Kabupaten : Garut Desa : Sakawayana

Kecamatan : Malangbong Acara : Resepsi Pernikahan

Puskesmas : Malangbong

WAKTU MAKAN

JENIS KELAMIN

PEKERJAAN*)
UMUR
NO NAMA ALAMAT
TGL JAM

1 2 3 4 5 6 7 8
1 Ida Kp. Rancamaya 20 L 3/5/2018 21:00
2 Dewi Kp. Rancamaya 42 P 3/5/2018 10:00
3 Rehan Kp. Rancamaya 30 P 3/5/2018 18:30
4 Ai Fatimah Kp. Rancamaya 13 P 3/5/2018 10:30
5 Dadan Kp. Rancamaya 12 L 3/5/2018 12:00
6 Wini Kp. Rancamaya 12 P 3/5/2018 10:30
7 Dewi Kp. Rancamaya 45 P 3/5/2018 10:30
8 Revan Kp. Rancamaya 7 L 3/5/2018 10:30
9 Ahmad Rifki Kp. Rancamaya 9 L 3/5/2018 11:00
10 Mirna Kp. Rancamaya 11 P 3/5/2018 14:00
11 Pujayanti Kp. Rancamaya 8 P 3/5/2018 10:30
12 Omay Kp. Rancamaya 68 P 3/5/2018 12:00
13 M. Ali Kp. Rancamaya 12 L 3/5/2018 10:00
14 Idah Kp. Rancamaya 42 P 3/5/2018 10:00
15 Tutu Kp. Rancamaya 36 P 3/5/2018 12:00
16 Hamdan Kp. Rancamaya 30 L 3/5/2018 19:00
17 Seli Kp. Rancamaya 14 P 3/5/2018 10:00
18 Neng Tati Kp. Rancamaya 42 P 3/5/2018 12:00
19 Tita Juwita Kp. Rancamaya 62 P 3/5/2018 18:00
20 Teti Haryati Kp. Rancamaya 22 P 3/5/2018 6:30
21 Isah Kp. Rancamaya 55 P 3/5/2018 9:00
22 Ikah Kp. Rancamaya 70 P 3/5/2018
23 Minah Kp. Rancamaya 45 P 3/5/2018 2:00
24 Yaris Kp. Rancamaya 10 L 3/5/2018 18:30
25 Neng Fatma Kp. Rancamaya 7 P 3/5/2018 9:30
26 Eneng Nuryani Kp. Cibunar 32 P 3/5/2018 11:30
27 Dafa Kp. Cibunar 3 L 3/5/2018 11:30
28 Agus Setiawan Kp. Rancamaya 22 L 3/5/2018 9:00
29 Elis Kp. Rancamaya 30 P 3/5/2018 9:00
30 Siti Mardiatilah Kp. Rancamaya 19 P 3/5/2018 9:00
31 Mira Kp. Kubang 16 P 3/5/2018 16:00
32 Alwa Kp. Kubang 7 L 3/5/2018 11:00
33 Lida Kp. Kubang 18 P 3/5/2018 12:00
34 Cucu Kp. Rancamaya 28 P 3/5/2018 14:30
35 Cep Rizki Kp. Rancamaya 10 L 3/5/2018 11:00
36 Rukmini Kp. Rancamaya 63 P 3/5/2018 11:00
37 Wawan Kp. Rancamaya 14 L 3/5/2018 10:00
38 Kandar Kp. Rancamaya 37 L 3/5/2018 12:30
39 Eli Sri R Kp. Rancamaya 15 P 3/5/2018 16:00
40 Siti Wafa Kp. Rancamaya 35 P 3/5/2018 12:00
41 Hasbi Kp. Rancamaya 7 L 3/5/2018 9:00
42 Neli Dayanti Kp. Rancamaya 20 P 3/5/2018 7:00
43 Siti Khodijah Kp. Rancamaya 42 P 3/5/2018 10:00
44 Yani Indriani Kp. Rancamaya 19 P 3/5/2018 11:30
45 Herni Melisa Kp. Cibodas 25 P 3/5/2018 20:00
 PENYELIDIKAN EPIDEMIOLOGI KLB KERACUNAN PANGAN (RAWAT INAP)

Tanggal Penyelidikan : 07 Maret 2018

Petugas :

WAKTU MULAI SAKIT GEJALA YANG MUNCUL JENIS

RENDANG
MENCRET
MUNTAH
DEMAM

KEJANG
PUSING
MUAL

NASI

SAPI
TGL JAM

9 10 11 12 13 14 15 16 17 18
3/6/2018 11:00 1 1 1 1 1 1
3/6/2018 2:00 1 1 1 1 1 1 1
3/6/2018 10:00 1 - - 1 1 1
3/6/2018 1:30 1 1 1 1 1 1
3/6/2018 6:00 1 1 1 1 1
3/6/2018 7:30 1 1 1 1 1 1 1
3/5/2018 18:00 1 1 1 1 1 1 1
3/6/2018 10:00 1 1 1 1 1 1 1
3/6/2018 10:00 1 1 1 1 1 1 1
3/6/2018 10:00 1 1 1 1 1 1 1
3/5/2018 11:30 1 1 1 1 1 1 1
3/5/2018 19:00 1 1 1 1 1 1 1
3/6/2018 6:00 1 1 1 1 1 1 1
3/5/2018 22:00 1 1 1 1 1 1
3/6/2018 1:00 1 1 1 1 1 1
3/6/2018 4:00 1 1 1 1 1 1
3/6/2018 15:30 1 1 1 1 1
3/5/2018 23:30 1 1 1 1 1
3/6/2018 9:00 1 1 1 1 1 1 1
3/7/2018 8:00 1 1 1 1 1 1
3/5/2018 11:00 1 1 1 1 1 1 1

3/5/2018 17:30 1 1 1 1
3/5/2018 18:30 1 1 1 1 1 1 1
3/5/2018 11:30 1 1 1 1 1 1 1
3/5/2018 22:00 1 1 1 1 1
3/5/2018 22:00 1 1 1 1 1
3/6/2018 18:30 1 1 1 1 1 1 1
3/5/2018 1 1 1
3/5/2018 20:00 1 1 1 1 1
3/5/2018 19:00 1 1 1 1 1 1 1
3/7/2018 11:30 1 1 1 1 1 1
3/6/2018 4:00 1 1 1 1 1 1 1
3/5/2018 21:00 1 1 1 1 1 1 1
3/7/2018 11:00 1 1 1 1
3/5/2018 13:00 1 1 1
3/6/2018 13:00 1 1 1 1 1 1 1
3/5/2018 18:30 1 1 1 1 1
3/5/2018 17:30 1 1 1 1 1
3/5/2018 18:30 1 1 1 1 1
3/6/2018 21:00 1 1 1 1 1
3/6/2018 3:00 1 1 1 1 1 1 1
3/5/2018 12:00 1 1 1 1 1 1
3/5/2018 15:00 1 1 1 1 1 1 1
3/6/2018 24.00 1 1 1 1 1 1
 JENIS MAKANAN KEADAAN SEKARANG STATUS BEROBAT

MASIH SAKIT

MENINGGAL
KENTANG

KERUPUK

BEROBAT

KEMANA
SEMBUH
GORENG

GORENG
SAMBAL

BIHUN

TELUR

TIDAK
TAHU

19 20 21 22 23 24 25 26 27 28
1
1 1 1 1 1 1
1 1
1 1
1 1 1
1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1
1
1 1 1 1
1 1 1 1
1 1 1 1 1
1
1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1 1
1 1 1 1

1 1 1
1 1 1 1 1 1
1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1
1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1
1 1 1
1 1 1 1
KETERANGAN

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