DAFTAR KEANGGOTAAN

KLUB CONDROMOWO SEHAT

FKTP : KLINIK PRATAMA YONIF 509 KOSTRAD

Nama Ketua : Sertu I Made Paing

No Hp : 085204133393
Alamat Klub : Jalan Tidar No 1 Sukorejo-Karangrejo-Sumbersari-Jember

Daftar Anggota

Jenis
No. Nama No. Kartu P/I/S/A Alamat No. Hp Tgl Mulai Terdaftar Diagnosa
Kelamin

1 Tn. Nurman 0001300292908 L P Asmil Yonif 509 082232018733 3 April 2016 DM

2 Tn. Asmugasih 0001300445313 L P Asmil Yonif 509 081336448495 3 April 2016 HT

3 Tn. Abdul Hadi 0001105671161 L P Asmil Yonif 509 085236728100 3 April 2016 DM

4 Tn. Decky 0001102093154 L P Asmil Yonif 509 081284563123 3 April 2016 HT

5 Tn. Misnun 0001102560355 L P Asmil Yonif 509 082241763581 3 April 2016 DM+HT

6 Tn. Bambang S 0001102574878 L P Asmil Yonif 509 085236500691 3 April 2016 HT

7 Tn. Abdul Junaidi 0001804487782 L P Asmil Yonif 509 081354722121 10 September 2016 HT
 8 Tn. Muzaidi 0001447949946 L P Asmil Yonif 509 085341258333 22 November 2016 HT

9 Tn. Jahri 0001299011207 L P Asmil Yonif 509 081136457213 28 Februari 2017 HT

10 Tn. Mahbub 0001101982577 L P Jl.MT.Haryono 148 082140715102 9 Maret 2017 HT

11 Tn. Edi Listiantoro 0001299024404 L P Asmil Yonif 509 085258535144 9 Maret 2017 HT

12 Tn. Karjono 0001101736271 L P Asmil Yonif 509 081234521677 9 Maret 2017 HT

13 Sdr. Hameril 0001430040622 L P Asmil Yonif 509 081234545373 10 Maret 2017 HT

14 Tn. Aris Wibowo 0001105070051 L P Asmil Yonif 509 082271342363 10 Maret 2017 HT

15 Tn. Nikolas 0001101982599 L P Asmil Yonif 509 081234747596 10 Maret 2017 HT

16 Sdr. Freddy Aryo 0001429139057 L P Asmil Yonif 509 082257735411 10 Maret 2017 HT

17 Tn. Kriswanto 0001298445028 L P Asmil Yonif 509 081336445745 10 Maret 2017 HT

18 Tn. Ardhi W 0001298445682 L P Asmil Yonif 509 081269748256 10 Maret 2017 HT

19 Sdr. Ilman Napia 0001296279663 L P Asmil Yonif 509 081217777672 10 Maret 2017 HT

20. Tn. Zakarias Kowi 0001105695999 L P Asmil Yonif 509 082230963317 12 Februari 2018 HT
 DAFTAR HADIR PROLANIS BPJS
BINAAN KLINIK KESEHATAN PRATAMA YONIF RAIDER 509 KOSTRAD
TANGGAL 14 Februari 2018
NO NAMA NO. BPJS NO.TELPON/HP ALAMAT TANDA TANGAN

1.
1 Tn. Nurman 0001300292908 082232018733
Asmil Yonif 509
2.
2 Tn. Asmugasih 0001300445313 081336448495
Asmil Yonif 509
3.
3 Tn. Abdul Hadi 0001105671161 085236728100
Asmil Yonif 509
4.
4 Tn. Decky 0001102093154 081284563123
Asmil Yonif 509
5.
5 Tn. Misnun 0001102560355 082241763581
Asmil Yonif 509
6.
6 Tn. Bambang S 0001102574878 085236500691
Asmil Yonif 509
7.
7 Tn. Abdul Junaidi 0001804487782 081354722121
Asmil Yonif 509
8.
8 Tn. Muzaidi 0001447949946 085341258333
Asmil Yonif 509
9.
9 Tn. Jahri 0001299011207
081136457213 Jl.MT.Haryono 22
 10.
10 Tn. Mahbub 0001101982577 082140715102
Asmil Yonif 509
11
11 Tn. Edi Listiantoro 0001299024404 085258535144
Jl.MT.Haryono 148
12
12 Tn. Karjono 0001101736271 081234521677
Asmil Yonif 509
13
13 Sdr. Hameril 0001430040622 081234545373
Asmil Yonif 509
14
14 Tn. Aris Wibowo 0001105070051 082271342363
Asmil Yonif 509
15
15 Tn. Nikolas 0001101982599 081234747596
Asmil Yonif 509
16
16 Sdr. Freddy Aryo 0001429139057 082257735411
Asmil Yonif 509
17
17 Tn. Kriswanto 0001298445028 081336445745
Asmil Yonif 509
18
18 Tn. Ardhi W 0001298445682 081269748256
Asmil Yonif 509
19
19 Sdr. Ilman Napia 0001296279663 081217777672
Asmil Yonif 509
20
20 Tn. Zakarias Kowi 0001105695999 082230963317
Asmil Yonif 509
 Pemantauan PPDM PPHT FEBRUARI 2018
BULAN FEBRUARI 2018
No. Nama No. Kartu IMT CHOL CHOL TEK. DARAH
GDP GDPP GDS HBA1C CHOL TRIGLISE
(Kg/m2) TOTAL HDL SISTOLE DIASTOLE
LDL RIDA
1 Tn. Nurman 0001300292908 24,31 - - 235 - - - - - 110 80

2 Tn. Asmugasih 0001300445313 30,96 - - 100 - - - - - 150 90

3 Tn. Abdul Hadi 0001105671161 29,38 - - 91 - - - - - 130 80

4 Tn. Decky 0001102093154 26,83 - - 110 - - - - - 130 90

5 Tn. Misnun 0001102560355 25,70 - - 231 - - - - - 150 100

6 Tn. Bambang S 0001102574878 24,04 - - 101 - - - - - 130 90

7 Tn. Abdul Junaidi 0001804487782 29,77 - - 89 - - - - - 130 90

8 Tn. Muzaidi 0001447949946 24,91 - - 88 - - - - - 130 90

9 Tn. Jahri 0001299011207 23,43 - - 120 - - - - - 120 80

10 Tn. Mahbub 0001101982577 27,70 - - 120 - - - - - 130 80

11 Tn. Edi Listiantoro 0001299024404 24,58 - - 114 - - - - - 140 80

12 Tn. Karjono 0001101736271 24,48 - - 99 - - - - - 140 90

13 Sdr. Hameril 0001430040622 24,55 - - 107 - - - - - 130 90

14 Tn. Aris Wibowo 0001105070051 27,80 - - 99 - - - - - 120 80

15 Tn. Nikolas 0001101982599 29,70 - - 140 - - - - - 130 90

16 Sdr. Freddy Aryo 0001429139057 26,77 - - 99 - - - - - 120 80

17 Tn. Kriswanto 0001298445028 27,22 - - 88 - - - - - 130 90

18 Tn. Ardhi W 0001298445682 29,88 - - 95 - - - - - 120 80

19 Sdr. Ilman Napia 0001296279663 27,36 - - 122 - - - - - 130 90

20 Tn. Zakarias Kowi 0001105695999 29, 03 - - 155 - - - - - 180 110