1700092/17 35 cihonje 2/10 110/70 1 18 gp/ 1 1
54 12 astri 16001875/16 29 bbkn pendey 110/70 1 37 pulp 1 1
55 tn mamad 514616477 59 sk senang 110/70 1 loss of teeth 1
56 tn jejen zaenal 1667627098 29 sk dana 110/70 1 37 pulp 1 1
57 13 tn atep 17100005/17 41 lembur gn 110/70 1 38 pulp 1 1
58 15 ny ita rosita 12416/15 37 cihonje 110/70 1 26 gp 1 1
59 tn sultonudin 1667628887 39 gn bitung 110/70 1 47 hp 1 1
60 tn nana 1014707417 32 gn bitung 110/70 1 18 gp, abses 1
61 ny eha 513323932 30 gn bitung 110/70 1 48 cresolpat/sm bac 1 1
62 ny dedeh 513962649 34 selawi 1/3 110/70 1 36 gp abses 1
63 jihan lailatul 17100106/17 7 selawi 1/3 1 1 51/61 ulcus 1
64 tn ma'mun 1667628314 61 kr tengah 120/80 1 25 abses 1
65 tn adi 513482297 35 saguling pjg 110/70 1 47 pi 1 1
66 ahmad raihan 17100091/17 13 selaawi 1 1 25,46 pi 2 2
67 16 moh ramdani 16667479059 8 saguling pjg 1 1 51-61 pst 2
68 tn kris diantara 70743846 24 cijerah 110/70 1 36 gp 1 1
69 ny darsih 513642835 49 selaawi 130/70 1 35-36 pi 2 2
70 ny suryani 515251091 28 sk senang 110/80 1 46 gi.36abses 1 1 1
71 ahmad raihan 17100091/17 13 selaawi 1 1 25,46 pi 2 2
72 IRNA SITI N 966697/14 23 CIHONJE 100/70 1 48 IMPAKSI 1
73 17 ny aam 515292963 37 selawi karng 1/3 100/70 1 38 gp/ 1 1
74 ny nia 514377483 24 sukadana 2/4 100/70 1 38 gp 1 1
75 fahri 514917358 10 sk senang 1 1 46 pulp 1 1
76 18 ny engkoy 514580624 52 cibuyut 120/80 1 27 pulp irrev 1 1
77 elisa 513564276 12 cihonje 1 1 36 gp 1 1
78 reni 513562375 46 cihonje 110/80 1 kunjungan sehat
79 ny ipong 514466201 43 asta lebak 110/80 1 17 gr, abses 1
80 nurfadillah 1640/11 15 bj parang 1 26 gp 1 1
81 sifa nur 55/12 5 conggeang 1 1 75,85 pulp 1 1
82 ny teti 512598688 34 cikedewul 120/70 1 26 gp/abs/gingivitis 1 1
83 irdan 4308/10 10 cijeruk hilir 1 1 46 pulp 1 1
84 19 nurul rohman 514209205 18 saguling pjg 120/70 1 46 gp/exo 1 1
85 jejen 1667627098 29 sk dana 120/70 1 36 hp /fuji 1 1
86 tn herry haerulloh 514416655 44 negla 2/11 120/70 1 37,38 gp 2 2
87 putri 3698/11 tambir 1 1 75 gp abses 1 1
88 20 Salwa 1669109624 13 rc bungur KRY 1 1 47 gp 1
89 Susilawati 1553/10 39 asta lebak 110/70 1 43 gr/ 1
90 22 rini susanti 514409073 21 cibogo 110/71 1 37 pulp 1 1
91 eva 514329546 6 genteng 1 1 61 ulkus 1
92 solikhin 514328501 44 genteng 110/80 1 kunjungan sehat
93 rina marlina 514329085 32 genteng 110/70 1 kunjungan sehat
94 fahri 51417358 10 sk senang 1 1 46 pulp irrev 1 1
95 galih 515305416 6 cikedewul 1 1 51 persist 1
96 khairunisa 515031873 17 sukaasih 110/70 1 36 pulp irrev, calc + 1 1
97 ahmad k. 1570 23 sk dana 110/70 1 1 26 gp 1 1
98 titih siti 515031243 39 sukaasih 110/70 1 kunjungan sehat
99 emud 1276110123 71 mekarjaya 130/70 1 missing teeth ant RA 1
100 ny eha 513323932 30 gn bitung 120/70 1 48 hp 1 1
101 adzfar 0199/11 8 bj parang 1 1 74pst 1
102 tasya 206797926 8 selaawi 1 1 52 pst,46 gr abses 1 1
103 tn mulyana 514339838 48 asta lebak 2/08 150/90 1 32,34 abses 1
104 23 nuri 514486618 6 cibuyut 1 1 ulkus 74 1
105 ahmad raihan 639484064 13 selaawi 1 1 25 hp,46 gp 1 1 1 1
106 siti mulhimah 514023805 31 gn batu 120/70 1 37,46 pulp irrev 2 2
107 ny lilis 17000189/17 33 genteng 120/70 1 18 pulp irrev 1 1
108 ny ikeu 515116012 35 gn subang 150/100 1 47 gr, 37 abses 2
109 m husna n.p 17100194/17 6.5 saguling 1/6 1 1 81 pst 1
110 nurul rohman 514209205 18 saguling pjg 1 36 gp/exo 1 1
111 kiki kumalasari 12489/2015 22 cijerah 2/3 110/70 1 26 pulpitis 1 1
112 24 yati 514041118 47 selaawi 1/3 110/70 1 46-47 atrisi 2
113 rafa 17100200/17 4 cijerah 1 1 61 abses 1
114 khalisa 2087364892 4 tambir 1 1 51,61 rampan karies 2 2
115 tn husen 513479057 48 cihonje 120/80 1 16 gp 1 1
116 an meila 8527/14 9 kr tengah 1 1 83 pst 1
117 dendi 3890/14 18 cibuyut 1 36 gp 1 1
118 an nurfadilah 1640/11 17 sk rame 1 26 gp
119 an siti khoerunisa 10200/15 12 sk rame 1 1 55 gr 1
120 25 ny rismawati 513854717 27 gn malang 110/70 1 48 pulp irrev 1 1
121 siti nursaadah 512978688 12 cibogo 1 1 75 gp, abses 1
122 ny juhayah 514173587 71 psr wangi 160/80 1 36 gp 1 1
123 etih 514386527 49 segleng 160/100 1 16 pulp, calc++ 1 1
124 neni 513990617 33 cibogo 110/70 1 kunjungan sehat
125 tn mamun 1667628314 57 kr tengah 100/70 1 25 abses 1
126 ny eti 513696453 33 gn malang 100/70 1 16 pulp irrev 1 1
127 tiara 2340/10 9 rc bungur 1 1 53 persist 1
128 yanah 514957 44 selaawi 1/3 120/70 1 12 abs 1
129 ahmad k. 1570 23 sk dana 120/70 1 26 gp 1 1
130 ny wida 514465784 52 cicondong 120/80 1 12 gr 1
131 26 siti mulhimah 514023805 31 gn bitung 120/70 1 37,46 pi 2 2
132 neneng 514222751 20 cibogo/clmjang 120/80 1 46/exo 1
133 undang 514261282 59 selawi1/3 170/100 1 46 gp 1 1
134 ny lilim 513528445 20 cijeruk hilir 110/70 1 37,36 gr 2
135 abih 1667613453 31 cijeruk girang 110/70 1 25 gp 1 1
136 29 tn engkus 515047691 65 cijerah 110/70 1 21 gp 1 1
137 tn mamun 1667628319 57 kr tengah 110/80 1 25 abses 1
138 kris diantara 8208/14 24 cijerah 110/80 1 36 gp/fuji 1 1
139 tn husen 513479057 48 cihonje 110/70 1 16 pulpa polip 1 1
140 ny juju 514778749 56 kp genteung 02/11 110/70 1 35 abses 1
141 an wina 513823628 17 cihonje 01/02 110/60 1 38 impaksi 1
142 ny marni 6034/14 32 cijeruk girang 110/70 1 17gp,18 impaksi 1 1 1
143 tn suripto 16358/16 28 sd sari 110/79 1 46 abses 1
144 iqdal 4 gn subang 1 1 61 ulcus/exo 1 1
145 ahmad famil 1570/12 23 sk dana 110/70 1 26 chkm/flcr 1 1
146 an ulva 1667612529 4 gn batu 1 1 85, 84 pulp 2 2
147 an resti maulida 51338824 8 tambir desa 1 82 pst/exo 1
148 enon marlina ny 513318701 24 tambir 02/rw 05 110/70 1 kunjungan sehat
149 an najwa 513866529 9 cijeuruk girang 1 46 pp/75 pst pro exo 1
150 ny yeyet 513865394 44 cijeruk girang 03/04 110/70 1 kunjungan sehat
151 ny yeni 513555963 33 tambir baru 120/80 1 36 pp 1 1
152 ny wida 514465784 53 cicondong 130/70 1 25 gr loss of teeth 1
153 ny ening 512586922 47 cicondong 180/100 1 46,47 gr 2 2
154 egie ismail 514781436 14 genteng 100/60 1 37 gp 1
155 siti azzahra 16069/16 1 sinargalih 1 51 abses 1
156 tn uceh 514386617 42 cibeuti 04/05 120/70 1 46-47 gr 2 2
157 30 ny oting 514290025 34 segleng 120/70 1 46 pulpitis 1 1
158 lilim 513528445 20 cijeruk hilir 120/70 1 k06.1 Rujuk 1
159 ii siti 514890279 30 tambir 120/70 1 37,38 gp 2 2
160 ny enok 4457/14 38 psr wangi 120/70 1 28 impaksi,47 pulp
161 rina ruhyani 514610515 34 asta gn.batu 120/70 1 45 GP/EXO 1 1
162 sifa paujiah m 513203815 11 sukasenang 1/7 120/70 1 84 pst 1 1
163 46 19 86 11 102 20 32 8 56 15 58 35 38 35 58 71 58 35
164 162
165

Mengetahui
Kepala puskesmas karanganyar

H Enjang Nurjamil,S .Kep.Ners,MHKes


KELAINAN
KEL. DENTOFACIAL

JAMKESMAS
PENYAKIT LAIN-

UMUM
MALOKLUSI

ASKES

BPJS
TERAPI KET
LAIN

1 amox,pct,ctm,dexa 1
klinda,pct 1 eug
1 amox,pct 1
amox,asmef,ctm,dexa 1 gi
amox,pct,ctm,dexa 1
amox,pct 1
amox,asmef,ctm,dexa 1 chkm
1 amox,pct,ctm,dexa 1 50
1 amox,pct,ctm,dexa 1 obs 5
amox,pct,ctm,dexa 1
amox,pct,dexa 1
amox,pct,selesbi 1
1 pct syr 1
1 amox,pct 1
amox,pct,ctm,dexa 1 50
1 amox,pct 1 25
amox,pct,ctm,dexa 1 chkm
amox,pct,ctm,b comp c 1
klinda,pct,ctm 1 eug
klinda,pct,ctm,b comp 1
1 amox,pct,ctm,dexa 1
amox,pct 1
pct,selesb 1 cress
pct,selesb 1 tkf+flc
1 amox,bcom 1
amox,pct,ctm,dexa 1
1 r/-- 1
1 pct 1
pct,selesb 1
amox,pct,ctm,dexa 1
1 amox,pct,ctm,dexa 1 5
1 amox,pct,ctm,dexa 1
pct,selesb 1 chkm
amox,pct,ctm,dexa 1 46 arsen
2 pct 1 25
amox,asmef 1 chkm
1 amox pact,ctm,dexa 1
amox,pact,ctm 1
amox,pact 1 20
amox,pact,ctm 1
pct,selesb 1
1 amox,pct,ctm,dexa 1 5
klinda,pct,ctm,dexa 1 eug
amox,pct 1
amox,pct,ctm,dexa 1
amox,pct,ctm,dexa 1
amox,pct,ctm,dexa 1 5
amox,pct 1 eug
pct 1
1 amox,pct,ctm,dexa 1
amox,pct,ctm,dexa 1
amox,pacet,ctm,dexa 1
amox,pacet,ctm gr kader
amox,pct,ctm,dexa 1
1 amox,pct,ctm,dexa 1
pct,selesb chkm
amox,pct,selesb 1 5
amox,pct,ctm,dexa 1 5
r/-- 1 gi
1 amox,pct,ctm,dexa 1
pct,selesb 1
1 amox,pacet,ctm.dexa
1 pct 1
1 amox,pct,ctm,dexa 1
amox,pct,ctm,dexa 1
amox,pct 1 devit+ts
2 pct 1
pct,selesb 1 cress+ts (20)
amox,pct,ctm,dexa 1 chkm ( 20 )
1 amox,pacet, 1
r/-- 1
1 amox,pct,ctm,dexa 1
amox,pct,ctm,dexa
r/-- 1
amox,pct,ctm,dexa 1 eug tetes
klinda,asmef,ctm 1
amox,pct,ctm,dexa 1
1
1 amox,pct,ctm,dexa 1
pct,selesb 1 chkm
amox syr,pct,ctm,dexa 1 5
amox,pct,selesb 1
amox,pct,ctm,dexa 1 eug (20)
amox,pct,ctm,dexa 1
pacet,b compx 1
amox,paracet,ctm,dexa 1
amox,paracet,ctm,gg 1 tkp tetes ( 20 )
1 amox,pacet,ctm,dexa 1
1 amox,lodecon 1
klinda,asmef,ctm,dexa 1
1 pct syr,truvit sy 1
1
1
amox,pct,ctm,dexa 1 eug+ts
1 amox,pct 1
amox,pct,ctm,dexa 1
amox,pct 1 20
1
1 r/-- 1
pct,selesb 1 gi
1 pacet srp 1
1 1 amox,pct,ctm,dexa(pulv) 1
1 amox,asmet,ctm,dexa 1
1 amox syr, pct syr 1
pct 1 gi (60)
pct,selesb 1 chkm+ts (20)
amox,pct,ctm,dexa 1 100
2 amox,pct,ctm 1
1 pct syr 1
amox,pct,ctm,dexa 1
amox,asmef,ctm,dexa
2 klinda,pct 1
1 amox sy,pct,ctm,dexa(pulv) 1 5
amox sy,pct,ctm,dexa(pulv) 1
klinda,pct,ctm,dexa 1
1 pct 1 25
amox,pct,ctm,dexa 1 5
amox,pct 1 gi (30)
pct 1 30
amox,pct,selesb 1
1 amox,pct,ctm,dexa 1
pct,amlod 1
amox,pct,amlod 1
1
1 amox,pct,ctm,dexa,gg 1
klinda,pct,ctm,dexa 1
1 pct 1 ukgs
1 amox,pct,ctm,dexa 1
1
1 r/-- 1
amox,pct 1 37 tkf,46 eug (20)
1 amox,pacet,ctm,dexa 1
amox.pct,amlodip 1
2 amox,pct,ctm,dexa 1
AMOX,PACET,CTM,DEXA 1
amox,pct,ctm,dexa 1
1 cefad,dexa,selkom c 1
r/-- 1
klinda,pacet,ctm,dexa 1
1 amox,pct,ctm,dexa 1
1 amox,pct,ctm,dexa 1
1 amox,pct,ctm,dexa 1
1 amox,pct,ctm,dexa 1 5
aomox,pct 1 10
amox 1 20
amox sy, pct,ctm dexa(pulv) 1
pct 1
1
amox,pct,dexa 1
1
amox,pct,ctm,dexa 1
amox,pct,ctm,dexa 1
amox,metro,pct,ctm,amlod 1
1 amox,pct,ctm,dexa 1
amox syr,pct,ctm,dexa 1 5
amox,pct,ctm,b comp 1
amox,pct,ctm,dexa 1 calsil
1 amox,pct,ctm,dexa 1 dr.soekardjo
amox,pct,ctm,dexa 1
amox,pct,ctm 1 5
AMOX,PACET.CT,DEXA 1
PACET 1
16 58 46 2 5 109

Tasikmalaya , 31 januari 2017


Pengelola BP Gigi

Euis Nuryani , AMKG


NIP : 19740720 199803 2 006
LAPORAN HARIAN BP. GIGI PUSKESMAS KARANGANYAR KOTA TASIKMALAYA
BULAN FEBRUARI TAHUN 2017

UMUR KELURAHAN JENIS KEGIATAN JENIS K

EXO GIGI SULUNG


Luar Wilayah

KELAINAN PULPA
TUMPATAN GIGI

TUMPATAN GIGI
KARANGANYAR

EXO GIGI TETAP


TANGGAL

PENGOBATAN
PENGOBATAN
CILAMAJANG

KARIES GIGI
PERIAPIKAL
APRAS
TENSI

UKGS

LAIN-LAIN
SULUNG
NO. NAMA PASIEN NO. KARTU ALAMAT bb tb DIAGNOSA

CIBEUTI

BUMIL

PULPA
TETAP
L P DARAH

B L B L
1 31 santi 513882641 22 cicondong 1/9 110/70 1 14 gp 1
2 nurun nisa 1515/11 7 cijeruk girang 3/4 1 1 51 pst 1 1
3 amelia 533/12 8 negla 3/11 1 1 36 pi 1 1
4 sifa paujiah 513203815 10 sk senang 1/7 1 1 36 hp 1 1
5 fasa fauziah r 1785597963 10 cibeuti 1/6 120/70 1 1 75,74 pst 2
6 ira fauliant 514688613 7 sk senang 3/7 1 84 pst 1
7 01 tn asep 15217/15 41 kp bojong 120/70 1 46,47 gr abses 2
8 ny rumini 17000246/17 82 cihonje 170/100 1 38 gr 1
9 egi ismail 514781436 14 genteung 110/80 1 1 36 pulpo polip 1 1
10 rara rosmayati 16001389/16 30 ranca bunggur 110/80 1 38 gp 1 1
11 ayu tiara 515039106 23 kr tengah 110/80 1 46 gr,47gp 1 1 1
12 ahmad kamil 1570/12 23 sk dana 110/80 1 26 pengisian 1 1
13 NY WIWIT 513734995 20 TAMBIR 05/05 110/80 1 36 hp 1 1
14 TN EMUS 515035293 40 CIBOGO 110/80 1 37,38 gp 2 2
15 02 ny siti maryam 513754064 29 cjeuruk hilir 3/1 110/80 1 25 polp polip 1 1
16 ny oting 514290025 34 segleng 110/80 1 46 gr,48 hp 1 1 1
17 andri y 1971/10 10 tambir04/05 1 1 gingivitis RB 1
18 alpi 482/13 4 TAMBIR 05/05 1 1 stomatitis 1
19 siti aisah 514876882 14 sk senang 110/70 1 1 36 gp abses 1
20 03 abdan numan 1621/12 5 cihonje 1 1 75,85 gp abs 2
21 iwan setiawan 17100257/17 50 cijeruk hilir 1/1 110/70 1 48 gp 1 1
22 anisa rahmadanti 4690/17 7 cihonje 1 1 75 abses 1
23 tn juhana 513944638 62 psr wangi 170/100 1 46 abses 1
24 eha 513323932 30 gn bitung 110/70 1 48 period 1
25 sifa paujiah 513203815 11 sk senang 4/7 1 1 36 hp 1 1
26 ahmad fariz 514945416 10 tambir 5/5 1 1 RA/RB Calculus 1
27 rina ruhyani 514610515 34 gn batu 3/8 110/70 1 13 gr 1
28 elis royani 513953526 32 conggeang 5 abs bukalis a.r mand dextr 1
29 05 tn mamun 1667628314 61 kr tengah 160/100 1 25 gr 1
30 ny siti maryam 513754064 27 cijeruk hilir 130/70 1 24 abses 1
31 tn entuh 4443/14 62 gn guntur 110/70 1 15-16 gr 1
32 ai rohayati 1669106441 31 asta pasir 100/70 1 gmkg 1
33 kamila 16001507/16 5 mekarjaya 1 1 74 ABSES 1
34 ahmad famil 1570/12 23 sk dana 100/70 1 26 hp 1 1
35 06 haryadi 1014707992 31 sk sirna 130/80 1 17 gp,18 gp impaksi 2 2
36 asep parid 15217/15 41 bojong 110/70 1 48 impaksi 1
37 utika futami 514329131 13 genteng 110/70 1 1 11,21 hp 2 2
38 pepen 514475346 49 cikedewul 2/7 110/80 1 27 gp,28,48 impaksi 3 3
39 eming 512586922 46 cicondong 1/9 130/80 1 46,47 gr 2
40 rina ruhyani 514610515 34 gn batu 3/8 110/70 1 14 hp(mesial) 1 1
41 07 an ihsan 514457212 12 sukadana 1 1 46pulp rev 1 1
42 oting ny 514290025 34 segleng 110/70 1 47 GI 1 1
43 amelia 533/12 8 negla 3/11 1 1 36 pi control 1 1
44 Han han ny 721790337 41 sukaasih 110/70 1 24gi ,25egnol/flc 2 2
45 08 siti nur 512978668 15 cibogo 1 1 36 abses 1
46 salsabila 12028/15 24bl sk senang 1 1 pre erupsi 85 1
47 parhan 17100014/17 14 bbkn cangkudu 1 1 36abses 1
48 ny enap 10089784034 72 cicondong 1/9 150/80 1 36 gp 1 1
49 ny eha julaeha 514156241 67 segleng 100/70 1 16,26,36,46,47 gr 5
50 ny eem 2083594487 48 selaawi 110/70 1 48 gr 1
51 ny eha 513323932 31 gn bitung 110/70 1 48 pi 1 1
52 ny elis 513953526 32 conggeang 110/70 1 36,46 pi 2 2
53 09 ny kokoy 1945/13 53 nagrog 110/70 1 11 abses 1
54 ny ita rosita 12416/15 37 cihonje 110/70 1 26 devit,46hp(m),47hp(b) 3 2 1
55 abdan numan 1621/12 4 cihonje 1 1 75,85 abses 1 2
56 neng nuraisah 514346005 29 cibuluh 120/70 1 45 pulp irrev 1
57 ai entin 513633879 60 kp cibeuti 110/80 1 26, 28 pulp irrev 2
58 ai saripah 1669109861 22 cijerah 110/80 1 37 gp 1 1
59 ny komariah 21/14 51 tambir 140/80 1 27 gp 1 1
60 ny solihah 1667624264 59 tambir 120/80 1 45 pulp 1 1
61 ny siti aisyah 2128/11 32 cijeruk girang 110/80 1 38 impaksi,26 gr 2
62 yeti 514702315 45 asta lebak 140/90 1 34,35,36 gp abs+gingivitis 3 3
63 10 ny aah 513498374 50 tamansari 5/3 200/90 1 17,18 gr 2
64 mimin 512958429 58 genteng 1/1 130/70 1 38 impaksi 1
65 yudi 15388/15 35 cibeuti babakan 1/12 110/80 1 44 pp 1 1
66 eva 17000001/17 19 tanglar 3/3 110/80 1 16 gr 1
67 irma 513997986 27 sksenang 1/7 120/80 1 18 impaksi 1
68 12 tn ikin 2407/12 54 sk rame 130/70 1 27.28 gp 1 1
69 ny suharoh 1667628786 68 ranca bunggur 04/04 160/90 1 46 gp distal 1 1
70 tn sarip 3051/14 28 cibogo 5/02 110/70 1 16 pp 1 1
71 parhan 17100014/17 14 babakan cangkudu 1 1 46gp(o),47gp(0b) 2 2
72 u padli 514476189 15 cihonje 3/2 1 1 46 abs gp 1
73 siti nur saadah 512978668 12 cibogo 4/3 1 1 1 36 pp 1 1
74 ny eming 512586922 46 cicondong 1/9 150/100 1 46 gr 1
75 13 NY titing 2612/14 35 pasirwangi 110/70 1 27 hp (d),28 gr/exo 1 1 1
76 leni 515230817 11 tambir 1 1 36 gp 1 1
77 teti sopiyati 512598688 34 cikedewul 3/7 150/90 1 26 gp 1 1
78 15 u padli 514476189 15 cihonje 100/70 1 1 46 gp 1
79 titi 16101000/16 62 saguling pjg 130/80 1 17 period,mobility gr II 1
80 ny han han 1943/11 42 sukaasih 1 25 pulp 1 1
81 elis royani 513953526 32 conggeang 1 36 hp,46 hp 2 2
82 ny eming 512586922 46 cicondong 1/9 160/90 1 46,47 gr 2
83 rohimah 514148051 54 TAMBIR BARU 3/5 110/70 1 acute gingivitis 1
84 16 in in safii 17100018 39 neglasari 110/80 1 26-27 abses 2
85 leni 515230817 11 tambir 1 1 36 gp 1 1
86 rendi 1453/15 6 cicondong 3/6 1 1 74 ulkus 1
87 popoh 10716/15 40 sk dana 150/90 1 45 pulp irrev 1 1
88 ny ade 2112/12 44 bojong 120/70 1 47 gr 1
89 rina ruhyani 514610515 34 gunung batu 3/8 100/70 1 16 gr 1
90 siti nur saadah 512978668 12 cibogo 4/3 1 1 36 gp 1 1
91 17 ny eha 513323932 31 gn bitung 120/80 1 48 perforasi pulpitis 1
92 ny heni 514678566 24 cikedewul 3/7 110/70 1 7 47 gp 1
93 wulan 16645/16 15 mekarjaya 4/1 1 1 11,21 hp 2 2
94 19 ny hj. Nonoh 1400073873 52 selaawi 130/80 1 16 gr, abses periap
95 ny ani nurjanah 1667625085 30 cihonje 120/80 1 46 gi 1 1
96 ny sadiyah 513784394 71 gn lame 4/6 150/80 1 37 gp 1 1
97 tn slamet 11059/15 40 cibogo cibeuti 110/70 1 48 impaksi 1
98 hadi 51416718 12 genteung 1/1 1 1 36 egenol/flc 1 1
99 tn in in safii 17100018/17 39 neglasari 110/70 1 gingivitis RB 1
100 m fasya 17100359/17 10 cibeuti 1/6 1 1 36 pp egenol tetes 1 1
101 teti sopiyati 512598688 34 cikedewul 3/7 150/90 1 26 gp 1 1
102 ny elis 513953526 32 conggeang 3/11 110/70 1 7 45,46 ABSES 2
103 20 diannisa 514510468 19 asta baru 100/60 1 36 gr, abses 1
104 an rendi 1453/2015 6 cicondong 1 1 74 exo 1
105 salsa 17000388 16 cijeruk hilir 110/70 1 26,36,46 hp 3 3
106 yati 17000391 34 saguling inpres 120/70 1 47 gp 1 1
107 neng neli 513415822 21 cicondong 110/70 1 37 gr 1
108 21 Tn doni 513619953 40 cijerah 120/70 1 23 gr, 43-d gi,44-m gi 2 1 2
109 tn aep saepuloh 514384705 54 segleng 110/70 1 36-37 gr, abses 2
110 bilqis 10619/15 10 cikedewul 3/7 1 1 36 gp 1 1
111 22 habibi 513621347 10 cijerah 1 1 46 hp 1 1
112 riza 8858/14 3 genteng 1 1 84-85 gp 1 2
113 siti nur saadah 512978668 15 cibogo 4/3 1 1 36 pp 1 1
114 ny siti damayanti 36 cijeruk hilir 120/70 1 18,15 gr 2
115 ny masripah 514042806 37 cikedewul.cibeuti 110/70 1 47 gp/exo 1
116 ai masriah 514339536 35 ranca bunggur/krg 110/70 1 5 37 pd 1
117 ny eha haryani 513323932 30 gn bitung 110/70 1 48 gp 1
118 23 siti roi nuraeni 2369/12 cijeruk hilir 110/70 1 36 gp tkp/flc 1 1
119 ny elis 513953526 32 conggeang 120/70 1 46 gp 1 1
120 ny yeni 513555963 32 tambir 110/70 1 36 pulpitis 1 1
121 iyan supyan 1078411206 46 ranca bunggur 110/70 1 46 gp abs 1
122 ny hj. Nonoh 1400073873 52 selaawi 130/80 1 16 gr, abses periap 1
123 24 hudzaifah ibnul 16101957/16 4 gn subang 1 1 84,85 pulpitis abs 2
124 26 sarif 514853155 27 cibogo 100/70 1 16 pulp 1 1
125 gina sania 513868544 9 negla 1 1 62 pst 1 1
126 kokom 513867824 33 negla 120/70 1 15,16-18gr,26-27gr,36-38gr,46-48gr 9
127 risma siti 1667626964 24 cihonje 100/70 1 22 gp 1
128 dila dawiyatul 17000436/17 7 asta lebak 1 1 83 persist 1 1 1
129 ny hj nonoh 1400073873 52 selaawi 110/70 1 16 gr 1
130 tn sudirman 17100438/17 40 tambir 110/70 1 26 pulp 1 1
131 27 yeni mulyani 513555963 32 TAMBIR BARU 3/5 110/70 1 36 gp/exo 1
132 indri 1669938693 5 tambir 1 1 85 gp 1 1
133 an ade aisyah 514049084 12 cicondong 1 1 46 pulpitis 1 1
134 iis siti n 7439/14 22 gn.bitung 4/8 110/80 1 25 gp 1 1
135 imat ruhimat 513404166 35 asta 100/70 1 kunjungan sehat
136 tirah 513404289 30 asta 100/70 1 kunjungan sehat
137 pendi apandi 514566077 41 asta 120/70 1 kunjungan sehat
138 ai nuryani 514565998 37 asta 100/70 1 kunjungan sehat
139 dadang nurjaman 514504541 41 asta 110/80 1 kunjungan sehat
140 hindayah 514505237 49 asta 110/80 1 kunjungan sehat
141 udin sohidin 514447964 47 asta 110/80 1 kunjungan sehat
142 siti rogayah 514448043 36 asta 110/80 1 kunjungan sehat
143 ari nurjaman 514713587 47 asta 110/80 1 kunjungan sehat
144 iyan siti maryam 514713611 34 asta 110/70 1 kunjungan sehat
145 kamal 513741993 35 asta 110/70 1 kunjungan sehat
146 ai herlina 513742353 31 asta 100/70 1 kunjungan sehat
147 maman rusmana 513911395 41 asta 120/70 1 kunjungan sehat
148 sari 513912148 34 asta 120/70 1 kunjungan sehat
149 syaripudin 514314382 44 asta 120/70 1 kunjungan sehat
150 nurhayati 514315146 43 asta 120/70 1 kunjungan sehat
151 yayan rohyana 514854628 45 gn.lingga 120/70 1 kunjungan sehat
152 nining suryani 514854797 42 gn.lingga 120/70 1 kunjungan sehat
153 reni mulyani 514855438 20 gn.lingga 120/80 1 kunjungan sehat
154 evi nurjanah 514855484 15 gn.lingga 120/80 1 1 kunjungan sehat
155 lestari utami 514855585 10 gn.lingga 1 1 kunjungan sehat
156 aroh rohayati 513417071 56 gn.lingga 100/91 1 kunjungan sehat
157 sri wahyuni 513417554 11 gn.lingga 1 1 kunjungan sehat
158 elis royani 513953526 32 conggeang 3/11 120/70 1 46 gp 1 1
159 ny yati 17000391/17 34 saguling inpres 100/70 1 47 gp/exo 1 1

159 38 11 76 34 43 7 46 10 7 78 20 30 41

Mengetahui
Kepala puskesmas karanganyar

H Enjang Nurjamil,S .Kep.Ners,MHKes


NIP: 19740424 199503 1 002
JENIS KELAINAN
KEL. DENTOFACIAL

JAMKESMAS
PENYAKIT LAIN-
PERIODONTAL
KEL.PULPA &

UMUM
MALOKLUSI

ASKES
JARINGAN

BPJS
TERAPI KET
LAIN

1 amox,pct,ctm,dexa 1
1 pct 1 25
amox,flucadex,b comp 1 GIC 20
r/-- 1 eugenol/flc
2 amox sy,pct,dexa,ctm(pulv) 1
1 amox sy,pct,dexa,ctm(pulv) 1
2 cefad,asmef,ctm,dexa 1 5
1 amo,pct,amlod 1 5
amox,pacet,ctm,dexa 1
amox,pacet,b com 1 chkm/flcr 20
1 amox,pacet,ctm.dexa 1 (47 gp)50
pct,b com 1 SB+gic
pct,b com
amox,pct,ctm,dexa 1 rujuk BM
amox,pct,ctm,dexa 1
1 amox,pct,ctm,dexa 1 (48 hp) gic
1 1 Rujuk
1 amox,solaplu,truvit 1
1 amox,pct,ctm,dexa 1
2 amox,pct,ctm,dexa 1
amox,pct,ctm,dexa 1 50
1 amox,pct,ctm,dexa 1 5
1 amox,pct,ctm,amlod 1
1 pct,selesbion 1 eug+flc
r/-- 1 gic
1 amox,pct,ctm,dexa 1 pro scalling
1 amox,pct,ctm,dexa 1
1 cefad,pct 1
1 cefad,pct,ctm,gg,amlod 1
1 cefad,pct,ctm,dexa 1
1 amox,flucadex,selkom c 1
1 selesb 1 skeling (kader)
1 amox syr,pct,ctm,dexa 1 ukgs
pct,selesbion 1 gi 26 (30)
amox,pct,ctm,dexa 1
1 amox,pct,ctm,dexa 1 100
pct,selesbion 1 180
amox,pct,ctm,dexa 1
2 amox,pct,ctm, 1
r/-- 1 gic
pct,selesb 1
pct,selesb 1 20
truvit 1
pct,selesb 1 kawalu( 50 )
1 amox,pct,ctm,dexa 1
1 r/-- 1 rujuk mtbs
1 amox,pct,ctm,dexa 1 5
amox,pct,ctm,b comp 1
5 amox,pct,ctm 1 tb,jantung
1 pct,selesb 1 rujuk bm
pct,selesb 1 chkm
cefad,pct,ctm,selkom c 1 eug (20)
1 amox,asmef,ctm,b comp 1 5
amox,pct,selesb 1 110
2 amox syr,pct,ctm,dexa 1
1 klinda,asmef,ctm,dexa 1
2 amox,pct 1 rujuk bp, mata bengkak
amox,pct,ctm,dexa 1
amox,pct,ctm,dexa 1
amox,pct,ctm,dexa 1
2 amox,pct,ctm,dexa 1
amox,pct,ctm,dexa 1
2 amox,pct,ctm,amlod 1
1 amox,pct,ctm 1 rujuk bp, mata gatal
amox,pct,ctm,dexa 1
1 amox,pct,ctm,dexa 1
1 amox,pct,ctm,dexa 1
amox,asmef,ctm,dexa 1 5
amox,pacet, 1 30
amox,pct,ctm,dexa 1
klinda,asmef,ctm,dexa 1
1 klinda,pct,ctm,dexa 1
amox,pct,ctm arsen+ts 20
1 amox,pct,ctm,dexa
1 amox.pacet,ctm,dexa 1 50
amox.pacet,ctm,dexa 1
amox.pacet,ctm,dexa 1
1 amox,pct,ctm,dexa 1
1 amox,pct,ctm,dexa 1 50
pct,selesb 1 30
amox,pct,selkom c 1 30
2 amox,pct,ctm,amlod 1
1 pct,selesb 1
2 klinda,pct,ctm,dexa 1 5
amox,pct,ctm,dexa 1
1 amox syr,pct,ctm,dexa,truvit 1 5
klinda,pct,ctm,amlod 1
1 klinda,pct,ctm,dexa 1 5
1 amox,pct,ctm,dexa 1
amox,pct,ctm,dexa 1 chkm+ts
1 amox,pct,dexa,ctm 1 devit+flc
1 amox,pct,b com 1
amox pascet, 300rb
amox,pct,dexa,b comp c 1
paract,selesbion 1
amox,pct,ctm,b com 1
1 amox,pct.ctm,dexa 1 5
amox,pct 1 20
1 pct,selesb 1
amox,pct.ctm,dexa 1 5
amoxiklav,ampo,b comse 1
2 amox,pct,selkom c 1
1 amox,pct,ctm,dexa 1
1 pct 1 25
klinda,pct 1 eug (60)
klinda,pct,ctm,dexa 1 5
1 amox,pct,dexa 1
1 amox,pct,ctm,dexa 1
2 amox,pct,ctm 1 jantung
amox,pct,ctm,dexa 1 devit+flc
r/- 1 egenol/fct
2 amox,pct,ctm 1
pct,ctm 1 trisolpat,cemenbis
2 amox,pact,ctm,dexa 1
1 amox,pact,ctm,dexa 1
1 amox.pct,celsomc 1
1 amox,pct,ctm,dexa rujuk BM
klinda,asmet,ctm,dexa 1 20
pct,selesb 1 chkm+flc
klinda,pct,ctm,dexa 1
1 amox,pct,ctm,dexa 1
1 amox,pct,dexa,b comp c 1
2 amox sy,pct,ctm,dexa(pulv) 1 10
pct,selesb,antasid syr 1
1 pct 1
9 klinda,pct,ctm,dexa 1
amox,pct,ctm,dexa 1 chkm (20)
pct 1 25
1 amox,pct 1 rujuk RSUD (R.Penyakit:DM)
klinda,asmef,ctm,dexa 1 5
1 amox.pct,ctm,dexa 1
amox syr,pct,ctm,dexa 1
amox,pct,ctm,dexa 1 arsen+ts
dexa (BP:amox,asmef,ctm,gg) 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
t 1
pct,selesb 1 calcil+GIC (20)
klinda,asmet,ctm,dexa 1 1 50

40 41 20 48 1 110

Tasikmalaya , 28 Februari 2017


Pengelola BP Gigi

Euis Nuryani , AMKG


NIP : 19740720 199803 2 006
LAPORAN HARIAN BP. GIGI PUSKESMAS KARANGANYAR KOTA TASIKMALAYA
BULAN MARET TAHUN 2017

UMUR KELURAHAN JENIS KEGIATAN JENIS KELAINAN

KEL. DENTOFACIAL
EXO GIGI SULUNG
Luar Wilayah

KELAINAN PULPA

JAMKESMAS
PENYAKIT LAIN-
TUMPATAN GIGI

TUMPATAN GIGI
KARANGANYAR

EXO GIGI TETAP


TANGGAL

PERIODONTAL
PENGOBATAN

PENGOBATAN
CILAMAJANG

KEL.PULPA &

UMUM
KARIES GIGI

MALOKLUSI
PERIAPIKAL
APRAS

ASKES
TENSI

JARINGAN
UKGS

LAIN-LAIN

BPJS
SULUNG
NO. NAMA PASIEN NO. KARTU ALAMAT bb tb DIAGNOSA TERAPI KET

CIBEUTI

BUMIL

PULPA
TETAP
DARAH

LAIN
L P

B L B L
1 31 Ery Aryani 513671286 16 cijeruk hilir 110/60 1 27 pulp irrev 1 1 klinda,pct,ctm,dexa 1
2 tn dede hudaya 12778/15 31 cibeuti pabrik 110/70 1 45 gr, 47 gp 2 2 dexa 1 100
3 Joko kartijo 1036/10 53 Bojong gaok 120/70 1 47 gp 1 1 amox,pct,ctm,b complex 1 kawalu
4 nazwa 514334553 8 gn subang 1 1 82 pst 1 1 pct 1
5 01 via oktavia 514214032 19 gn bitung 110/70 1 11 hp/lc 1 1 amox,pct 1 150
6 ny nining 514429119 49 cijerah 150/90 1 23 pulp 1 1 klinda,pct,ctm,b comp 1
7 02 ny eer 13138/15 30 nagrog 1/2 110/70 1 36 gr, trismus 1 1 amox,pct,ctm,dexa 1 5
8 hadi 1700494/17 12 genteng 1 1 36 gp 1 1 amox,pct,ctm,dexa 1 arsen (20)
9 tn tono 1425/12 54 cijeruk hilir 110/70 1 16-17 periodontitis 2 2 klinda,asmef,ctm,dexa,gg 1 5
10 yeni 1667613644 32 cijeruk girang 120/80 1 36 abses 1 1 amox,pct,ctm,dexa 1
11 siska nurmalia 1667479228 8 kawalu 1 1 64 susp tumor 1 1 amox,pct 1 rujuk jk
12 sarif 514853155 28 cibogo 120/70 1 16 pulp 1 1 klinda,pct,selesb,antasid syr 1
13 risma siti 1667626964 25 cihonje 100/70 1 22hp (lc), 12 gr exo 1 1 1 1 amox,pct,ctm,dexa,selesb 1 150
14 03 fajar 514053999 8 cijerah 1 1 84 abses 1 1 amox,pct,truvit 1
15 dede warudin 514473838 35 tambir lapang 120/80 1 46gr,trismus,fistula oro-bukal 1 1 amox,metro,pct,ctm,dexa,b com 1 rujukan dr bp
16 ny irma novita 513325888 41 mekarjaya 110/80 1 48 impaksi (pro rujuk) 1 1 r/- 1
17 ny itoh 2194/13 40 sindangsari 120/70 1 26 gp 1 1 amox,pact,ctm,b com 1 5
18 tn yoyo 5140020071 42 cihonje 110/60 1 36 gr.46 gp abses 2 2 amoxsixlav,pct,ctm,dexa 1
19 paras 514725513 6 cijeruk hilir 1 1 85 abses 1 1 amox syr,pct,ctm,dexa,truvit 1
20 rose 514141301 31 cibogo 140/100 1 43-44 pi 2 2 amox,pct,ctm,b comp 1
21 05 tn in in safii 17100018/17 39 sk menak 120/70 1 27 arsen, 36 fuji 2 1 1 klinda,pct,ctm,dexa 1 -50
22 ny yati 17000029/17 30 sk menak 110/70 1 26 gp 1 1 amox,pct,selesb 1 chkm (20)
23 ny imik 514611966 66 sk dana 130/80 1 12 period,mobil gr III exo 1 1 amox,pct,ctm,dexa 1
24 ny lala 514177694 34 mekarjaya 120/70 1 37 gr, exo 1 1 amox,pct,ctm,dexa 1
25 ny masitoh 514530911 22 cijerah 110/80 1 37 pi, 47 gr abses 1 1 1 1 klinda,pct,ctm,dexa 1
26 tn tatang 513868566 50 cibeuti 90/70 1 16 gr 1 1 klinda,pct,ctm,dexa 1
27 wina 4021/14 16 tambir 1 27 gp, abses 1 1 amox,metro,pct,ctm,dexa 1 5
28 ny eka santika 1667477013 27 saguling pjg 110/70 1 37 pi 1 1 klinda,pct 1
29 ny popoh 1014708418 40 sk dana 120/80 1 44 gp exo 1 1 amox,pct,ctm,dexa 1
30 agus sajaya 17011/16 34 genteng 120/80 1 38 gp, abses 1 1 amox,pct,ctm,dexa 1 5
31 ny teti 512598688 34 cikedewul 110/70 1 26 gp 1 1 amox,pct,ctm,dexa 1
32 alif rizki 168070296 7 cibuyut 1 1 51 pst, exo 1 1 pct 1
33 maptuhah 513983902 52 sk senang 160/90 1 18 gp 1 1 amox,pct,ctm,dexa 1
34 anis 514336228 20 gn lingga 110/70 1 2 bl 35 gp 1 1 cefad,pct,ctm 1 eug
35 06 hadi hermawani 514161718 11 genteng 1/1 1 1 36 gp 1 1 amox,pct,bcom,dexa 1 chkm+flc (20)
36 itoh 2194/13 40 sindangsari 130/80 1 26 gp exo 1 1 amox,pct,ctm,dexa 1 50
37 ny titing 4916/10 47 cibogo 110/70 1 28 abs 1 1 amox,pct,ctm,dexa 1 5
38 rida 4917/10 9 cibogo 1 1 36,46 gp abs 2 2 amox,pct,ctm,dexa 1 5
39 teti sulastri 514618007 36 negla 3/11 120/80 1 24,25 gr, 38 gr abs 3 3 amox,pct,ctm,dexa 1
40 bilqis 10619/15 10 cikedewul 1 1 36 gp 1 1 amox,pct,ctm,dexa 1 devit+flc (20)
41 tn yoyo 514002071 41 cihonje 110/80 1 36 gr exo 1 1 amox,pct,ctm,dexa 1
42 lita septiani 513318464 9 cibuluh 19 kg 1 1 64-65 MD abses 2 2 amox,pct,ctm,dexa 1
43 raisya 17100542/17 8 cijeruk hilir 3/1 18 kg 1 1 85 abses 1 1 amox,pct,ctm,dexa 1 5
44 ny widA 514465784 53 cicondong 120/80 1 kontrol GTSL 1 1 r/-- 1
45 07 tn iyan 1078411206 47 rancabungur 120/70 1 46 gp, exo 1 1 r/amox,asmet,ctm,dexa 1
46 an diannisa 514510468 19 asta baru 100/70 1 36 gp/exo 1 1 amox,pct,ctm,dexa 1
47 an nesya 1579/13 6 sukaasih 1 1 75 gp 1 1 amox,pacet,ctm,dexa 1 5
48 ny juwe 599/10 72 segleng 001/009 130/70 1 44,45 gr 2 2 amox,pacet,ctm,dexa 1 5
49 ny siti mudrikah 13065/15 43 bojong parang 110/70 1 46 gp, abses 1 1 amox,pct,dexa,b comp c 1 5
50 ny ika kartika 1427/11 43 psr wangi 110/80 1 14,47 pulp irrev,skeling 2 2 klinda,pct 1 eug+ts (140)
51 an fikri 1669107025 18 cikondang 120/80 1 46 gr 1 1 klinda,asmef,ctm,dexa 1
52 ny n e rohayati 1667476708 40 saguling pjg 120/70 1 48 pulp irrev 1 1 klinda,pct,ctm,dexa 1
53 08 ny nendah 514433193 45 segleng 002/009 110/80 1 26 pulp irrev 1 1 klinda,pct,ctm,b comp 1
54 nuri 514486618 6 cibuyut 1 1 61 ulkus dekubitus 1 1 amox syr,pct syr 1 radir
55 ny dede wati 513981977 46 sd sari 120/80 1 12 pulp irrev 1 1 klinda,pct,ctm,dexa 1
56 tn adi sugiono 513482297 36 saguling pjg 110/70 1 47 gp, pak 1 1 amox,asmef,ctm,dexa 1 eug
57 ny ade masniah 28/13 53 tambir 120/80 1 17 gr, abses 1 1 amox,pct,ctm,dexa 1
58 ny wida 17000561/17 25 nagrog 110/70 1 47 pulp irrev 1 1 klinda,pct,ctm,dexa 1 5
59 syahwi 514467764 8 nagrog 1 1 52-51 persist 2 2 amox syr,pct syr 1 25
60 09 ny evi maryati 17000563 44 cipawela( tanjung) 120/80 1 14 gp/exo,22 fuji 1 1 1 1 amox,asmet,ctm,dexa,antad 1 90
61 ny suharoh 1667628786 67 ranca bunggur 170/90 1 46 gp 1 1 amox,pacet,ctm,gg 1
62 10 ny siti aminah 515161697 34 kr tengah 120/80 1 26 gp 1 1 amox,asmef,ctm,dexa 1
63 najwa intan 513866529 10 cijeruk girang 1 1 46 abses,gp 1 1 amox,pct,ctm,dexa 1
64 debi pra utami 17000001/17 27 prm griya muncang 110/80 1 25 gp 1 1 pct,selesb 1 chkm (20)
65 12 ny sadiah 513784394 71 gn lame 150/80 1 37 periodontitis 1 1 amox,pct,ctm,b comp 1
66 ny suharoh 1667628786 67 rc bungur 160/90 1 46 gp, abses 1 1 amox,pct,ctm,amlod 1
67 ny ida nuraidah 514460608 21 gn malang 110/70 1 14 gp 1 1 pct,selesb 1
68 ny ika kartika 1427/11 43 psr wangi 120/80 1 14,47 pulp irrev 2 2 pct,selesb 1 chkm (40)
69 ny dede wati 513981977 45 sd sari 110/60 1 12 pulp irrev 1 1 amox,pct,ctm,dexa 1
70 13 neng nida 1717/10 6 cihonje 1 1 11 intrusi, 52 persist 2 2 amox,pct,ctm,dexa 1 5
71 evi maryati 17000563/17 44 cipawela( tanjung) 120/80 1 gingivitis RB 1 1 r/-- 1
72 bagus 17388/16 14 asta lebak 100/60 1 1 46 pulp irrev 1 1 klinda,pct,ctm,dexa 1 eug (20)
73 syamsu dluha 514444959 6 sk senang 1 1 85 abses 1 1 amox 1
74 tn in in safii 17100018/17 39 neglasari 120/70 1 27 pulp irrev 1 1 pct,selesb 1 chkm (20)
75 desy naysilla 1667613554 6 cijeruk girang 1 1 61 persist, exo 1 1 pct 1
76 ny eti nurhaeti 514386358 54 cibeuti 120/80 1 44 abses 1 1 klinda,pct,ctm,amlod 1
77 hadi hermawani 17100494/17 12 genteng 1 1 36 gp 1 1 pct 1 gi
78 ny wida 17000561/17 25 nagrog 120/70 1 47 pi, exo 1 1 amox,pct,ctm,dexa 1 100
79 bilqis 10619/15 10 cikedewul 1 1 36 pulp irrev 1 1 pct 1 chkm (20)
80 fikri 1669107025 18 cikondang 110/80 1 46 gr, exo 1 1 amox,pct,ctm,dexa 1
81 14 titin 514490308 33 sk.senang 3/7 110/70 1 16 gingivitis 1 1 pct,vit.c 1 calc sub.bucalis,pro scalling
82 dani wardiani 17100602/17 23 cibeuti bb 110/70 1 38 pulp irrev, exo 1 1 amox,pct,ctm,dexa 1 100
83 habibi 513621347 10 cijerah 1 1 46 pulp irrev 1 1 amox,pct,ctm,dexa 1 calcyl
84 ny siti mariyani 513995027 28 asta lebak 110/80 1 35 gp, 37 gr 2 2 amox,pct,ctm,dexa 1
85 nenden 2346/13 27 cicondong 3/6 90/60 1 47-48 gp, exo 2 2 amox,pct,ctm,dexa 1 150
86 ny heni 514854606 31 cijerah 100/80 1 38 gp 1 1 amox,pct,ctm,dexa 1
87 adi sugiono 513482297 35 saguling pjg 6/3 110/70 1 47 gp 1 1 pct,selesb 1 chkm+flc
88 15 ny ika kartika 1427/11 43 psr wangi 120/80 1 14 cress,47 fuji 2 2 amox,pacet 1 50
89 Tn amir saripudin 514939577 54 genteung 2/1 120/80 1 26 ,27 gp pro exo 2 2 amo,asmet,ranitidin ,ctm ,dexa 1
90 ny suharoh 1667628786 67 rc bungur 160/90 1 46 gp, abses 1 1 pct,amlod 1
91 tn dindin 514237217 41 psr wangi 90/60 1 38 gp 1 1 amox,pct,ctm,dexa 1
92 irma siti 9667/2014 22 cihonje 01/02 110/70 1 46 open bor 1 1 amox,pct,ctm,dexa 1 10
93 mudiroh 2146/12 27 cibuluh 110/70 1 38 erupsi 1 1 amox,pct,ctm,dexa 1 5
94 16 tn in in safii 17100018/17 40 neglasari 120/80 1 27 pi, 48 abses 1 1 amox,pct,ctm,dexa 1 tkf (20)
95 ny yati 17000029/17 30 neglasari 100/70 1 26 gp, gmkg 1 1 pct,selesb 1 tkf + skeling rb (120)
96 ny neng rani 515205775 24 sk senang 110/70 1 36 gp abses 1 1 amox,pct,ctm,dexa 1
97 17 ina marlina 514676665 33 suka asih rt 02/06 120/70 1 36 gp /exo 1 1 amox,pct,ctm,dexa 1
98 19 hj nonoh hasanah 1400073873 selaawi 140/90 1 15,16 gp 2 2 pacet,amlodipin 1 gula darah tinggi
99 neng rani 515205775 24 sk senang 90/60 1 36 gp 1 1 amox,pct,selesb 1
100 tn amir saripudin 514939577 54 genteng 140/90 1 26-27 gp 2 2 amox,pct,ctm,b comp 1
101 suharoh 1667628786 57 rc bungur 130/80 1 46 gp/exo 1 1 amox,pct,ctm,dexa 1
102 ny heni 514854606 31 cijerah 110/70 1 38/gp 1 1 amox,pct,ctm,dexa 1
103 20 ny n sulihat 57511719 51 asta gn batu 150/90 1 12 abses, 28 gr (gingival enlarg) 2 2 klinda,pct,ctm,amlod 1 rujuk rsud
104 sofa rizki 515043696 11 cikedewul 54 1 1 46 pulp irrev 1 1 amox,pct,ctm,dexa 1
105 an. Fitrah nur 513478565 6 bj gaok 1 1 65 pulp irrev 1 1 amox,pct,ctm,dexa 1
106 tn usman 17100664/17 60 cingenang 90/60 1 27 gp, abses 1 1 amox,pct,ctm,dexa 1 5
107 yusup 2341/12 4 sd sari 1 1 84-85 abses 2 2 amox syr,pct,ctm,dexa 1 5
108 an teguh 17100668 6 selawi 1 36 gp/exo 1 1 amox,pct,ctm,dexa 1
109 desi 166763554 7 cijeruk girang 1 1 61 pst 1 1 pct 1
110 bilqis 10619/15 10 cikedewul 1 1 36 pulp irrev 1 1 pct 1 chkm (20)
111 21 bagus 17388/16 14 asta lebak 100/70 1 1 46 pulp irrev 1 1 amox,pct,ctm,dexa 1 arsen/flcr (20)
112 silpiawati 512581419 18 cibeuti 90/60 1 36-37 abses, gp 2 2 amox,pct,ctm,dexa 1
113 ny aah 512581375 41 cibeuti 130/80 1 kunjungan sehat 1
114 yuni sri wahyuni 1710000/17 22 sd kasih 1 8 36 pulp irrev,16 gr 2 2 amox,pct 1
115 22 siska 514731734 23 genteng 1 38 gr, 46 pulp 2 2 cefad,flucadex,b comp c 1
116 ny ai masniah 514335536 35 rc bungur 1 6 38 pulp irrev, abses 1 1 amox,pct,selesb 1
117 ny ika kartika 1427/11 43 psr wangi 1 14 gp 1 1 pct,antasid,selesb 1 cress (20)
118 tn hendi 1014707081 61 sukasirna 1 17,exo 1 1 amox,pct,ctm,dexa 1
119 ny wawat 515047296 38 tambir 1 25-26gr, abses bukalis 2 2 amoxciclav,pct,ctm,dexa 1
120 ny cucu 1667627831 34 cihonje 90/60 1 36 gp 1 1 amox,pct,ctm,dexa,selesb 1
121 ny lilis rosita 515099799 34 cihonje 110/80 1 47-48 gr 1 1 1 1 amox,pct,ctm,dexa 1
122 habibi 513621347 10 cijerah 1 1 46 pulp irrev 1 1 amox,pct,ctm,dexa 1 devit
123 23 an devan andrean 12709/15 3 bojong 1 1 51-61 pulp 2 2 amox syr,pct,ctm,dexa,gg 1 5
124 ny emar marliah 1844/12 28 tambir desa 1 35 exo 1 1 amox,pct,ctm,dexa 1 50
125 ny ai masniah 514339536 35 rc bungur 1 6 47 pi 1 1 cefad,pct 1
126 tn asep dani 17100688/17 36 cibeuti pabrik 1 37 pulp 1 1 amox,pct,ctm,dexa 1 30
127 an elna 4 negla 1 1 75.85 4 4 pct,selesb 1 110
128 ny een 514489544 48 negla 1 16 periodontitis 1 1 amox,pct,ctm,dexa 1
129 24 bagus 17388/16 14 asta lebak 100/70 1 1 46 pulp irrev 1 1 amox,pct,ctm,dexa 1 chkm+ts
130 ny yani 166713644 32 cijeruk girang 90/70 1 46 gp abses 1 1 amox,pct,ctm,dexa 1
131 26 dede aan 515121524 20 tambir lapang 100/70 1 47 abses 1 1 amox,pct,ctm,dexa 1
132 an lita 513318464 9 cibuluh 1 1 61 exo 1 1 pct 1
133 irpan abdullah 17100709/17 31 cikedewul 110/80 1 15 gr, abses 1 1 amox,pct,ctm,dexa 1 5
134 an razit 12735/15 6 cijeruk hilir 1 1 61 pst, exo 1 1 pct 1
135 ny eti roswati 513696453 33 gn malang 120/70 1 16 abses 1 1 amox,pct,ctm,dexa,selesb 1
136 tn sarip 1014706258 43 nagrog 150/70 1 45 pi 1 1 klinda,pct,ctm,b comp 1
137 ny vantia maylan 18 cikondang 110/70 1 46 gr, exo 1 1 amox,pct,ctm,dexa 1 50
138 ny marni 1014709353 53 gn subang 120/70 1 36 abses 1 1 amox,pct,ctm,dexa 1
139 an sani nursani 514077366 11 gn bitung 1 1 65 grade 1, 53 pst exo 1 1 2 pct 1
140 m khoirul 245/12 7 sinargalih 1 1 51 pst, exo 1 1 pct 1 25
141 28 sofa rizki 515043696 11 cikedewul 1 1 46 chkm/flc 1 1 pacet,b comp 1
142 an awalia 15 asta pasir 1 1 36 abses 1 1 amox,pact,ctm,b com 1
143 ny nonoh 514608131 51 cicondong rt 02/09 120/80 1 27,28 gp 2 2 amox,pacet,ctm,dexa 1
144 ny emay 513511975 44 cikondang 90/60 1 26-27 gr 2 2 amox,pct,ctm,b comp 1
145 an rafka 1811675766 4 cihonje 03/02 1 1 85,75 abses 2 2 amox sy,(pct,ctm,dexa pulv) 1
146 an irhas 17100724/17 6 gn subang 1 1 84 ulkus, exo 1 1 PCT 1 25
147 ny tina 17000723/17 36 gn subang 110/80 1 38 impaksi/EXO 1 1 amox,pct,ctm,dexa 1 100
148 ny juju 1667482762 55 gn subang 120/70 1 37 GP 1 1 amox,pct 1
149 ny yeni 1667613644 32 cijeruk girang 110/70 1 46 GP 1 1 amox,pct,ctm,dexa 1
150 N JENAH 513840464 78 CIBOGO 02/3 130/80 1 13 ABSES 1 1 amox,pct,ctm,b comp 1
151 arkan 1665/12 4 segleng 1 1 75 pulp 1 1 r/-- 1
152 eem 2083594487 46 selaawi 110/70 1 48 gr 1 1 pct,selesb 1 dr.soekardjo BM
153 29 tn ayi sarip 1014706258 40 nagrog 120/80 1 45 pi 1 1 amox,pct,ctm,dexa 1
154 bagus 17388/16 14 asta lebak 1 46 gp 1 1 cefad,pct,b com c 1 chkm (20)
155 ika hartika 1427/11 43 psr wangi 1 14 gp 1 1 pct,selesb 1 gi (30)
156 syahrin 17000038/17 6 batu beulah 21/5 1 75 pulp irrev 1 1 amox sy,(pct,ctm,dexa pulv) 1 5
157 enur nurjanah 514625038 29 genteng 1/1 1 8 46 gp distal 1 1 pct,selesb 1
158 elna ayu 5 negla 1/11 1 75 pi 1 1 pct syr, truvit 1 gi (ukgs)
159 ny teti 514618007 35 negla 1 14,38 gr 2 2 klinda,pct,ctm,dexa 1
160 mahardika 17100745/17 3.4 genteng 2/1 1 85 pulv irrev 1 1 amox sy,(pct,ctm,dexa pulv) 1 eug+flc (20)
161 30 ny karmila 26 segleng 1 38, 48 gp, abses 2 2 amox,pct,ctm,dexa 1 5
11
jml :161 35 15 82 29 85 19 46 11 35 4 55 22 11 69 8 8 53 45 9 46 365 61 3 1 96

Mengetahui Tasikmalaya , Maret 2017


Kepala puskesmas karanganyar Pengelola BP Gigi

H. Enjang Nurjamil, S.Kep.,Ners.,MH.Kes Euis Nuryani , AMKG


NIP.19740424 199503 1 002 NIP : 19740720 199803 2 006
LAPORAN HARIAN BP. GIGI PUSKESMAS KARANGANYAR KOTA TASIKMALAYA
BULAN APRIL TAHUN 2017

UMUR KELURAHAN JENIS KEGIATAN JENIS KELAINAN

KEL. DENTOFACIAL
EXO GIGI SULUNG
Luar Wilayah

KELAINAN PULPA

JAMKESMAS
PENYAKIT LAIN-
TUMPATAN GIGI

TUMPATAN GIGI
KARANGANYAR

EXO GIGI TETAP


TANGGAL

PERIODONTAL
PENGOBATAN

PENGOBATAN
CILAMAJANG

KEL.PULPA &

UMUM
KARIES GIGI

MALOKLUSI
PERIAPIKAL
APRAS

ASKES
TENSI

JARINGAN
UKGS

LAIN-LAIN

BPJS
SULUNG
NO. NAMA PASIEN NO. KARTU ALAMAT bb tb DIAGNOSA TERAPI KET

CIBEUTI

BUMIL

PULPA
TETAP
DARAH

LAIN
L P

B L B L
1 31 teti sulastri 514618007 35 negla 3/11 110/70 1 14 gr, exo 1 1 amox,pct,ctm,dexa 1
2 sofa rizki d 515043696 11 cikedewul 2/7 1 1 46 gp 1 1 amox,pct,ctm,dexa 1 gi (30)
3 naila alfiah nurul 9666/14 3 cijeruk girang 3/4 1 1 85 gp abses 1 1 amox syr,pct,ctm,dexa(pulv) 1 5
4 02 bagus 17388/16 14 asta lebak 110/80 1 1 36 gr exo, 46 gp GI 1 1 1 1 cefad,pct,ctm,dexa 1 80
5 ny sadiyah 513784394 71 gn lame 110/70 1 36 period, mobil gr III exo 1 1 amox,pct,ctm,dexa 1
6 an rafka 1811675766 4 cihonje 1 1 85 gp abs 1 1 amox sy,pct sy,truvit sy 1
7 tn jajang 17100027/17 30 gn sari,cigantang 100/80 1 44 gp 1 1 amox,pct,ctm,dexa 1 5
8 ardan 513647559 8 asta pasir 1 1 63 ulkus exo 1 1 amox,pct 1
9 ny yanti susanti 514105716 29 psr wangi 120/70 1 18-16 gr,14-13 gr,11-21 gr,23-28 gr 8 8 amox,pct,ctm,dexa 1
10 ny titin 514731418 44 genteng 110/70 1 37 gr 1 1 amox,flucadex 1
11 santi 514732331 13 genteng 1 1 36 gp abses 1 1 amox,pct,ctm,dexa 1
12 03 an rizka 1014708014 7 sk sirna 1 1 51,61 exo 2 2 amox,srp,pct srp 1 20
13 04 najwa nailatul 17000787/17 7 cibeuti 1 1 84-85 gr 2 2 amox syr,pct,ctm,dexa(pulv) 1 5
14 ny lisna 13415/15 26 mekarjaya 110/70 1 16 gr 1 1 amox,pct,ctm,dexa 1 5
15 tn toni 1667625074 38 cihonje 110/80 1 gmkg 1 1 ctm 1 scalling rb (100)
16 05 rizky achmad fauzi 513864999 10 asta lebak 1 1 52 persist, exo 1 1 pct 1
17 ina nurmaliyana 514506251 7 gn bitung 4/8 1 1 51,61 pst 2 2 amox sy,pct 1 25
18 idan mu'arip 514505643 27 gn bitung 4/9 110/70 1 47 gp 1 1 amox,pct,ctm,dexa 1
19 06 cici rosidah 2506/10 31 gn bitung 4/8 110/70 1 11 hp lc 1 1 selesbion 1 150
20 naila alflah 2062316698 3,7 bl cijeruk girang 1 1 85 gp abses 1 1 amo,pct,ctm,dexa 1
21 ali amaruloh 514511245 6 asta baru 1 1 51,61 ulcus/exo 1 1 amox,pct 1 25
22 07 ny lisna 13415/15 26 mekarjaya 110/60 1 16 gr, exo sc 1 1 amox,pct,ctm,dexa genta salep 1 75
23 saepul anwar 17 cibeuti 110/70 1 46 egnol/fct 1 1 amox,pcr,ctm,dexa 1 20
24 rizky achmad fauzi 513864999 10 asta lebak4/8 1 1 85 exo 1 1 amox,pct 1
25 TN Undang 16370/16 59 cihonje 180/110 1 35 abses 1 1 amox,pct,ctm,amlodipin 1 5
26 NY hadesih 515095479 46 sukaasih 110/70 1 17-18 gp 2 2 amox,pct,ctm,dexa 1
27 09 tn ayi muhajir 17100819/17 29 cijerah 120/80 1 36 gp, abses 1 1 klinda,pct,ctm,dexa 1 5
28 ny siti saripah 514614385 24 cijeruk hilir 110/70 1 38 gr, abses 1 1 cefad,pct,ctm,dexa,b comp c 1
29 naufal 513746932 9 asta lebak 4/8 1 1 51 ,61 exo 2 2 pct 1 25
30 ny yanti susanti 514105716 30 pasir wangi 110/70 1 24-25 gr exo 2 2 amox,pct,ctm,dexa 1 50
31 fani 17000842/17 20 saguling pjng 100/70 1 34-35 pi 2 2 klinda, pct, ctm, dexa 1 5
32 sofa 2183/11 10 bojong 1 1 26 hp 1 1 amox, pct, ctm, dexa 1 5
33 M. Hilman 12901/15 5 cibeuti pabrik 4/6 1 1 85 pi 1 1 amox, pct, ctm, dexa 1 5
34 rafla 514441585 7 rc bungur 1 1 71 persist, exo 1 1 pct 1
35 10 jimmy 513326114 6 genteng 1 1 51 ulkus 1 1 r/-- 1
36 diar 4.8 gn subang 1 1 51 ulkus 1 1 truvit 1 10 (radir)
37 lita 514007447 8 , 1 75 abses 1 1 amox,pct,ctm,dexa 1
38 ny teti 512598688 34 cikedewul 3/7 150/100 1 16 gp 1 1 amox,pct,ctm,b comp c 1
39 tn undang 17100838/17 40 gn malang 120/70 1 46 abses 1 1 amox,pct,ctm,dexa 1 50
40 tn asep saepul 514484447 39 cibuyut 120/80 1 47-48 pulp irrev 2 2 klinda,asmef,ctm,dexa 1
41 11 h asep saepudin 52 ranca grse 02/10 120/70 1 27 gp /exo 1 1 amox,pct,ctm,dexa 1 50
42 tn nanang 100844/17 45 nangela cigantang 120/80 1 17,16,26,27 gr 4 4 amox,pct,ctm.dexa 1 5
43 nn kiki rizki 20 gn batu 120/70 1 38,abses 1 1 amo,metro,ctm,dexa.pct 1 5
44 yudi 514682649 26 gn lame 110/70 1 46,47.48 abses 3 3 amox,pct,dexa.ctm 1
45 rais sadam 10 tambir 1 1 74 gp 1 1 amox,pct,dexa.ctm 1
46 12 ny iis hermawati 17000472/17 57 cibeuti 110/80 1 abrasi rb 1 1 klinda,pct,b com c 1 5
47 tn undang 17100838/17 40 gn malang 120/70 1 47 gp/exo 1 1 amox,pct,ctm,dexa 1 50
48 ari ramjani 513318126 14 saguling panyand 100/70 1 1 11 hp, 21 gp (chkm) 2 2 pct,b com c 1 20
49 ny enur 17000860/17 40 genteng 110/70 1 14 pulp, exo 1 1 amox,pct,ctm,dexa 1 50
50 diva 513966622 7 asta lebak 1 1 61, 71 persist 2 2 observasi, febris 1
51 14 an assef 514261012 9 cibuluh 1 36 abses, gp 1 1 amox,pct,ctm,dexa 1
52 rijal 2438/12 4 cijerah 1 85 abses, gp 1 1 amox syr,pct,ctm,dexa 1 5
53 16 santi susanti 514165217 28 ng subang03/03 110/70 1 48gp,47 gr 2 2 amox,pct,dexa,ctm 1
54 ny nani 1669107036 40 genteng 120/80 1 37 gp/exo 1 1 amox,pct,dexa,ctm 1
55 rafa 513903352 6 genteng 1 1 51 ulkus, radir 1 1 pct 1
56 ny yanti susanti 514105716 30 pasir wangi 110/70 14 gp 1 1 amox,pct,dexa,ctm 1
57 ahmad kamil 1570/12 23 sk dana 110/80 26 gp 1 1 cefad,pct,dexa 1 5
58 ari ramjani 513318126 14 saguling panyand 100/70 1 1 11 hp, 21 gp (chkm) 2 2 pct,selesb 1 GIC&pengisian (20)
59 tn ipa cahyana 16519/16 36 negla 2/11 110/70 16 pulpitis 1 1 amox,pct,ctm,dexa 1 5
60 17 assef pizar 514261012 9 cibuluh 1 1 36 gp, 75 gr, exo 1 1 amox,pct,ctm,dexa 1 25
61 tn undang 514674663 53 cijeruk girang 130/100 1 46 gp abses 1 1 amox,pct,ctm,dexa 1
62 ny evi selvia 2016/13 31 cijeruk hilir 110/80 1 28 gp 1 1 amox,pct,dexa,ctm 1 5
63 shaki 1610024/16 7 sk senang 1 1 51 gr,64 gr 2 2 r/-- 1 konsultasi
64 ny atin 17000001/17 34 mangunreja 110/70 1 25 gp,exo 1 1 amox,pct,ctm,dexa 1 75
65 18 ny adah 513608231 51 cijerah 150/100 1 peny.kelenjar liur post trauma sikat gigi 1 1 pct,bcom,amlod 1
66 ny yanti 514105716 30 pasir wangi 110/70 1 26,27 gr/exo 2 2 amox,pct,dexa,ctm 1 50
67 inin 39 neglasari 27/10 110/80 1 48 gp/exo 1 1 amox,pct,ctm.dexa 1 150
68 tn asep parid 42 bojong 110/70 1 16 gr 1 1 klinda,pct,ctm,dexa 1 5
69 ahmad kamil 1570/12 23 sukadana 120/80 1 46 gi,26 chkm 2 1 1 cefad,asmef,dexa 1 50
70 sri damayanti 528/1514 cijeuruk hilir 1 14,48 gr abses 2 2 amox,pct,ctm,dexa 1 5
71 neng nuaisah 514346005 25 cibuluh 04/11 110/80 1 21 abses 1 1 amox,pct,ctm,dexa 1
72 19 enah 513595078 45 tambir 2/5 110/70 1 45 pulpitis 1 1 amox,pct,ctm,dexa 1
73 20 santi 514732331 13 genteng 1/1 1 1 36 gp abses 1 1 amox,pct,ctm,dexa 1
74 ny ratnasari 513565031 22 sk senang 110/70 1 26 dist, pulp 1 1 amox,pct,ctm,dexa 1 arsen/fct 20
75 raisya 514391692 7 asta pasir 2/10 1 1 71,81 pst 2 2 pct 25
76 tn ito warsito 514644311 44 cibogo 1/2 110/80 1 16 gp 1 1 amox,pct,ctm,dexa 1
77 dadan abdul 514512257 12 sukadana 2/4 1 1 36 gp 1 1 amox,pct,ctm,dexa 1
78 ny dede imas 513226912 32 cibuluh 4/11 110/70 1 37gp 1 1 amox,pct,dexa 1
79 21 naufal 1669107273 5.6 genteng 4/1 1 1 74,75 pulpitis,84,85 pp abs 2 2 2 2 amox syr,pct,ctm,dexa(pulv) 1
80 ahmad kamil 1570/12 23 sk dana 110/70 1 26 tkp/fch 1 1 1 20
81 ny pipih 9340/2015 21 gn bitung 2/8 110/80 1 38 erupsi/trismus 1 1 amox,pct,ctm,dexa 1 5
82 m fauzan 5142368646 11 cibuyut 1 1 52 pst, exo 1 1 r/-- 1
83 deni 514856676 7 cibuyut 1 1 81 pst, exo 1 1 pct 1
84 ny irma 513997986 27 sk senang 110/70 1 28 abses, trismus 1 1 amoxiclav,pct,ctm,dexa 1
85 24 ny ida 17000047/17 51 bojong parang 110/70 1 38 pp 1 1 amox,pct,ctm,dexa devit+ts 20
86 rapla 514441585 7 ranca gde 02/10 1 1 81 pst, exo 1 1 pct srp 1
87 ny wawat 17000922 37 segleng 120/80 1 33,34hp/LC,36dishp/TS,37hpmo/gic,38hp/gic 6 6 klinda,pct 1 410
88 ny yanti susanti 5141106716 30 pasir wangi 110/80 1 11,12 gr/exo 2 2 amox,pct,ctm,dexa 1 100
89 ny iis istiqomah 1667624602 36 cibogo 2/2 110/70 1 45 gr 1 1 klinda,pct,ctm,dexa 1
90 ny imas mashuroh 514245644 37 tambir 1/5 110/80 1 46 abses 1 1 amox,pct,ctm,dexa 1
91 ny risma 253/11 26 cibuluh 120/70 1 28 impaksi/exo,24 hp/lc 1 1 1 1 amox,pct,ctm,dexa 1 250
92 dede imas 513226912 33 cibuluh 4/11 110/70 1 37 gr/exo 1 1 amox,pct,ctm,dexa 1
93 siti fatimah 513226991 11 cibuluh 4/11 1 1 52 pst/exo 1 1 amox,pct,ctm,dexa 1
94 25 ema 514468282 24 segleng 110/70 1 18 gp impaksi 1 1 klinda,pct,dexa 1
95 marpu 514245982 42 cicondong 3/6 110/70 1 16 pulpitis 1 1 amox,pct,dexa 1 eug+ts 20
96 sani 513914771 8 genteng 1 1 supernumerary teeth 1 1 amox,pct,dexa 1
97 seni 513914951 8 genteng 1 1 74-75 gr,85 pulp 1 1 amox,pct,ctm,dexa 1
98 ny nia 514431448 26 cijerah 110/60 1 11 gp 1 1 amox,pct,dexa 1 calcil+ts 20
99 m husna 6 1 71 pst 1 1 pct sy 1 PAUD
100 26 DONI 1014708464 18 sukasirna 110/80 1 16 gp,36 gp 1 1 pct 1 36-devit+ts (20)
101 ny eti 514570948 51 nagrog 140/90 1 28 gp 1 1 amox,pct,ctm,dexa 1
102 ahmad kamil 23 sukadana 120/70 1 26 gp 1 1 pct, chkm+ts 20
103 27 yanti susanti 514105716 30 pasir wangi 110/70 1 11,21,23 gr/exo 3 3 amox,pct,ctm,dexa 1 11
104 ema ermawati 514468282 23 segleng 110/80 1 18 exo 1 1 amox,pct,ctm,dexa 1 100
105 marpu 514245982 42 cicondong 3/6 120/70 1 26 hp 1 1 amox,pct,ctm,dexa 1 calcil+GIC 30
106 28 azmi nurhidayana 514012702 9 th cibuyut 1/1 1 73gr/pst pct 1
107 anas abdul 1667626222 15 tambir baru 1 36 pulpolip/ 24 21 28 18 49 7 13 34 14 42 44 amox,pct,dexa.ctm 1
65
jml 107 37 13 45 12

Mengetahui Tasikmalaya , April 2017


Kepala puskesmas karanganyar Pengelola BP Gigi

H. Enjang Nurjamil, S.Kep.,Ners.,MH.Kes Euis Nuryani , AMKG


NIP.19740424 199503 1 002 NIP : 19740720 199803 2 006
LAPORAN HARIAN BP. GIGI PUSKESMAS KARANGANYAR KOTA TASIKMALAYA
BULAN MEI TAHUN 2017

UMUR KELURAHAN JENIS KEGIATAN JENIS KELAINAN

KEL. DENTOFACIAL
EXO GIGI SULUNG
Luar Wilayah

JAMKESMAS
KELAINAN PULPA
TUMPATAN GIGI

TUMPATAN GIGI

PENYAKIT LAIN-
KARANGANYAR

EXO GIGI TETAP


TANGGAL

PERIODONTAL
PENGOBATAN
PENGOBATAN
CILAMAJANG

KEL.PULPA &

UMUM
KARIES GIGI

MALOKLUSI
PERIAPIKAL
APRAS

ASKES
TENSI

JARINGAN
LAIN-LAIN
UKGS

BPJS
SULUNG
NO. NAMA PASIEN NO. KARTU NO. KARTU BPJS ALAMAT bb tb DIAGNOSA TERAPI KET

CIBEUTI

BUMIL

PULPA
TETAP
DARAH

LAIN
L P

B L B L
1 01 Doni romdoni 1014708464 18 sukasirna 110/80 1 36 gp/ts 1 1 pct 1 36-chkm(20)
2 ispi 1669110243 7 cihonje 16 1 1 85 abses 1 1 amox syr,pct,ctm,dexa 1
3 ny siti haerani 17000052 29 batubeulah 110/70 1 47 pulp/ts 1 1 klinda,pct,ctm,dexa 1 eug (20)
4 02 yanti susanti 514105716 30 pasir wangi 110/70 1 kontrol post exo 1 1 amox,pct,ctm,dexa 1
5 ny roswati 170000971/17 44 cihonje 120/70 1 24 dist, pulp,23 gr/ exo 1 1 1 1 amox,pct,ctm,dexa 1 eug (20)
6 ny yeti 514529752 34 gn bitung 110/80 1 36 abses 1 1 amox,pct,ctm,dexa 1 kawalu (5)
7 ny teti 512598688 34 cikedewul 110/70 1 16 gp/ts 1 1 klinda,pct,ctm 1 devit (10)
8 diva dwi utari 513966622 7 asta lebak 8/1 1 1 61,62 pst/exo 2 2 pct srp,truvit 1 20
9 03 erika 170000972/17 26 gn subang 110/70 1 18,48 pulp 2 2 klinda,pct,ctm,dexa 1 5
10 eti roswati 513696453 32 gn malang 80/60 1 16 pulp 1 1 pct,fervital 1
11 ny adah 720578881 79 tambir 130/70 1 26 abses 1 1 amox,pct,ctm,b comp 1
12 mila siti 2154/12 9 gn bitung 1 1 61 persist/ exo 1 1 pct 1 25
13 tn wawan 514245598 44 tambir lapang 110/80 1 37 abses 1 1 amox,pct,ctm,dexa 1
14 asep r. 17100980/17 51 cibuluh 110/80 1 46 abses 1 1 amox,asmef,ctm,b comp c 1 5
15 asti aulia 17000033/17 14 cigantang 1 1 64 pst,exo 1 1 amox,pct 1 25
16 Zaskia Zihan N 3.5 genteng 1/11 1
17 04 Doni romdoni 1014708464 18 sukasirna 110/80 1 36 gp 1 1 klinda,pct, bcom c 1 open bor
18 neni 513399953 41 cibogo 5/2 110/70 1 15 pulp 1 1 klinda,pct,ctm,dexa 1
19 yanti susanti 514105716 30 pasir wangi 110/70 1 loss of teeth 10 gigi 1 1 1
20 andi 514424013 21 cikedewul 110/80 1 37 abses 1 1 amox,pct,ctm,dexa 1
21 rijal tubagus 2438/12 4.8 cijerah 4/3 1 1 84,85 gp abs 2 2 amox syr,pct,ctm,dexa 1
22 sinta carlin 1831276719 21 cijerah 110/70 1 pro protesa 36,46 1 1 r/-- 1 cetak RA/RB
23 05 m solehudin 514115324 10 cibogo 4/3 1 1 73 pst, exo 1 1 r/-- 1
24 salwa 1014707902 9 segleng 1 1 63 pst,exo 1 1 amox,pct 1
25 yanti susanti 514105716 30 pasir wangi 110/70 1 loss of teeth 10 gigi 1 1 amox,dexa,b comp c 1
26 ny ai aah 514278066 33 cibeuti 110/70 1 18 pulp, 17 gr 1 1 1 1 klinda,pct,ctm,dexa 1
27 ahmad 1570/12 23 sk dana 110/80 1 26 fuji 1 1 asmet 1 30
28 ny hj nonoh 14400073873 selawi 2/12 180/90 1 16 gp 1 1 amlodipn,pct, 1 dm:300
29 ny teti 515298688 34 cikedewul 120/70 1 16 gp 1 1 pct,ctm 1 chkm 20
30 07 yusuf 514046351 15 cijeruk girang 4/4 100/70 1 1 k06.9 1 1 pct 1 rujuk rsud
31 ny roswati 17000971/17 44 cihonje 110/70 1 insersi RA 1 1 r/-- 1
32 rohayati 45 cijeruk girang 1/4 110/90 1 36 gp abs 1 1 amox,pct,ctm,dexa 1 5
33 erus 8850/14 56 pasir wangi 1/11 120/80 1 13 gp/exo 1 1 amox,pct,ctm,dexa 1 50
34 tn husen 513479057 48 cihonje rt 01/02 130/100 1 16 gp hipersemen 1 1 cefad,asmef,ctm,dexa 1
35 neng nuraisah 51346005 38 cibuluh 4/11 110/80 1 45 gp,46 gr 2 2 amox,pct,ctm,dexa 1
36 rosid 36 cijerah 110/70 1 23 '3 1 1 amox,pct,ctm,dexa 1
37 gita 17100035/17 22 desa kaler 1/1 mangkubumi 120/70 1 46 gp 1 1 amox,pct,ctm,dexa 1 devit+ts 20
38 09 Osep 36 CIKADU KAWALU 110/80 1 38 impaksi PRO EXO 1 1 KLINDA,ASMET,CTM,DEXA 1 GR
39 nia 514431448 26 cijerah 2/3 110/70 1 21hp/fuji 1 1 pct,b comp 1
40 irna 9667/2014 22 cihonje 01/02 46 100/70 1 pp 1 1 amox,pct,ctm,dexa 1
41 ai istikomah 33 cihonje 4/2 120/70 1
42 11 eem 16002065/16 2083594487 47 selaawi 3/12 120/80 1 48 gp impaksi/rujuk BM 1 1 amox,pct 1 rujuk 200
43 NY AYI 202/10 514450899 45 RC BUNGUR 90/60 1 46 gp 1 1 amox,pct,ctm,dexa 1
44 m nadjril 2709/14 5 gn.malang 1 1 kontrol 1 1 r/-- 1
45 teti rohwati 17001026/17 33 segleng 2/9 110/70 1 11 hp (d),12 gr hipersemen/exo 1 1 1 1 amox,pct,ctm,dexa 1 11 gic,12 exo+protesa
46 nita srinita 17001029/17 514314865 22 Cikedewul 1/7 100/70 1 11 post accident loss of teeth,12'3 premed 1 1 amox,pct,ctm,dexa 1
47 12 egi sudrajat 17100040/17 40 karikil 1/11 110/80 1 48 gp abs,37 gp/ts 1 1 1 cefad,pct,ctm,dexa 1 tkf/ts 20
48 lilian herlina 7378/14 512586527 10 cibeuti 4/6 1 1 gigi 75 gp abs 1 1 amox,pct,ctm,dexa 1 chkm/kps 20
49 nining setianingsih 9004/2014 42 sinanggalih sk rame 60 155 120/80 1 27 devit,15 devit 3 3 amox,pct,ctm,dexa 1 40
50 ny teti 515298688 34 cikedewul 120/70 1 16 gp 1 1 pct,amox 1 20
51 14 salman abdul 1365/12 514522743 14 selaawi 1 34 eug, 37 devit 2 1 1 klinda,pct,ctm,dexa 1 40
52 tn una 2746/11 69 bj parang 180/110 1 23 pulp 1 1 klinda,pct,ctm,amlod 1 5
53 yuke nurjanah 17000057/17 21 sinargalih 110/70 1 23 gp, chkm 1 1 amox,pct,dexa 1 20
54 idar 2496/11 515029871 59 cibuyut 2/1 140/80 1 26'3 period 1 1 amox,pct,ctm,dexa 1
55 meitsa salsa 979/12 5 genteng 1 1 64-65 pulp, eug 2 2 amox syr,pct,ctm,dexa 1 40
56 rizy 178/14 513577877 6 sk sirna 1 1 55 abses 1 1 amox syr,pct,ctm,dexa 1
57 irna 9667/14 23 cihonje 110/70 1 48 impaksi premed 1 1 r/-- 1 sesak-rujuk bp
58 sinta carlin 1831276719 20 cijerah 4/3 120/70 1 protesa 1 1 r/-- 1
59 dila fadilatul 17001057/17 514039509 10 cibeuti 1 1 82 pst,exo 1 1 pct 1
60 sania joenarti 17000233/17 512609207 8 nagrog 2/2 1 1 54 gp/exo 1 1 pct 1
61 ny eli sumiati 921/13 515147218 22 cibuluh 110/70 1 26 pi/ 1 1 amox,pct,ctm,dexa 1
62 wulan 16 mekarjaya 100/70 1 12 hp, fuji 1 1 1 fuji 30
63 15 ela purnamawati 17001064/17 514314292 18 segleng 110/80 1 21 abses 1 1 amox,pct,ctm,dexa 1
64 ny heni 2360/14 514107483 40 kp genteng 160/100 1 43-47 gr 2 2 amox,pct,amlod 1
65 ny nining 9004/14 42 sinargalih 110/80 1 15 gp,27 gp chkm 2 2 klinda,pct,ctm,dexa 1 chkm+ts 40
66 eem 16100692 513639843 75 genteng 130/80 1 42-47 gr 2 2 klinda,pct,ctm,dexa 1
67 anas abdul 3866/11 1667626222 15 tambir 100/70 1 36 gp abs 1 1 amox,pct,ctm,dexa 1
68 ny elin 1272/10 2120629296 27 sukaasih 120/70 1 36 abses 1 1 klinda,pct,ctm,dexa 1
69 ny teti 2493/12 512598688 34 cikedewul 120/70 1 16 gp, pengisian gic 1 1 pct,b comp c 1
70 gugun 4599/10 513655907 20 sk senang 110/70 1 16 pulp, eug 1 1 klinda,pct,dexa 1 eug+ts 20
71 desti widiyastuti 32 cicondong 3/6 1
72 sifa 5 cijeruk girang 4/4 1
73 16 rohayati 3875/10 70810751 48 asta pasir 2/10 120/70 1 48 gp abs 1 1 klinda,pct,dexa 1
74 teti rohwati 17001026/17 33 segleng 2/9 110/70 1 11 insersi RA 1 1 r/-- 1
75 m. Faisal anwar 17101072/17 9 cikedewul 3/7 1 1 36,46 pulp, devit 2 2 amox,pct,ctm,dexa 1 40
76 ny angi anita 1667614498 34 cijeruk girang 110/70 1 14 gp, abses 1 1 amox,pct,dexa 1
77 abdul mugni 514584641 7 gn subang 1 1 72,82 pst, exo 2 2 pct 1 25
78 17 idar 2496/11 515029871 59 cibuyut 2/1 130/70 1 17 period 1 1 amox,pct,bcom 1
79 Doni romdoni 276/11 513619953 41 cijerah 120/70 1 16 hp,35 hp,44 hp 3 3 amox,pct,ctm,dexa 1 16 eug,35,44 gic
80 restinulani 1131/11 40 cikondang,cibeuti 1/3 120/70 1 36 period 1 1 cepa,pct,ctm,antasid 1
81 tn una 2746/11 71 bj parang 130/70 1 23 period/exo 1 1 amox,pct,bcom 1 50
82 gugun 4599/10 513655907 20 sk senang 110/70 1 16 pulp 1 1 amox,pct,ctm,dexa 1 sb+gic 30
83 tazpia 10593/15 3.4 nagrog 3/2 1 1 74 hp 1 1 amox sy,pct sy 1 gic 30
84 ny eli sumiati 921/13 515147218 22 cibuluh 110/70 1 26 pi/ 1 1 amox,pct,ctm,dexa 1 100
85 siti fatimah a 1393/ 513226991 10 cibuluh 04/11 1 1 26 gp/exo 1 1 klinda,pct,ctm,dexa 1 50
86 hilya siti r 2785/11 513787961 6 cikedewul 3/7 1 1 85 hp 1 1 amox sy,pct,ctm,dexa (pulp) 1 20
87 kartika 756/12 11 sinargalih 1 1 36 gp 1 1 amox,pct,ctm,dexa 1
88 nunung 17100003 30 cijerah 110/70 1 26 gp 1 1 dexa 1 flu-rujuk bp
89 18 gina nazhipa 345/12 5 rancabungur 4/4 1 1 81 pst/exo 1 1 pct 1
90 salman abdul 1365/12 514522743 14 selaawi 1 1 24 fuji, 37 devit 2 1 1 amox,pct,ctm,dexa 1 50
91 ny rohanah 15080/15 51 cijeruk girang 3/4 120/70 1 23 abses 1 1 amox,pct,ctm,dexa 1 5
92 eem 16100692 513639843 75 genteng 130/80 1 42-47 gr 2 2 klinda,pct,ctm,dexa 1 50
93 nursamsi 1260/10 514617794 35 suka senang 1/7 110/70 1 48 embedded teeth 1 1 amox,asmef,ctm,dexa 1
94 ALWIN M AN 0823/2011 515013298 6 GN BITUNG 2/8 1 1 71 pst/exo 1 1 amox,pct 1
95 19 karmila 3529/11 27 segleng 2/9 110/70 1 3 37,48 gp 2 2 amox,pct,ctm,dexa 1 5
96 aila 2086/11 514397237 9 selaawi 1/3 1 1 83 gr/exo 1 1 amox,pct,ctm,dexa 1
97 rohanah 2062 514628381 53 genteng 1/11 130/90 1 18'1 period 1 1 amox,pct,ctm,dexa 1
98 maitsa salma 979/12 5 genteng 1/1 1 1 kontrol 71 1 1 r/-- 1
99 indayani 3898/10 515174602 35 sindangsari 110/80 1 26,28 gp 1 1 amox,pct,ctm,dexa 1
100 tasya apriliani 645/12 206797926 9 selaawi 3/12 1 1 74 gp/exo 1 1 amox,pct,ctm,dexa 1
101 sinta carlin 1831276719 20 cijerah 4/3 120/70 1 insersi RB (36,46) 1 1 r/-- 1
102 21 ny rohanah 15080/15 51 cijeruk girang 120/70 1 abses mukosa pipi 1 1 r/-- 1 rujuk bp
103 ny ending 17001087/17 1667630496 60 cihonje 3/2 130/80 1 21'3 fraktur/exo, post kecelakaan 1 1 amox,pct,ctm,dexa 1 robek bibir,rujuk dtp
104 aen h. 1326486936 53 selaawi 1/3 130/70 1 gingivitis RB 1 1 dexa,seles 1
105 makbul 68 bj parang 160/90 1 23 gp 1 1 amox,pct,ctm,dexa,antasid 1 5
106 kartika 756/12 11 sinargalih 1 1 36 gp 1 1 amox,pct,ctm,dexa 1
107 22 irna siti 9667/14 23 cihonje 100/70 1 46 gp, exo 1 1 amox,pct,ctm,dexa 1 50
108 ny atin 1936/12 5140333391 45 asta baru 120/80 1 38 period,mobil gr III, exo 1 1 amox,pct,ctm,dexa 1 50
109 ny mimi 12106/15 1014708273 30 sindangsari 130/90 1 26 pulp 1 1 klinda,pct,ctm,dexa 1
110 ny atik 1276/13 1667630169 71 cihonje 170/110 1 32 gr,31-41 period 3 3 amox,pct,amlod 1
111 hilya siti r 2785/11 513787961 5 cikedewul 1 1 84 hp/gic 1 1 pct 1
112 chandra aji 2554/12 513863976 16 asta lebak 04/08 110/70 1 35 hp/fuji 1 1 1 pct selesbio 1
113 23 yani 1921/11 513963393 39 cicondong 1/9 110/70 1 9 31-33 gingivitis, 34 gr 1 3 1 3 cefad,pct 1
114 yuke nurjanah 170000057/17 21 sinargalih 120/80 1 23 gp 1 1 pct,selesb 1 chkm+pp (20)
115 ny tini 7021/14 513829866 32 gn subang 110/80 1 34 gp 1 1 amox,pct,ctm,dexa 1
116 ny siti haerani 170000052/17 29 batubeulah 110/70 1 47 pulp/ts k1 4mgu,sakit lg 1 1 amox,pct,ctm,dexa 1 5
117 siti maryam 9333/14 513754064 28 cijeruk hilir 110/80 1 24 pulp 1 1 amox,pct,ctm,dexa 1
118 kokon 45 cicondong 3/9 1
119 25 ny ending 17001087/17 1667630496 58 cihonje 3/2 160/80 1 11 intrusi post trauma 1 1 amox,pct,amlod 1 rujuk RSUD k06.2
120 rohanah 15080/2015 51 cijeruk girang 3/4 160/70 1 24 pi 1 1 amox,metro,pct,amlod 1 5
121 mimi sumiyati 12106/2015 1014708273 28 sindangsari 1/16 110/70 1 26 gp/exo 1 1 amox,pct,ctm,dexa 1
122 titi suryati apotek melati 2246645755 51 nagrog 3/2 150/100 1 22 gp 1 1 pct,amlod 1 5
123 irna 9667/14 23 cihonje 1/2 110/70 1 24 gp/exo 1 1 amox,pct,ctm,dexa 1 100
124 elit rahmawati 30 saguling pjg 110/60 1 46 gp 1 1 klinda,pct,ctm,dexa 1 5
125 26 110/80
126 28 tn yudi supriyadi 2014/2011 35 cicondong 03/09 150/70 1 36 abses 1 1 klinda,metam,ctm,amlod 1 5
127 tn doni romdoni 4955/2014 513619953 40 cijerah 120/70 1 16 pulp 1 1 klinda,asmef,ctm 1 devit
128 shintia amelia 8147/2014 6 gn subang 1 1 51 pst,exo 1 1 pct 1 25
129 siti nuraeni 2434/12 16 sirnagalih 100/70 1 36 pulp irrev 1 1 klinda,pct,ctm,dexa 1 (20) devit
130 sahrul aijs 17101123/2017 513627524 22 asta pasir 03/10 cbt 150/90 1 38 pulp 1 1 amox,pct,ctm,dexa 1
131 saepul anwar 17101124/17 514829878 16 gn subang 110/60 1 36 gp, gingival polip 1 1 amox,pct,ctm,dexa 1
132 29 amelia maulidani 995/2010 9 negla 1 1 46 gp 1 1 amox,pct,ctm,dexa 1 5
133 tn dadang 17101127/17 20 cibeuti 110/70 1 48 impaksi 1 1 amox,pct,ctm,dexa 1 5
134 shaqi 16100024/2016 7 sk menak 1 1 51 pst/exo 1 1 r/-- 1 5
135 viviana 17001129/17 19 cibeuti 110/70 1 47 pi (devit),46 gp 1 1 1 1 klinda,pct,ctm,dexa 1 20
136 hilma syifa 1667480444 7 mekarjaya 1 1 81 pst/exo 1 1 pct 1
137 30 elit rahmawati 30 saguling pjg 1/6 110/70 1 47 gp 1 1 amox,pct,ctm,dexa 1 50
138 tn adi sugiono 513482297 35 saguling pjg 110/70 1 47 gp abs 1 1 amox,pct,ctm,dexa 1

∑ = 138 29 9 71 27 36 3 41 15 10 33 24 14 49 12 32 51

Mengetahui Tasikmalaya , Mei 2017


Kepala puskesmas karanganyar Pengelola BP Gigi

H. Enjang Nurjamil, S.Kep.,Ners.,MH.Kes Euis Nuryani , AMKG


NIP.19740424 199503 1 002 NIP : 19740720 199803 2 006
LAPORAN HARIAN BP. GIGI PUSKESMAS KARANGANYAR KOTA TASIKMALAYA
BULAN JUNI TAHUN 2017

UMUR KELURAHAN JENIS KEGIATAN JENIS KELAINAN

KEL. DENTOFACIAL
EXO GIGI SULUNG
Luar Wilayah

JAMKESMAS
KELAINAN PULPA
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LAIN-LAIN

BPJS
SULUNG
NO. NAMA PASIEN NO. KARTU NO. KARTU BPJS ALAMAT bb tb DIAGNOSA TERAPI KET

CIBEUTI

BUMIL

PULPA
TETAP
DARAH

LAIN
L P

B L B L
1 01 siti azzahra awaliah 16069/16 2 sinargalih 24/9 1 1 kontrol gigi 1 1 r/-- 1
2 siti nuraeni 2434/12 16 sinargalih 24/9 110/70 1 36 gp, chkm 1 1 pct 1 chkm+ts 20
3 tn iwan kurniawan 514873844 48 gn subang 1/3 110/80 1 26-27,exo 2 2 amox,pct,ctm,dexa 1 50
4 hasanah 3257/10 53 cikondang 1/3 130/70 1 38 pulp 1 1 klinda,pct,ctm,dexa 1
5 02 tn ahmad topik h 31 segleng 1/9 120/80 1 28 pulp 1 1 klinda,pct,ctm,dexa 1 5
6 tn andri handrian 514299161 36 cijerah 3/3 110/90 1 13-15 gr, abses 2 2 amox,pct,ctm,dexa 1
7 ny uun unasah 17001144/17 44 cukang,tanjung 140/70 1 37 period kalk++ 1 1 amox,pct,ctm,dexa 1
8 ny maesaroh 2960/10 32 cibuluh 4/11 120/80 1 44 pulp&kalk++ 1 1 amox,pct,ctm,dexa 1
9 ny engkoy 514580624 52 cibuyut 2/1 120/70 1 26 pulp 1 1 amox,pct,ctm,dexa
10 04 yanti susanti 514105716 30 pasir wangi 1/11 110/70 1 24 kontrol post eksraksi 1 1 amox,pct,dexa 1
11 ibrahim 4653/10 515076693 10 cicondong 1 1 63-64 polip 2 2 amox,pct,ctm,dexa 1
12 tn yudi supriyadi 2014/2011 35 cicondong 03/09 120/70 1 36 gp,devit 1 1 klinda,asmef,ctm 1 devit+ts 20
13 tn rahmat 17101148/17 48 gn bitung 2/8 110/70 1 16 gp 1 1 amox,pct,ctm,dexa 1 5
14 siti nuraeni 2434/12 15 sinargalih 24/9 1 1 36 gp / k3 jadi sakit 1 1 amox,pct,ctm,dexa 1 chkm+kps 20
15 05 enur hasanah 793/12 515162226 10 karangtengah 3/4 1 1 73 pst/exo 1 1 pct 1
16 dadang 17101127/17 20 cibeuti 1/6 110/70 1 48 impaksi 1 1 amox,pct,ctm,dexa 1 50
17 tn doni 0276/11 513619953 41 cijerah 2/3 110/80 1 16 chkm 1 1 pct 1
18 ny ihah 2182/2011 513907075 43 gn subang 3/2 110/70 1 45 exo 1 1 amox,pct,ctm,dexa 1
19 06 mamah 2144/10 513733858 45 cijeruk girang 2/4 100/70 1 24,26 gr 2 2 klinda,pct,ctm,dexa 1
20 fauzan 1261/13 4 tambir desa 2/5 13 1 1 51,61 ulkus, post trauma 1 1 amox sy,pct,ctm,dexa(pulv) 1 5
21 ny uun unasah 17001144/17 41 cukang,tanjung 130/70 1 37 gp,exo 1 1 amox,pct,ctm,dexa 1 50
22 rida maulida 8 cicondong 1 1 36 gp 1 1 amox,pct,ctm,dexa 1 5
23 m. Saipul islah 14850/15 514703362 8 asta lebak 1 1 84-85 abses 1 1 amox,pct,ctm,dexa 1
24 07 e rohamah 17001105 2245989622 58 selaawi 130/80 1 44-46 abses 1 1 amox,pct,ctm,dexa 1
25 tn andri handrian 657/10 514299161 35 cijerah 90/60 1 16-14 gr 1 1 selesb 1
26 fira 4310/10 12 bojong parang 30/10 1 83 pst/exo 1 1 pct,truvit sy 1 20
27 ny een 1643/12 513746111 53 sk senang 120/90 1 17 period 1 1 klinda,pct,ctm,dexa 1
28 08 kiki sakinah 1029/10 514298338 17 genteng 110/70 1 16 pi, calculus++ 1 1 klinda,pct,ctm,dexa 1
29 neni 2062/10 513399958 41 cibogo 130/70 1 25 pi 1 1 klinda,pct,ctm,dexa 1
30 siti nuraeni 2434/12 15 sinargalih 24/9 100/70 1 1 36 gp / k4 kontrol tdk sakit,tkf 1 1 amox,pct,ctm,dexa 1 20
31 amay kamaludin 17101174 35 saguling cihonje 1/10 110/70 1 28 gp 1 1 amox,pct,ctm,dexa 1 100
32 ny ikeu 515116012 35 gn subang 110/70 1 38 gr 1 1 amox,pct,ctm,dexa 1
33 09 fina 297 5/11 513510759 19 tambir 110/70 1 35 pulp/devit 1 1 klinda,pct,ctm,dexa 1 devit 20
34 fahri 2008/11 514396945 16 selaawi cibeuti 110/80 1 11-21 gp abses 2 2 amox,pct,ctm,dexa 1
35 tn yudi supriyadi 2014/11 34 cicondong 110/80 1 36 gp,chkm 1 1 amox,pct,ctm,dexa 1 chkm 20
36 11 doni romdoni 0276/11 513619953 40 cijerah 120/70 1 16 gp/kontrol TS 1 1 r/-- 1 pengisian+GIC
37 kiki sakinah 1029/10 514298338 17 genteng 3/1 100/70 1 16 pulp/k1-devit.TS+Scalling 1 1 amox,pct,dexa,bcom 1 devit+ts 45
38 nazia rahmani 12 saguling pjg 1 1 16 eug,26 devit 2 1 1 amox,pct,ctm,dexa 1 40
39 tn budi burhanudin 34 cijeruk hilir 120/80 1 48 impaksi 1 1 amox,asmef,ctm,dexa 1 5
40 ny ikeu kisnawati 515116012 35 gn subang 120/80 1 38 gr, exo 1 1 amox,pct,ctm,dexa 1 100
41 ny ooh 15845/16 514264116 48 cijeruk girang 4/4 120/70 1 35 gp abs 1 1 amox,metro,pct,ctm 1
42 dede lesmana 17101190/17 514440775 32 cikedewul 1/7 130/70 1 37 gp/pro rujuk 1 1 klinda,pct,ctm,dexa 1 sakit mata
43 m.saeful islam 14850/15 514703362 8 asta lebak 1/8 1 1 61 pst 1 1 amox,pct 1
44 entin marni 1014709353 57 gn.subang 6/2 90/70 1 46 gr/exo 1 1 amox,pct,dexa 1
45 rustamazi 16283/16 1014709342 56 gn.subang 3/2 150/110 1 11 grade 3, gusi merah 1 1 amox,pct,dexa,amlod 1
46 12 yanti susanti 3192/14 514105716 30 pasir wangi 1/11 110/70 1 kontrol post exo gigi 1 1 amox,pct,dexa,seles
47 siti nuraeni 2434/12 15 sinargalih 24/9 110/70 1 1 36 gp / k5 kontrol tdk sakit,chkm 1 1 amox,pct,dexa 1 chkm+ts 20
48 hendra 17101197/17 46 sindangsari 1/10 120/90 1 37 gp 1 1 amox,pct,dexa 1 5
49 nia kurnia 3847/11 514377483 23 sk.dana 2/4 110/70 1 38 gp 1 1 klinda,pct 1
50 m ref 305/12 5 gn bitung 1/8 12 1 1 85 gp abs 1 1 amox sy,pct,ctm,dexa,gg(pulv) 1 5
51 lenny sriwanti 2618/11 514830598 27 gn bitung 1/8 110/70 1 kunjungan sehat 1
52 rahmat akbar 86/14 1669106913 12 gn lingga 3/3 45 120/70 1 46 gp 1 1 amox,pct,ctm,dexa 1
53 13 atsni nur ramadhani 11 bln cijeruk girang 4/4 1 1 konsul pertumbuhan gigi anak 1 1 r/-- 1
54 ny idah 1079/12 514011609 38 rc bungur 110/80 1 15 gr, abses, 13 '1 1 1 1 1 amox,pct,ctm,dexa 1
55 alif 17101201/17 12 cikedewul 3/7 1 1 21 gp 1 1 selesb 1 5
56 delisa 10651/15 2 asta gn batu 3/8 1 1 51,61 hp palatal 1 1 pct sy,truvit sy 1 5
57 rina ruhyani 1765/10 514610515 35 asta gn batu 3/9 110/80 kunjungan sehat 1
58 rustamazi 16283/16 1014709342 56 gn.subang 3/2 120/70 1 11 grade 3/exo 1 1 amox,pct,dexa,gg 1
59 14 kiki sakinah 1029/10 514298338 17 genteng 100/70 1 16 gp/k2-chkm 1 1 pct,dexa 1 20
60 m.husna 6 saguling 1/6 1 1 51 pst/exo 1 1 pct sy 25
61 alif maulana 12 cikedewul 1 1 21 gp, exo 1 1 amox,pct,ctm,dexa 1 50
62 popon 12591/15 38 asta psr 110/70 1 37,38,47,48 pulp 4 4 amox,pct,ctm,dexa 1 5
63 15 nazia rahmani 17001191/17 12 saguling pjg 1 1 16 lc,26 chkm 2 1 1 pct,dexa 1 170
64 16 tn yudi supriyadi R 2014/2011 35 Cicondong 3/9 120/80 1 36 gp/tkp 1 1 amox,pct,ctm,dexa 20
65 rustamazi 16283/16 1014709342 56 gn.subang 3/2 120/70 1 11 kontrol post exo 1 1 pct,seles 1
66 siti nuraeni 2434/12 15 sinargalih 24/9 110/70 1 1 36 gp / pengisian+fuji 1 1 pct 1 30
67 18 kiki sakinah 1029/10 514298338 17 genteng 100/70 1 16 gp/k3-chkm 1 1 asmef,dexa,b com c 1 20
68 ny yanti 514105716 30 pasir wangi 1/11 110/70 1 kontrol 13 post exo 1 1 pct,dexa,b comp c 1
69 ny enong sopiah 020/12 22554133373 47 kr tengah 120/80 1 36 gp 1 1 b comp c 1
70 emun munawaroh 16001122/16 1669106733 53 cibeuti 4/6 150/80 1 25 gp abs 1 1 amox,pct,amlod 1
71 ny hj yuyu 4489/10 59 segleng 130/70 1 12,22 fraktur/exo 2 2 amox,pct,ctm,dexa 1 100
72 abdul rahman 2765/11 514667079 18 cijeruk hilir 100/70 1 36 pulp 1 1 klinda,asmef,ctm,dexa 1
73 siska fauzia 1667479228 9 kawalu 1 1 65 epulis/k06.1 1 1 r/-- 1 rujukan BM
74 tati suryati 1267/10 513479889 8 sk dana 2/4 1 1 84 abses 1 1 amox,pct,ctm,dexa 1
75 tika kartika 12628/15 47 tambir 5/5 110/90 1 27 gp 1 1 amox,pct,ctm,dexa 1 5
76 bilqis naila 17001227/17 8 sukaasih 2/6 1 1 51,71 pst/exo 2 2 amox,pct 1 50
77 sinta nuriah 17000950 16 kr anyar 1/4 110/70 1 12-21 hp 3 2 pct,seles 1
78 rustamazi 1014709342 56 gn subang 120/80 1 11 loss of teeth 1 1 r/-- 1 rujuk prosto
79 restu 16101342 7 cibogo cibeuti 1 1 51 pst /exo 1 1 pct srp 1 25
80 ipah masripah 7734/14 513401883 36 cikedewul 1/7 110/70 1 48 impaksi 1 1 amox,pct,ctm,dexa 1
81 19 ny wiwi wiansih 3876/10 2074137063 52 selaawi 1/3 120/80 1 16,17 abses period/scalling 2 2 amox,pct,ctm,dexa 1
82 TN Darsana 17101231/17 53 cibuyut 04/001 110/80 1 46,47 gp/abses 2 2 amoxsiklap,pct,ctm,b com,dexa 1 5
83 ny entit 3240/10 41 rc bungur 4/4 120/70 1 38 impaksi,trismus 1 1 cefad,pct,ctm,dexa 1 5
84 etih 714/12 47 tambir lapang 120/80 1 gingivitis RB 1 1 amox,pct,ctm,dexa 1
85 20 ersa nurul saniah 16000808/16 9 gn subang 1 1 46 gp 1 1 amox,pct,ctm,dexa 1
86 nita sri nita 17001029/17 514314865 20 cikedewul 1/7 110/80 1 13-12 fraktur post accident 1bln 2 2 amox,pct,ctm,dexa 1
87 ny elin 2404/12 513997492 32 selaawi 110/80 1 46 pulp 1 1 klinda,pct,ctm,dexa 1
88 21 fatimah 4104/10 514429593 58 cijerah 2/3 130/70 1 35 period 1 1 cefad 1
89 kiki sakinah 1029/10 514298338 17 genteng 100/70 1 16 pengisian+GIC 1 1 pct,ctm,selesb 1
90 siti munawaroh 17002141/17 513839878 17 nagrog 1/3 110/60 1 46 gp,abses 1 1 amox,pct,ctm,dexa,bcom 1
91 abdul rahman 2765/11 514667079 18 cijeruk hilir 1/1 110/70 1 36 pulp, eug+ts 1 1 amox,pct,ctm,dexa 1 20
92 22 iis 16001776 43 cikedewul 3/7 120/70 1 46 hp, gic 1 1 pct,seles 1 30
93 sania nurwulida 16001350/2016 515139748 11 pasir wangi 2/8 1 1 36 pulp, tkf+cp 1 1 amox,pct,ctm,dexa 1

∑ = 93 21 14 38 20 34 25 23 10 5 20 24 25 11 7 24 17 8 34 11 21 35 40 49

Mengetahui Tasikmalaya , Juni 2017


Kepala puskesmas karanganyar Pengelola BP Gigi
H. Enjang Nurjamil, S.Kep.,Ners.,MH.Kes Euis Nuryani , AMKG
NIP.19740424 199503 1 002 NIP : 19740720 199803 2 006
LAPORAN HARIAN BP. GIGI PUSKESMAS KARANGANYAR KOTA TASIKMALAYA
BULAN JULI TAHUN 2017

UMUR KELURAHAN JENIS KEGIATAN JENIS KELAINAN

KEL. DENTOFACIAL
EXO GIGI SULUNG
Luar Wilayah

JAMKESMAS
KELAINAN PULPA
TUMPATAN GIGI

TUMPATAN GIGI

PENYAKIT LAIN-
EXO GIGI TETAP
KARANGANYAR
TANGGAL

PERIODONTAL
PENGOBATAN

PENGOBATAN
CILAMAJANG

KEL.PULPA &

UMUM
KARIES GIGI

MALOKLUSI
PERIAPIKAL
APRAS

ASKES
TENSI

JARINGAN
UKGS

LAIN-LAIN

BPJS
SULUNG
NO. NAMA PASIEN NO. KARTU NO. BPJS ALAMAT bb tb DIAGNOSA TERAPI KET

CIBEUTI

BUMIL

PULPA
TETAP
DARAH

LAIN
L P

B L B L
1 31 irna siti n 9667/2014 23 cihonje 1/2 110/70 1 16 period 1 1 pct,dexa,seles 1 R/
2 yati rohayati 17001246 44 tambir 1/9 120/70 1 15'2/exo 1 1 amox,pct,ctm,dexa 1 50
3 02 hilmaida 1585/10 514232886 12 sk sirna 1/4 1 1 73 pst/exo 1 1 pct 1 25
4 syifa 45/12 5 gn lingga 3/12 1 1 61 ulkus/exo 1 1 pct sy 1
5 tn.leli 8098/14 1667625906 42 gn lame 4/6 120/80 1 43 gr 1 1 amox,pct,ctm,dexa 1
6 03 tn mamat 1496/11 1667628742 47 gn lame 1/6 1 47 gp 1 1 amox,pct,ctm,dexa 1
7 ny yanti susanti 514105716 30 pasir wangi 1/11 110/70 1 perbaikan protesa 1 1 pct,dexa,b comp c 1 cetak RA/RB
8 annisa mahardika 17001267/17 20 gn lingga 3/3 100/70 1 36 hp/GIC 1 1 as mef, b comp c 1 GIC 30
9 tn ikin ajat 8786/15 514196155 77 gn subang 150/80 1 47 fuji, 37 eug 2 2 amlod,pct,antasid 1 20
10 roni hartono 1608/13 14 cijerah 3/3 1 1 post erupsi 23 1 1 observ 1
11 alif rizki anugrah 8106/14 168070296 8 cibuyut 1 1 61 pst, exo 1 1 pct 1
12 ny ai siti aisah 514875431 26 tambir 3/5 110/70 1 38 erupsi 1 1 r/-- 1
13 riska cahya m 3357/11 17 cijeruk girang 5/4 110/60 1 36 gp 1 1 amox,pct,ctm,dexa 1
14 akmalludin 10162/15 1667614702 26 nagrog 2/2 120/80 1 18 embedded 1 1 amox,pct,ctm,dexa 1
15 04 davi rio 513404403 12 asta lebak 1 1 36 pulp 1 1 amox,pct,ctm,dexa 1
16 ahmad raya 813/13 6 asta baru 1 1 84 abses 1 1 amox syr,pct,ctm,dexa 1 5
17 tn arip saripudin 38 batu beulah, sukarame 120/70 1 47gp, exo 1 1 amox,pct,ctm,dexa 1 50
18 gilang zamzam 513505563 11 rc bungur 1 1 84 persist, exo 1 1 pct 1
19 ai masniyah 1904/13 514339536 35 rc bungur 110/70 1 9 bl 47 period akut 1 1 cefad,pct 1
20 05 ny maspupah 139/14 513870851 28 selaawi, cibeuti 110/80 1 36 gp 1 1 klinda,pct,ctm,dexa 1 5
21 akmalludin 10162/15 1667614702 26 nagrog 2/2 110/70 1 12 pulp(devit),14 hp(gi) 2 1 1 klinda,asmef,ctm,dexa 1 20
22 riska cahya m 3357/11 17 cijeruk girang 5/4 110/80 1 36 gp, perkusi+,tekan+ 1 1 amox,pct,ctm,dexa 1
23 siti khoerunisa 10200/15 12 sirnagalih 1 1 kontrol gigi 1 1 r/-- 1
24 06 dini aprini 12152/2015 1669106744 25 cibeuti 4/6 120/70 1 37 gingiv polip 1 1 amox,pct,ctm,dexa 1
25 ny wida 17000561/17 26 nagrog 2/2 110/80 1 36 gp 1 1 amox,pct,ctm,dexa 1 5
26 fatir 17101297/17 514573198 6 nagrog 2/2 1 1 51/exo 1 1 pct 1
27 sania 17000233/17 512609207 9 nagrog rt 02/02 1 1 64/exo 1 1 pct 1
28 07 marsa 3160/10 514888468 10 sk asih 2/6 1 1 36 pulp irrev 1 1 amox,pct,ctm,dexa 1
29 ny kokom 22/14 513867824 33 negla 2/11 110/70 1 6bln 15,pp,16gr abses 1 1 1 1 cefad,pct,b com c 1
30 nazril 528/10 514105525 9 sk asih 1 55 abses 1 1 amox,pct,ctm,dexa 1
31 09 arfan nur rizki 3486/11 513681827 6 genteng 2/11 1 1 61/radir 1 1 pct,seles 1
32 hilma syifa 16000376/16 1667480444 8 mekarjaya 4/1 1 1 71 pst/exo 1 1 pct 1
33 mutia rahman 4250/14 513896398 10 cibeuti 4/.4 1 1 83 pst/exo 1 1 pct 1
34 ny wida 17000561/17 26 nagrog 2/2 120/70 1 36 gp,exo 1 1 amox,pct,ctm,dexa 1 50
35 tn riki 76 5/13 514667856 28 cihonje 4/2 110/80 1 36 abses submand 1 1 amox,metro,pct,ctm,b com c 1 riwayat saraf
36 tn ikin ajat 8786/15 514196155 77 gn subang 130/80 1 36 gi 1 1 r/-- 1
37 10 akmaludin 10162/15 1667614702 25 nagrog /2/2 110/70 1 12 gp/tkp/flc 1 1 amox,pct,ctm,dexa 1 20
38 ny nunung 4640/10 46 gn lame 01/06 120/70 1 38 gp 1 1 amox,pct,ctm,dexa 1 5
39 ny yati suviyati 4448/14 513647392 22 gn lame 4/6 110/70 1 65 pst/exo 1 1 amox,pct 1
40 bunga 2086/11 514397237 9 pasir wangi 1/11 1 1 54,85 pst exo 2 2 pct 1 25
41 ny iim rohimah 976/12 513480306 39 pasir wangi 1/11 120/70 1 22 hp/Comp 1 1 amox,pct,ctm,dexa 1 150
42 popi 2034024129 53 cikedewul 1/7 170/100 1 43'1 period/premed 1 1 amox,pct,amlod,seles 1
43 dendi 4701/10 1667624589 8 gn bitung 2/8 1 1 51 pst/exo 1 1 amox,flucadex (bp.umum) 1
44 ito warsito 2341/11 44 cibogo 1/3 130/70 1 26 gp/exo 1 1 cefad,pct,dexa,ctm 1 50
45 abdul rahman 2765/11 514667079 18 cijeruk hilir 1/1 110/70 1 36 eug+ts 1 1 asmef,dexa 1
46 11 ny titing 15573/15 28 cihonje 120/70 1 44 pulp 1 1 amox,pct,ctm,b con c 1 5
47 m kholis 1466/11 70519138 64 cijerah1/2 180/110 1 37 pp 1 1 amox,pct,ctm,amlodipin 1
48 12 ny karlina 3800/11 514212838 36 gn bitung 2/8 130/90 1 48,46 abses 2 2 amox,pct,dexa,ctm 1
49 tn aep saepudin 53 bojong parang 29/10 120/80 1 46 post exo,45 pp 1 1 1 1 amox,asmet,ctm,dexa 1 5
50 zira 17001328/17 4 cibeuti3/6 1 1 ra/rb gr 1 1 amox sy,pct sy 1 5
51 13 an azka 719/3/2012 5 sk senang 1 1 64,84 ulcus/exo 1 1 amox sy,pct sy 1 50
52 akmaludin 10162/15 1667614702 25 nagrog /2/2 120/70 1 12 gp/chkm+flc 1 1 antasid 1 30 x
53 napsah 513530324 9 cijeruk hilir 3/1 1 1 46 hp/eug+flc 1 1 amox,pct,dexa 1
54 14 amelia putri 3045/10 514126157 7 tamansari 2/3 1 1 72,82 pst 2 2 amox sy,pct sy,truvit sy 1
55 aji maulana 17101332/17 513318363 20 cibuluh 4/11 110/70 1 46 gr,47 gp abs 1 1 1 1 amox,pct,ctm,dexa 1
56 sopiah 2584/10 48 sk.asih 2/6 190/90 1 18,27,28,38,48 gp abs 1 1 amox,pct,dexa 1
57 16 kholis 70519138 65 cijerah 190/90 1 37 period 1 1 cepa,asmet,ctm,dexa 1 askes
58 nadiyah niswatun 17001340/17 15 cijeruk hilir 100/70 1 1 37 gp abses 1 1 amox,pct,dexa,ctm 1 5
59 karlina ny 3800/11 514212838 36 gn.bitung 2/8 110/70 1 46,48 period 2 2 pct,bcom,antasid 1
60 rani 2504/12 514213367 19 gn.bitung 2/8 110/70 1 47 pp 1 1 amox,pct,ctm,dexa 1
61 denis darusman 514632172 19 tambir 05/03 110/70 1 21 pp & supernumerary labial hp 2 2 amox,pct,ctm,dexa 1
62 empat 17000049/17 42 pangkalan 1/4 karikil 150/100 1 26 gr,27 gr,37 gr,38 gp 1 3 1 3 amox,pct,ctm 1
63 agi agustian 112/11 514948577 12 conggeang 3/11 29 143 1 1 85 gr/ abs submandibularis 1 1 r/-- 1
64 ny tuti yohani 004/12 47 tambir 2/5 120/80 1 38 abs impaksi 1 1 amox,pct,ctm,dexa 1 5
65 abdul rahman 2765/11 514667079 18 cijeruk hilir 1/1 110/70 1 36 eug+ts 1 1 amox,asmef,dexa,ctm 1 20
66 rizki 2608/11 513864999 10 asta lebak 4/8 1 1 55 pst/exo 1 1 amox,pct,dexa 1
67 ny kokoy 2252/12 514262632 33 genteng 110/70 1 38 impaksi 1 1 amox.pct.dexa,ctm 1
68 yayat 17101368/17 57 saguling pjng 110/70 1 27 abrasi & kalkulus 1 1 clinda.pct,ctm,antas 1 10
69 17 raisya 302/14 4 asta gn batu 1 1 75 abs 1 1 amox sy,pct,ctm,dexa(pulv) 1 5
70 ami karmilah 514/13 514687522 28 cijeruk hilir 1/1 110/70 1 18 impak 1 1 amox,pct,ctm,dexa 1
71 lismawati 16002186/16 28 cihonje 3/2 110/70 1 35 distal hp/eug,36 mesial hp/GIC 2 2 amox,pct,ctm,dexa 1 50
72 siti nugraha 17000229/17 21 cibogo 02/05 110/80 1 38 abs 1 1 amox,pct,ctm,dexa 1 5
73 fajar maulana 674/12 514441405 10 rancabungur 1 1 53 pst/exo 1 1 pct 1
74 18 nana 2016/13 513382937 43 tamansari 5/3 120/80 1 27 abrasi 1 1 amox,pct,ctm,dexa 1
75 engkoy 3538/11 514580624 53 cibuyut 2/1 150/80 1 27 pulp 1 1 amox.pct.dexa,amlod 1
76 denis darusman 2259/10 514632172 19 tambir 05/03 110/70 1 21 pp & supernumerary labial hp 2 2 r/-- 1 Rujuk
77 ajang sambas 2582/13 64 sukarame 130/80 1 14,15,16 gr 3 3 amox.pct.dexa,ctm,seles 1 5
78 tn yayat 17101368/17 57 saguling pjng 180/100 1 27 pd 1 1 cepa,metampiron,ctm,amlodipin 1
79 19 dede aan m 12119/15 515121524 20 tambir lapang 01/05 120/80 1 47 gp 1 1 amox,pct,ctm,dexa 1
80 ny amiroh 2215/11 513506665 67 tambir baru 03/05 150/90 1 37/gp abses 1 1 amox,pct,ctm,dexa 1
81 abdul rahman 2765/2011 514667079 18 cijeruk hilir 120/70 1 36 gp/exo 1 1 amox,pct,ctm,dexa 1
82 ny uun 54 gn subang 03/02 130/80 1 46,47,45 gr abse 3 3 amox,pct,ctm,dexa 1 5
83 ny susi 566/11 5142227857 30 tambir 4/5 100/70 1 38 impaksi 1 1 amox,pct,ctm,dexa 1
84 ny ika surtika 17001375/17 56 cibeuti 01/06 110/80 1 34 gp/exo 1 1 amox,pct,ctm,dexa 1 50
85 viviana 12001129/17 20 cibeuti 01/06 100/70 1 47 tkp/flr 1 1 amox,asmt,ctm 1 20
86 anissa 17001262/17 20 gn lingga 110/70 1 36 gp/exo 1 1 amox.asmet,ctm,dexa 1 50
87 ny nurhayati 1699/17 513519996 41 ranca gede 02/10 120/80 1 15,14 gp abses 2 2 amox,pct,ctm,dexa 1
88 20 nazwa khairunnisa 8 cikedewul 3/7 1 1 81 pst/exo 1 1 pct 1
89 napsah 513530324 9 cijeruk hilir 3/1 1 1 46 hp/GIC, 36 gp 1 1 1 1 amox,pct,ctm,dexa 1
90 21 ajo warlijo 9703/14 513916143 47 negla 1/11 120/70 1 25 period abs 1 1 amox,pct,dexa 1 demam
91 reihan m.farhan 17100029/17 1795437347 16 sudimara karikil 2/8 1 gingivitis RB 1 1 pct,seles 1
92 23 isti aminatul 2885/11 51450514 18 asta baru 110/70 1 21-22 pulp irrev 2 2 klinda,pct,ctm,dexa 1
93 tn kholis 1466/11 70519138 64 cijerah 180/100 1 37 gp 1 1 cefad,pcr,ctm,amlod 1
94 ny dini 1669106744 24 cibeuti 90/60 1 37 gp 1 1 asmef,selesb 1
95 ny nurhayati 1699/12 513519996 41 ranca gede 150/90 1 14 abses 1 1 amox,pct,ctm,b com c 1
96 ghein nur ainun 1329/12 515311593 13 asta baru 100/70 1 37 post erupsi, kel.submand teraba,sakit 1 1 r/-- 1 rujuk bp umum
97 ny uun 54 gn subang 03/02 120/80 1 46,47,45 gr (exo) 3 3 amox,pct,ctm,dexa 1 150
98 dirham 2393/13 51346334 8 gn subang 02/02 1 1 74,84,85 gr (exo) 3 3 amox,pct,ctm,dexa 1 50
99 siti munawaroh 513839878 17 nagrog 110/70 1 46 abses 1 1 amox,pct,ctm,dexa 1
100 tn irpan 515303739 39 cikedewul 120/80 1 46 abses 1 1 klinda,pct,ctm,dexa,antasid 1
101 ahmad rifa 2633/10 512628091 18 asta baru 110/70 1 27, polip, 47 pulp 2 2 amox,asmef,ctm,dexa 1
102 24 rina 2361/11 2120638318 8 selaawi,kr anyar 1 1 62 pst, exo 1 1 pct 1
103 dani romdon 2250/10 513673569 12 cicondong 2/9 cbt 1 1 46 gp 1 1 amx,pct,dexa,ctm 1
104 ny engkoy 3538/11 514580624 53 cibuyut 2/1 130/80 1 27gp/Exo GDS 104MG/DL 1 1 amx,pct,dexa,ctm 1
105 ny teti 2498/12 512598688 35 cikedewul3/3 150/90 1 16 puji 1 1 pct,amolodipi 1
106 ridwan maulana 9834/15 513772029 18 saguling pjng 110/70 1 36 pulp 1 1 klinda,pct,ctm,dexa 1
107 25 nana 1119/11 513482444 47 cibuyut 1/1 120/80 1 28 gp 1 1 amox,pct,ctm,dexa 1
108 saepul mikdar 160/12 16 cibuyut 1/1 100/70 1 36 distal pp 1 1 amox,pct,ctm,dexa 1 5
109 nurru husni 317/2013 515044168 6 segleng 1 1 54-55 abses, 71 pst/exo 1 2 2 1 amox,pct,ctm,dexa 1
110 ny elis 723/12 36 gn malang 120/70 1 27 (o), 46 (mb) hp/eug+ts 2 2 klinda,pct,ctm,dexa 1 40 (eug)
111 aas salamah 17100616/17 13 cilamajang 100/70 1 1 46 pulp 1 1 klinda,pct,ctm,dexa 1 5
112 iik sariqul ulum 17101404/17 2041128663 20 cibuyut 2/1 110/70 1 37 pulp, 38 impaksi 1 1 1 1 amox,pct,ctm,dexa 1
113 ny nurhayati 1699/12 513519996 40 rc gede 130/80 1 14 gp/exo 1 1 amox,pct,ctm,dexa 1
114 26 siti munawaroh 17002141/17 513839878 18 nagrog 110/70 1 46 gr/exo 1 1 amox,asmef,ctm,dexa 1
115 arip 487/10 514361002 8 cijerah kulon 04/03 1 1 26 gp abses 1 1 amox,pct,dexa,ctm 1
116 denis darusman 2259/10 514632172 19 tambir 05/03 110/70 1 21 gp/devit+ts 1 1 pct,seles 1 20
117 ny yeni 11290/15 514258569 25 gn malang 4/9 110/70 38 impaksi 1 1 amox,pct,dexa,ctm 1
118 iik sariqul ulum 17101404/17 2041128663 20 cibuyut 2/1 110/70 1 37 pulp, 38 impaksi 1 1 1 1 1 rujukan 1 rsu.dr soekardjo/bm
119 napsah 16001801/16 513530324 9 cijeruk hilir 3/1 1 1 36 pul/ars+ts 1 1 amox.pct,ctm,dexa 1 20
120 ahmad rifa 2633/10 512628091 18 asta baru 110/70 1 46 gp/exo 1 1 amox.pct,ctm,dexa 1
121 27 ny yeti 033/13 514529752 34 gn bitung 2/8 120/70 1 37 abses, gp 1 1 amox.pct,ctm,dexa 1
122 ridwan maulana 513772029 15 saguling pjng 1/7 100/70 1 36 gp/exo 1 1 amox.pct,ctm,dexa 1
123 ajo warlijo 9703/14 513916143 47 negla 110/70 1 25 period/exo 1 1 amox.pct,ctm,dexa 1
124 ny yusmayanti 0562/11 45 cijeruk girang 5/4 120/80 1 36,37, gr 2 2 amox,pct,ctm,dexa 1
125 hj ai atih 40 gn bitung 3/8 120/70 1 11,12,21 hp 3 3 pct,selesb 1 gi (90)
126 hj nonoh nurhasanah 2038/14 1400073873 53 selaawi 110/80 1 rujuk 1 1 r/-- 1 k05.3 RS.JK
127 28 viviana 17001129/17 20 cibeuti 100/70 1 47 tkp tetes 1 1 klinda,pct 1 20
128 yeni 146/14 1667629855 18 tambir 100/70 1 46 chkm/fct 1 1 amox,pct,ctm,dexa 1 20
129 ai siti aisyah 2163/10 514875431 26 tambir 110/80 1 48 hp, 38 pro rujuk 2 1 1 pct,bom,ctm 1
130 reni safira 16001184/16 513750745 16 sk senang rt 01/07 100/80 1 36 pulp/ eug+ts 1 1 amox,pct,ctm 1 20
131 tn furkon 15113/2015 1280677937 31 sudimara 120/80 1 17 (d)/ eug+ts 1 1 pct,seles 1
132 30 ADITYA maulana 6003/14 514803609 7 genteng 1/11 1 1 84-85 abses 2 2 amox,pct,ctm,dexa 1
133 wulantika 2344/13 1667612013 13 cijeruk girang 2/4 100/70 1 1 21 HP (m)/GIC 1 1 pct,seles 1 gi
134 ny desi natalia 17001435/17 1667630158 32 palasari 120/70 1 45 pulp 1 1 klinda,pct,ctm,dexa,antasid 1
135 eti nurhayati 17001438/17 44 cijeruk girang 120/70 1 14 pulp/devit+ts,15 (m)hp/gi 2 1 1 klinda,pct,ctm,dexa 1 20
136 andini 441/2014 514431808 14 cijerah 2/3 100/70 1 gingivitis RB 1 1 pct,seles 1
137 nia 2642/11 514431448 26 cijerah 2/3 110/80 1 11 hp/eug+flc 1 1 pct,seles 1 20

∑ = 137 42 15 51 29 67 20 41 7 33 39 17 22 45 20 31 31 18 37 58 44 2 2 89

Tasikmalaya , JuLi 2017


Mengetahui Pengelola BP Gigi
Kepala puskesmas karanganyar

Euis Nuryani , AMKG


H. Enjang Nurjamil, S.Kep.,Ners.,MH.Kes NIP : 19740720 199803 2 006
NIP.19740424 199503 1 002
LAPORAN HARIAN BP. GIGI PUSKESMAS KARANGANYAR KOTA TASIKMALAYA
BULAN AGUSTUS TAHUN 2017

UMUR JENIS KUNJUNGAN KELURAHAN JENIS KEGIATAN JENIS KELAINAN

KEL. DENTOFACIAL
Luar Wilayah

EXO GIGI SULUNG

JAMKESMAS
KELAINAN PULPA

PENYAKIT LAIN-
TUMPATAN GIGI

TUMPATAN GIGI
KARANGANYAR

EXO GIGI TETAP


TANGGAL

PERIODONTAL
PENGOBATAN

PENGOBATAN
CILAMAJANG

KEL.PULPA &

UMUM
KARIES GIGI

MALOKLUSI
PERIAPIKAL
APRAS

ASKES
TENSI

JARINGAN
UKGS

LAIN-LAIN

BPJS
SULUNG
NO. NAMA PASIEN NO. KARTU NO. BPJS ALAMAT bb tb DIAGNOSA TERAPI KET

CIBEUTI

BUMIL

PULPA
TETAP
DARAH

LAIN
L P L P

B L B L
1 31 viviana 17001129/17 20 1 cibeuti 110/70 1 47 gp, chkm 1 1 asmef, selesb 1 19-Jan-00
2 01 desi natalia 2313/12 1667630158 32 1 palasari 3/10 120/70 1 44 gp/exo 1 1 amox,pct,ctm,dexa 1
3 dennis 2259/10 514632172 19 1 tambir 100/70 1 21 hp/eug+ts (ulang) 1 1 pct,seles 1 82399139077
4 ny elin 2404/12 513997492 32 1 selaawi 110/80 46 period 1 1 amox,pct,ctm,dexa 1
5 dina 3036/10 200604429 16 1 cijerah 2/3 100/70 1 85 abs 1 1 amox,pct,ctm,dexa 1
6 02 syarin khotimah 17000038/17 6 1 batu beulah 1 1 85 abs 1 1 amox,pct,ctm,dexa 1 5
7 maspupah 139/14 513870851 28 1 selaawi 5/4 120/70 1 37 gp 1 1 amox,pct,ctm,dexa 1
8 nia 2642/11 26 1 cijerah 2/3 120/80 1 21 hp/eug+ts (ulang) 1 1 pct 1
9 anas abdul nasir 3866/11 1667626222 15 1 tambir baru 3/5 100/70 1 36 gp 1 1 amox,pct,ctm,dexa 1

10 tyas 2823/10 7 1 cibogo 2/5 17.5 1 1 mucocele bibir bawah kanan 1 1 pct 1 pro rujuk

11 iik sariqul ulum 17101404/17 2041128663 20 1 cibuyut 2/1 15 110/70 1 37 pulp/Rujuk 1 1 r/-- 1 rsud konservasi gigi
12 03 dina 3036/10 200604429 15 1 cijerah 100/70 1 1 85 gr, exo 1 1 pct 1
13 ahmad raihan 639484064 13 1 selaawi 3/5 1 1 46 gp 1 1 amox,pct,ctm,dexa 1 82332083965
14 napsah 16001801/16 513530324 10 1 cijeruk hilir 3/1 1 1 36 gp, chkm 1 1 pct,dexa 1
15 04 tasya 684/12 206797926 9 1 salawi 32 1 1 73 pst/exo 1 1 pct,truvit 1
16 yeni 146/14 1667629855 18 1 tambir 3/5 100/70 1 46gr exo,47 tkp/fct 1 1 amox,pct,ctm,dexa 1 20
17 06 revi agus 1945/10 514149862 9 1 gn subang 1 1 51,52 pst/exo 2 2 amox,pct,dexa 1 25

18 iim rohimah 3834/11 36 1 saguling pjg 120/70 1 36 gr, abses 1 1 amox,metro,asmef,ctm,dexa, 1 5


antas
19 ny tini 2312/11 513670937 49 1 cihonje 120/80 22 gr 1 1 klinda,pct,ctm,dexa 1
20 ny nia 2642/11 514431448 26 1 cijerah 110/70 1 11 hp/gi 1 1 r/-- 1
21 nabil an nazila 157/14 tambir desa 1 74 pulp 1 1 amox,pct,ctm,dexa
22 ny hj nandah 74 1 bojong parang 30/10 130/70 1 31 gr/exo 1 1 amox,pct,ctm,dexa 1 50
23 aditya m. 6003/14 514803609 7 1 genteng 1/11 1 1 85 pulp 1 1 truvit sy,amox sy 1
24 resa wulandari 1260/12 15 1 saguling 4/3 100/70 1 1 21 gp/gutap+tkf 1 1 clinda,pct 1 20
25 07 ny yanti 3192/14 514105716 30 1 psr wangi 110/70 1 kehilangan gigi/stomatitis 1 1 amox,pct,ctm,dexa 1
26 ny erika 17000972/17 26 1 gn subang 100/80 1 48 pulp irrrev 1 1 klinda,pct,ctm,dexa 1 5
27 ny acih 13919/15 513501006 73 1 asta gn batu 120/70 1 11 abses period 1 1 cefad,pct,antasid 1
28 m gilang 2197/13 4 1 tambir 5/5 1 1 74 pulp 1 1 amox syr,pct,ctm,dexa 1 5
29 napsah 16001801/16 513530324 10 1 cijeruk hilir 3/1 1 1 36 gp, tkf 1 1 pct,dexa 1 20
30 dennis darusman 2259/10 514632172 19 1 tambir 5/5 110/70 1 21 pulp rev/gi 1 1 pct, selesb 1
31 viviana 17001129/17 20 1 cibeuti 110/70 1 47 gp, chkm 1 1 asmef, selesb 1
32 08 ahmad raihan 639484064 13 1 selaawi 3/5 1 1 46 gp, tkf 1 1 pct, dexa 20
33 tn juin 665/10 514346804 71 1 asta baru 130/80 26-27 gr abses period 1 1 amox,pct,ctm,dexa 1
34 fachrul 606 3/ 7 1014707542 12 1 tambir 2/5 22 1 36 pulp 1 1 amox,pct,ctm,dexa 1
35 ny heni 4440/14 37 1 cibuyut 01/01 120/80 1 24 pulp 1 1 klinda,pct,ctm,dexa 1 5
36 tn nana 1119/11 513482444 47 1 cibuyut 01/01 170/90 1 38 abses 1 1 amox,pct,ctm,dexa 1
37 elin 2404/12 513997492 32 1 selaawi 4/5 110/80 1 46 gp abses 1 1 amox,pct,ctm,dexa 1
38 09 tn abdul hakim 17101498/17 513894835 34 1 cijeruk girang 4/4 110/70 1 18 abses 1 1 amox,metro,pct,dexa 1
39 yasvi alvi nur 17001500/17 8 1 negla 3/11 1 1 46 pulp irrev 1 1 amox,pct,ctm,dexa 1 5
40 nabil an nazla 157/14 3 1 tambir 2/5 1 75 pulp/eug+flc 1 1 pct,amox sy 1 20
41 10 resa wulandari 1260/12 15 1 saguling 4/3 100/70 1 1 21 gp/gutap+chkm 1 1 pct,dexa 1 20
42 ashfia nurrofi 17001507/17 70537419 16 1 cihonje 110/70 1 37 pulp 1 1 klinda,pct,ctm,dexa 1
43 tn usep sudrajat 1030/13 56 1 negla 1/11 120/70 1 31-32 period 1 1 amox,pct,ctm,dexa 1 5

44 napsah 16001801/16 513530324 10 1 cijeruk hilir 3/11 1 1 36 gp/pengisian kamar 1 1 amox,pct,ctm,dexa 1


pulpa(iod+GIC)
45 11 rani kartini 17001509/17 17 1 cibuyut 4/6 110/70 1 post erupsi gigi 12? 1 1 pct 1 5
46 Koko 2091/12 1669106496 41 1 cibeuti pabrik 4/6 120/70 1 28 gp, pak 1 1 klinda,pct,ctm,dexa 1
47 juin 665/10 514346804 71 1 asta baru 1/10 120/80 1 27-28 gr, pak 2 2 klinda,pct,ctm,dexa 1
48 tn didin 3950/10 514397981 49 1 cicondong 110/70 1 41 period post trauma 1 1 amox,pct,ctm,dexa 1

49 yeni septiyeni 146/14 1667629855 18 1 tambir 3/5 100/70 1 47 gp/pengisian kamar 1 1 r/-- 1
pulpa(cressopat+GIC)
50 yeti suyeti 1122/11 1667612338 42 1 negla 1/11 110/70 25 pulp 1 1 klinda,pct,ctm,dexa 1
51 risma 1804/11 1667624703 15 1 cibuyut 2/2 100/70 1 1 36 hp/ GIC 1 1 pct 1
52 elin 2404/12 513997492 32 1 selaawi 4/5 110/70 1 46 pulp? 1 1 klinda,pct,dexa 1
53 13 ahmad raihan 639484064 13 1 selaawi 3/5 36 1 1 46 gp/chkm+flc 1 1 pct, dexa 1 20

54 melani dewi putri 17000055/17 15 1 sd wangi 3/2 mgkubumi 90/70 1 46 gp/exo ≠ 1 1 amox,pct,dexa 1 25 (syok blm
sarapan,ditangguhkan)

55 ny wati 17001521/17 54 1 saguling pnjg 2/6 130/70 1 11 gr 1 1 1 amox,pct 1 5 (riwayat


epilepsi,premedikasi k rsud)
56 reva amelia 675/10 7 1 bj gaok 3/1 1 1 85 gr (mesial), exo 1 1 pct 1 25
57 ashfia nurrofi 17001507/17 70537419 16 1 cihonje 110/70 1 37 gp 1 1 amox,pct,ctm,dexa 1
58 viviana 17001129/17 20 1 cibeuti 1/6 110/70 1 47 gp, chkm+flc 1 1 asmef, selesb 1 20

59 14 ny itoh 2313/17 43 1 karikil 120/70 1 impaksi&embedded 48, sakit 1 1 pct 1 gangguan jiwa?
gigi
60 ny fitriyani 2852/11 514400567 24 1 cijeruk hilir 110/70 1 37 pulp irrev/ eug+ts 1 1 pct,dexa 1 20
61 aspi 17001530/17 513858666 21 1 cibeuti 110/80 1 37 pulp/ eug+ts 1 1 pct,dexa 1 20
62 jajang 7374/14 513733678 25 1 saguling 3/9 110/75 1 28 gp 1 1 amox,pct,ctm,dexa 1
63 yeti suyeti 1122/11 1667612338 42 1 negla 120/70 1 25 gp/ exo 1 1 amox,pct,ctm,dexa 1
64 ny depa kartika 17001531/17 17 1 saguling pjg 110/70 1 37 gp 1 1 amox,pct,ctm,dexa 1 5

65 resa wulandari 1260/12 15 1 saguling pjg 110/70 1 46 gp/ exo, 21 gp/ chkm+flc 1 1 1 1 amox,pct,ctm,dexa 1 70

66 mulyadi 17101533/17 25 1 genteng 2/11 110/75 1 37 abses, 46 pulp 1 1 1 1 amox,asmef,ctm,dexa 1 5


67 ny teti 2493/12 512598688 35 1 cikedewul 110/80 1 16 gp, tambalan lepas 1 1 cefad,pct, b com c 1
68 15 melani dewi putri 17000055/17 15 1 sd wangi 3/2 mgkubumi 100/70 1 46 gp/exo 1 1 amox,pct,ctm,dexa 1 50
69 hj cicih 72051333 82 1 gn subang 180/100 1 43 gp/radir 1 1 amox,pct,amlod 1
70 fachrul 1014707542 12 1 tambir desa 1 1 36 pulp/ devit+flc 1 1 amox,pct,ctm,dexa 1 20
71 ny suryamah 267/10 71973336 54 1 cihonje 130/70 1 36 gr, exo 1 1 amox,pct,ctm,dexa 1
72 sumiati 2390/10 49 1 cijeruk girang 3/4 110/70 1 36 pulp 1 1 klinda,asmef,ctm,dexa 1 5

73 ny nurhayati 1699/12 513519996 40 1 ranca gede 2/10 130/90 1 15 pulpitis/ devit+flc K-1,24 hp 1 1 1 1 klinda,pct,ctm,dexa 1 20

74 ratu aisa 4638/10 1667612373 10 1 negla 1 1 83 pst,exo 1 1 pct 1


75 nabil an nazla 157/14 3.9 1 tambir 2/5 1 1 75 pulp/calcyl+flc 1 1 pct,dexa (pulv) 1 20
76 17 atik kusmiati 1255/12 515073093 34 1 cicondong 3/6 120/70 1 37 hp/GIC 1 1 amox,pct,ctm,dexa 1
77 viviana 17001129/17 20 1 cibeuti 1/6 110/70 1 47 gp, chkm+flc 1 1 amox,pct,ctm,dexa 1
78 epit diana 16000805/2016 1 gn subang 2/2 110/70 21 gp abs 1 1 amox,pct,ctm,dexa 1
79 18 ny fitriyani 2852/11 514400567 24 1 cijeruk hilir 110/70 1 1 1 pct,selesb 1 1 20

80 ashfia nurrofi 17001507/17 70537419 16 1 cihonje 110/70 1 37 gp,exo 1 1 amox,pct,ctm,dexa,b comp c 1

81 ny lastri 1753/12 513777914 49 1 genteng 2/1 120/80 1 26, abrasi ec GTSL/gic 1 1 klinda,flucadex,b comp c 1

82 aspi uswatunnisa 17001530/17 513858666 20 1 cibeuti 3/6 100/70 1 37 hp/ gic 1 1 pct,seles 1
83 tn utep 17101552/17 44 1 gn subang 3/12 110/80 1 27 period 1 1 cefad,pct,ctm,dexa,b comp c 1 5
84 paidah 12199/15 1667624692 17 1 sk asih 2/6 110/80 1 36 pp 1 1 amox,pct,ctm,dexa 1
85 20 robi alwali 15993/16 513862176 6 1 cijeruk hilir 2/1 1 1 51 ulkus dekubitus/radir 1 1 amox,solafluz 1 panas,batuk,pilek
86 cecep saad 17101556/17 24 1 cijeruk girang 1/4 110/70 1 36 gp/exo 1 1 amox,pct,ctm,dexa 1 50
87 resa wulandari 1260/12 14 1 saguling pjg 100/70 1 1 21 gp/tkf,11 hp(m) fujiix 2 1 1 amox,pct,ctm,dexa 1 50
88 keyla 1198/11 8 1 cihonje 1 1 36 pulp/eug, 75 gr 1 1 1 1 cefad syr, pct,dexa 1 20
89 nurhayati 1699/12 513519996 40 1 rc gede 110/70 1 15 chkm,24 devit 2 2 asmef,dexa,b comp c 1 40
90 m gian 4513/10 513954088 6 1 conggeang 1 1 71 pst, exo 1 1 pct 1
91 21 ny lastri 1753/12 513777914 49 1 genteng 2/1 120/80 1 26 pulpitis,pal+bukal 1 1 klinda,pct,dexa 1
92 husen 67/13 513479057 48 1 cihonje 1/2 130/70 1 17 period abs bukal 1 1 klinda,pct,dexa,ctm 1
93 yeti suyeti 1122/11 1667612338 42 1 negla 1/11 110/70 1 25 kontrol post exo 1 1 amox,pct,ctm,dexa 1
94 nia samrotul robiah 419/11 10 1 cicondong 1 1 36 pulpitis 1 1 amox,pct,dexa 1 5 (#kooperatif)
95 22 rini susanti 14511/15 514409073 22 1 cibogo 2/5 110/70 1 37 gp 1 1 amox,pct,ctm,dexa 1

96 sahrul 2187/14 4 1 genteng 3/11 1 1 51 fraktur sebagian 2 2 truvit sy 1 5


tajam/radir,61 protusif

97 m rizki utama 10261/15 7 1 asta pasir 2/10 1 1 stomatitis RB 1 1 amox,pct,ctm,dexa 1


98 ISMAIL 3010/10 514610583 17 1 asta gn batu 100/60 1 17 pulp 1 1 klinda,pct,ctm,dexa 1
99 23 siti nur saadah 16001868/16 512978668 12 1 cibogo 4/3 cibeuti 1 1 36 gp, abses 1 1 amox,pct,ctm,dexa 1
100 tn andri 657/10 514299161 37 1 cijerah 3/3 110/70 1 12 hp/ eug&GIC 1 1 pct,selesb 1
101 keyla 1198/11 8 1 cihonje 1 1 36 fuji, 75 gr 1 1 1 1 truvit 1 30

102 ny nurhayati 1699/12 513519996 40 1 ranca gede 2/10 130/90 1 15 gp/ chkm+flc k-2, 24 hp/gic 1 1 1 1 klinda,pct,ctm,dexa 1 50

103 m azam 16101917/16 5.5 1 cibeuti 4/6 1 1 75 gp abs 1 1 amox sy,pct sy 1 5


104 sahrul muhaemim 1867/13 15 1 cibuyut 2/1 100/70 1 1 12 period,21 gr abs 2 2 amox,pct,ctm,dexa 1 5
105 24 ny dede atika 4457/10 513475222 36 1 cijerah 120/70 1 27,28 pulp 2 2 klinda,pct,ctm,dexa 1

106 diana sari 2336/10 513219082 15 1 tambir 2/5 1 1 abses submand, 45 karies 1 1 amox,metro,pct,ctm,dexa, b 1
media? com c
107 dewi lestari 3631/10 514484008 18 1 cicondong 100/70 1 1 36 gp 1 1 amox,pct,ctm,dexa 1
108 resa wulandari 1260/12 15 1 saguling pjg 4/3 100/70 1 21 gp/gutaf+tkf+flc 1 1 amox,pct,ctm,dexa 1

109 25 ny nita 1272/11 514011519 37 1 asta lebak 110/70 1 36 periodontitis,, calc ++++ 1 1 klinda,asmef,ctm,dexa 1

110 elsa 140/11 514345138 19 1 selaawi 5/4 100/70 1 15 pulp 1 1 asmef,dexa 1 devit (20)
111 delina 1653/10 513462137 9 1 genteng 1 1 46 pulp 1 1 amox,pct,ctm,dexa 1

112 fatma azqia 8703/14 3 1 cijerah 1 1 62 pulp 1 1 amox 1 5


syr,pct,ctm,gg,dexa,truvit
113 gilang 505/10 513505664 11 1 rc bungur 1 1 74 pst, exo 1 1 pct 1
114 isoh kholisoh 2034/11 515271824 30 1 cijeruk girang 2/4 110/80 1 pro skeling 1 1 r/-- 1
115 tn darul 17101058/17 514338157 52 1 cibeuti 120/80 1 31 period, 1 1 amox,pct,ctm,dexa 1
116 rifki fadil 3669/14 9 1 cijeruk girang 1 1 36 hp/GIC 1 1 amox,pct 1
117 27 ravi hasbi 7 1 tambir 5/5 1 1 konsul rampan karies/obs 1 1 r/-- 1
118 siti nur saadah 16001868/16 512978668 13 1 cibogo 4/3 cibeuti 1 1 36 gp, abses 1 1 amox,pct,ctm,dexa 1
119 ny elis ishawati 17000106/17 36 1 bojong parang 110/70 1 18 gp/exo 1 1 amox,asmet,ctm,dexa 1 100
120 ny darsanah 71851252 52 1 cibuyut 1/1 160/100 1 stomatitis 36 abses 1 1 cepa,pct,dexa,ctm 1 5
121 mira 17000107/17 20 1 sinargalih 24/9 110/70 1 37 gp/exo, scalling RA+RB 1 1 2 amox,pct,ctm,dexa 1 250
122 28 elsa 140/11 514345138 19 1 selaawi 5/4 cibeuti 100/70 1 15 pulp irrev 1 1 r/-- 1 chkm (20)
123 dede ropah 17001608/17 514665955 24 1 gn bitung 3/8 110/80 1 46 pulp irrev 1 1 klinda,pct,ctm,dexa 1 devit (20)
124 elna ayu 10196/2015 5 1 negla 1/11 1 1 55 pulp irrev, eug+ts 1 1 pct syr 1 ukgs
125 ny idas hindasah 17001611/17 52 1 cicondong 3/9 150/90 1 36 pulp, 37 gr 1 1 1 1 amox,pct,ctm,dexa 1 5

126 ny nunung 2437/11 35 1 cijeruk girang 120/70 1 abses submand, 36-35 2 2 amox,metro.pct,ctm,dexa,b 1 5
comp c
127 nia kurniasih 17000003/17 42 1 sk mulya 7/2 110/70 1 14 pulp, 48 gr 1 1 1 1 klinda,pct,ctm,dexa 1 5
128 raihan 6 1 sukaraja 1 1 51 abses 1 1 amxsrp,pct 1 5
129 sofia kamila 13079/2015 4 1 bojong 21/5 sukarame 1 1 51,61 rampan karies 2 2 r/-- 1
130 29 ny nurhayati 1699/2012 513519996 40 1 ranca gede 2/10 120/70 1 15 gp/tkf +flc k-3 1 1 1 1 amox,pct,ctm,dexa 1 20
131 resa wulandari 1260/12 15 1 saguling pjg 100/70 1 21 chkm 1 1 r/-- 1 20
132 tn eman 17513/16 34 1 cibeuti 1/6 110/80 1 47 devit 1 1 klinda,pct,ctm,dexa 1 20
133 ny heni 917/13 513947766 28 1 tambir lapang 1/5 110/90 1 38 pulp 1 1 klinda,pct,ctm,dexa 1
132 30 rahma 2320/11 513856708 9 1 cijeruk girang 2/4 1 1 36 hp/ GIC 1 1 pct 1
133 nia kurniasih 17000003/17 42 1 sk mulya 7/2 110/70 1 14 pulp/devit+flc, 48 gr 1 1 1 1 klinda,pct,ctm,dexa 1
134 maryamah 1012/10 47 1 sukasenang 1/7 120/80 1 24,25 abrasi/ GIC 2 2 pct,seles 1
47 1 39 10 8 36 17 20 47 36 21 33 56 5 1 73
jml 134 38 97 24 14 55 42

Mengetahui Tasikmalaya , Agustus 2017


Kepala puskesmas karanganyar Penanggungjawab BP Gigi

H. Enjang Nurjamil, S.Kep.,Ners.,MH.Kes drg. Ameilia Hendra Kania


NIP 19740424 199503 1 002 NIP 19820531 201503 2 002
LAPORAN HARIAN BP. GIGI PUSKESMAS KARANGANYAR KOTA TASIKMALAYA
BULAN SEPTEMBER TAHUN 2017

UMUR JENIS KUNJUNGAN KELURAHAN JENIS KEGIATAN JENIS KELAINAN

KEL. DENTOFACIAL
EXO GIGI SULUNG
Luar Wilayah

JAMKESMAS
KELAINAN PULPA
TUMPATAN GIGI

TUMPATAN GIGI

PENYAKIT LAIN-
KARANGANYAR

EXO GIGI TETAP

PERIODONTAL
TANGGAL

PENGOBATAN

PENGOBATAN
CILAMAJANG

KEL.PULPA &

UMUM
KARIES GIGI
PERIAPIKAL

MALOKLUSI
APRAS

ASKES
TENSI

JARINGAN
UKGS

LAIN-LAIN

BPJS
SULUNG
NO. NAMA PASIEN NO. KARTU NO. BPJS ALAMAT bb tb DIAGNOSA TERAPI KET

CIBEUTI

BUMIL

PULPA
TETAP
DARAH

LAIN
L P L P

B L B L

1 01 elna ayu nur 10196/15 2127528505/URUG 5.7 1 negla 1/11 1 1 55 pulp, gic 1 1 pct sy 1 ukgs
2 susi susilawati 566/11 514227857 31 1 tambir 4/5 120/70 1 48 gr/premed 1 1 amox,pct,ctm,dexa 1
3 susilawati 609/12 513826784 32 1 cibuyut 2/1 110/80 1 14 hp/eug+flc 1 1 amox,pct 1 20
4 ny wiwin widaningsih 8080/14 36 sd sari 1/10 110/70 1 37 pulp 1 1 amox,pct,ctm,dexa 1 5
5 eha julaeha 705/13 514270991 59 1 cijerah 2/3 37 140/80 1 16-17 gr/exo 2 2 amox,pct,ctm,dexa 1 50
6 03 elsa dea 140/11 514345138 19 1 selaawi 5/4 120/80 1 15 pulp irrev 1 1 pct,seles 1 tkf (20)
7 dede ropah 17001608/17 514665955 23 1 gn bitung 3/8 110/70 1 46 pulp irrev 1 1 pct,dexa 1 chkm (20)
8 lisna 5572/14 513928686 22 1 selaawi 5/4 100/70 1 38 perikoronitis 1 1 amox,pct,ctm,dexa 1
9 ara sulistyani 1373/12 5 1 psr wangi 2/11 1 1 75 pulp irrev 1 1 amox syr, solafluz syr 1 5
10 ny ai masniah 1904/13 514339536 36 1 rc bunggur 4/4 110/80 1 45gp-46 gr 2 2 amox,flucadex,b comp c 1
11 yasfy 15 karikil/muncul 3/2 100/70 1 1 12-21, gic 2 2 pct, b comp c 1 90
12 tn ahyadi 515020937 30 1 sk dana 2/4 120/80 1 45-46 abses, gr 2 2 amox,pct,dexa,b comp c 1
13 ny ating 331/14 39 1 gn bitung 01/08 110/80 1 48 gp,16 gp/premed 2 2 amox,pct,ctm,dexa 1 5
14 sani siti 5006/14 512581601 9 cibeuti 4/6 1 1 36 pulp, stomatitis aphtosa 2 2 amox,pct,dexa,b comp c 1
15 tn aip saripudin 1124/10 514460204 47 1 gn malang 120/80 1 48 perikoronitis,abses 1 1 amox,fludex,b comp 1
16 04 nuri maulida 17000180/17 514486618 6 1 cibuyut 1/1 1 1 61, 62 pst/exo 2 2 amox,pct syr 1
17 m nopal ali 2095/13 9 1 cikedewul 3/7 1 1 51 pst/exo 1 1 pct 1
18 dani syabani 513972065 28 cijerah 3/3 120/70 1 46 (o) hp/GIC period krn calc ++ 1 1 amox,pct,ctm,dexa 1
19 kiran 4025/10 513745694 6 1 asta baru 1/10 1 1 46 hp, abses?..54,55 pulp 3 3 amox syr,pct,ctm,dexa 1
20 ny nurhayati 1699/2012 513519996 40 1 ranca gede 2/10 120/70 1 15 pulpitis/devit +flc ulang k-4 1 1 1 1 klinda,asmef,ctm,dexa 1 20
21 05 renisa 1785/11 15 tamansari 1 1 85 exo 1 1 amox,pct,ctm,dexa 1 25
22 eman sulaeman 1841/10 51389018 52 1 selaawi 3/5 120/80 1 37 gr premed 1 1 klinda,asmef,ctm,dexa
23 ny nia kurniasih 17000003/17 42 1 sk mulya 110/70 1 14 gp/devit+flc, 12 (d) comp, 36 gp/exo 2 1 2 1 klinda,asmef,ctm,dexa 1 260
24 yanah mulyanah 2260/11 514957825 44 1 selaawi 1/3 110/80 1 46 gr 1 1 amox,pct,ctm,dexa 1
25 yeti suyeti 1122/11 1667612338 42 1 negla 1/11 110/70 1 46 gr/exo 1 1 amox,pct,ctm,dexa 1
26 06 tn juin 665/10 514346804 71 1 asta baru 1/10 130/70 1 16,17,26-28 gr 4 4 amox,pct,ctm,dexa,b comp c 1
27 ny irma 2812/11 513997986 27 1 sk senang 1/7 110/70 1 27 abses 1 1 amox,pct,ctm,dexa 1
28 elsa dea 140/11 514345138 19 1 selaawi 5/4 120/80 1 15 pulp irrev 1 1 amox,pct,ctm,dexa 1
29 ny ai masniah 1904/13 514339536 35 1 rc bunggur 4/4 140/90 1 46 period 1 1 cefad,pct,dexa, b comp c 1
30 yeti suyeti 1122/11 1667612338 42 1 negla 1/11 110/70 1 34 hp/gic 1 1 selesbion 1
31 yanah mulyanah 2260/11 514957825 44 1 selaawi 1/3 110/70 1 44 hp (d)/ gic 1 1 selesbion 1
32 ismail 3010/10 514610583 17 1 asta gn batu 3/8 110/70 1 16 gr,46 gr/premed 2 2 amox,pct,ctm,dexa 1
33 07 ridwan 1237/13 514078481 44 1 asta pasir 120/70 1 47 period 1 1 cefad,pct,dexa 1
34 ny nia kurniasih 1700003/17 42 1 sk mulya 7/2 110/80 1 14 open bor, 27 gi 2 2 amox,pct,dexa,b com c 1 30
35 ny yanti 3192/14 514105716 30 1 psr wangi 1/11 110/70 1 44 hp (o)/ gic 1 1 selesbion
36 danish kahfi 772/10 513712361 10 1 gn batu 3/8 1 1 46 abses, gp 1 1 amox,pct,ctm,dexa 1
37 08 lilian herliani 7378/14 512586527 10 1 cibeuti 4/6 1 1 74 gr abs 1 1 amox,pct,ctm,dexa 1
38 dede ropah 17001608/17 514665955 23 1 gn bitung 3/8 110/70 1 46 pulp irrev 1 1 pct,dexa 1 tkf (20)
39 rahma 2320/11 513856708 9 1 cijeruk girang 2/4 1 1 36 gp/chkm+ts 1 1 amox,pct,dexa 1 20
40 aspi uswanitunnisa 17001530/17 513858666 20 1 cibeuti 3/6 120/70 1 46 gp/exo, 27 gi, skeling ra+rb 1 1 1 1 1 1 amox,pct,ctm,dexa 1 230
41 ny opah masopah 1089786025 42 1 cikedewul 2/7 160/100 1 46 gr, abses 1 1 amox,pct,ctm,amlod,b comp c 1
42 resa wulandari 1260/12 15 1 saguling 4/3 cilamajang 1 1 21 gp/pengisian+GIC 1 1 pct,dexa 1 pengisian
43 10 ny i s hidayati 17001684/2017 46 1 cukang 4/5 120/80 1 35 gr/exo 1 1 amox,pct,ctm,dexa 1 50
44 ny hj nanda 75 1 bojong parang 130/80 1 42 gp/exo 1 1 amox,pct,ctm,b com 1 50
45 ny nurhayati 1699/2012 513519996 40 1 ranca gede 2/10 120/70 1 15 gp/ pengisian+SB+GIC k-6 1 1 amox.pct,ctm,dexa 1 30 fuji
46 shakila shinta m 3036/11 8 1 cibeuti 4/6 1 1 46 pp,52 pro exo 1 1 1 1 amox,pct,b om 1 rujukan bp
47 fitri aulia 1160/11 5144559979 7 1 rc bunggur 4/4 1 1 81/exo 1 1 pct,b com 1
48 m fazha 1667479487 7 1 saguling pjn 2/08 1 1 61,71 exo 2 2 amoxpct,ctm 1 20
49 ny nia kurniasih 17000003/17 42 1 sk mulya 120/70 1 14 chkm 1 1 obat msh ada 1 120 chkm/flc
50 11 k. saeful 55 1 cibeber 5/7 sambong jaya 110/70 1 37 pulp 1 1 klinda,asmef,ctm,dexa 1 5
51 danish kahfi 772/10 513712361 10 1 gn batu 3/8 1 1 36 abses, gp 1 1 amox,pct,ctm,dexa
52 12 sahrul 5534/14 514633836 9 1 tamansari 5/3 1 1 61 persist./exo 1 1 pct
53 yanti susanti 3192/14 514106716 30 1 psr wangi 1/11 110/70 1 14 kontrol pos exo 1 1 amox,pct,ctm,dexa
54 lilian herliani 7378/14 512586527 10 1 cibeuti 4/6 1 1 74/exo 1 1
55 dede ropah 17001608/17 514665955 23 1 gn bitung 3/8 110/70 1 46 pulp irrev 1 1 pct,dexa 1 cres+gic (20)
56 ny marsiti 39 genteng 3/11 110/70 1 11,21 eug 2 2 pct,dexa 1 60
57 suwartini 9129/14 513630178 43 1 cijerah 3/3 120/70 1 24 gr,25 gr 26 gp,36 gr/premed 4 4 amox,pct,dexa
58 rifki ramdani 16102041/16 4 1 cijeruk girang 1 1 84 abses 1 1 amox syr,pct,ctm,dexa,truvit 1
59 fazri 16100073/16 8 bj parang 1 1 85 abses 1 1 amox,pct,ctm,dexa 1 5
60 13 alis nurul 16 1 gn bitung 110/70 1 1 46 devit 1 1 klinda,pct,ctm,dexa 1 20
61 ny n. Yeyen 2191/10 43 1 cicondong 110/70 1 26-28 gr 2 2 amox,pct,ctm,dexa 1 5
62 Refi 13 1 Lembur Gunung,SK rame 23 112 1 1 46 abses, gp 1 1 amox,pct,dexa,ctm 1 5
63 Ny oom rohmah 1500/11 514822566 63 1 Genteng 1/01 140/100 1 27 pd 1 1 amox,pct,ctm,amlodipin 1
64 14 ny idah 942/10 5151202553 43 1 tambir lapang 140/90 1 48 gp,premed 1 1 klinda,pct,ctm,dexa 1
65 cici rosidah 2506/2010 32 1 gn bitung 04/08 110/80 1 21 hp 1 1 pct,dexa 1 comp (150)
66 ny nia kurniasih 17000003/17 33 1 sk mulya 7/2 110/70 1 14 gp/tkp 1 1 klinda,pct,ctm,dexa tambal (20)
67 alwin 0823/11 515013298 6 1 gn bitung 1 1 64,65 abses 2 2 amox,pct,dexa ctm 1
68 15 tn muksin 8498/14 514520177 34 1 gn lingga 110/80 1 46 gp 1 1 klinda,asmef,ctm,dexa 1
69 ayib rubi 17101121/17 26 1 ranca gede 2/1 100/70 1 25 gr-26 gp abses 2 2 AMOX,ASMEF,CTM,DEXA 1 5
70 mamah rohimah 4819/2010 55 sindangsari 110/70 1 46 gp 1 amox,pct,dexa ctm 1
71 NY Atikah 1276/2013 73 1 cihonje 4/2 180/100 1 31,41,42 gr period 3 3 amox,pct,ctm,amlodipin 1 5
72 aspi uswanitunnisa 17001530/17 513858666 20 1 cibeuti 3/6 120/70 1 46 gp/premed 1 1 amox,pct,ctm,dexa 1
73 gina sonia 2616/10 514951233 11 1 conggeang 3/11 31 1 1 46 gp/premed 1 1 amox,pct,dexa
74 windayani 17101716/17 5133527633 20 1 saguling pjn 2/08 110/70 1 46 gr/premed 1 1 amox,pct,ctm,dexa 1 5
75 h.engkus 37 1 awi pentas cibalanarik 110/70 1 38 gp/exo 1 1 cefad,pct,ctm,dexa 1 100
76 17 tn muksin 8498/14 514520177 34 1 gn lingga 120/70 1 46 gr, 47 gp 2 2 klinda,asmef,ctm,dexa 1 50
77 ai 1 46 gp/exo 1 1 amox,pct,ctm,dexa 1
78 mamur rustaman 17101722/17 513525407 47 1 palasari 3/10 110/70 1 26,27 periodontosis 2 2 amox,pct,ctm,dexa 1
79 susi susilawati 566/11 514227857 31 1 tambir 4/5 110/80 1 1 bln 48 gp 1 1 amox,pct,ctm,dexa 1
80 nurul hidayat malik 1737/14 514362251 12 1 negla 2/11 1 1 26 pulpitis pro scalling cal ++ 1 1 amox,pct,ctm,dexa 1
81 hayatul ilmi 773/11 6 1 gn bitung 1/8 18 115 1 1 85 gp abs 1 1 amox,pct,dexa,truvit sy 1 5
82 nia kurniasih 17000003/17 33 1 sukamulya 7/2 110/70 1 14 gp/tkp 1 1 selcom c 100
83 astri 16 1 gn sari 3/5 110/70 1 1 24 gp abses 1 1 amox,pct,dexa.ctm 1 5
84 18 ari aropi 17101736/17 32 1 saguling landeuh 5/9 110/70 1 35 pulp/exo 1 1 cefad,pct,ctm,dexa 1 50
85 holisoh 17001738/17 46 1 asta lebak 4/8 110/80 1 24 gp 1 1 amox,asMEF,CTM,DEXA 1 5
86 m irsan ashari 1345/13 4 1 sk asih 2/6 13 1 1 54,55 gp 64,65 gp abs 4 4 amox syr,pct,ctm,dexa 1 5
87 aspi uswanitunnisa 17001530/17 513858666 20 1 cibeuti 3/6 120/70 1 46 gp/premed 1 1 amox,pct,ctm,dexa 1
88 ny opah 1089786025 42 1 cikedewul 2/7 160/100 1 45 period,46 gr, abses 2 2 amox,pct,ctm,amlod,b comp c
89 yuke nurjanah 17000057/17 21 1 sinargalih 110/70 1 23 gp chkm/flcr 1 1 amox,pct,ctm,dexa 1 90
90 19 mamur rustaman 17101722/17 513525407 47 1 1 palasari 3/10 120/70 1 27 period, exo 1 1 amox,pct,ctm,dexa 1
91 ny marsiti 39 1 genteng 3/11 110/70 1 11,21 eug 2 2 pct,dexa 1 60
92 ny susi susilawati 566/11 514227857 31 1 tambir 4/5 120/70 1 18 pulp 1 1 klinda,pct,ctm,dexa 1
93 astri rianti 17000060/17 16 1 gn sari 3/5 110/70 1 24 gp 1 1 amox,pct,dexa.ctm
94 gilang ramadan 17101747/17 6 1 sukadana 1 1 71/81 exo pst 2 2 pct srp,vit srp 1 50
95 ade tendi 2137/10 515283737 11 1 tambir 5/5 1 1 46 gp 1 1 amox,pct,ctm,dexa 1
96 tn wasil maulana 17101748/17 1089792382 55 1 genteng 1/1 120/80 1 36 abses, gp 1 1 cefad,pct,ctm,dexa 1
97 21 mira rosalinda 2382/13 4 1 cikedewul 2/7 1 1 75 abses 1 1 amox syr,pct,ctm,dexa 1 5
98 m rizki 1253/11 513853301 15 1 cicondong 1 1 46 pulp irrev, eug 1 1 klinda,pct,ctm,dexa 1 20
99 ny peni indriani 206/13 513620302 33 1 cijerah 2/3 110/70 1 12,13,21 hp fuji 3 3 pct,selebion 1 60
100 ny meti 1632/10 514394403 23 1 asta lebak 1/8 100/70 1 38 embedded /trismus 1 1 amox,pct,ctm,dexa 1
101 m robi 600/12 514020868 7 1 cikedewul 3/17 1 1 55 54 gp/abses,46.36 gp 4 4 amox,pct,ctm,dexa 1
102 n ayu lestari 514001891 11 1 conggeang 3/11 1 1 54 pst,exo 1 1 pct 1
103 ny e romdayah 8221/10 1667625322 61 1 ranca gede 02/01 110/70 1 35 gp+ 1 1 amox,pct,ctm,dexa 1
104 enong sopiah 20/2012 2254133373 47 1 karangtengah 3/4 110/70 1 46 gp abs 1 1 klinda,pct,ctm,dexa 1
105 tn slamet 11059/15 38 1 cibogo 2/5 110/80 1 47 gp 1 1 amox,pct,dexa,ctm 1 10
106 22 tn ajo warlijo 9703/14 513916143 47 1 negla 1/11 110/70 1 18 gp 1 1 amox,pcr,ctm,dexa 1 rujuk rs dr skrjo
107 ny neng nuraisah 3922/10 51436005 30 1 cibuluh 4/1 110/70 1 35 gr,abses 1 1 cefad,pct,ctm,dexa 1
108 aspi uswanitunnisa 17001530/17 21 1 CIBEUTI 100/70 1 46 abses 1 1 cefad,pct,ctm,dexa 1
109 ny irma 2812/11 513997986 27 1 sk senang 110/80 1 18 abses 1 1 amox,pct,ctm,dexa 1
110 APDAL 9 1 1 46 1 1 amox,pct,ctm,dexa 1
111 IIK SARIkul ulum 17101404/17 2041128663 20 1 cibuyut02/01 110/70 1 46 gr abses 1 1 amox,pct,ctm,dexa 1
112 ny opah masopah 1089786025 42 1 cikedewul 2/7 150/100 1 45 period,46 gr, abses 2 2 amox,pct,ctm,amlod,b comp c
113 ny aay 513536016 33 1 segleng 1/9 110/70 1 1 1
114 ny ai dian nurhamidah 10925/15 36 1 sinargalih 110/70 1 25 pp 1 1
115 ny jue 1667478238 66 1 gn subang 1/2 130/80 1 31 g 3 1 1
116 24 ny imas 4030/10 513995668 35 1 gn bitung 3/8 110/70 1 38 abses 1 1 amox,asmef,ctm,dexa 1
117 yahya 13906/15 12 1 gn malang 4/9 1 1 46 gr 1 1 amox.pct,ctm,dexa 1 5
118 ny susilawaty 515016281 33 1 saguling inpres 1/9 120/80 1 47-48 gp 2 2 klinda,pct,ctm,dexa 1
119 ny susi susilawati 566/11 514227857 31 1 tambir 4/5 110/70 1 18 pulp 1 1 klinda,pct,ctm,dexa 1
120 agung priatna 3948/14 2127529462 4 1 cijerah 4/3 1 1 65, abses 1 1 amox syr,pct,ctm,dexa,truvit 1
121 25 ikhsan alim 16/2010 514457212 12 1 sk.dana 2/4 1 1 46 gic kontrol tambalan 1 1 r/-- 1
122 m.rizki 1253/11 513853361 15 1 cicondong 2/9 1 1 46 pi/tkf 1 1 amox,pct,dexa 1 20
123 zenal 1 26 gp/exo 1 1 amox,pct,dexa 1
124 edi supriadi 1471/11 515099496 36 1 100/70 48 pulp 1 1 amox,asmef,ctm,dexa 1
125 IIK SARIkul ulum 17101404/17 2041128663 20 1 cibuyut02/01 110/70 1 46 gr, exo 1 1 amox,pct,ctm,dexa 1
126 elis 723/12 36 1 gn malang 4/9 120/70 1 27 gp,46 gp 2 2 amox,pct,ctm,dexa 1 5
127 26 ikhsan alim 16/2010 514457212 12 1 sk.dana 2/4 1 1 47 hp/gic 1 1 1
128 ny opah masopah 1089786025 42 1 cikedewul 2/7 130/80 1 46 gr/exo 1 1 amox,pct,ctm,amlod,b comp c 1
129 silvia 2348/10 515265941 16 1 gn bitung 4/8 1 1 46 gr, stomatitis 1 1 cefad,pct,b comp c,betadin garg 1
130 27 tn a. Dani 38 1 garunggang,jati waras 120/70 1 37 abses, 38 impaksi 2 2 amox,pct,ctm,dexa 1 5
131 tn maman 16101992/10 514399746 50 1 cijeruk hilir 120/70 1 45-46 gp 2 amox,pct,ctm,dexa 1
132 ny fitriyani 2852/11 514400567 24 1 cijeruk hilir 110/70 1 37 gi 1 1 pct,selesb 1
133 ilyas 10114706225 37 1 asta lebak 110/80 1 37 plp 1 1 klinda,asmef,ctm,dexa 1
134 28 m.rizki 1253/11 513853361 15 1 cicondong 2/9 1 1 46 pi/ K 3 - open bor+chkm 1 1 amox,pct,dexa 1 20
135 susilawati 609/12 513826784 32 1 cibuyut 2/1 110/80 1 14 hp/eug 1 1 amox,pct,dexa 1 dl Ts tdk dtg,tambal ulang 20
136 29 ny ai dian 10925/15 46 1 sinargalih 110/70 1 25 tkf 1 1 pct,selesb 1 20
137 ny entin 5319/14 514455761 39 1 conggeang 3/11 120/70 1 27 pulp 1 1 klinda,pct,ctm,dexa 1
138 ny ai munawaroh 2031/10 1669937174 41 1 cibeuti pasar 1/6 110/70 1 38 erupsi 1 1 cipro,pct,ctm,ambroksol 1
139 ny yanti 17001805/17 33 1 cijeruk girang 120/70 1 27 tkf 1 1 amox,pct,ctm,dexa 1 20
140 tn agus 17100001/17 41 1 cijeruk girang 110/70 1 24 gr abses 1 1 amox,asmef,ctm,dexa 1 5
141 sandi liani 155/13 515159723 23 1 sindang sari 1/10 90/70 1 47 polip,48 erupsi 1 1 amox,asmef,ctm,dexa 1
142 riska cahya 3357/11 18 cijeruk girang 5/4 110/70 1 36 pulpa polip 1 1 amox,asmef,ctm,dexa 1 5
jml 142 48 94 33 15 55 39 53 1 2 20 14 31 64 58 1 52 1 80

Mengetahui Tasikmalaya , September 2017


Kepala puskesmas karanganyar Penanggungjawab BP Gigi

H Enjang Nurjamil,S .Kep.Ners.MHKes drg. Ameilia Hendra Kania


NIP: 19740424 199503 1 002 NIP 19820531 201503 2 002
LAPORAN HARIAN BP. GIGI PUSKESMAS KARANGANYAR KOTA TASIKMALAYA
BULAN OKTOBER TAHUN 2017

umur JENIS KUNJUNGAN KELURAHAN JENIS KEGIATAN JENIS KELAINAN

KEL. DENTOFACIAL
Luar Wilayah

EXO GIGI SULUNG

JAMKESMAS
KELAINAN PULPA
TUMPATAN GIGI

TUMPATAN GIGI

PENYAKIT LAIN-
KARANGANYAR

EXO GIGI TETAP


TANGGAL

PERIODONTAL
PENGOBATAN
PENGOBATAN
CILAMAJANG

KEL.PULPA &

UMUM
KARIES GIGI

MALOKLUSI
PERIAPIKAL
APRAS

ASKES
TENSI

JARINGAN
UKGS

LAIN-LAIN

BPJS
no register

SULUNG
NO. NAMA PASIEN NO. KARTU ALAMAT bb tb DIAGNOSA TERAPI KET

CIBEUTI

BUMIL

PULPA
TETAP
DARAH

LAIN
L P L P

B L B L
1 01 tn oni 515257312 49 1 gn malang 110/80 1 26 gr 1 1 amox,pct,ctm,dexa 1
2 tn rukmana 514018157 57 1 cijeruk hilir 120/70 1 47 edentulous, stomat 1 1 amox,pct,ctm,dexa,b com c 1
3 an wildan 513644991 9 1 cijerah 1 1 46 hp/eug+ts 1 1 amox,pct,ctm,dexa 1 20
1 02 ny dadah 17001823/2017 27 1 Saguling Panjang 110/70 1 36 abses 1 1 amox,pct,ctm.dexa 1 5
2 tn ujang kholik 610/10 2120638937 39 1 tambir 5/5 110/80 1 16 ABSES 1 1 AMO,PCT,CTM,DEXA 1
3 ny elis 42 1 cijeruk hilir 120/70 1 47 pp 1 1 klinda,pct,dexa,ctm 1 5
4 TN jenal arifin 17100001/2017 64 1 jn bungur Bandung 130/70 1 48 PP 1 1 KLINDA,PCT,CTM,AMLODIPIN 5
5 03 silpiawati 173/13 512581419 18 1 cibeuti 110/70 1 46-47 gr 2 2 ctm,dexa 1
6 putri setianingsih 2464/13 7 1 sukasirna 1 1 51/exo 1 1 pct syr 1 25
7 1 110/70 46 pulp 1 1 klinda,pct,ctm,dexa 1 5
8 ny iis basiroh 1011/11 514998731 42 1 selaawi 120/70 1 38 gr 1 1 cefad,pct,ctm,dexa,selesb 1
9 ipan agung 3162/10 514660601 12 1 sukasenang 1 1 36 hp/gic 1 1 amox,pct,ctm.dexa 1
10 04 ahmad fauji 598/12 14 1 cijeruk girang 1/4 1 1 21 gr abs 1 1 amox,pct,dexa 1 5
11 ny hj. Iyam 1990/14 72184026 47 1 cicondong 3/9 130/80 1 37 gp 1 1 klinda,pct,ctm,bcom 1
12 ny omah 17001847/17 72 cihonje 120/70 1 18 period 1 1 amox,pct,ctm 1
13 nn. Rini m 16000780/16 1667628156 20 tambir 110/70 1 crowding ra+rb 1 1 1
14 05 ny wiwin widaningsih 8080/14 36 sd sari 1/10 120/70 37 pulp 1 1 cefad,pct,ctm,dexa 1 10
15 an mahardika 17100745/17 4.5 1 genteng 2/1 1 1 1 1 amox syr,pct,ctm,dexa 1 5
16 nn utika futami 16002166/16 514329131 14 genteng 1/11 1 46 gp 1 1 klinda,pct,ctm,dexa 1
17 ny susi 566/11 514227857 31 tambir 110/70 1 1 38 gp 1 1 cefad,pct,ctm,dexa 1
18 ujang mukhtar 514462241 24 sk senang 120/80 1 36 gp 1 1 amox pct,ctm,dexa 1
19 ny ai dian 10925/15 46 1 sinargalih 110/70 1 25 chkm/flc 1 1 1 20
20 06 tn cecep karsan 17100133/17 55 1 bojongparang 30/10 120/80 1 18 .28 gp 1 1 klinda,pct,ctm,dexa 1 5
21 ade warsih 1753/10 514140639 50 1 genteung 7/1 130/80 1 37,38 pp 2 2 amox.pct,ctm,dexa 1
22 susilawati 609/12 513826784 32 1 cibuyut 2/1 110/80 1 14 tkp/flct 1 1 pct,dexa 1
23 ai inda 1313/13 514439728 19 cibuyut 2/3 110/70 1 46 abses, gp 1 1 amox,pct,ctm,dexa 1
24 08 ny dadah 17001823/2017 27 1 Saguling Panjang 110/70 1 36 gp 1 1 amox,pct,ctm,dexa 1 50
25 ny entin 5014/14 513968523 48 Saguling Panjang 110/70 1 21 fuji 1 1 amo,pct,ctm,dexa 1
26 ny elin 2404/12 513997492 32 1 salawi 04/05 120/70 1 46 gp abses 1 1 amox.pct,ctm,dexa 1
27 ny elis 17000106/17 29 1 bojongparang 29/10 110/80 1 26 pp 1 1 klinda,pct,ctm,dexa 1 5
28 naila 9666/14 2062316698 4.4 cjrk girang3/4 1 1 54abses 1 1 amx srp,pct,ctm,dexa 1
29 ny omah 17001847/17 72 cihonje 3/2 130/70 1 18 gp exo 1 1 amox,pct,ctm,dexa 1 100
30 lilian 527 512586527 10 cibeuti 4/6 1 1 26 pp 1 1 amox,pct,ctm,dexa 1
31 tn dedi 54 gang arow magkubumi 120/70 1 25 gp /exo 1 1 amox,pct,ctm,dexa 1 50
32 09 sekar nguri 16001229/16 174066028 9 asta gn batu 1 1 ra rb kalkulus 1 1
33 ny uum 54 gn subang 3/2 150/90 1 43 gp 1 1 klinda,pct,ctm 1 5
34 aziz al rifki 7279/14 3.5 sk senang 1 1 75 abses 1 1 amox,pct,ctm,dexa 1 5
35 ny yuni 275/10 514010259 54 cibuyut 1/1 200/110 1 46 gp 1 1 amox,pct,ctm amlodipin 1
36 m andriayana 514011824 11 cibuyut 1/1 1 1 36pi 1 1 amox,pct,dexa 1
37 tantri 17000609/17 6 rc bunggur 1/4 1 1 71,81 pst/exo 2 2 pct,vit 1 50
38 10 hani 2571/13 514696511 11 cihonje 4/2 1 1 46 pp 1 1 amox.pct,ctm,dexa 1
39 NY KARTINI 513944739 65 PASIR WANGGI 110/70 1 42,43 ABSES 2 2 amox.pct,ctm,dexa
40 asrap 14167/15 5 nagrog 3/2 1 1 85 pp 1 1 amox,pct,ctm,dexa 1 5
41 11 TN ENGKON 2056/13 73 PASIR WANGI 130/80 1 35 ABSES 1 1 amox.pct,ctm,dexa 1 5
42 M ASKA MARTA 2917/14 4 BOJONG PARANG 31/10 1 75 PP 1 1 amox.pct,ctm,dexa 1 5
43 Ai munawaroh 2031/10 1669937174 41 1 cibeuti pasar 4/6 110/70 1 38 impaksi mesio bukal 1 1 amox.pct,ctm,dexa
44 sri rahmawati 1351/14 7 1 asta gn batu 3/8 21 1 1 46 gp abses 1 1 amox.pct,ctm,dexa
45 elin 2404/12 513997492 32 1 selaawi 4/5 110/80 1 46 gp/exo 1 1 amox.pct,ctm,dexa 1
46 ny ai dian 10925/15 46 sinargalih 110/70 1 25 gp/pengisian + GIC 1 1 pct,dexa 1 50
47 ny komariah 21/14 16 tambir 3/5 120/80 1 16 pp 1 1 amox.pct,ctm,dexa 1 5
48 azza m 16101472/16 6 1 negla 1/11 1 1 74,75 hp/ GIC 2 2 amox sy,pct sy 1 90
49 ika surtika 17001375/17 56 1 cibeuti 1/6 110/80 1 46 abrasi bukal 1 1 klinda,pct,ctm 1 5
50 herti sumati 3463/11 514600683 33 cibogo 110/70 1 scaling 31 1 1 amox,pcr,ctm,dexa 1 20
51 andri 657/10 514299161 36 cijerah 03/03 1 12 hp gi 1 1 amox,pct,ctm,dexa
52 12 ny elin 1013/13 2120638814 35 1 cijerah 1 21 hp gi 1 1 r/- 1
53 ny emi 4914/14 25 selaawi 1 37 gp amoxpat,dexa.ctm 1
54 ny astri 1291/13 513982045 21 sindangsari 1/10 1 38 gp
55 AN AHMAD ZAKY 10845/15 1667630946 13 CIHONJE 1/2 1 46 DEVIT AMOX,PCT,DEXA.CTM 1 20
56 NY siti sobariah 3461/15 514522056 46 cicondong 3/9 1 28 gp abses AMOX,PCT,DEXA.CTM 1
57 ny heryani 1262/12 513044087 54 rc bunggur 1/4 1 27 abses AMOX,PCT,DEXA.CTM 1
58 13 putri valensa 489/12 1667612362 17 1 negla 1/11 1 45 tkf pct, dexa 1 20
59 sania 17001894/17 6 1 cibalanarik 1 1 41-31 abses period cefad syr,pct,dexa,truvit syr 1 5
60 sinta huril 15122/15 1667480027 13 1 saguling panyand 1 1 46 tkf pct, dexa 1 20
61 tn apek 161017828/16 514260055 46 1 genteng 2/1 160/100 1 16 gp amox,pct,ctm,amlod 1
62 m gian 4513/10 513954088 6 1 conggeang 3/11 1 1 36 pulp rev truvit 1 gic
63 ny een 565/10 513421402 45 1 cicondong 3/9 1 46 gr klinda,asmef,ctm,dexa 1
53 15 ny emi 4914/14 25 selaawi 1 37 gp amox,pct,dexa,ctm 1
65 tn sohban 1367/11 514343013 78 1 rc bunggur 4/4 160/90 1 43 gp
66 AN AHMAD ZAKY 10845/15 1667630946 13 CIHONJE 1/2 1 46 chkm AMOX,PCT,DEXA.CTM 1 20
67 nova 18 1 cikedewul 120/70 1 46 Devit amox,pcr,ctm,dexa 1 20 kontrol; 16,19,23.30/10/2017
68 RIZAL SAEPUL 17101908/17 514790818 22 1 GENTENG 2/11 1 25 GP amox,flucadex,b comp c 1
69 an febi 17101909/17 513866957 6 1 genteng 2/1 1 1 71 pst pct 1
70 nabil 157/14 4 tambir 1 54,84,85 amox syr,pct,ctm,dexa 1 5
71 16 ny lastri 1753/2012 513777914 51 genteng 2/1 120/70 1 26 pulp klinda,pct,ctm,dexa,b comlpex 1
72 ny yuliani 3600/11 513619716 31 sk senang 110/80 1 18,28 impaksi klinda,pct,ctm,dexa 1
73 ny tati fardila 3298/10 514597735 33 tambir 3/5 120/70 1 22 gp, gic pct,dexa 1 gic
74 tn dede aziz 17101919/17 513801134 44 cihonje 1/2 130/90 1 48 abses, gingival nekrotik?? cefad,asmef,ctm,dexa 1
75 ny ucu cahyati 4167/14 514260832 28 cibuluh 4/11 120/70 1 26 gr, 28 gp /exo amox,pct,ctm,dexa 1 95
76 ny heryati 1262/12 513044087 54 rc bungur 160/100 1 27 periodontitis amox,pct,amlodipin 1
78 17 an huri fitria 7599/14 1667625434 3.3 cihonje 4/2 1 1 54 abses amox,pct,ctm,dexa 1
79 ny indayani 3898/10 515174602 35 sindangsari 1/10 110/70 1 26,28 gp amox,pct,dexa,ctm 1
80 azkya z 1759/10 513220736 9 rc gede 2/6 1 1 36pp, eug amox,pct,ctm,dexa 1 20
81 an shinta huril 15122/15 1667480027 13 saguling 5/4 1 1 46 gp, k1 + ts amox,pct,ctm,dexa 1 20
82 tn utep 17101552/17 45 gn subang 3/12 110/70 1 26 abses periodontal cefad,asmef,ctm,dexa 1 5
83 arina ilma 503/10 9 asta pasir 1 1 62 pst/exo pct 1 25
84 anna sifa 17001930/17 3 saguling pjg 1 1 84 abses 1 5
85 herman 514549798 26 cibeuti 110/70 1 38 gp amox,asmef,ctm,dexa 1
86 tn ali BOJONG PARANG 31/10 110/80 1 38 erupsi klinda,pct,dexa.ctm 1 5
87 18 rafa khoerul 2282/14 4 negla 2/11 1 1 74 pulp pct syr 1 5
88 ny yati 2281/14 514424204 35 negla 2/11 150/100 1 37-38 gr amox,asmef,ctm,b com c 1
89 achmad zaky 10845/15 1667630946 13 cihonje 1/2 1 1 74/exo pct 1
90 an gina sonia 2616/10 514951233 12 conggeang 1 1 46 pulp amox,pct,ctm,dexa 1
91 19 rifky ansyari 12681/15 513497349 10 cijeruk hilir 1 1 55 abses amox,pct,ctm,dexa 1
92 ny herti 3463/11 514600683 32 cibogo 5/2 120/70 1 36 pulp irrev klinda,pct,dexa.ctm,antas 1
93 ny elah 17000034/17 638042286 50 selaawi 4/5 130/70 1 26 gr amox,asmef,ctm,dexa 1
94 ny tuti 3625/11 514418343 34 cicondong 3/6 110/70 1 47 pulp irrev klinda,pct,ctm,dexa 1
95 sinta nuril 1667480027 13 saguling panyand 1 1 46 gp pct,dexa 1 20
96 20 tn irfan abdul 4873/14 515303739 42 cikedewul 110/70 1 46 gp,47 gr klinda,pct,ctm,dexa 1
97 ny mariah 1709/10 513879232 51 cibogo 5/2 120/80 1 28 abses, gr amox,pct,ctm,b comp c 1
98 putri valensa 489/12 1667612362 17 1 negla 1/11 110/70 1 45 chkm pct, dexa 1 20
99 azkya z 1759/10 513220736 9 rc gede 2/6 1 1 36pp, devit amox,pct,ctm,dexa 20
100 AN AHMAD ZAKY 10845/15 1667630946 13 CIHONJE 1/2 1 1 46 DEVIT AMOX,PCT,DEXA.CTM 1 20
101 Chris nur 513815196 20 1 bojong gaok 3/1 1 36 gp abs amox,pct,ctm,dexa 1
102 22 e rukoyah 6105/14 1667625658 67 tambir baru 3/5 160/100 1 35 gr amox,pct,ctm,amlod 1
103 TN ajid ridwan 17383/16 514257603 50 gn malang 4/9 170/100 1 28 gp abses cefad,pct,dexa,ctm 1
104 ny siti maryam 9333/14 515754064 28 cijeruk hilir 3/1 110/70 1 25 pulp klinda,asmef,ctm,dexa 1
105 ny elis 1308/15 43 cijeruk hilir 110/80 1 46 pulp irrev klinda,asmef,ctm,dexa 1 20
106 ny artilatun 2702/12 47 cihonje 120/70 1 14-13 gp, 46gp r/-- 1 gi (90)
107 ny susi susilawati 566/11 514227857 31 tambir 4/5 110/70 1 18 pulp klinda,pct,ctm,dexa 1
108 23 ny tuti 3625/11 514418343 34 cicondong 3/6 110/70 1 47 pulp irrev amox,pct,ctm,dexa 1
109 m rizki 2482/11 513512987 14 cicondong 4/3 1 1 46 pi tkf klinda,pct,ctm,dexa 1
110 an fitrah 17001982/17 15 asta pasir 1 36,46 gr amox,pct,dexa 1 5
111 m revandi 17101983/17 6 gn subang 1 85 gr, abses amox syr,pct,ctm,dexa 1 5
112 24 ari ramdani 17100858/17 513318126 15 saguling panyand 1 21 gp, gic r/-- 1
113 25 tn uteng 39 sengkol wetan 150/100 1 37 abses klinda,asmef,ctm,b comp c,amlod 1 5
114 an azka 1238/13 4 cijeruk hilir 1/1 1 84 abses amox,pacet,ctm,dexa 1
115 26 putri valensa 489/12 1667612362 17 1 negla 1/11 1 45calxil,cemen/fuji pct,selcom c 1 30
116 isha putra teja 2396/11 1667612351 15 1 negla 1/11 1 21 mesial fuji asmet,bc 1
117 an alisya rizna a 3235/2011 515074577 14 cicondong 03/06 1 55 pst,36,46 gr amox,pct,ctm 1
118 TN ajid ridwan 17383/16 514257603 50 gn malang 4/9 150/90 1 28 gp abses amox,pct,ctm rujuk bp
119 27 an shinta huril 15122/15 1667480027 13 saguling 5/4 1 1 46 gp / k 2 chkm+flc amox,pct,dexa 1 20
120 chris nur salam 2455/13 513815196 20 bojong gaok 3/1 1 36 gp /exo amox,pct,ctm,dexa 1
121 asep nugraha 1668558622 25 panyingkiran 4/1 1 38 gp/exo klinda,pct,ctm,dexa 1
122 29 1 54 gr abs amox,pct,dexa 1
123 siti robiah 2324/10 28 1 cikedewul 3/7 1 37 gp amox,pct,ctm,dexa 1
124 solehah 16001865/16 2199947141 82 1 selaawi 1/12 1 31 periodontosis/exo amox,pct,ctm,dexa 1
125 eris risyqi 6315/14 1669109668 13 1 tambir mekar 1 16 gp abs amox,pct,ctm,dexa 1
126 elin karlina 18 1 pancatengah 2/5 1 11 pulp/ devit+flc klinda,pct,ctm,dexa 1 20
127 elis nurhayati 13082/15 43 1 cijeruk hilir 1/1 1 46 gp/devit+flc klinda,pct,ctm,dexa 1 20
128 fahri 1200/11 9 1 gn lingga 1 55 gp abs klinda,pct,ctm,dexa 1 5
129 yasfi 15 1 karikil 1 21 fraktur klinda,pct,ctm,dexa 1 5
130 albi 3734/10 14 1 cikedewul 1 37 gp amox,pct,ctm,dexa 1
131 30 yadi mulyadi 3847/14 514466741 43 1 cicondong 3/6 110/70 1 26 gp, 46 hp/gic amox,pct,dexa,seles 1
132 siti nurjanah 17002017/17 514466976 40 1 cicondong 3/6 120/80 1 14 hp/ gic pct,seles 1
133 eca 17777/16 6 1 bojong parang 1 62 gr / exo pct sy,truvit sy 1 25
134 ny umuyah 1736/11 78 1 selaawi 1/12 130/80 1 36 fraktur distal tajam/radir amox,pct,ctm,vit.c 1 5
135 ny astri 2160/10 513856315 37 1 cijeruk girang 2/4 1 37 pp eug amox,pct,dexa,seles 1 20
136 tn utis 514351675 52 1 cibeuti 4/6 130/80 15 pd amox,pct,ctm,dexa 1 20
137 nuri 16000497/16 514548358 12 1 segleng 1/9 36 devit amox,pct,ctm,dexa 1
138 ny yayah 8134/14 514098562 44 asta baru 130/70 17 gp,32,31 amox,pct,ctm,dexa 1
139 ny andri 514299161 36 cijerah 3/3 13,33,34 fuji amox,pct,ctm,dexa 1 60
140 ny oon 514442171 34 sindangsari 1/10 15 gp/exo amox,pct,ctm,dexa 1
141 pirsa 514442261 9 sindangsari 1/10 83 pst/exo pct 1
142
143
144
145
146
147
148
149
150

Mengetahui Tasikmalaya , 2017


Kepala puskesmas karanganyar Pengelola BP Gigi

Enjang Nurjamil,S .Kep.Ners Euis Nuryani , AMKG


NIP: 19740424 199503 1 002 NIP : 19740720 199803 2 006
LAPORAN HARIAN BP. GIGI PUSKESMAS KARANGANYAR KOTA TASIKMALAYA
BULAN TAHUN 2017

UMUR JENIS KUNJUNGAN KELURAHAN JENIS KEGIATAN JENIS KELAINAN

KEL. DENTOFACIAL
EXO GIGI SULUNG
Luar Wilayah

KELAINAN PULPA

JAMKESMAS
PENYAKIT LAIN-
TUMPATAN GIGI

TUMPATAN GIGI
KARANGANYAR

EXO GIGI TETAP


TANGGAL

PERIODONTAL
PENGOBATAN

PENGOBATAN
CILAMAJANG

KEL.PULPA &

UMUM
KARIES GIGI

MALOKLUSI
PERIAPIKAL
APRAS

ASKES
TENSI

LAIN-LAIN

JARINGAN
UKGS

BPJS
SULUNG
NO. NAMA PASIEN NO KARTU REGISTER NO BPJS ALAMAT bb tb DIAGNOSA TERAPI KET

CIBEUTI

BUMIL

PULPA
TETAP
DARAH

LAIN
L p L P

B L B L
1 31 tn abdul rohman 17101303/17 513646334 32 1 Asta pasir 2/10 120/70 1 24,25 abrasi/ fuji 1 1 amox,pct,ctm,dexa 1 30
2 shinta huril aulya 15122/15 1667480027 13 1 sagling pny 5/4 1 1 46 gp/ chkm+flc 1 1 pct,ctm,vit.c 1 20
3 nining sumiarsih 3149/14 515272004 44 1 tambir 4/5 110/80 45,46,47 gr period/premed 1 1 amox,pct,ctm,dexa 1 4/10/2017 pro op lifom
1 ilyas ilyasa 17102037/17 514267108 24 1 cikedewul 01/07 1 38 erupsi/pro odon 1 1 klinda,pct,ctm,dexa 1
2 01 dede siti robiah 2324/10 28 1 cikedewul 03/07 110/70 1 21 gp abs 1 1 amox,pct,dexa 1
3 ny ela nur 59/13 514492637 25 negla 1/11 110/80 45 pulp klinda,asmef,ctm,dexa 1
4 ibah misbahudin 32 1 cijerah 2/3 120/70 17,18 gp amox,asmef,ctm,dexa 1 5
5 tn heri 2443/10 45 1 segleng 120/70 14 eg/37 gi asmef,dexa 1 50
6 ny ayu 17002049/17 22 1 gn bitung 110/70 37 pulp,tkf amox,pct,ctm,dexa 1 20
7 dadan 42 1 babakan pala 3/10 100/70 47 pd cefad,pct,ctm,dexa 1 alegi amox (10)
8 02 marwah 2428/12 5 selaawi 64-65 abses amox syr,pct,ctm,dexa 1
9 ny yanti 513396459 33 gn malang 21 gic r/-- 1
10 emmi kamilah 4914/14 25 selaawi 1/3 37 gp amox,pct,ctm,dexa 1
11 ny elis purnama 605/13 167480321 25 cilamajang 27 pulp flunax,dexa 1
12 ny dede kurniasih 560/13 514494832 48 cijeruk hilir 3/1 150/90 14 tkf klinda,pct 1 20
13 elin karlina 17000070/2017 17 pancatengah 11 tkp /flc pst ,dexa 1 20
14 devandra 17102062/17 4,5th cibuyut 02/01 71 pst.exo pst srp 1 25
15 dya nurutami 131/14 2084926004 10 cihonje 2/2 36 tkf pct,dexa 1
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
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42
43
44
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46
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53
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58
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61
62
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71
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73
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84
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91
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98
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102
103
104
105
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108
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111
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113
114
115
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120
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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
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183

Mengetahui Tasikmalaya , September 2017


Kepala puskesmas karanganyar Penanggungjawab BP Gigi

H Enjang Nurjamil,S .Kep.Ners.MHKes drg. Ameilia Hendra Kania


NIP: 19740424 199503 1 002 NIP 19820531 201503 2 002
9
8
7
6
5
4
3
2
1
3
2
1

34
33
32
31
30
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
NO.
TANGGAL

NAMA PASIEN
NO. KARTU
L

B
UMUR

L
B
L

L
B
JENIS KUNJUNGAN

L
ALAMAT
bb
tb
TENSI
DARAH

KARANGANYAR

CILAMAJANG
KELURAHAN

CIBEUTI
BULAN

Luar Wilayah

BUMIL

APRAS

UKGS
TAHUN 2017

DIAGNOSA

TUMPATAN GIGI
TETAP
TUMPATAN GIGI
SULUNG
LAPORAN HARIAN BP. GIGI PUSKESMAS KARANGANYAR KOTA TASIKMALAYA

PENGOBATAN
PULPA

EXO GIGI TETAP

EXO GIGI SULUNG


JENIS KEGIATAN

PENGOBATAN
PERIAPIKAL

LAIN-LAIN

KARIES GIGI

KELAINAN PULPA

KEL.PULPA &
JARINGAN
PERIODONTAL
JENIS KELAINAN

KEL. DENTOFACIAL
MALOKLUSI

PENYAKIT LAIN-
LAIN
TERAPI

UMUM

ASKES

BPJS

JAMKESMAS
KET
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
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
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
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
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183

Mengetahui Tasikmalaya , September 2017


Kepala puskesmas karanganyar Penanggungjawab BP Gigi

H Enjang Nurjamil,S .Kep.Ners.MHKes drg. Ameilia Hendra Kania


NIP: 19740424 199503 1 002 NIP 19820531 201503 2 002
2016
Laki-laki Permpuan
Bulan Total
B L B L
Januari 20 14 67 35
Februari 32 25 61 31
Maret 51 22 79 30
April 52 20 73 33
Mei 22 24 60 27
Juni 22 23 50 34
Juli 35 17 61 44
Agustus 36 22 66 59
September 13 13 52 23
Oktober 21 18 52 52
November 41 13 62 46
Desember 32 11 56 24
Jumlah 377 222 739 438 1776

2017
Laki-laki Permpuan
Bulan Total
B L B L
Januari 46 19 86 11 162
Februari 38 11 76 34 159
Maret 35 15 82 29 161
April 37 13 45 12 107
Mei 29 9 71 27 136
Juni 21 14 38 20 93
Juli 42 15 51 29 137
Agustus 24 14 55 42 135
September 33 15 55 39 142
Oktober
November
Desember
Jumlah 248 96 449 162 1090