LAPORAN HASIL PELACAKAN KARTU KEWASPADAAN KESEHATAN JAMAAH HAJI (K3JH)

PUSKESMAS : RONGKOP
KABUPATEN :GUNUNGKIDUL
UMUR HASIL PELACAKAN

NO NAMA JAMAAH NO PORSI

di
AT M
MA

g
L P NO K3JH KET

pe
SEH

n
DE K
CA

ta
uk

rik
BER bat

Da

sa
1 Baruno Darmo Wiharjo – 67 – ˅ 10/9/2015 10/10/2015
2 Sumiyati Parto Suwito – 58 – ˅ 10/9/2015 10/10/2015
3 Suyatmi Sunardi Sutowiyono – 52 – ˅ 10/9/2015 10/10/2015
4 Lasidi Pawiro Suhardi – 48 – ˅ 10/9/2015 10/12/2015
5 Suharmi Tukino – 45 – ˅ 10/9/2015 10/12/2015
6 Sumantoro Maniro haris – 50 – ˅ 10/9/2015 10/12/2015
7 Manikusrini Parto Sentono – 50 – ˅ 10/9/2015 10/12/2015
8 Tugiman Tono Karjo – 66 – ˅ 10/9/2015 10/13/2015
9 Suparno Hartono Mento Sentiko – 46 – ˅ 10/9/2015 10/14/2015
10 Timbul Surojo Mulyo Utomo – 73 – ˅ 10/9/2015 10/15/2015

UMUR HASIL PELACAKAN

NO NAMA JAMAAH NO PORSI AM

di
AK

g
T
L P NO K3JH KET

pe
n
uk

HA
M

ta
RC
DE bat

rik
SE

Da
BE

sa
1 Baruno Darmo Wiharjo – 67 – ˅ 10/9/2015 10/17/2015
2 Sumiyati Parto Suwito – 58 – ˅ 10/9/2015 10/17/2015
3 Suyatmi Sunardi Sutowiyono – 52 – ˅ 10/9/2015 10/17/2015
4 Lasidi Pawiro Suhardi – 48 – ˅ 10/9/2015 10/19/2015
5 Suharmi Tukino – 45 – ˅ 10/9/2015 10/19/2015
6 Sumantoro Maniro haris – 50 – ˅ 10/9/2015 10/19/2015
7 Manikusrini Parto Sentono – 50 – ˅ 10/9/2015 10/19/2015
8 Tugiman Tono Karjo – 66 – ˅ 10/9/2015 10/20/2015
9 Suparno Hartono Mento Sentiko – 46 – ˅ 10/9/2015 10/21/2015
10 Timbul Surojo Mulyo Utomo – 73 – ˅ 10/9/2015 10/22/2015
Kepala

Hery Sudaryanto,S.Kep,MM
NIP 196606101985111002