0000150126851
0000147099194
0000146931873
0000147085424
0000147064781
0000146985456
0000147024382
0000149621444
0000150090625
0000147099194
0000147087679
0000150200818
0000147024808
0000193684735
0000193684656
0000147140594
0000147099205
0000147064781
0000147020477
0000147024505
0000147021377
0001080611673
0000150280492
LAPORAN RUJUKAN PUSKESMAS TARUS
BULAN SEPTEMBER 2017
RUJUKAN PASIEN
UMUR
NO NAMA PASIEN ALAMAT TANGGAL DIAGNOSA RUJUKAN DARI JAMINAN YANG DIGUNAKAN
L P PUSK PUSTU POLINDES DI RUJUK KE RS BPJS JKM ASKES JK3
1 Selfi .j. lassa 19 Penfui Timur 02-09-2017 Refraksi Mata RS. Kartini 0001058971959
2 Apnalisa Sesfaot 17 Penfui Timur 02-09-2017 Susp TB RSU. Prof Dr w. z yohanes 0001884925001
3 Yanti Nenoliu 25 Mata Air 02-09-2017 GIIPIA0 UK 30 + 2 dgn Dermatitis Alergi RS. Leona 0001799383296
4 Maria A. Nampul 21 Noelbaki 04-09-2017 Refraksi Mata RSU. Prof Dr w. z yohanes 0000140020758
5 Madrisna ndun 62 Tanah Merah 04-09-2017 DM RSU. S. k Lerik 0001825736771
6 zambrud Messakh 51 Noelbaki 04-09-2017 Lipoma RSU. Prof Dr w. z yohanes 0002072255681
7 Jhon Endy Banunaek 66 Mata Air 04-09-2017 HT RS. Leona 0002106696565
8 Tabita humau 43 Oelnasi 04-09-2017 Abortus RS. Leona 000210668792
9 Naema Tallo 63 Mata air 04-09-2017 RA RS. S K Lerik 0002015793488
10 Petronela 29 Tanah Merah 04-09-2017 Isometra RS. Dadari 000226400398
11 Julion Soares 47 Penfui Timur 04-09-2017 Refraksi Mata RS. S K Lerik 0000149882618
12 Juliana Pakit Lay 64 Tanah Merah 04-09-2017 Jantung RS. Prof . DR w. z yohanes 0001268988761
13 Lusia Beto Belang 48 Penfui Timur 04-09-2017 HT + SNH RS. Prof . DR w. z yohanes SKTM
14 Mariana angel Jano 14 Mata Air 05-09-2017 Susp TB Kelenjar RS. Prof . DR w. z yohanes 0000147123639
15 Yosefina Lanang 32 Penfui Timur 05-09-2017 ISK Kronis RS. Prof . DR w. z yohanes 0000202223316
16 Selfi . Y . O 32 Mata Air 05-09-2017 Lipoma RS. Prof . DR w. z yohanes 0002106701122
17 Leideon Humau 5 Noelbaki 05-09-2017 Refraksi Mata RS. Siloam 0002274371717
18 Dolfi Thaamaet 23 Oelnasi 05-09-2017 GIIPIA0 UK 31 + 4 Mgg RS. Leona 0000855785834
19 Welhelmus Wangge 50 Noelbaki 05-09-2017 Pneumonia RS. S K Lerik 000147019465
20 Fatina Nuramene 60 Oebelo 05-09-2017 Asma RS. S K Lerik 0000851020042
21 Yohanes Loe 78 Noelbaki 05-09-2017 Pneumonia RS. Prof . DR w. z yohanes 0002253946375
22 Susana Biloro 42 Oebelo 05-09-2017 LBP Kronis RS. Wirasakti 0000146985467
23 Maria Noning 37 Oeltua 05-09-2017 GIVPIIIA0 RS. Dadari 0000203657999
24 Sofia Oemafa 8bln Mata Air 05-09-2017 LBP RS. Leona 0002268244012
25 Helmi F yakob 52 Tanah Merah 06-09-2017 CAD RS. Siloam 0001287263150
26 Adolfon Nabunome 7 Noelbaki 06-09-2017 Lipoma RS. Siloam 000129528078
27 Jitro nggoo 18 Mata Air 06-09-2017 Pulpitis RS. Prof . DR w. z yohanes 0002106694631
28 Leonard Kadja 42 Noelbaki 06-09-2017 Susp APP RS. Leona 0000851480403
29 Lorita Nabuasa 3 Noelbaki 06-09-2017 Nefrotik Sydrome Susp GNAPS RS. Prof . DR w. z yohanes SKTM
30 Serliyanti Subanu 9 Mata Air 07-09-2017 Pulpitis RS. S K Lerik 0000210693213
31 Marselinus Ullu 36 Mata Air 07-09-2017 Gastitis RS. Prof . DR w. z yohanes 0000850958919
32 Maria Veronia 33 Oelnasi 07-09-2017 Cefalgia RS. Prof . DR w. z yohanes 0002259382983
33 Yusak Modok 26 Mata Air 07-09-2017 Gastitis Kronis RS. Prof . DR w. z yohanes 000864642519
34 Yohan Loe Noelbaki 07-09-2017 Katarak RS. Prof . DR w. z yohanes 0002253946375
35 Felisia Nalle 12 Tarus 07-09-2017 Radang pada Hidung RS. Wirasakti 0000197736873
36 Fransiska Labamoron 62 Noelbaki 09-09-2017 Colesteroleum RS. Prof . DR w. z yohanes 0000147125557
37
Anderias anding 58 Noelbaki 09-09-2017 Radang pada Hidung RS. Wirasakti 0000147015865
38 Fernanda Pinto 39 Noelbaki 13-09-2017 Colic Abdomen RS. Siloam 0002251686543
39 Isabel Da Costa 52 Noelbaki 13-09-2017 HT RS. Prof . DR w. z yohanes 0000851625685
40
Lionel Ximenes 23 Oebelo 13-09-2017 VCT RS. Prof . DR w. z yohanes 0000851519812
41 Asnat Foenalle 40 Mata Air 13-09-2017 Jantung RS. Siloam 0000146996673
42 Syamsiah daud 70 Oebelo 13-09-2017 Jantung RS. Prof . DR w. z yohanes 0000147064781
43 Matias Mbing 82 Tarus 14-09-2017 Refraksi Mata RS. Kartini 0000151169387
44 Jhoanly R Thung 9 Noelbaki 14-09-2017 Fraktur RS. S K Lerik 0001323108044
45 Petronela D 63 Tarus 14-09-2017 HT RS. Siloam 0001785342701
46 Meysin Hau Dally 26 Tarus 14-09-2017 HT RS. Kartini 0001793717766
47 Aldi Sanam 1 Mata Air 14-09-2017 Pneumonia RS. Leona UMUM
48
Desknetum Anin 7 Noelbaki 15-09-2017 Hipertiroid RS. Prof . DR w. z yohanes 0000851575116
49 Milkhe Batimaro 33 Mata Air 15-09-2017 Gastritis RS. Leona 0000150391935
50 Daniel H 51 Penfui Timur 15-09-2017 HT + SNH RS. Prof . DR w. z yohanes 0001277289393
51 Hiyon Bernadus Taek 28 Mata Air 15-09-2017 Trauma Kepala RS. Prof . DR w. z yohanes SKTM
52 Zakarias Manafe 31 Mata Air 16-09-2017 Refraksi Mata RS. S K Lerik 0002055220345
53
Oktavian olla 32 Noelbaki 16-09-2017 susp TB RS. Prof . DR w. z yohanes SKTM
54 Martha Djingi 77 Tarus 16-09-2017 Refraksi Mata RS. Kartini 0000151749557
55 Adam yonas sine 66 Mata Air 16-09-2017 Refraksi Mata RS. Siloam 0001902027238
0002227780575
56 Farel. C Solukh 10 Noelbaki 16-09-2017 Refraksi Mata RS. Kartini 7
0000147020079
57 Maria. M Londa 46 Oelpuah 16-09-2017 LBP Kronis RS. Wirasakti 3
58 Novi. A Djo Lobo 26 Tarus 16-09-2017 ISK RS. Kartini 0001058967066
59 Antonia Rosalina La'a 17 Penfui Timur 16-09-2017 Refraksi Mata RS. Kartini 0000198842038
60 Magdalena Ndapatama 58 Mata Air 18-09-2017 Oedem RS. S K Lerik 0000186511611
61 Melianus W 10,5 Tanah Merah 18-09-2017 Gangguan Pendengaran RS. Wirasakti 0000163863786
62 Yulius Liufeto 58 Penfui Timur 18-09-2017 DM RS. Prof . DR w. z yohanes 0000147343869
63 Govin Klieng 7 Tanah Merah 19-09-2017 Tonsilitis RS. Prof . DR w. z yohanes 0001871218451
64 Bernadus Ndaong 51 Tarus 19-09-2017 Gastitis RS. S K Lerik 0000149686345
65 Hotma N 40 Tanah Merah 19-09-2017 TB + MDR RS. Prof . DR w. z yohanes 0002235321123
66 Markus Sudarmadji 66 Tarus 19-09-2017 HT RS. Siloam
67 Ritayul Loinati 22 Noelbaki 19-09-2017 Trauma RS. Prof . DR w. z yohanes 0001058953037
68 Yuliana Mata 29 Mata Air 19-09-2017 Hypertiroid RS. Siloam 0002106692447
69 Bangko Apaullo 60 Noelbaki 19-09-2017 Post Op Ca Collon RS. Siloam 0000147265244
70 Yumi Lobo 7 Penfui Timur 19-09-2017 B20 RS. Prof . DR w. z yohanes 0001727491239
71 Hendrik Bistole 42 Tarus 19-09-2017 Refraksi Mata RS. Siloam 0001828967703
72 Antonio DA Silva 46 Noelbaki 20-09-2017 HT RS. Siloam 0000149880363
73 Bernadus Hipa 76 Noelbaki 20-09-2017 PPOK RS. Leona 0000147084118
74 Marianus Yusuf 49 Tarus 20-09-2017 Lipoma RS. Kartini 0002064550386
75
Arnol Rihi 30 Tanah Merah 20-09-2017 Sinusitis Kronis RS. Wirasakti 0001058978507
76
Isabel Da Costa 32 Noelbaki 20-09-2017 LBP RS. Bhayangkara 0000851625685
77
Janurti Ningsih 21 Tanah Merah 20-09-2017 Susp APP RS. Prof . DR w. z yohanes 0001442031208
78 Junior Riwu 8,3bln Mata Air 22-09-2017 Dermatitis Alergi RS. Prof . DR w. z yohanes 0002050710658
79 Fransiska m t f mhey 37 Oebelo 22-09-2017 Dispepsia RS. Prof . DR w. z yohanes 0001845921148
80
Matias Nunuhitu 65 Tanah Merah 22-09-2017 SNH + IMA RS. Leona 0000147085097
81
Steven Dillak 81 Tanah Merah 22-09-2017 PPOK RS. Siloam 0001058978554
82 Sofia bari fini 60 Camplong 22-09-2017 HT RS. S K Lerik 0000147054881
83
Maria luna riangtohi 65 Noelbaki 22-09-2017 LBP Kronis RS. Siloam 0000147020692
84
Yessi neonbata 17 Tarus 22-09-2017 ISK Kronis RS. S K Lerik 0001058969711
85 Hotman 40 Tanah Merah 22-09-2017 TB RS. Prof . DR w. z yohanes 0002235321123
86 Margaret ester 46 Tarus 22-09-2017 Cysta Uteri RS. S K Lerik 0000149686358
87 Maria De Jesus 10 Oebelo 25-09-2017 Fraktur RS. Leona 0002282367339
88 Seprianus Djiling 64 Noelbaki 25-09-2017 ISK Kronis
89 Rita maghdalena 52 Noelbaki 25-09-2017 HT Rs. Bhayangkara 0001304272599
90 Megi sui Lima 24 Tarus 25-09-2017 Susp Lipoma RS. S K Lerik
91 Petrus Here 38 Mata Air 25-09-2017 Pulpitis RS. Prof . DR w. z yohanes 0002106699748
92 Apolonaris Keli DA Crus 26 Penfui Timur 25-09-2017 Susp TB RS. Prof . DR w. z yohanes 0001967339575
93 Asnat Foenalle 40 Penfui Timur 25-09-2017 Cardiomegali RS. Prof . DR w. z yohanes 0000146996673
94 Adel Nestano 12 Penfui Timur 25-09-2017 Refraksi Mata RS. Prof . DR w. z yohanes 0001058975471
95 0000188277705
Teodora Maria Seran 40 Penfui Timur 25-09-2017 Lipoma RS. Leona 9
96 Hermis Fina 53 Noelbaki 26-09-2017 Hypertiroid RS. Kartini 0000146994557
97 Lorenta Ndapahamu 38 Penfui Timur 26-09-2017 Refraksi Mata RS. Kartini 0002058830051
98
Giovani naibeis 11 Penfui Timur 26-09-2017 Corpus Alenum Rs. Wirasakti
99
Fransiska Sabaat 36 Penfui Timur 26-09-2017 Colic Abdomen RS. S K Lerik 0000851438845
100
Dewinta P Ndun 26 Tanah Merah 26-09-2017 Colic Abdomen RS. Prof . DR w. z yohanes 0002227563055
101 Nelci Kaune 42 Tanah Merah 26-09-2017 Dislokasi Tulang Rahang RS. Prof . DR w. z yohanes 0000851299299
102 Simon adu 54 Tanah Merah 27-09-2017 Iritasi Mata RS. Kartini 0000150092526
103
Mardi H Lulan 28 Noelbaki 27-09-2017 LBP Kronis RS. Leona 0001856026991
104 Nolviana L Gaspers 59 Noelbaki 27-09-2017 Refraksi Mata RS. Kartini 0000146945665
105 Rosalin A Sabaat Taebenu 49 Penfui Timur 27-09-2017 Susp.Miom RS. Naibonat 0002106707049
106 Maria Uslono 40 Penfui Timur 27-09-2017 Susp TB RS. Siloam 0002083887988
107 Wara Tunjas 20 Oelnasi 27-09-2017 Susp TB RS. Prof . DR w. z yohanes
108
Dorce folle Dethan 69 Noelbaki 27-09-2017 Katarak RS. Prof . DR w. z yohanes 0001270068625
109
Natalia Wuda 18 Noelbaki 27-09-2017 Polip RS. Prof . DR w. z yohanes 0001058950045
110
Adi Bastian Pah 24 Tanah Merah 28-09-2017 Insomnia RS. Dadari 0001058950045
111
Supriadi 28 Tanah Merah 28-09-2017 NC Fastes RS. Prof . DR w. z yohanes 0002075743899
112 Jastine Dethan 79 Noelbaki 28-09-2017 Gastitis Kronis RS. Wirasakti
113 Apriyanto Loe 1,5bln Noelbaki 28-09-2017 Diare SKTM
114 Chesty J Mau 2,3bln Oelpuah 28-09-2017 Intoksikasi Bensin 0002216464299
115 Lorens Mau 61 Oelpuah 29-09-2017 Trauma Kepala RS. Prof . DR w. z yohanes 000059027802
116
Zadrak Ati 74 Noelbaki 29-09-2017 BPH RS. Siloam 0002065725551
117
Muhamad sudi 40 Noelbaki 29-09-2017 Pterigium RS. S k Lerik 0001058959719
118 Nelci Dethan Lenggu 30 Mata Air 30-09-2017 Akseptor IUD 3 Thn RS. Leona 0001966176350
GAWAT RUJUKAN
DARURAT BIASA
M
LAPORAN RUJUKAN PUSKESMAS TARUS
BULAN NOVEMBER 2017
RUJUKAN PASIEN
UMUR
NO NAMA PASIEN ALAMAT TANGGAL DIAGNOSA RUJUKAN DARI
L P PUSK PUSTU POLINDES DI RUJUK KE RS
1 Dorsila boru 35 Noelbaki 01/01/2018 Terdapat benjolan di bagian leher RS. Prof. dr. w. z yohanes kupang
2 Elezino do santos 18 Noelbaki 01/11/2017 susp mh RS. Prof. dr. w. z yohanes kupang
3 Elisabeth foes 89 Tarus 01/11/2017 obs dislikasi RS. Wirasakti
4 juliana djara para 66 Tarus 01/11/2017 LAD RS. Prof. dr. w. z yohanes kupang
5 Sry yulipah 31 Mata Air 01/11/2017 Kutil Kronik RS. Siloam
6 Andreas bana 37 oelmasi 01/11/2017 asp pain RS. Leona
7 Rince felpina Manao 24 Tarus 02/112017 Lipoma/susp TB kelenjar RS. Prof. dr. w. z yohanes kupang
8 yordan 12 Oebelo 02/112017 TFA kronis RS. Prof. dr. w. z yohanes kupang
9 jeanele modok 4,4 B Noelbaki 02/112017 Candidiasis RS. Prof. dr. w. z yohanes kupang
10 yostinus tano 37 penfui timur 03/11/2017 B20 RS. Prof. dr. w. z yohanes kupang
11 salomi umbu dethan 36 Tarus 03/11/2017 G1u p0 A3 uk 8+2 MGG RS. Dadari
12 sem lasi 40 penfui timur 03/11/2017 katarak RS. Kartini
13 eklemina kine 50 Tarus 03/11/2017 Depresi RS. Dadari
14 yosua lomi 12 Oelpuah 03/11/2017 gangguan refleksi mata RS. Kartini
15 orsel saudale 2 Mata Air 03/11/2017 susp TB RS. Siloam
16 maria manilang 61 oelnasi 03/11/2017 RA RS. Siloam
17 tabita tasi 59 tarus 03/11/2017 HT GR 1 RS. Siloam
18 Marylin Mooy 47 Penfui timur 03/11/2017 Gangguan refleksi mata RS Kartini
19 Asbeni Zaid 21 Noelbaki 03/11/2017 TB RS Bayangkara
20 Agnes U.P ngilo 18 Mata Air 04/11/2017 Sus stroma RS. Prof. dr. w. z yohanes kupang
21 Mariani Hufa 17 Tarus 06/11/2017 Refleksi mata RS kartini
22 Lenci mooy adu 51 Oebelo 06/11/2017 Iritasi mata RS sk lerik
23 Saputra 7 penfui timur 06/11/2017 Premon kronis RS leona
24 Jane m lole 42 Tarus 06/11/2017 Refleksi mata RS leona
25 Marten k loe 59 Tarus 06/11/2017 HT. SNLD RS. Prof. dr. w. z yohanes kupang
26 Richard Y uly 18 Tarus 06/11/2017 CKS-CKB RS. Prof. dr. w. z yohanes kupang
27 Pauline 39 Tarus 07/11/2017 Asam lambung RS Siloam
28 Soleman taklaI 60 Noelbaki 07/11/2017 B.PH RS leona
29 Paulus pinggak 81 penfui timur 07/11/2017 Oval higiene RS siloam
30 Hendrik manu 25 penfui timur 07/11/2017 Abses nakila RS. Prof. dr. w. z yohanes kupang
31 Hokmus fina 51 Noelbaki 08/11/2017 Hyperthyroid RS. Prof. dr. w. z yohanes kupang
32 Yohana kore bima 55 Noelbaki 08/11/2017 Hipertensi RS Siloam
33 Osira sela 59 Tarus 08/11/2017 LBP RS Siloam
34 Dece tuka 31 Tarus 08/11/2017 Nyeri di perut Rs Siloam
35 Selfiana Adoe 37 Mata Air 08/11/2017 hipokalemia becat RS. Prof. dr. w. z yohanes kupang
36 gerson b 60 Tanah merah 08/11/2017 DM RS. Prof. dr. w. z yohanes kupang
37 Sani Mada 63 Noelbaki 09/11/2017 LBP RS. Prof. dr. w. z yohanes kupang
38 Beata f kolin 7,5 b Tarus 10/11/2017 Lipoma RS. Leona
39 gabriel moruk 55 penfui timur 10/11/2017 CAD RS. Sk lerik
40 yosina layk n 67 Tanah merah 10/11/2017 mastitis RS. Prof. dr. w. z yohanes kupang
41 julio da costa 9 Timor raya 10/11/2017 gevalgia Rs Siloam
42 ferderikus 27 Tarus 11/11/2017 susp tb Rs Siloam
43 melda tana 31 Noelbaki 11/11/2017 48 6P RS. Prof. dr. w. z yohanes kupang
44 juliana pakh lay 64 Tanah merah 11/11/2017 CHF RS. Prof. dr. w. z yohanes kupang
45 fernando tasdin 25 Oebelo 11/11/2017 apendicitis + febris RS. Siloam
46 adriana pah nguru 62 Tanah merah 11/11/2017 gangguan refraksi RS. Leona
47 makleon koa 47 Noelbaki 11/11/2017 DM RS. Bhayangkara
48 paskalis lakan 9,8 b Noelbaki 11/11/2017 tumbuh kembang RS. Prof. dr. w. z yohanes kupang
49 niderti sagistisna 35 Tarus 11/11/2017 kista ovarium RS. Leona
50 eltaser bayk 39 Tanah merah 13/11/2017 isk kronis RS. Sk lerik
51 simon saek 39 Mata Air 13/11/2017 gangguan pengelihatan RS. Sk lerik
52 karolina win 52 Tarus 13/11/2017 benda asing RS. Leona
53 melianus suek 47 Oebelo 13/11/2017 nyeri sendi RS. Siloam
54 agustina leinati 34 oelnasi 13/11/2017 LBP RS. Leona
55 meliane tae 35 penfui timur 13/11/2017 g4 p2 a1 uk 40 + 4 RS. Dadari
56 sarluta tungga 62 Noelbaki 14/11/2017 IMA + oa RS. Sk lerik
57 yasinta nuba 54 Tuaneo 14/11/2017 obs ca RS. Prof. dr. w. z yohanes kupang
58 adriana semi 48 Noelbaki 14/11/2017 asma RS. Leona
59
agung guteres 7b Noelbaki 14/11/2017 nemoni barat RS. Naibonat
61
ayu nguru 46 penfui timur 15/11/2017 Boils paisi RS. Sk lerik
62 agustinus naluk 66 Mata Air 15/11/2017 dispisia + ht RS. Siloam
63 apriana pah 62 Tanah merah 15/11/2017 gangguan penelihatan RS. Leona
64 dominikus kidjo 72 Tanah merah 15/11/2017 susp tumor RS. Siloam
65 betseba 52 Mata Air 15/11/2017 DM RS. Siloam
66 by. Ny yanti nenoliu 15 b Mata Air 15/11/2017 penyakit sangat berat RS. Bhayangkara
67 juan p kalo 12 Noelbaki 15/11/2017 Lipoma RS. Prof. dr. w. z yohanes kupang
68 ramdani 65 Oebelo 15/11/2017 katarak RS. Kartini
69 ida ngurah arsani 46 Penfui timur 16/11/2017 susp bells palsi RS. Prof. dr. w. z yohanes kupang
70 sandi liufeto 25 oelnasi 16/11/2017 susp MH RS. Prof. dr. w. z yohanes kupang
71 maramol J B 17 Tanah merah 16/11/2017 mata merah RS. Sk lerik
72 mifron aldi 12 Mata Air 16/11/2017 katarak RS. Prof. dr. w. z yohanes kupang
73 talita tari 59 Tarus 17/11/2017 HT RS. Kartini
74 gladis hiri 10 Noelbaki 17/11/2017 gangguan pada mata RS. Kartini
75 afliana mbatu 57 Tanah merah 17/11/2017 kelainan mata RS. Sk lerik
76 fandri bani 7 Noelbaki 17/11/2017 lipoma RS. Siloam
77 yohanis kolin 43 Tarus 17/11/2017 vertigo kronis RS. Wirasakti
78 aliana tunjaas 22 oelnasi 18/11/2017 g1 p0 uk 33 + 3 nyeri perut RS. Leona
79 maria dhiu 33 penfui timur 18/11/2017 g3 p2 a0 35 + 5 nyeri perut RS. Leona
80 dorce folle dethan 70 Noelbaki 18/11/2017 ppok RS. Prof. dr. w. z yohanes kupang
81 liliana lopes 21 Noelbaki 18/11/2017 lipoma RS. Prof. dr. w. z yohanes kupang
82 soleman nuban 53 Noelbaki 20/11/2017 penurunan visus RS. Kartini
83 markus t keri 27 Tanah merah 20/11/2017 epilepsi RS. Prof. dr. w. z yohanes kupang
84 dominggus saubaki 36 penfui timur 20/11/2017 hemoroid extera RS. Leona
85 tamar abineno 57 Tarus 20/11/2017 mastik kronis RS. Wirasakti
86 aplonia lael 21 Oebelo 20/11/2017 poli mono metro regie RS. Leona
87 regina loinati 34 Noelbaki 20/11/2017 chepaliz kronis RS. Sk lerik
88 ademepost abces dorsum pedus dextria
adelvia gomes 21 Oebelo 20/11/2017 susp dvt RS. Leona
89 ferderikus golok 27 Tarus 21/11/2017 b20 RS. Prof. dr. w. z yohanes kupang
90 yuni lobo 7 penfui timur 21/11/2017 b20 RS. Prof. dr. w. z yohanes kupang
91 maradem taneo 30 penfui timur 21/11/2017 vertigo karpitus RS. Prof. dr. w. z yohanes kupang
92 goreti tana lurun 37 Noelbaki 21/11/2017 25 REEF 3X1 RS. Prof. dr. w. z yohanes kupang
93 henderiro udju edo 28 Tarus 21/11/2017 omk + otqigis RS. Wirasakti
94 ester banao 40 oelnasi 21/11/2017 gv1 p1v a1 nyeri perut RS. Leona
95 beci lian tallo 36 Tarus 21/11/2017 lower abdominal pain RS. Sk lerik
96 marbella bentura 5 Tarus 21/11/2017 obs vomit RS. Sk lerik
97 selviana c 36 penfui timur 21/11/2017 g4 p3 a0 uk 27+2 nps RS. Leona
98 hotman napitupulu 40 Tanah merah 21/11/2017 TB, MDR, DM RS. Leona
99 reviani dorina tinenti 36 penfui timur 21/11/2017 isk kronis RS. Prof. dr. w. z yohanes kupang
100 brigita berkanis 23 penfui timur 21/11/2017 gng refraksi RS. Siloam
101 rafania ratu kalio 16 Tarus 21/11/2017 syncope RS. Prof. dr. w. z yohanes kupang
102 elfrida damamijuk 16 hari penfui timur 22/11/2017 kanstipasi RS. Leona
103 marbela bentura 5 Tarus 22/11/2017 ohs vomit RS. Prof. dr. w. z yohanes kupang
104 devi henukh 23 Tanah merah 22/11/2017 epilepsi RS. Prof. dr. w. z yohanes kupang
105 henok sina 48 Noelbaki 22/11/2017 gastritis kronis RS. Prof. dr. w. z yohanes kupang
106 marta weu 57 Mata Air 22/11/2017 visus RS. Prof. dr. w. z yohanes kupang
107 velomena kune 10 penfui timur 22/11/2017 cougritis kronis RS. Prof. dr. w. z yohanes kupang
108 aloxandro t 24 penfui timur 22/11/2017 bata buli RS. Angkatan laut
109 elkana labati 81 oelpuah 22/11/2017 susp batu oratur RS. Leona
110 yohanes d 61 penfui timur 22/11/2017 LBP RS. Prof. dr. w. z yohanes kupang
111 yemitra foeh 23 Tanah merah 23/11/2017 24 gr 27 gr RS. Prof. dr. w. z yohanes kupang
112 novalia 15 Noelbaki 23/11/2017 amenose q ramer 5 bln RS. Leona
113 apriana penu 37 Noelbaki 23/11/2017 edem RS. Prof. dr. w. z yohanes kupang
114 silverter nua 48 penfui timur 23/11/2017 LBP RS. Prof. dr. w. z yohanes kupang
115 betseba dima 72 Tarus 23/11/2017 katarak RS. Siloam
116 yohanes ateng 55 Tarus 23/11/2017 CAD RS. Prof. dr. w. z yohanes kupang
117 by. Elfrida haning 1.1 minggu oelaba 23/11/2017 konstipasi suspmekoneal plug RS. Leona
118 yohanes djego 61 penfui timur 23/11/2017 LBP RS. Siloam
119 aksamina lay kare 45 penfui timur 23/11/2017 LBP RS. Prof. dr. w. z yohanes kupang
120 Marta tanuab 39 Mata Air 23/11/2017 gangguan refraksi mata RS. Kartini
121 oktovianus la'a 47 penfui timur 24/11/2017 hemi panes kasisumsta RS. Siloam
122 karolina riwu 54 Tarus 24/11/2017 plerigium RS. Kartini
123 elfin maf 30 penfui timur 24/11/2017 LBP susp ISK RS. Prof. dr. w. z yohanes kupang
124 adrianus ndu ufi 50 Mata Air 24/11/2017 penurunan visus RS. Prof. dr. w. z yohanes kupang
125 soleman sae 65 Tarus 25/11/2017 1123 RS. Siloam
126 bernadele gof 49 Mata Air 25/11/2017 LBP RS. Prof. dr. w. z yohanes kupang
127 flistina lede 57 Tarus 25/11/2017 herpes kolesteko lemru RS. Leona
128 agustinus naluk 66 Mata Air 27/11/2017 suspbatu ginjal RS. Prof. dr. w. z yohanes kupang
129 jono triantoro 64 penfui timur 27/11/2017 HT + DM RS. Wirasakti
130 wenia 60 Tarus 27/11/2017 g3 refraksi mata RS. Kartini
131 betseba beti 56 oelnasi 27/11/2017 susp tumor RS. Sk lerik
132 helena dalle 59 Tarus 28/11/2017 ganti kaca mata RS. Kartini
133 yeni bentuna fonai 47 Oebelo 28/11/2017 visus RS. Sk lerik
134 agustinus manikin 64 Tarus 28/11/2017 IMA HHD RS. Sk lerik
135 pius jurna nagi 77 Noelbaki 28/11/2017 katarak RS. Siloam
136 esau nalle 50 Oebelo 28/11/2017 katarak RS. Prof. dr. w. z yohanes kupang
137 wempi e fonai 50 Noelbaki 28/11/2017 hiperkolesterdima RS. Leona
138 dedi a modok 8 Mata Air 28/11/2017 tumor mucusa RS. Prof. dr. w. z yohanes kupang
139 marselina molamite 58 Noelbaki 28/11/2017 dispesia RS. Siloam
140 melati aplugi 5 Noelbaki 28/11/2017 DBD GR II RS. Naibonat
141 werang dethan 43 Tanah merah 28/11/2017 trauma pada mata RS. Siloam
142 yulius liu feto 53 penfui timur 28/11/2017 DM RS. Prof. dr. w. z yohanes kupang
143 veronika seru 25 penfui timur 28/11/2017 Abses RS. Prof. dr. w. z yohanes kupang
144 naomi mesakh 39 Mata Air 28/11/2017 ket RS. Prof. dr. w. z yohanes kupang
145 alfani bolla 14 Tarus 29/11/2017 sinusitis RS. Wirasakti
146 mahdi lulan 28 Noelbaki 29/11/2017 glaukoma sekunder RS. Prof. dr. w. z yohanes kupang
147 mahdi lulan 28 Noelbaki 29/11/2017 susp batu ginjal RS. Leona
148 margarita bunga piga 78 Noelbaki 29/11/2017 hypertensi RS. Prof. dr. w. z yohanes kupang
149 rudiyanto 22 penfui timur 29/11/2017 contusro RS. Prof. dr. w. z yohanes kupang
150 silfa nenolete 46 Mata Air 29/11/2017 hypertiroid RS. Prof. dr. w. z yohanes kupang
151 pius megi 77 Noelbaki 29/11/2017 katarak RS. Sk lerik
152 yosep dhejo 70 Noelbaki 29/11/2017 susp gaugron RS. Prof. dr. w. z yohanes kupang
152 hotman napitupulu 41 Tanah merah 29/11/2017 TB MDR DM RS. Prof. dr. w. z yohanes kupang
154 tamar abineno 41 Tarus 29/11/2017 tumor simistra RS. Wirasakti
155 yohana beri 27 penfui timur 29/11/2017 gng RS. Kartini
156 aleksandro pah 15 Oebelo 29/11/2017 DM RS. Prof. dr. w. z yohanes kupang
157 dorte ndun 42 Oebelo 29/11/2017 susp app + ISK RS. Naibonat
158 yohanes djego 61 penfui timur 29/11/2017 Myalsia RS. Siloam
159 margarita bunga piga 78 Noelbaki 30/11/2017 hypertensi RS. Leona
160 palinus tamekan 64 Oebelo 30/11/2017 chest pain RS. Sk lerik
161 ladjadin hibu 65 Tarus 30/11/2017 PPOK RS. Siloam
162 yohana korebima 65 Mata Air 30/11/2017 r virus RS. Prof. dr. w. z yohanes kupang
Mengetahui :
Kepala Puskesmas Tarus
drg.Imelda Sudarmadji
NIP.19750503 200212 2 007
RUJUKAN PASIEN KETERANGAN
JAMINAN YANG DIGUNAKAN
GAWAT RUJUKAN
BPJS JKM ASKES JK3 DARURAT BIASA
0001579610586
0000851701331
00002202938739
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00011349937556
0000147184255
UMUM
0001383192134
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0000851457993
0000147003568
0002216443588
0002202427078
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UMUM
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UMUM
000146994887
UMUM
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SKTM
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UMUM
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0002108625372
UMUM
UMUM
0001058965413
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0002301682443
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SKTM
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0001887653248
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00022564233779
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0002106688116
0002106626503
SKTM
0000147023976
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0001058965222
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0001270068625
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SKTM
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UMUM
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000851890882
0002304523023
UMUM
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0002235321123
0002059509216
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SKTM
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UMUM
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UMUM
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UMUM
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SKTM
0002108624319
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UMUM
SKTM
0000147021748
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UMUM
0000150079983
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SKTM
0000158169958
0001266995632
0000851002931
0001058568719
0000147022705
Christine G.A.Mengga
NIP.19730410 199212 2 001
LAPORAN RUJUKAN PUSKESMAS TARUS
BULAN JANUARI 2018
RUJUKAN PASIEN
UMUR
NO NAMA PASIEN ALAMAT TANGGAL DIAGNOSA RUJUKAN DARI JAMINAN YAN
L P PUSK PUSTU POLINDES DI RUJUK KE RS BPJS
1 Agustinus nahak 60 Mata air 4-01-2018 Hipertensi Rs Bayangkara
2 Fransina selan 45 Oelnasi 4-01-2018 Susp TB Rsu W.Z Yohanes Kupang
3 Yustino timo 38 Penfui timur 8-01-2018 B20 Rsu W.Z Yohanes Kupang 0001745622391
4 Andreas selik 48 Tarus 8-01-2018 Combus tro grad Rsu W.Z Yohanes Kupang
5 Hemi feriana yoab 52 Tanah merah 8-01-2018 CAB Rsu W.Z Yohanes Kupang 0004287263158
6 Wilhelmus L wae 53 Mata air 8-01-2018 Post BPH Rsu W.Z Yohanes Kupang 0001266842744
7 Deki mone 35 Noelbaki 09-01-18 Terdapat benjolan di bagian leher RS. Prof. dr. w. z yohanes kupang 0001579610586
8 Yoram E banu 18 Noelbaki 09-01-18 susp mh RS. Prof. dr. w. z yohanes kupang 0000851701331
9 Maria Amfalis 89 Tarus 09-01-18 obs dislikasi RS. Wirasakti 00002202938739
10 Florianus 66 Tarus 09-01-18 LAD RS. Prof. dr. w. z yohanes kupang 0000149868191
11 Salmah A MD 31 Mata Air 09-01-18 Kutil Kronik RS. Siloam 0001422962212
12 Markus D eliman 37 oelmasi 09-01-18 asp pain RS. Leona 00011349937556
13 Kosmas D katiole 24 Tarus 09-01-18 Lipoma/susp TB kelenjar RS. Prof. dr. w. z yohanes kupang 0000147184255
14 Jo Dolvan Fanggidae 12 Oebelo 09-01-18 TFA kronis RS. Prof. dr. w. z yohanes kupang
15 Andreas bria 44 Noelbaki 09-01-18 Candidiasis RS. Prof. dr. w. z yohanes kupang 0001383192134
16 Agustaf lolo 37 penfui timur 09-01-18 B20 RS. Prof. dr. w. z yohanes kupang 0001743622391
17 Orianty nenotek 36 Tarus 09-01-18 G1u p0 A3 uk 8+2 MGG RS. Dadari 0001288653276
18 Welhelmus Nahak 40 penfui timur 10-0118 katarak RS. Kartini 0000851457993
19 Julia P lay 50 Tarus 10-0118 Depresi RS. Dadari 0000147003568
20 Maria M benggu 12 Oelpuah 10-0118 gangguan refleksi mata RS. Kartini 0002216443588
21 Cary Sihombing 2 Mata Air 10-0118 susp TB RS. Siloam 0002202427078
22 Barnabas b Lolo 61 oelnasi 10-0118 RA RS. Siloam
23 Jeby Daud 59 tarus 10-0118 HT GR 1 RS. Siloam 0000147023976
24 I ketut Narla 47 Penfui timur 11-01-18 Gangguan refleksi mata RS Kartini
25 Diana kore ludji 21 Noelbaki 11-01-18 TB RS Bayangkara 0000204638141
26 Adriana Mooy 18 Mata Air 11-01-18 Sus stroma RS. Prof. dr. w. z yohanes kupang 0002063797457
27 Jacob sabaat 17 Tarus 11-01-18 Refleksi mata RS kartini 000850989857
28 Amiyanti it metu 51 Oebelo 11-01-18 Iritasi mata RS sk lerik 0001058946603
29 Chevin 7 penfui timur 11-01-18 Premon kronis RS leona 0001303334469
30 Dorce Fale Dethan 42 Tarus 11-01-18 Refleksi mata RS leona 000149881888
31 Helena karwanya 59 Tarus 11-01-18 HT. SNLD RS. Prof. dr. w. z yohanes kupang 0000147021377
32 Noviana Gasper 18 Tarus 13-01-18 CKS-CKB RS. Prof. dr. w. z yohanes kupang
33 Marten loe 39 Tarus 13-01-18 Asam lambung RS Siloam 0001879684841
34 Yohanes seran 60 Noelbaki 13-01-18 B.PH RS leona
35 Milke D batmaro 81 penfui timur 13-01-18 Oval higiene RS siloam 0001965368518
36 Yumina nalle 25 penfui timur 15-01-18 Abses nakila RS. Prof. dr. w. z yohanes kupang
37 Magdalince malang 51 Noelbaki 15-01-18 Hyperthyroid RS. Prof. dr. w. z yohanes kupang
38 Marianus 55 Noelbaki 15-01-18 Hipertensi RS Siloam
39 Petrus P ahab 59 Tarus 15-01-18 LBP RS Siloam 000158969349
40 Dewi M Lomi 31 Tarus 15-01-18 Nyeri di perut Rs Siloam 000150238495
41 Taroci sole sonbai 37 Mata Air 15-01-18 hipokalemia becat RS. Prof. dr. w. z yohanes kupang
42 Lawrencew baituna 60 Tanah merah 15-01-18 DM RS. Prof. dr. w. z yohanes kupang 0001861439894
43 Thobias sine 63 63 Noelbaki 16-01-18 LBP RS. Prof. dr. w. z yohanes kupang
44 Samawa bulan Tarus 16-01-18 Lipoma RS. Leona 000105866122
45 Daniel Hera 55 penfui timur 16-01-18 CAD RS. Sk lerik 0001058976281
46 Hany dethan 67 Tanah merah 16-01-18 mastitis RS. Prof. dr. w. z yohanes kupang 0000851096902
47 Sarl;ota tunggal 9 Timor raya 16-01-18 gevalgia Rs Siloam 0001058948331
48 Nelci dethan 27 Tarus 16-01-18 susp tb Rs Siloam
49 Atdeon polly 31 Noelbaki 19-01-18 48 6P RS. Prof. dr. w. z yohanes kupang 0000205996779
50 Daniel modok 64 Tanah merah 19-01-18 CHF RS. Prof. dr. w. z yohanes kupang 00012689988761
51 Donca Sonbai 25 Oebelo 19-01-18 apendicitis + febris RS. Siloam 0001576816244
52 Zakararias tungga 62 Tanah merah 19-01-18 gangguan refraksi RS. Leona 0002108625895
53 Niderti djo 47 Noelbaki 19-01-18 DM RS. Bhayangkara
54 Yuliana meroekh 32 Noelbaki 19-01-18 tumbuh kembang RS. Prof. dr. w. z yohanes kupang 0001580777501
55 Sargius danu 35 Tarus 19-01-18 kista ovarium RS. Leona 0001903943310
56 Ayu putri messakh 29 Tanah merah 22-01-18 isk kronis RS. Sk lerik 0002108625372
57 Bendelina kandalada 39 Mata Air 22-01-18 gangguan pengelihatan RS. Sk lerik
58 Daniel Banunaek 52 Tarus 22-01-18 benda asing RS. Leona
59 Abner inba 47 Oebelo 22-01-18 nyeri sendi RS. Siloam 0001058965413
61 Meydelmince wa'ang 34 oelnasi 22-01-18 g4 p2 a1 uk 40 + 4 RS. Leona 0001058945646
62 Felipus saka 35 penfui timur 22-01-18 lbp RS. Dadari 0001579808518
63 Petronela c baiseran 62 Noelbaki 22-01-18 IMA + oa RS. Sk lerik 00018734262441
64 fransiskus manek 54 Tuaneo 22-01-18 obs ca RS. Prof. dr. w. z yohanes kupang 0002301682443
65 Ruthsifebly beama 48 Noelbaki 22-01-18 asma RS. Leona 0000199967931
66 Yunan taopan 34 Noelbaki 23-01-18 nemoni barat RS. Naibonat
67 Agustinus meka tai 46 penfui timur 23-01-18 Boils paisi RS. Sk lerik 0000149888608
68 Dorera boli dethan 66 Mata Air 23-01-18 dispisia + ht RS. Siloam 0001887653248
69 Elif T tanggo 62 Tanah merah 23-01-18 gangguan penelihatan RS. Leona 00040825895
70 Agustinus wado 72 Tanah merah 23-01-18 susp tumor RS. Siloam 0000851597549
71 Melranti dolu 52 Mata Air 24-01-18 DM RS. Siloam 0001275793534
72 Hildegardis L leu 15 Mata Air 24-01-18 penyakit sangat berat RS. Bhayangkara
73 Oktovianus kleing 12 Noelbaki 24-01-18 Lipoma RS. Prof. dr. w. z yohanes kupang 0000851592058
74 Oce lopsau 65 Oebelo 24-01-18 katarak RS. Kartini 00022564233779
75 Mada handayani 46 Penfui timur 24-01-18 susp bells palsi RS. Prof. dr. w. z yohanes kupang 0000149888608
76 Matilda indri anin 25 oelnasi 24-01-18 susp MH RS. Prof. dr. w. z yohanes kupang 0002106688116
77 zainal daka 17 Tanah merah 24-01-18 mata merah RS. Sk lerik 0002106626503
78 Piter kollo 12 Mata Air 25-01-18 katarak RS. Prof. dr. w. z yohanes kupang
79 Supriadi P 59 Tarus 25-01-18 HT RS. Kartini 0000147023976
80 Frangki foes 10 Noelbaki 25-01-18 gangguan pada mata RS. Kartini 0000850936307
81 Rudi yanto 57 Tanah merah 25-01-18 kelainan mata RS. Sk lerik 0001796378646
82 Marselina 7 Noelbaki 25-01-18 lipoma RS. Siloam 0000851669559
83 Jeni fransiska soba 43 Tarus 25-01-18 vertigo kronis RS. Wirasakti 0001058965222
84 Susana nalle 22 oelnasi 26-01-18 g1 p0 uk 33 + 3 nyeri perut RS. Leona 0000851899149
85 Patrisius 33 penfui timur 26-01-18 ppok RS. Leona 001166729409
86 Paulina M da costa 70 Noelbaki 26-01-18 g3 p2 a0 35 + 5 nyeri perut RS. Prof. dr. w. z yohanes kupang 0001270068625
87 Rahayu 21 Noelbaki 26-01-18 lipoma RS. Prof. dr. w. z yohanes kupang 0000851504905
88 Yanti afi 53 Noelbaki 26-01-18 penurunan visus RS. Kartini 0000146932146
89 Samuel nahak 27 Tanah merah 26-01-18 epilepsi RS. Prof. dr. w. z yohanes kupang 0000850949717
90 Putri nalle 36 penfui timur 26-01-18 hemoroid extera RS. Leona 0000149682824
91 Yordan 57 Tarus 27-01-18 mastik kronis RS. Wirasakti 0001058969373
92 Maldeon koa 21 Oebelo 27-01-18 poli mono metro regie RS. Leona 0000851350543
93 Auxilum f pono 34 Noelbaki 27-01-18 chepaliz kronis RS. Sk lerik 0000851943464
ademepost abces dorsum pedus dextria
94 Hendrikus ndu ufi 21 Oebelo 27-01-18 susp dvt RS. Leona 0000850847523
95 Yosefina 27 Tarus 27-01-18 b20 RS. Prof. dr. w. z yohanes kupang
96 Lorens mau 7 penfui timur 27-01-18 b20 RS. Prof. dr. w. z yohanes kupang 0001727491239
97 Santi M 30 penfui timur 27-01-18 gv1 p1v a1 nyeri perut RS. Prof. dr. w. z yohanes kupang
98 Antonius Modok 37 Noelbaki 27-01-18 25 REEF 3X1 RS. Prof. dr. w. z yohanes kupang 0001058988011
99 sefnat nenolasi 28 Tarus 28-01-18 omk + otqigis RS. Wirasakti 0000147785872
100 zambrud Messakh 40 oelnasi 29-01-18 vertigo karpitus RS. Leona 000851890882
101 Nurjanti alberka djo 36 Tarus 29-01-18 lower abdominal pain RS. Sk lerik 0002304523023
102 yulianti lulan 25 Tarus 29-01-18 obs vomit RS. Sk lerik
103 Natalia mude 36 penfui timur 30-01-18 g4 p3 a0 uk 27+2 nps RS. Leona 0002271395654
104 hiyon taek 40 Tanah merah 30-01-18 TB, RS. Leona 0002235321123
105 hendrikus sewa 36 penfui timur 31-01-18 isk kronis RS. Prof. dr. w. z yohanes kupang 0002059509216
106 dede andarius 23 penfui timur 31-01-18 gng refraksi RS. Siloam
107 alosius B M 16 Tarus 31-01-18 syncope RS. Prof. dr. w. z yohanes kupang 0001848097877
UMUM
UMUM
UMUM
SKTM
SKTM
SKTM
SKTM
UMUM
SKTM
UMUM
UMUM
SKTM
UMUM
UMUM
SKTM
SKTM
UMUM
UMUM
UMUM
0000149836882
SKTM
2 001
LAPORAN RUJUKAN PUSKESMAS TARUS
BULAN APRIL 2018
RUJUKAN PASIEN
NAMA UMUR
NO ALAMAT TANGGAL DIAGNOSA RUJUKAN DARI
PASIEN
L P PUSK PUSTU POLINDES
1 Ferra D.Tallo Dae 39 Noelbaki 03 April 2018G4 P3 A0 UK 36 + 5 Hari
2 Yohanis Nau 63 Penfui Timur Tumor Parotis
3 Ladjamudin 66 Tarus PPOK
4 Indri Nggili 1,7 Noelbaki Bisul Dibelakang telinga kiri
5 Naema M. Tallo 64 Mata Air Gangguan Refraksi
6 SwariLay Lobang 59 Noelbaki Gangguan Refraksi
7 Yusmana 46 Tanah Merah Obs.Haemaroid
8 Ferdi Tualaka 1,1 Noelbaki Susp. Hernia
9 Adriana Ate 29 Mata Air Hematemesis
10 Dominikus Ki 75 Tanah Merah04 April 2018Selaput Mata Kanan
11 Vinsensius L 47 Penfui Timur Susp. Faringitis Kronis
12 Martha Kasse Tanuab 40 Mata Air Parestesi
13 Yocka Mesack 14 Tanah Merah Hepar
14 Mentari Angelica Daud 15 Oebelo Susp.TB Kelenjar
15 Maria S.Ugha Wea 18 Noelbaki Tonsilitis Kronis
16 Frisonlot Agu 28 Tarus Gangguan Refraksi
17 Soleman Mo 44 Tarus Epilepsi
18 Daud Palo M 46 Noelbaki Gangguan Refraksi
19 Ester PurnamaLagahun 19 Tarus TFA Kronis
20 Cristoforus K 25 Mata Air Susp. M.H. dd TV
21 Stevanus Ndi 21 Noelbaki Post KLL Trauma Tumpul
22 Acep Sujano 52 Penfui Timur Post Stroke
23 Martha Maria Ari 52 Noelbaki 06-April 201845 Gr Ronseng
24 Yulius Penu 52 Penfui Timur Cardiomegali + Radang Paru
25 Marthen K.L 59 Tarus Stroke
26 Supriadi 28 Noelbaki Hernia
27
Petrus Kalete 39 Mata Air Premedikasi
28 Yustinus R. T 38 Penfui Timur07 April 2018B20
29 Cejeltinio M 15 Noelbaki Isk Kronis
30 Siprianus Djil 65 Noelbaki Katarak
RS Kartini SKTM
RSU Prof.DR.
0002017851232
RS Leona 0000201457056
RS Leona 0002445949484
RS Dedari 00019996041405
RS Dedari UMUM
RS Kartini 0000194069518
RSU Prof.DR.
0000149880363
RSU S.K Lerik
0000851479640
RSU Prof.DR. UMUM
RSU Prof.DR.
0002216334788
RSU Prof.DR.
0000147752032
RS Leona 0000851151633
RS Leona 0001862489338
RS SK Lerik 0002106810145
RSU Prof.DR. 0001058952688
RS Naibonat 0000147021568
RS Leona 0000147062891
RS Wirasakti UMUM
RS Kartini 0001837227230
RSU Prof.DR. UMUM
RSU Prof.DR. 000216694809
RS Kartini 0000851444785
RSU Prof.DR. 000014711317
RS SK Lerik 0002106700686
RS Leona 0000851151519
RS Leona 0002108592235
RSU Prof.DR. SKTM
RS SK Lerik 0001825998142
RSU Prof.DR. 0002261007685 0000150200818
RSU Prof.DR. 0002090656484
RS Kartini 0000147024764
RSU Prof.DR. UMUM
RSU Prof.DR. 0001434085479
RS Leona 0000150137605
RS SK Lerik 0000166272726
RS Kartini 0002318058404
Rs Dedari 0002035625365
RSU Prof.DR.W.Z.Johanes 0000146051652
RS SK Lerik UMUM
RSU Prof.DR. 0002017807727
RSU Prof.DR. 0000851303259
RSU Prof.DR. 0001882794328
RS Kartini 0000146906414
Rs Dedari 0000862662475
RSU Prof.DR. 0000851625685
RS Wirasakti 0001263433588
RSU Prof.DR. 0000850988114 0000147084805
RSU Prof.DR. 0000852342186
RSU Prof.DR. UMUM
RS SK Lerik 0001864624263
RSU Prof.DR.
0000151169387 0000151221813
RSU Prof.DR. 0000851303237
RS Kartini 0001058954602
RSU Prof.DR. 0000146911252
RSU Prof.DR. SKTM
RS Naibonat SKTM
RSU Prof.DR. 0002039999692 0000147481323
RSU Prof.DR. 0000851421969 0000165310659
RSU Prof.DR. 0000147018306
RS SK Lerik 0002440061965
Rs Dedari 0000149658851
RSU Prof.DR. 0002425795345
RSU Prof.DR. SKTM
RSU Prof.DR. 0000850945972
RS Siloam 0000850497974
RSU Prof.DR. UMUM
RSU Prof.DR. 0001317900926
RS Kartini 000188279432
RSU Prof.DR.W.Z.Johanes 0000150200818
RS AL 0001058968719
RSU Prof.DR. 0001902031457
RS Kartini 0000147058424
RS Leona 0000146972169
RSU Prof.DR.W.Z.Johanes 0000147020949
RSU Prof.DR. SKTM
RS Kartini 0001058956582
RSU Prof.DR. 0001058983604
RSU Prof.DR. 0001850716359
RS Naibonat 0000851979508
RS Wirasakti 0000850856736 00001470071856
RS Leona 0001058947694 0000147021827
RS Leona 0000850902219
RS Leona 0001811024583
RS Wirasakti 0000147023212
RS Wirasakti 000040168809
RS Leona 0000826469414
RS SK Lerik 0002220309459
RS Kartini 0000167662822
RSU Prof.DR. 0000851093368
RS BhayangkaUMUM
RS Leona 0000150210701
RSU Prof.DR.W.Z.Johanes 0000147072429
RS Naibonat UMUM
RSU Prof.DR. 0002261962383
RSU Prof.DR. 0002199262094
RS SK Lerik 0000146937824 0000201456898
RSU Prof.DR. 0000850925169
RS Leona 0001273881003
RSU Prof.DR. 0000147034282
RS Leona 0002052558852
RS SK Lerik 0000851977934
RSU Prof.DR. 00008518241799
RS SK Lerik 0001966176358
RS Kartini 0000850482314
RS Leona 00020804174119
RS Wirasakti 00001502002911
RSU Prof.DR. SKTM 0000147017711
RS SK Lerik 0000209856014
RS Leona 0000872654523
RSU Prof.DR. 0000851537327
RS SK Lerik 0001058946603
RS Dedari 0002048058674
LAPORAN RUJUKAN PUSKESMAS TARUS
BULAN MEI 2018
RUJUKAN PASIEN
UMUR
NO NAMA PASIEN ALAMAT TANGGAL DIAGNOSA RUJUKAN DARI JAMINAN YANG DIGUNAKAN
L P PUSK PUSTU POLINDES DI RUJUK KE RS BPJS JKM ASKES JK3
1 Faisal daka 62 Mata air 02-05-18 SNH - - - Rsu W.Z Yohanes Kupang 0000149740255 - ASKES -
2 Gerson Nggadas 60 Tanah merah 02-05-18 DM - - - Rsu W.Z Yohanes Kupang 0001861439894 - -
3 Aranci Ngeu 76 Tarus 02-05-18 Katarak - - - RS Kartini 0002048058674 - -
4 Fransida Klonan 45 Noelbaki 02-05-18 Gangguan Jiwa - - - Rsu W.Z Yohanes Kupang - - UMUM -
5 Lusiana Dos Santos 51 Oebelo 02-05-18 DM - - - Rsu W.Z Yohanes Kupang 0000851979508 - -
6 Welem Radja 22 Tanah merah 02-05-18 Gangguan Refraksi Mata - - - RS Kartini 0000870899859 - -
7 Etni Matitu 25 Oelpuah 03-05-18 Gangguan Refrasi Mata - - - RS sk lerik 0000850223035 - -
8 Apriana Mbatu 27 Tanah merah 03-05-18 TB Paru - - - RS Siloam 0001058978294 - -
9 Imelda Ester 29 Noelbaki 03-05-18 Gangguan Ansietas - - - RSIA Dedari 0000147022424 - -
10 Marce Yublina 32 Oelpuah 03-05-18 KIE Pra Rujukan - - - RS leona 0002106689501 - -
11 Gasper Lakbanu 49 Oelnasi 03-05-18 susp tb - - - RS Bayangkara - - UMUM -
12 Rut Martha 42 penfui timur 03-05-18 Trauma dd Gravis - - - Rsu W.Z Yohanes Kupang - - SKTM -
13 Yublina Lakbanu 62 Oelnasi 03-05-18 Obs. Tumor - - - RS leona 0000851947896 - -
14 Aquiliati Ruti 20 Noelbaki 03-05-18 G1 P0 A0 - - - RS leona 0000857673415 - -
15 Claudino Pinto 21 Oebelo 03-05-18 CHD - - - RS Siloam 0000850843203 - -
16 Yacoba Mesakh 68 Jalan Mawar 04-05-18 Parkinson Disease - - - RS Siloam 00001455230485 - -
17 Wehelmina Pinga 66 Tarus 04-05-18 Stroke - - - Rsu W.Z Yohanes Kupang - - UMUM -
18 Gasper Lakbanu 49 Oelnasi 04-05-18 Susp. TB - - - RS leona 0000147096279 - -
19 Bellarosta 22 Noelbaki 04-05-18 Hemaptoe - - - Rsu W.Z Yohanes Kupang - - UMUM -
20 Restu Wahyuni 42 Mata air 04-05-18 Ca. Cerviks - - - Rsu W.Z Yohanes Kupang - - UMUM -
21 Marlina F. Tefnai 35 Mata Air 04-05-18 colic abdomen - - - Rsu W.Z Yohanes Kupang 0001867551704 - -
22 Adriana Sakoi 26 Tarus 05-05-18 G2 P1 A0 Uk 40 + 1 Minggu - - - RS leona 0000211502147 - - -
23 Felipus Swai 60 Tanah merah 05-05-18 Prostat - - - RS Bayangkara 0001058982805 - -
24 Kartini Daka 50 Mata air 07-05-2018 Stroke Ringan - - - RS sk lerik 0000163785734 - ASKES -
25 Leonardus Keo 70 Tarus 07-05-2018 Efusi Pleura - - - RS Siloam 0002432132561 - -
26 Paulinus Tmetan 65 Oebelo 07-05-2018 Dispepsia - - - RS sk lerik 0000851002431 - -
27 Getreda Konis 43 Oelnasi 07-05-2018 Grav's Disease - - - RS sk lerik 0000851882973 - -
28 Cheril Radja Kana 6 Noelbaki 07-05-2018 Abses Autikula - - - RS Wirasakti 0002010144892 - -
29 Nadien Pandie 4,6 Tarus 07-05-2018 Atresia Ani - - - RS leona 0001862489338 - -
30 Mariana Haning 58 Tanah merah 07-05-2018 Hemiparesis + DM - - - RS Siloam 0001058978272 - -
31 Yustinus Timo 38 penfui timur 07-05-2018 B20 - - - Rsu W.Z Yohanes Kupang 0001743622391 - -
32 Yomingga Nalle 72 Oebelo 07-05-2018 Gangguan Pendengaran - - - RS leona 0001811026809 - -
33 By Ny Anastasia 1bln penfui timur 07-05-2018 KIE Pra Rujukan - - - RS leona 00024432966172 - -
34 By Ny Ince 2hr penfui timur 07-05-2018 NKB-BMK - - - Rsu W.Z Yohanes Kupang - - UMUM -
35 Carolina Ndun 19 Mata air 07-05-2018 Abses Mandibula - - - Rsu W.Z Yohanes Kupang 0001895032034 - -
36 Viktor Amheka 57 Noelbaki 07-05-2018 LBP Kronis - - - RS leona 0000147024134 - -
37 Benediktus Dolu 54 Noelbaki 07-05-2018 DM - - - RS Siloam 0000147016293 - -
38 Since Nggili 24 Mata air 07-05-2018 Open Fraktur - - - Rsu W.Z Yohanes Kupang - - UMUM -
39 Paulo Mesquito 48 Noelbaki 08-05-18 Cest Paint - - - Rsu W.Z Yohanes Kupang 0000146915144 - -
40 Mon Mbatu 34 Oebelo 08-05-18 ISK - - - Rsu W.Z Yohanes Kupang 0000850885312 - -
41 Dorsila Bois 26 penfui timur 08-05-18 G3 P2 A0 AH II - - - RS leona 0001058974468 - -
42 Eduardo Dasilva 44 Oebelo 09-05-18 Abses Mandibula - - - Rsu W.Z Yohanes Kupang 00008500803186 - -
43 Yuliana Djara 61 Tarus 09-05-18 CHD - - - Rsu W.Z Yohanes Kupang 0000149868191 - -
44 Jois Jacob 34 Noelbaki 09-05-18 Dermatitis Kronis - - - RS sk lerik 0000148588358 - -
45 Marthen Pandie 56 penfui timur 09-05-18 CAD + DM - - - Rsu W.Z Yohanes Kupang 0001103786032 - -
46 Agustina Pelaituka 53 penfui timur 09-05-18 Pengapuran Ginjal - - - Rsu W.Z Yohanes Kupang 0001836244135 - -
47 Maria Noning 38 Tarus 09-05-18 Gangguan Refraksi Mata - - - RS Kartini 0000203657445 - -
48 Fahrel H. Marhya 1,6 Noelbaki 09-05-18 Kejang Demam - - - RS leona 0002236419134 - -
49 Apriana Pah Nguru 63 Tanah merah 11-05-18 LBP + TTH - - - RS leona 0002108625895 - -
50 Alfret Lay 44 Noelbaki 11-05-18 Gangguan Refraksi Mata - - - RS Kartini 0001260443552 - -
51 Yermias Pah 78 Oebelo 11-05-18 Gejala Stroke - - - RS leona 0001854491534 - -
52 Toy 8 Oelpuah 11-05-18 Carpol 1bln Meatus Antius Externa - - - RS sk lerik 0002108625895 - -
53 Ruth Bani 68 Noelbaki 11-05-18 Susp. TB - - - RS Bayangkara - - UMUM -
54 Rista 71 Mata air 11-05-18 LBP - - - RS Naibonat - - UMUM -
55 Rasina Hamnai 2 Noelbaki 11-05-18 Artivus Medis Kronis - - - Rsu W.Z Yohanes Kupang - - SKTM -
56 Selvince Maya Daud 33 Oebelo 12-05-18 Tumor Axila - - - Rsu W.Z Yohanes Kupang 0002258391881 - -
57 Soleman manu 47 Oebelo 12-05-18 LBP - - - RSUD Naibonat - - SKTM -
58 Lambertus nahak 78 Noelbaki 12-05-18 katarak - - - RS Siloam 00001470099194 - -
59 Joao Dos Santos 50 Oebelo 14-05-18 Pasca Avulsi Od - - - Rsu W.Z Yohanes Kupang 0000851421969 - -
60 Cejarlina Xavier 27 Oebelo 14-05-18 Gangguan Refraksi Mata - - - RS sk lerik 0002280161036 - -
61 Gaspar Tae 73 penfui timur 14-05-18 Susp. TB - - - RS Bayangkara 0001058976977 - -
62 Marshani Malo 10 Tarus 14-05-18 O.M.K - - - RS Wirasakti 0001166896877 - -
63 Leonora Padji 63 Noelbaki 14-05-18 HHD - - - RS Siloam 0001432645378 - -
64 Joy 8 Oelpuah 14-05-18 Corpil Meatus Akut - - - Rsu W.Z Yohanes Kupang - - UMUM -
65 Marthen K. Loe 60 Tarus 14-05-18 Stroke - - - Rsu W.Z Yohanes Kupang - - UMUM -
66 Antoneta Faot 42 Tarus 14-05-18 Insomnia - - - Rsu W.Z Yohanes Kupang 0000851969439 - -
67 Rahel Wadu 57 Lasiana 14-05-18 Cest Paint + Iskemik - - - RS sk lerik 0000850900792 - -
68 Deutilno Nalbesi 1,2 penfui timur 14-05-18 Konstipasi - - - RSUD Naibonat - - SKTM -
69 Yosep Lombo 56 Tarus 15-05-18 Astma - - - RS sk lerik 0000850993479 - -
70 Fransiska Kewuan 45 Noelbaki 15-05-18 Gangguan Jiwa - - - Rsu W.Z Yohanes Kupang - - SKTM -
71 Sarlin Taneo 64 Tarus 15-05-18 HT + DM + Hiperkoles - - - Rsu W.Z Yohanes Kupang 0000149744316 - -
72 Eben Kos Paulus 41 Tarus 15-05-18 Susp. TB - - - RS Siloam 0001127750128 - -
73 Ramdani 66 Oebelo 15-05-18 Gangguan Refraksi Mata - - - RS leona 0002256233139 - -
74 Helena Dasilva 57 Oebelo 15-05-18 HHD + Vertigo - - - RSUD Naibonat 0000147021568 - -
75 Orpa Bayk 63 Oebelo 15-05-18 HT + Hiperkoles - - - RS sk lerik 0002108625344 - -
76 Filomena Baros 57 Noelbaki 15-05-18 Gangguan Refraksi Mata - - - RS Kartini 0000147017654 - -
77 David Dethan 81 Mata air 15-05-18 Post KLL - - - Rsu W.Z Yohanes Kupang 0001258977464 - -
78 Marselina Laulela 50 penfui timur 15-05-18 Gangguan Pendengaran - - - RS Siloam 0001967338978 - -
79 Monti Mbatu 34 Oebelo 15-05-18 Susp Isk - - - Rsu W.Z Yohanes Kupang 0000850885312 - -
80 Yunus Mesakh 62 Tanah merah 16-05-2018 Fraktur - - - Rsu W.Z Yohanes Kupang 0001287259503 - -
81 Grace Dwi Djara 65 Mata air 16-05-2018 Tumor Mamae - - - RS sk lerik 0002058831011 - -
82 Leorintina Pinto 36 Mata air 16-05-2018 G3 P2 A0 Uk 14 + 6Mgu + Chepalgia - - - RS leona 0000851073221 - -
83 Bonifasius J. Don 26 Tarus 16-05-2018 Hernia - - - RS. Leona 0000146962078 - -
84 Steven Dillak 81 Tanah merah 16-05-2018 PPOK + HT - - - RS Siloam 0001058978634 - -
85 I Wayan sukada 65 Noelbaki 16-05-2018 obs. Dispnea Post Trauma - - - RS. Prof. dr. w. z yohanes kupang - - UMUM -
86 Yacob L 49 Tarus 17-05-2018 Gangguan Refraksi Mata - - - RS Kartini 0000146918406 - -
87 Marni Nakliu 37 Oelnasi 17-05-2018 DM - - - Rsu W.Z Yohanes Kupang 000851850358 - -
88 Arwan Baafan 22 Oebelo 17-05-2018 LBP Kronis - - - RS Kartini - - UMUM -
89 Yesenia Manu 22 Mata air 18-05-2018 Gravida Kontraksi + Trauma Jatuh - - - RS sk lerik 0000862662475 - -
90 Amplo Zoares 3 Noelbaki 18-05-2018 Obs.Oedema - - - RS leona - - UMUM -
91 Marselina Dacosta 50 penfui timur 18-05-2018 Gangguan Pendengaran - - - Rsu W.Z Yohanes Kupang 0001967338978 - -
92 Weni Amfotis 30 Liliba 18-05-2018 Dislokasi - - - Rsu W.Z Yohanes Kupang 0000203320376 - -
93 Dorci Sintia Ngongo 19 Tarus 19-05-2018 lipoma - - - Rsu W.Z Yohanes Kupang 0002143561691 - -
94 Noviana Gasper 60 Noelbaki 21-05-2018 DM TP II - - - Rsu W.Z Yohanes Kupang 0000146945665 - -
95 Simon Meluk 36 Tarus 21-05-2018 Gangguan Refraksi Mata - - - RS sk lerik 0001058966335 - -
96 Ira Rihi 28 Tanah merah 21-05-2018 Tumor Mandibula - - - RS Wirasakti 0001058978518 - -
97 Fransina Nepa 63 penfui timur 21-05-2018 ISK - - - RS leona 0000150137605 - -
98 Serly Banunaek 18 Oelpuah 21-05-2018 G1 P0 A0 Uk 8 + 2 Mgu HB Iminens - - - RS leona 0000854366286 - -
99 Pun Ledo 21 Mata air 21-05-2018 G1 Po A0 Uk 26 + 3 Mgu - - - RS. Leona 0001816045773 - -
100 Jonson Inabuy 50 Mata air 21-05-2018 DM TP II + Dislipidemia - - - RS Kartini 0000146923817 - -
115
Abraham Kart0dinodjo 70 Tarus 22-05-2018 Psikosomatik - - - Rsu W.Z Yohanes Kupang 0001854441898 - -
116
Sarah Karto 72 Tarus 22-05-2018 Stroke - - - Rsu W.Z Yohanes Kupang - - UMUM -
117 Martha K 61 Noelbaki 22-05-2018 Dispepsia - - - RS Kartini 0002261711744 - -
118 Yunan Taopan 33 Noelbaki 23-05-2018 obs.Batuk - - - RS Wirasakti 0000850964242 - -
119 Novita Riwu 40 Tarus 23-05-2018 Mata Nyeri - - - RS Wirasakti 0000146939859 - -
120 Wensi Barung 49 Tarus 23-05-2018 Konjungtiva Hiperanus - - - RS Kartini 0001868462245 - -
121 Meitin Lolo 43 Tarus 23-05-2018 Gangguan Refraksi Mata - - - RS Siloam 0002276884462 - -
122 Maria Paga 34 Noelbaki 23-05-2018 G4 P3 A0 Uk 1 - - - RS leona 0001848097877 - -
123 Luisa Haning 39 Tanah merah 23-05-2018 G4 P3 A0 Uk 1 - - - RSIA Dedari 0001820649576 - -
124 Sarah K. Seu 72 Tarus 24-05-2018 Stroke - - - Rsu W.Z Yohanes Kupang 0001854442293 - -
125 Mandasari Sau 29 Mata air 24-05-2018 Obs. Tumor Mamae - - - Rsu W.Z Yohanes Kupang 0000851136186 - -
126 Herlince Olla 34 penfui timur 24-05-2018 KIE Pra Rujukan - - - RS leona 0001058972636 - -
127 Hartina Dra 54 Noelbaki 24-05-2018 LBP Kronis - - - RS leona 0000146994568 - -
128 Olifia Kore 26 Mata air 24-05-2018 G4 P3 A0 Uk 30 Mgu + Anemia - - - RS leona 0002443372042 - -
129 Diana Solle Mesakh 38 Tanah merah 24-05-2018 Akseptor KB Suntik - - - RS leona 0002108627335 - -
130 Samuel Bebengu 59 Noelbaki 25-05-2018 HT + Stroke - - - RS Siloam - - -
131 Hesti 20 Tarus 25-05-2018 Inlokasi - - - RS Kartini 0000146945441 - -
132 Hae M. Willa 44 Tarus 25-05-2018 LBP - - - RS Kartini - - -
133 Sofi Mada 36 Noelbaki 26-05-2018 Dislokasi Tempero Mandibula - - - Rsu W.Z Yohanes Kupang - - -
134 Talita Here Taka 22 Tarus 26-05-2018 Pro USG - - - RS leona 0001058968697 - -
135 Yohana Bria 46 Tanah merah 26-05-2018 Batu Ginjal - - - Rsu W.Z Yohanes Kupang 0001058982254 - -
136 Dominggus Boys 39 Tarus 26-05-2018 Chest Paint - - - RS leona 0000851993706 - -
137 Jose ckreia 35 Noelbaki 26-05-2018 Susp Fr ScapuaDextra - - - RS Siloam 0000851480752 - -
138 Nikodemus Fanggi 71 Mata air 28-05-2018 SNH - - - RS leona 0000850497974 - -
139 Fransiskus 58 Oebelo 28-05-2018 HT + Syndr Dispepsia - - - RS sk lerik 0001896735712 - -
140 Yopi Malelak 56 Tanah merah 28-05-2018 Syndr Dispepsia - - - Rsu W.Z Yohanes Kupang 0000850890341 - -
141 Soleman Soru 63 Mata air 28-05-2018 Gangguan Refraksi Mata - - - RS sk lerik 0000850513667 - -
142 Benyamin Luluporo 43 Tarus 28-05-2018 Suspek Sepsis - - - Rsu W.Z Yohanes Kupang - - -
143 Yunus Lenda 68 Noelbaki 28-05-2018 HT + Stroke - - - RS leona 0000146945654 - -
144 Jose Banunaek 34 Noelbaki 28-05-2018 Syndr Dispepsia - - - RS leona - - -
145 Rasero M. Ratu 8 Tarus 28-05-2018 ISK - - - RS leona 0001961203656 - -
146 Magdalena 70 penfui timur 28-05-2018 DM + HT - - - RS sk lerik 0001439657537 - -
147 Dedi Y. Tube 43 Tarus 28-05-2018 Depresi Kronis - - - RS Kartini 0001422961052 - -
148 Juandri Dethan 10 Tarus 28-05-2018 Vktum Sclera Dextra - - - RS Kartini 0001058963049 - -
149 Hendrik Djara 32 Mata air 28-05-2018 Corpal Sist Respiran - - - Rsu W.Z Yohanes Kupang - - -
150 Asmira 23 Noelbaki 28-05-2018 Obs. Dispnea + CHF - - - RSUD Naibonat 0000851866378 - -
151 Gracella Samyun 4 penfui timur 28-05-2018 Obs. Vomit - - - RSIA Dedari 0001085978204 - -
152 Selviana 52 Tarus 30-05-2018 LBP Kronis - - - Rsu W.Z Yohanes Kupang 0001058964142 - -
153 Amandio Oliviera 61 Noelbaki 30-05-2018 HT - - - Rsu W.Z Yohanes Kupang 0001328747073 - -
154 Priscilia Mangesa 16 Tarus 30-05-2018 Post Op KLL - - - RS Bayangkara 0000150224861 - -
155 Yuliana Teti 17 Mata air 30-05-2018 Gravida Lilitan Difusiensi Placenta - - - RS leona 0001811154611 - -
156 Cristovel Mateos 65 Oelnasi 30-05-2018 HT - - - RS leona 0000147020883 - -
157 Veronika 30 Noelbaki 30-05-2018 Pro USG - - - RS leona 0002236492023 - -
158 Antonia Dos 12 Noelbaki 30-05-2018 Abses Mandibula Dextra - - - Rsu W.Z Yohanes Kupang 0000147021006 - -
159 Teresia Dacrus 17 penfui timur 30-05-2018 Vertigo - - - RS Siloam 0001967340688 - -
160 Syarif Dopong 62 Tarus 30-05-2018 Epilepsi - - - Rsu W.Z Yohanes Kupang 0001890330478 - -
161 Kristian Suek 21 Noelbaki 30-05-2018 Masur - - - Rsu W.Z Yohanes Kupang 0002017851028 - -
162 Yohanes M 37 Tanah merah 30-05-2018 Anemia + Conjuntivitis - - - RS Siloam 0002108591752 - -
163 Oktaviana 26 Mata air 30-05-2018 G2 P1 A0 UK 39 Mgu + 4 Hr - - - RSIA Dedari 0002299916147 - -
GAWAT RUJUKAN
DARURAT BIASA
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LAPORAN RUJUKAN PUSKESMAS TARUS
BULAN JULI 2018
RUJUKAN PASIEN
UMUR
RUJUKAN DARI
NO NAMA PASIEN ALAMAT TANGGAL DIAGNOSA
DI RUJUK KE RS
PUST POLIN
L P PUSK U DES
1 Ny. Debora L. Seran 49 Mata Air 02-07-18 Kelahiran Refraksi - - - RS Kartini
2 Ny. Marta Riwu Kisu 58 Oebelo 02-07-18 LBP - - - RS Dedari
3 Tn. Stefen Dillak 81 Tanah Merah 02-07-18 PPOK + HT - - - RS Siloam
4 Ny. Yakomina Boymau 45 Penfui Timur 02-07-18 Ginjal + HT - - - RS Kartini
5 Ny. Yustenci H. Kase 38 Oelpuah 02-07-18 Hipertiroid - - - RS SK Lerik
6 Ny. Dori Faot 22 Oelpuah 02-07-18 Nyeri perut bagian bawah - - - RSU Leona
7 Tn. Agustinus Sibun 58 Tarus 03-07-18 HT - - - RSU Naibonat
8 Ny. Yuliana Majud 56 Tarus 03-07-18 HT - - - RSU Naibonat
9 Ny. Berta D.S. Tilma 53 Oebelo 03-07-18 Susp.TB - - - RSUD Prof W.Z.Yohanes
10 Tn. Gerson Nggadas 60 Tanah Merah 03-07-18 DNA - - - RSUD Prof W.Z.Yohanes
11 Ny. Yacoba M. Pato 62 Noelbaki 03-07-18 Kelainan Refraksi - - - RS Kartini
12 Ny. Nofrian Mandala 30 Tarus 03-07-18 GI PO uks 41+5 Janin hidup - - - RS Dedari
13 Ny. Jansi Inabuy 50 Mata Air 03-07-18 LBP - - - RSU Prof W.Z.Yohanes
14 Theresia De Rosary 63 Penfui Timur 03-07-18 HT - - - RS Kartini
15 Ny. Christiana Thine 62 Oebelo 03-07-18 CHF - - - RS SK Lerik
16 An.Timo.V.D.Linden 9 Oebelo 03-07-18 Carmiogali - - - RSU Siloam
17 Delfi Kause 24 Noelbaki 03-07-18 OMK + Timtus - - - RSUD Prof W.Z.Yohanes
18 Yeti A. Tungga 28 Noelbaki 03-07-18 Gangguan Refraksi Mata - - - RS SK Lerik
19 Agustina Berek 22 Penfui Timur 03-07-18 Susp.ureter ultiliasis - - - RSU Siloam
20 Esmenenda Do Santos 27 Noelbaki 03-07-18 GI PO uks 41+3 Janin hidup - - - RS Leona
21 Yoslin 21 Tarus 03-07-18 GI.PO.AO.UK.37+4 - - - RS Dedari
22 Barnabas A. Paud 23 Tanah Merah 03-07-18 Pos caf femur - - - RSU Siloam
23 Maria Goreti Subay 31 Penfui Timur 03-07-18 Nyeri Bekas Luka - - - RSIA Dedari
24 Yuliani S. M. Bifel 17 Penfui Timur 03-07-18 GI.PO AO UK ? + Pro USG - - - RSU Leona
25 An. Xavier R. G. Talle 13 Jl. TR. No.240 04-07-18 Sup Fr Wris - - - RSU Siloam
26 Carolin Wijaya 38 Kayu Putih Obl 04-07-18 Cepholgia Kronist - - - RSU Siloam
27 Nn. Jeni P. Kikhau 18 Tanah Merah 04-07-18 Post. KLL - - - RSU Siloam
28 Tn. BALI ATE , S.Th 49 Tarus 04-07-18 SNA - - - RSUD Prof W.Z.Yohanes
29 Ny. Yanti Holidaya 32 Matani 04-07-18 99 Refraksi Mata - - - RS Kartini
30 Tn. Kosmos Oamianus 30 Noelbaki 04-07-18 46 6P - - - RSUD Prof W.Z.Yohanes
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Mengetahui :
Kepala Puskesmas Tarus
drg.Imelda Sudarmadji
NIP.19750503 200212 2 007
KETERANGA
RUJUKAN PASIEN N
JAMINAN YANG DIGUNAKAN
GAWA
T RUJU
BPJS JKM ASKES JK3 DARU KAN
RAT BIASA
0000149740345 - - - - -
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0000200921003 - - - - -
0000850935238 - - - -
0000851362457 - - - -
0000147122932 - - - -
0000147024999 - - - -
- Umum - -
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Maria T. M. Noning,SKM
NIP.19800105 201101 2 006
LAPORAN RUJUKAN PUSKESMAS TARUS
BULAN JUNI 2018
RUJUKAN PASIEN
UMUR
RUJUKAN DARI
NO NAMA PASIEN ALAMAT TANGGAL DIAGNOSA
PUST POLIN
L P PUSK U DES DI RUJUK KE RS
1 Yunita Uli Djewa 25 Tarus 02-06-18 Keratitis Akut Ocular Sinistra - - - RS Kartini
2 Daniel Modok 71 Noelbaki 02-06-18 Kelainan Refraksi - - - RS leona
3 Dionisia Amaral 28 Tanah merah 02-06-18 Inspeculo Portio - - - RS leona
4 Indah Maya 28 Mata air 02-06-18 G1 P0 A0 Uk 27 + 7Mgu - - - RSIA Dedari
5 Miranina Pareira 41 Tanah merah 02-06-18 Ca. Cerviks - - - RS leona
6 Bendelina Kana Lado 46 Mata air 02-06-18 Hypertiroid - - - RS sk lerik
7 Selvina Ndun Mooy 72 Noelbaki 02-06-18 Astma - - - RS Bayangkara
8 Fatimah Laka 36 Tarus 02-06-18 KIE Pra Rujukan - - - RSIA Dedari
9 Vasca Da Gana 31 Noelbaki 04-07-18 Gangguan Refraksi Mata - - - RS Siloam
10 Diana Sau 37 Tanah merah 04-07-18 G3 P2 A0 Uk19+6 Mgu - - - RS leona
11 Bayu Deona 8 Tanah merah 04-07-18 Dislokasi Sinistra - - - RS Siloam
12 Yohan Lae 73 Noelbaki 04-07-18 Katarak - - - RS sk lerik
13 Sorid Riwu Lomi 44 Mata air 04-07-18 Susp. TB - - - RS Bayangkara
14 Yakobus Binsasi 43 Tarus 04-07-18 Post Orif - - - RS Carolus Boromeus
15 Dortia Herin 83 Tarus 04-07-18 Hipertensi - - - Rsu W.Z Yohanes Kupang
16 Rimon Tanaem 10 Tarus 04-07-18 Tumor Palpebra Inferior sinistra - - - RS Siloam
17 Kosmas KatiOle 30 Noelbaki 04-07-18 Zkisofrenia - - - Rsu W.Z Yohanes Kupang
18 Weliana Waiwitu 33 Tarus 04-07-18 Nifas - - - RS leona
19 Hilda Laka 19 Mata air 04-07-18 G1 P0 A0 36 + 5mgu - - - RSIA Dedari
20 Makleon Koa 48 Noelbaki 04-07-18 DM - - - RS Bayangkara
21 Ladjamudin Hibu 66 Tarus 04-07-18 Gangguan Refraksi Mata - - - RS Kartini
22 Oktoviana 24 Tarus 04-07-18 Post Orif - - - RS Bayangkara
23 Hemy Yakob 5 Tanah merah 04-07-18 CAD - - - RS Siloam
24 Katrina Sabaat 33 Penfui Timur 04-07-18 Nyeri Abdomen - - - RS leona
25 Maria M.Kandi 40 Tanah merah 05-06-18 Susp. TB - - - RS Siloam
26 Timotius Worang 80 Penfui Timur 05-06-18 Hipertensi - - - RS Kartini
27 Daniel Maplani 53 Noelbaki 05-06-18 Susp.APP - - - RS Wirasakti
28 Santi Taloim 29 Oebelo 05-06-18 TFA Kronis - - - RS Siloam
29 Yumima Hale 71 Oebelo 05-06-18 DM - - - RS Siloam
30 Maria M 23 Noelbaki 05-06-18 Gravida Kontraksi - - - RS leona
31 Anita Henuk 33 penfui timur 05-06-18 Gangguan Refraksi Mata - - - Rsu W.Z Yohanes Kupang
32 Idi Theresia 63 Noelbaki 05-06-18 Gangguan Pendengaran - - - Rsu W.Z Yohanes Kupang
33 Kori Aplungi 35 Tarus 05-06-18 USG - - - RS leona
34 Sri Yulipah 32 Tarus 05-06-18 G3 P2 A0 AH I - - - RS Mamami
35 Reni Malelak 34 Noelbaki 05-06-18 GIV P3 A0 UK 39 + 6Mgu - - - RSIA Dedari
36 Theresia Misa 19 Oelnasi 06-06-18 Garvida - - - RS leona
37 Fernando 45 Noelbaki 06-06-18 Conjungtivitis - - - Rsu W.Z Yohanes Kupang
38 Aranci kana 37 Noelbaki 06-06-18 Isk - - - RS sk lerik
39 Theresia Bikarta 40 Noelbaki 06-06-18 Susp. TB - - - RS Siloam
40 Selinda T 22 Noelbaki 06-06-18 Nyeri Abdomen - - - RS leona
41 Mateus 78 Oebelo 06-06-18 katarak - - - RS Kartini
42 Antonio Pareira 77 Oebelo 06-06-18 katarak - - - RS Kartini
43 Sarci Bani 36 Noelbaki 06-06-18 G3 P2 A0 uk 39+3mgu - - - RS leona
44 Apriana Ottu 34 Tarus 06-06-18 G3 P2 A0 uk 33 + 2mgu - - - RSIA Dedari
45 Yansep Patty 48 Noelbaki 06-06-18 Gangguan Refraksi Mata - - - RS leona
46 Sanciana Molomite 37 Tanah merah 06-06-18 Susp.APP Akut - - - RS sk lerik
47 Yusak Fay 41 Noelbaki 07-06-18 Dispepsia - - - RS Siloam
48 Yustinus Timo 46 penfui timur 07-06-18 B20 - - - Rsu W.Z Yohanes Kupang
49 Yuliana Majud 56 Tarus 07-06-18 CHD - - - RSUD Naibonat
50 Fabianus Sibun 21 Tarus 07-06-18 Fraktur Tibia Kanan - - - RS Siloam
51 Zet Kleing 49 Tanah merah 07-06-18 Post SH Epilepsi - - - Rsu W.Z Yohanes Kupang
52 Maria Guteres 13 Noelbaki 07-06-18 DM Tipe I - - - Rsu W.Z Yohanes Kupang
53 Anita Henuk 33 penfui timur 07-06-18 Gangguan Refraksi Mata - - - RS Kartini
54 Yulius Liufeto 52 penfui timur 07-06-18 DM - - - Rsu W.Z Yohanes Kupang
55 Emeliana Banusu 25 penfui timur 07-06-18 G1 P0 A0 uk 34mgu - - - RS leona
56 Fabianus Sibun 21 penfui timur 07-06-18 Post Op Fraktur Tibia - - - RS Siloam
57 Helena Kleing 50 Tanah merah 07-06-18 Nyeri Mammae - - - Rsu W.Z Yohanes Kupang
58 Maxy Mooy 53 Oebelo 07-06-18 Stroke Iskemik+ Hemipares - - - Rsu W.Z Yohanes Kupang
59 Nelci Misa 27 Noelbaki 07-06-18 G3 P2 A0 uk 39 + 6mgu - - - RS leona
60 Bernadino Dacosta 61 Tanah merah 07-06-18 Gangguan Refraksi Mata - - - RS Siloam
61 Yosina kaseh 24 Mata Air 07-06-18 Gravida - - - RS leona
62 Marselinus G 63 Noelbaki 07-06-18 Susp. Epilepsi - - - RS leona
63 Felix Januario 67 Oebelo 07-06-18 Gangguan Refraksi Mata - - - RS leona
64 Nadia Suek 16 Noelbaki 07-06-18 Intoksikasi - - - RS leona
65 Agustinus Puay 13 Oelpuah 07-06-18 Malaria - - - RSUD Naibonat
120
Elisano Timo 53 Oebelo 23-06-18 CHF - - - Rsu W.Z Yohanes Kupang
121 Kristian 49 Oebelo 23-06-18 LBP Kronis - - - RS SK Lerik
122
Mariana 44 penfui timur 23-06-18 Ca Mammae - - - Rsu W.Z Yohanes Kupang
123
Alesandra Jibrael 2 Jl.Adisucipto 23-06-18 Susp Massa - - - Rsu W.Z Yohanes Kupang
124 Ida Ayu Arsoni 47 Noelbaki 23-06-18 Gangguan Refraksi Mata - - - RS Kartini
125 Marsel manek 48 penfui timur 23-06-18 Obs.Hematorik - - - RS leona
126
Yuliana Mesakh 40 Noelbaki 23-06-18 Dipepsia Kronis - - - Rsu W.Z Yohanes Kupang
127 Susana 43 Oebelo 25-06-18 Gangguan Refraksi Mata - - - RS SK Lerik
128
Gerso Tulle 55 Oebelo 25-06-18 Gangguan Refraksi Mata - - - RS leona
129 Godelfa Tong 25 penfui timur 25-06-18 Nyeri Abdomen - - - RS leona
130 Ony Octavia 28 Noelbaki 25-06-18 G1P0A0 uk 27+ 3mgu - - - RS leona
131 Dorsila Tule 74 Mata air 25-06-18 Hipertensi - - - RSIA Dedari
132 Regina Koten 70 Oebelo 25-06-18 Hipertensi - - - RSUD Naibonat
133
Romana Zaghang 42 Noelbaki 26-06-18 Gangguan Refraksi Mata - - - Rsu W.Z Yohanes Kupang
134 Mardiah Abdullah 53 Tarus 26-06-18 Gangguan Refraksi Mata - - - RS Kartini
135 Sisilia 45 penfui timur 26-06-18 Gangguan Refraksi Mata - - - RS Kartini
136
Dominggus Pa Radja 67 Mata air 26-06-18 Steni Anterior - - - Rsu W.Z Yohanes Kupang
137 Salmah 58 Noelbaki 26-06-18 DM Tipe II - - - RS Kartini
138
Chelsi Tuka 8 Mata air 26-06-18 Obs. Fraktur - - - Rsu W.Z Yohanes Kupang
139 Kartini Daka 55 Mata air 28-06-18 SNA - - - RS sk lerik
140
Welhelmus 18 penfui timur 28-06-18 Corpus Alenium - - - RS sk lerik
141 Salfial modok 55 Noelbaki 28-06-18 Syndr Dispepsia - - - RS sk lerik
142 Marlinda 29 Tarus 28-06-18 G1P0A0uk 26 + 2mgu - - - RS leona
143 Getrudis Uskono 25 Noelbaki 28-06-18 G1P0A0uk 37 + 3mgu - - - RS leona
144 Martha Anin 43 Oebelo 29-06-18 Gangguan Refraksi Mata - - - RS Kartini
145 Erna Ahop 26 Tanah merah 29-06-18 Post Op KLL - - - RS leona
146
Ketut Sawitri 30 Oelpuah 29-06-18 Palpasi Bclh - - - Rsu W.Z Yohanes Kupang
147 Maria lay 57 penfui timur 29-06-18 DM - - - RS Kartini
148
Agata Leha 42 Tanah merah 29-06-18 HT Gr II + Hiperkolesterol - - - Rsu W.Z Yohanes Kupang
149 Sonni manu 30 Noelbaki 29-06-18 Obs. Kejang - - - RS Siloam
150
Benyamin Nomleni 21 Noelbaki 29-06-18 Ruptur - - - Rsu W.Z Yohanes Kupang
151 Selfince Daud 34 Oebelo 30-06-18 OMA - - - RS Wirasakti
152
Allsabat Dacosta 55 Noelbaki 30-06-18 HT - - - Rsu W.Z Yohanes Kupang
153 Eko Medo 21 Tarus 30-06-18 Post Fraktur - - - RS Siloam
154 Neksi Henuk 24 Tarus 30-06-18 FAM - - - RS Siloam
155 Sarlota Tungga 63 Noelbaki 30-06-18 Post Op Katarak - - - RS sk lerik
156 Bergita Koa 46 Noelbaki 30-06-18 TFA - - - RS Wirasakti
157 Dominggus Laktasi 64 Oelnasi 30-06-18 Anemia Grallz - - - RS leona
158
Cinta Lay Riwu 6 Tarus 30-06-18 Susp. Sinusitis - - - Rsu W.Z Yohanes Kupang
159 Martin Kefi 6 Jl.Ahmad yani 30-06-18 Parastasi + Artalgita - - - RS Siloam
160 Debora Seran 49 Mata air 30-06-18 Gangguan Refraksi Mata - - - RS Kartini
Mengetahui :
Kepala Puskesmas Tarus
drg.Imelda Sudarmadji
NIP.19750503 200212 2 007
KETERANGA
UJUKAN PASIEN N
JAMINAN YANG DIGUNAKAN
GAWA
T RUJU
DARU KAN
BPJS JKM ASKES JK3 RAT BIASA
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Maria T. M. Noning,SKM
NIP.19800105 201101 2 006
LAPORAN RUJUKAN PUSKESMAS TARUS
BULAN: JULI 2018
KETERANGA
RUJUKAN PASIEN N
UMUR
RUJUKAN DARI JAMINAN YANG DIGUNAKAN
NO NAMA PASIEN ALAMAT TANGGAL DIAGNOSA GAWA
DI RUJUK KE RS T RUJU
PUST POLIN BPJS JKM ASKES JK3 DARU KAN
L P PUSK U DES RAT BIASA
1 Ny. Debora L. Seran 49 Mata Air 02-07-18 Kelahiran Refraksi - - - RS Kartini 0000149740345 - - - - -
2 Ny. Marta Riwu Kisu 58 Oebelo 02-07-18 LBP - - - RS Dedari 0000147084377 - - - -
3 Tn. Stefen Dillak 81 Tanah Merah 02-07-18 PPOK + HT - - - RS Siloam 0001058978654 - - - -
4 Ny. Yakomina Boymau 45 Penfui Timur 02-07-18 Ginjal + HT - - - RS Kartini 0000200921003 - - - - -
5 Ny. Yustenci H. Kase 38 Oelpuah 02-07-18 Hipertiroid - - - RS SK Lerik 0000850935238 - - - -
6 Ny. Dori Faot 22 Oelpuah 02-07-18 Nyeri perut bagian bawah - - - RSU Leona 0000851362457 - - - -
7 Tn. Agustinus Sibun 58 Tarus 03-07-18 HT - - - RSU Naibonat 0000147122932 - - - -
8 Ny. Yuliana Majud 56 Tarus 03-07-18 HT - - - RSU Naibonat 0000147024999 - - - -
9 Ny. Berta D.S. Tilma 53 Oebelo 03-07-18 Susp.TB - - - RSUD Prof W.Z.Yohanes - Umum - -
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11 Ny. Yacoba M. Pato 62 Noelbaki 03-07-18 Kelainan Refraksi - - - RS Kartini 0001058962331 - - - - -
12 Ny. Nofrian Mandala 30 Tarus 03-07-18 GI PO uks 41+5 Janin hidup - - - RS Dedari 0001578220571 - - - - -
13 Ny. Jansi Inabuy 50 Mata Air 03-07-18 LBP - - - RSU Prof W.Z.Yohanes 0000146923828 - - - -
14 Theresia De Rosary 63 Penfui Timur 03-07-18 HT - - - RS Kartini 0001445307805 - - - -
15 Ny. Christiana Thine 62 Oebelo 03-07-18 CHF - - - RS SK Lerik 0002453594152 - - - -
16 An.Timo.V.D.Linden 9 Oebelo 03-07-18 Carmiogali - - - RSU Siloam 0001904436325 - - - -
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18 Yeti A. Tungga 28 Noelbaki 03-07-18 Gangguan Refraksi Mata - - - RS SK Lerik 0002089472049 - - - -
19 Agustina Berek 22 Penfui Timur 03-07-18 Susp.ureter ultiliasis - - - RSU Siloam 0002106704079 - - - - -
20 Esmenenda Do Santos 27 Noelbaki 03-07-18 GI PO uks 41+3 Janin hidup - - - RS Leona 0001058960349 - - - - -
21 21 Tarus 03-07-18 GI.PO.AO.UK.37+4 - - - RS Dedari 0000146972169 - - - -
22 Barnabas A. Paud 23 Tanah Merah 03-07-18 Pos caf femur - - - RSU Siloam 0002309375698 - - - - -
23 Maria Goreti Subay 31 Penfui Timur 03-07-18 Nyeri Bekas Luka - - - RSIA Dedari 0001893499582 - - - -
24 Yuliani S. M. Bifel 17 Penfui Timur 03-07-18 GI.PO AO UK ? + Pro USG - - - RSU Leona 0001580930616 - - - - -
25 An. Xavier R. G. Talle 13 Jl. TR. No.240 04-07-18 Sup Fr Wris - - - RSU Siloam 0000146946677 - - - -
26 Carolin Wijaya 38 Kayu Putih Obl 04-07-18 Chepalgia Kronis - - - RSU Siloam 0000147026845 - - - -
27 Nn. Jeni P. Kikhau 18 Tanah Merah 04-07-18 Post. KLL - - - RSU Siloam 0002108624466 - - - -
28 Tn. BALI ATE , S.Th 49 Tarus 04-07-18 SNA - - - RSUD Prof W.Z.Yohanes 0000146972147 - - - -
29 Ny. Yanti Holidaya 32 Matani 04-07-18 Gangguan Refraksi Mata - - - RS Kartini 0000194069362 - - - -
30 Tn. Kosmos Oamianus 30 Noelbaki 04-07-18 46 6P - - - RSUD Prof W.Z.Yohanes 0001434085479 - - - -
31 Ny. Aplonia Tenis 40 Tarus 04-07-18 Gangguan Refraksi Mata - - - RS Kartini 0000194069362 - - - -
32 Tn. Martefen S. Taneo 64 Tarus 04-07-18 Sup Fraktur - - - Rsu. Leona 0000149744305 - - - -
33 Nn. Paulina Tunjaas 28 Oelnasi 04-07-18 Struma - - - Rsud. Prof. w. z.Yohanes 0002106686772 - - - -
34 Orlando Pinto 68 Oebelo 04-07-18 Retraksi - - - Rs. Leona 00013115198899 - - - - -
35 Ny. Antonio p. Henuk 28 Tarus 04-07-18 GI P0 A0 Pro- USG - - - Rsu. Wirasakti 0001058967707 - - - -
36 Tn. Gidion Polly 48 Tarus 04-07-18 Bronchitis - - - Rsud. Prof. w .z . Yohanes 0002429968544 - - - -
GV PI AO UK1 28 mgg + Pro
37 Ny. Ince Melince Seo 36 Noelbaki 04-07-18 USG - - - Rsu. Leona 0002091814375 - - - -
38 Ny. Eklemina Kiuk 51 Noelbaki 05-07-18 Gangguan Refraksi Mata - - - Rs. Kartini 0000147003568 - - - - -
39 Ny. Herlin D. Oematan 33 Oebelo 05-07-18 Gangguan Refraksi Mata - - - Rs. Leona 0002440810822 - - - -
40 Ny. Christian oki Moron 28 Penfui timur 05-07-18 KIE pra Rujukah - - - Rs Leona 0001318066018 - - - -
41 An. Anisa B. Inna 11 Tarus 05-07-18 Polip - - - Rs Wirasakti 0002108587684 - - - -
42 Ny. Lilis Soares 39 Noelbaki 05-07-18 KIE pra Rujukah - - - Rs Leona 0001058658606 - - - -
43 Tn. Wensisilaus Barung 51 Penfui timur 05-07-18 Penurunan Visus - - - Rs. Kartini 0000146939859 - - - -
44 Ignasio R. Y. Barung 14 Penfui timur 05-07-18 Gangguan Refraksi Mata - - - Rs Kartini 0000146939872 - - - -
45 Nikodemus Tefu 41 Mata air 05-07-18 Obs siklusitis - - - Rs Wirasakti 0002059065505 - - - -
46 Sofia Melin Betakore 26 Penfui timur 05-07-18 KIE pra Rujukah - - - RS Leona 0000210669384 - - - -
47 Josep Johanis Mello 71 Noelbaki 05-07-18 Katarak - - - RS Kartini 0000147098125 - - - -
48 Ny. Petronela T. P. Roga 46 Penfui timur 05-07-18 Gangguan
Gi- Po- Ab-Refraksi Mata
Uk 38+3mgg+pro - - - RS Kartini 0000147032616 - - - -
49 Delfi M. Bifel 22 Tanah Merah 05-07-18 usG - - - RS Leona 0000851701904 - - - -
50 Nikolas Nainel 60 Oesapa 06-07-18 Rujukan Susulan - - - RS Leona 0000852269117 - - - -
51 Ny. Yudid M. Tunliu 40 Penfui timur 06-07-18 G IV PIII AO UK 28+5 mgg - - - RS. SK Lerik 0000149680596 - - - -
52 Yustinus R. Timo 38 Penfui timur 06-07-18 B20 - - - Rsud. Prof. w .z . Yohanes 0001743622291 - - - -
53 Masni Tafui 25 Oebelo 06-07-18 KIE pra Rujuk - - - RS Dedari 0001264793995 - - - - -
54 Ny. Yosmina 35 Noelbaki 06-07-18 Premedikasi - - - Rsud. Prof. w .z . Yohanes 0000851749751 - - - - -
55 Ny. Frida Tungga 41 Mata Air 06-07-18 Chepalgia - - - RS. SK Lerik 0001058984212 - - - - -
56 Ny. Adriana Tnu 22 Oelpuah 06-07-18 GI PO A0 Uk 34 mgg 2 hr - - - RS Leona 0000853424616 - - - -
57 Ny. Dorce Fale Dethan 70 Noelbaki 07-07-18 Katarak - - - RS Kartini 0001270068625 - - - - -
58 Tn. Lambertus Nahak 78 Noelbaki 07-07-18 TB Pernah Konsumsi Obat - - - RS Siloam 0000147099194 - - - -
59 Ratu Mareh Nasya 6 Mata air 07-07-18 Obs Febris - - - Rsud. Prof. w .z . Yohanes - - - -
60 Bastian Naile 67 Penfui timur 09-07-18 HT + Stroke - - - RS Siloam 0000850259002 - - - -
61 Yuliana Bessie Loe 53 Noelbaki 09-07-18 Gangguan pendengaran - - - RS SK Lerik 0000850259002 - - - -
62 Goreti Olivia Krus 57 Noelbaki 09-07-18 Riwayat Epilepsi - - - RS Leona 0001058958001 - - - -
63 Rusandi Darmapto 22 Tarus 09-07-18 Pulpa Polip - - - RS Bhayangkara 0001822612252 - - - -
64 Serli M. Dima 3 Tarus 09-07-18 Fertigo - - - Rs Wirasakti 0001267876348 - - - -
65 Paulina Simamora 46 Mata air 09-07-18 Abdominal Pain - - - Rsud. Prof. w .z . Yohanes 0002106694811 - - - -
66 Amihut Yulius Nalle 77 Oebelo 09-07-18 Kelainan Refraksi - - - RS Kartini 0002078159984 - - - -
67 Yerstin Abe 21 Tarus 09-07-18 GI PO Ao HO UK 38mgg - - - RS Leona 0000146972169 - - - -
68 Stefani Cecilia Masang 9 Tarus 09-07-18 Lipoma - - - RS Leona 0001904642908 - - - -
69 Berta Baria 23 Tarus 09-07-18 GI PO AO UK 37mggn + 2 hr - - - RS Leona 0001058982287 - - - -
70 Dessy A. Kalego 25 Penfui Timur 09-07-18 G2 PI AO A+1 - - - RS Leona 0000151752126 - - - -
71 Beryes Stenly A. Adam 16 Noelbaki 09-07-18 Pro Sircunsisi - - - RS Leona 0000149474158 - - - -
72 Deron Novianto A. Adam 55 Noelbaki 09-07-18 Pro Sircunsisi - - - RS Leona 0002044018271 - - - -
73 Slimelek Penu 48 Penfui Timur 10-07-18 Gangguan Refraksi Mata - - - RS Kartini 0000147006336 - - - -
74 Hetty O. Djawa 27 Noelbaki 10-07-18 GI PO AO um 31 + 3mgg - - - RSIA Dedari 0000166195426 - - - -
75 Melin tafui 25 Penfui Timur 10-07-18 GI PO AO uk 39+2mgg - - - RSIA Dedari 0000359702226 - - - -
76 Xavier Henjino G. Talle 13 Oesapa 10-07-18 Refraksi susp Miopia - - - RS Kartini 0000146946677 - - - -
77 Petry Peka Korebima 6 Mata Air 10-07-18 Penurunan Visus - - - Rsud. Prof. w .z . Yohanes 0000147022694 - - - -
78 Delsi Foni Ndun 26 Noelbaki 10-07-18 G1 P2 Ao Uk 37 - - - Rsud. Prof. w .z . Yohanes 0000204245976 - - - -
79 Matelda Susana Tasi 43 Rote Ndao 10-07-18 Epilepsi - - - Rsud. Prof. w .z . Yohanes 0000204245976 - - - -
80 Yanti Novianti Anung 28 Tarus 10-07-18 GI PO AO UK 31-32 mgg - - - RS Leona 0000858518008 - - - -
81 Leonard Lock Riwu 66 Tarus 10-07-18 Prostat - - - RS Siloam 0002466736648 - - - -
82 Elsi Nalle 21 Tarus 10-07-18 Janin Hidup Provset - - - RSIA Dedari 0000852145884 - - - -
83 Adelia A. M 32 Oebelo 10-07-18 Gangguan Refraksi Mata - - - RS Kartini 0000851729927 - - - -
84 Simon Tino 44 Mata Air 10-07-18 Gangguan Refraksi Mata - - - RS Kartini 0002108589759 - - - -
85 Carlota Da Costa 44 Kiuteta 11-07-18 Gangguan Refraksi Mata - - - RS Kartini 0001058955884 - - - -
86 Naomi Willa 54 Tarus 11-07-18 Supostania - - - Rsud. Prof. w .z . Yohanes 0001058966177 - - - -
87 Yohanis D. M. Tunbona 11 Tarus 11-07-18 Gangguan Refraksi Mata - - - RS Kartini 0001317954635 - - - -
88 Adolfina Talan 34 Noelbaki 11-07-18 GI PO AO Pro-USG - - - RS Leona 0000853618419 - - - -
89 Prensia R. M. Mbatu 39 Oebelo 11-07-18 Gangguan Refraksi Mata - - - RS Leona 0001423988842 - - - -
90 Madesta Ranes 32 Noelbaki 11-07-18 G4 P2 A1 AHO - - - RS Leona 0001058951531 - - - -
91 Marleni S. Pah 24 Tarus 11-07-18 Gangguan Refraksi Mata - - - RS Leona 0001854506889 - - - -
92 Samuel Su'u 28 Manikin 11-07-18 Poslop Pasang Perut - - - RS Siloam 0002467219487 - - - -
93 Eben Lai 30 Noelbaki 12-07-18 Herpez - - - Rsud. Prof. w .z . Yohanes 0001058952688 - - - -
94 Frans Ully 34 Noelbaki 12-07-18 Katarak - - - RS Kartini 0000149751235 - - - -
95 Thobias Pandie 41 Oebelo 12-07-18 OM Tifus + Bronchitis - - - Rsud. Prof. w .z . Yohanes 0002294651553 - - - -
96 Devance A. Riwu 23 Noelbaki 12-07-18 GIPOAO 36mgu - - - RS Leona 0002460659113 - - - -
97 Ester Messak Dae 75 Noelbaki 13-07-18 Penurunan Visus - - - RS Kartini 0001388400704 - - - -
98 Anggie S. Welkis 18 Olafuliha'a 13-07-18 T=90AO N -91 XLS - - - Rsud. Prof. w .z . Yohanes 000150354551 - - - -
99 Blofra Gabriel 20 Noelbaki 13-07-18 GI PO AO ANO UK 32 - - - RS Leona 000105894600 - - - -
100 Benyamin Boyk 36 Tanah Merah 13-07-18 KP SSP MOR - - - Rsud. Prof. w .z . Yohanes 0000851095697 - - - -
101 Maria A. F. Raga akoit 25 Noelbaki 13-07-18 GII PI AO ANO UK 32 + 5 RS Leona 0001058956132 - - - -
102 Askasia Luruk Lasakar 29 Malaka Tngah 13-07-18 99 Refraksi Mata RS Kartini 0002067903118 - - - -
103 Magdalena Baitanu 16 Amfoang 14-07-18 Tumor Axila Rsud. Prof. w .z . Yohanes 0000852684884 - - - -
104 Yupiter Baitanu 60 Noelbaki 14-07-18 Limfol Dinitus Rsud. Prof. w .z . Yohanes 0000147002826 - - - -
105 Maria A. Nomput 21 Noelbaki 14-07-18 Hipertiroyd Rsud. Prof. w .z . Yohanes 0000147020758 - - - -
106 Selfi Adu 33 Penfui Timur 14-07-18 G2 P1 A0 Uk 30+1 mgg RS Leona 0002106704024 - - - -
107 Eireinia C. Dale 3 Oebufu 14-07-18 Obs Vomitus RS SK Lerik 2450020115995 - - - -
108 Maria Yuliana Sapu 20 Osiloa 14-07-18 GI PO OI UK 35 mgg RS Leona 0001061168635 - - - -
109 Yanci M. Sine 23 Tarus 16-07-18 Ca Ovarium Rsud. Prof. w .z . Yohanes 0000851764757 - - - -
110 Dorkas Susana Sole 63 Mata air 16-07-18 Branel + HT RS Kartini 0001902031457 - - - -
111 Francisco N. Watun 10 Balfai 16-07-18 Pali Artsitasya Upsit RS Kartini 0000863671973 - - - -
112 Risdianto Kaho 32 Tarus 16-07-18 Obs Hemaptoe susp RS Bhayangkara - - - -
113 Nomino Tungga 26 Mata air 16-07-18 Post HH Reaksi RSUD Naibonat 0000850524952 - - - -
114 Elda De Jesus 49 Noelbaki 16-07-18 Susp TB RS Siloam 0000149880374 - - - -
115 Yulius Liufeto 54 Penfui Timur 16-07-18 DM Tipe II Rsud. Prof. w .z . Yohanes 0000147343869 - - - -
116 Rahel Wadu 57 Tarus 16-07-18 Obs.Ches Pain Rsud. Prof. w .z . Yohanes 0000147343869 - - - -
117 Selviana D. Nagul 18 Mata air 16-07-18 GI PO AO UK 41 + 1 mgg RS Leona 0000850900792 - - - -
118 Srinandinda Tungga 52 Mata air 16-07-18 HT RS Siloam 0001298236476 - - - -
119 Zet Nabison 48 Noelbaki 16-07-18 Susp Relaps MH RSUD Naibonat 0000149892006 - - - -
120 Jemrisme Nome 27 Oelnasi 17-07-18 Premedikasi Rsud. Prof. w .z . Yohanes 0002106687963 - - - -
121 Elsy Adu 26 Mata air 17-07-18 GI PO AO Uk22mgu RS Leona 0001085902333 - - - -
122 Polce Tuka 45 Tarus 17-07-18 Palpitasi RS Leona 0002106697263 - - - -
123 Yusri Atolo 37 Oelnasi 17-07-18 GV PV AO UK 33mgu RSIA Dedari 000105893989 - - - -
124 Yunus Bangkole 38 Mata air 17-07-18 Post Debri Denah RS Kartini 0001058947192 - - - -
125 Elen G.Scrumeng 13 Namosain 17-07-18 Anemia RS Kartini 0001851993768 - - - -
126 Hendrik Tahoni 47 Mata air 17-07-18 OBS Chest pain 0000851180499 - - - -
127 Daniel P.Modak 71 Noelbaki 18-07-18 Pos Eksisi Clauviu RS Leona 0002017849882 - - - -
128 Sufeni M.Tunbonat 45 Penfui Timur 18-07-18 HT+Stroke RS Leona 0004347950976 - - - -
129 Marthen K.Loe 62 Tarus 18-07-18 Stroke Rsud. Prof. w .z . Yohanes 0000147021377 - - - -
130 Antimos Kolo 34 Oebelo 18-07-18 Susp. TB RS Bhayangkara - UMUM - - -
131 Maria M.Londa 46 Mata air 18-07-18 LBP RS SK Lerik 0000147020793 - - - -
132 Hemi F.Yacob 53 Tanah Merah 18-07-18 CA Vagina RSU Siloam 0001287263158 - - - -
133 Juliana Da Cruz 54 Noelbaki 18-07-18 Anemia Gravis Rsud. Prof. w .z . Yohanes 0000851743372 - - - -
134 Gervasius L.Eiteny 14 Noelbaki 19-07-18 Post Orif RS Bhayangkara 0002268096197 - - - -
135 Sarlince K.P.Bolo 17 Noelbaki 19-07-18 Post Orif Pro aff pean RS Bhayangkara 0000146931884 - - - -
136 Adao Babo 30 Noelbaki 19-07-18 Post HD RS Samuel J.Moeda 0002285307674 - - - -
137 Julaina Dadi Haga 48 Mata Air 19-07-18 Penurunan Visus RS Kartini 0000147019375 - - - -
138 Velsiana W.Lay 47 Mata Air 19-07-18 Kelainan Refraksi Mata RS Kartini 0000147017621 - - - -
139 Hendrik Gaspersz 70 Noelbaki 19-07-18 Gangguan Refraksi mata RS Leona 0001859585815 - - - -
140 Jedi Daud 31 Jl.Timor Raya 19-07-18 Obs Cast Pain RS Siloam 0001058946862 - - - -
141 Radiana S.Neparasi 48 Mata Air 19-07-18 Gangguan Refraksi mata RS Kartini 0000173106595 - - - -
142 Ny.Yustina Banunu 42 Penfui Timur 19-07-18 Hipermetrop 22 Presbio 0001850957829 - - - -
143 Rosalina Tenis Napa 45 Noelbaki 20-07-18 Katarak RS SK Lerik 0000857689809 - - - -
144 Maya Aprilia 9 Tarus 20-07-18 Cysta Tyroglosus RS Siloam 0001785344016 - - - -
145 Afonso A.S Froga 36 Noelbaki 20-07-18 48gR RS Siloam 0001058956547 - - - -
146 Christine Y. Serang 39 Noelbaki 20-07-18 DM Tipe II RS Siloam 0001446418293 - - - -
147 Luis Wana 34 Tarus 20-07-18 Kelainan Refraksi Mata RS SK Lerik 0000147769641 - - - -
148 Eklomina Lolo 79 Oebelo 20-07-18 LBP RS Siloam 0001813233328 - - - -
149 Ferni H.Nitbani 24 Oebelo 20-07-18 G III P III AO uk 34 RS Leona 0000850897048 - - - -
150 Seprianus Fabnani 18 Penfui Timur 20-07-18 Ruptur Tendon + Dislokasi RSUD SK Lerik - UMUM - - -
151 Ny. Silpa 47 Tarus 21-07-18 Jantung Berdebar RS Leona 0000150079983 - - - -
152 Isabela Da Costa 55 Noelbaki 21-07-18 HT+ Jantung Berdebar RSUD Prof W.Z Yohanes 0000851625685 - - - -
153 Esri Sanaunu 39 Tanah Putih 21-07-18 OMP RS Wirasakti 0001313128708 - - - -
154 Martianus Mau 66 Oepuah 21-07-18 Abses Kronis RS SK Lerik 0002106688937 - - - -
155 Merita Aplonia Baik 32 Tanah Merah 21-07-18 Gravida G2 P2 A0 Pro-USG RS Bhayangkara 0000194915891 - - - -
156 Ririn Haubanu 18 Mata Air 21-07-18 Susp. Mtt RSUD Naibonat 0000852432862 - - - -
157 Martha Henukh 38 Noelbaki 23-07-18 CAD RS SK Lerik 0001058956198 - - - -
158 Ishak Miciola Frans 79 Tarus 23-07-18 TBC RS Bhayangkara 0001802515509 - - - -
159 Martha Parade 38 Oebelo 23-07-18 Hipertiroyd RS Wirasakti 0001058954602 - - - -
160 Yacoba Siga 57 Mata Air 23-07-18 DM Tipe II RS SK Lerik 0000149815091 - - - -
161 Piet Nuwa 72 Noelbaki 23-07-18 Angina Pectoris RS Siloam 0000151172836 - - - -
162 Petrus Naisau 43 Penfui Timur 23-07-18 Susp. TB + Dispepsia RS Bhayangkara 0002248044939 - - - -
163 Oce Oktovianus Misa 45 Penfui Timur 23-07-18 Susp.Hernia RS Bhayangkara 0000162132186 - - - -
164 Maria M.Sri Astuti 68 Noelbaki 23-07-18 DM RS Kartini 0000206415641 - - - -
165 Emilia 35 Oelnasi 23-07-18 GI P0 Uk.45 + 5minggu RS Leona 0002459949928 - - - -
166 Julica Ndu Ufi 35 Noelbaki 23-07-18 G6 Pro-Usg RS Leona 0001960982469 - - - -
167 Putri Nalle 21 Mata Air 23-07-18 Cairan Putih dr Jalan Lahir RS Dedari 0000150084562 - - - -
168 Sebastio Freits 23 Oebelo 23-07-18 OMA RS Siloam 0000851733933 - - - -
169 Ravid WillaKore 21 Penfui Timur 23-07-18 Hernia RS Kartini 0002457514787 - - - -
170 Kornalia Isliko 69 Oelnasi 23-07-18 TBC RSUD Naibonat - SKTM - - -
136 Petronela Doma Rohi 65 Tarus 23-07-18 LBP - - - RS Siloam 0001785342701 - - - -
137 Daniel Doma Rohi 68 Tarus 23-07-18 Gangguan Refraksi Mata - - - RS Siloam 0001785342352 - - - -
138 Nyongsi Feni Tiran 35 Tarus 23-07-18 Trauma Post KLL - - - RS Bhayangkara 0002195239814 - - - -
139 Adherd Mapung 22 Penfui Timur 23-07-18 G2 Pro- USG - - - RSIA Dedari 0002467313302 - - - -
140 Sarah Bessikh 2,6 Tanah Merah 23-07-18 Diare+Dehidrasi Ringan - - - RSUD Naibonat - SKTM - - -
141 Chalfa Foeh 7 Tanah Merah 24-07-18 Open Fraktur Tibia Dextra - - - RS Siloam 0000851618215 - - - -
142 Kosmos Katiole 30 Noelbaki 24-07-18 Zkisofrenia - - - RSUD Prof W Z Yohanes 0001434085474 - - - -
143 Merince Manu Metboki 58 Penfui Timur 24-07-18 Pra Rujukan - - - RS Leona 0000147149122 - - - -
144 Maria Fatima Agamite 37 Noelbaki 24-07-18 G0 P0 A0 + Polip Uterine - - - RSIA Dedari 0000149646137 - - - -
145 Felly Novita Pelondou 32 Noelbaki 24-07-18 G2 P0 A1 uk 40 + 2mgu - - - RS Mamami 0001839378416 - - - -
146 Hilda Laka 19 Mata Air 24-07-18 Konseling - - - RSIA Dedari 0002459138297 - - - -
147 Ardi Yanti Henukh 34 Tanah Merah 24-07-18 G5 P4 A0 Uk 7mgu - - - RS Leona 0001578737992 - - - -
148 FerderikaTaosu 38 Penfui Timur 24-07-18 G4 P3 A0 Pro USG - - - RS Leona 0000149880609 - - - -
149 Yusnama Taopan 34 Noelbaki 24-07-18 Susp.TB - - - RS Wirasakti 0002261711744 - - - -
150 Daud Khikau 47 Tanah Merah 25-07-18 18GR - - - RS Siloam 0002459138297 - - - -
151 Herman Theon 64 Noelbaki 25-07-18 Susp. ISK - - - RSUD Prof W Z Yohanes 0001578737992 - - - -
152 Sarci Notbais 22 Noelbaki 25-07-18 G4 P3 Uk 31+ 2mgu - - - RS Leona 0000149880609 - - - -
153 Yasinta Usfinis 29 Penfui Timur 25-07-18 G2 P0 A1 Uk 35 + 5mgu - - - RS Bhayangkara 0002261711744 - - - -
154 Yosep Jerubu 53 Tarus 26-07-18 Stroke - - - RS Leona 0000150196195 - - - -
155 Yonathan Kause 59 Penfui Timur 26-07-18 LBP - - - RS Leona 0001058971239 - - - -
156 Yance B.Nomleni 52 Noelbaki 26-07-18 Susp. Cocaput - - - RSUD Prof W Z Yohanes 0000851479648 - - - -
157 Frans Foeh 48 Tanah Merah 26-07-18 27Gp - - - RS Bhayangkara 0001058980509 - - - -
158 Agustina Sodok 59 Noelbaki 26-07-18 Gangguan Refraksi Mata - - - RS Kartini 0000147048012 - - - -
159 Petrus Abu 54 Oebelo 27-07-18 Kemasukan Air - - - RSUD Prof W Z Yohanes 0000146975275 - - - -
160 Rosalnia Ika 27 Penfui Timur 27-07-18 G2 P1 A0 Uk 12mgu - - - RS Leona 0001062384827 - - - -
161 Yuliana Giri 68 Noelbaki 30-07-18 Penurunan Visus - - - RS SK Lerik 0000150258544 - - - -
162 Pedro Koni 1 Noelbaki 30-07-18 Susp.TB - - - RS Bhayangkara 0001058966976 - - - -
163 Yacob Padomai 63 Tarus 30-07-18 38 Gpalitus Kaskota - - - RSUD Prof W Z Yohanes 0001058966021 - - - -
164 Alice Lay 45 Noelbaki 30-07-18 Menorhagia + Anemia - - - RS Leona 0002198464277 - - - -
165 Mada Ndun 56 Tarus 30-07-18 Firus Albus - - - RS Leona 0001907947023 - - - -
166 Erni Nggiri 27hr Noelbaki 30-07-18 NidroceleSestorum Dextra - - - RS Leona 0002459203018 - - - -
167 Maryanti Anodah 30 Penfui Timur 30-07-18 G3 P2 A0 Uk 33 + 1mgu - - - RS Leona 0002206377617 - - - -
168 Simon Huwae 46 Noelbaki 30-07-18 Gangguan Refraksi Mata - - - RS Kartini 0002084504292 - - - -
169 Maria Banlai 26 Penfui Timur 30-07-18 G1 P0 Uk 38 + 3mgu - - - RS Leona 0001580930199 - - - -
170 Tania Riwu 4 Tarus 30-07-18 GEA Vomitus - - - RSUD Prof W Z Yohanes - SKTM - - -
171 Yanse Dethan 1 Noelbaki 30-07-18 Vomiting+Diare Ringan - - - RSUD Naibonat - SKTM - - -
172 Selfince Maluhamdia 43 Tarus 31-07-18 Hemaroid - - - RS Leona 0002070956665
173 Eliazer 21 Tarus 31-07-18 Pherigium gr 3 - - - RS SK Lerik UMUM
174 Mariana Mbatu Haning 58 Tanah Merah 31-07-18 DM - - - RS Siloam 0001058978272
175 Fitriani Tolung 28 Tarus 31-07-18 Fibro Adenoha Mammae - - - RS Wirasakti 0000150255483
176 Andi Ufi 36 Mata Air 31-07-18 Pherigium - - - RS Kartini 0002107920003 UMUM
177 Ferdi Lalan 33 Tarus 31-07-18 Conjungtivitis - - - RS Kartini 0001096280155
178 Fidel KingKiuk 3 Noelbaki 31-07-18 SyndromNefrotik - - - RS Bhayangkara UMUM
179 Endang Etik 38 Noelbaki 31-07-18 Asma Bronkial - - - RS Siloam 0002210559546
180 Helena 25 Noelbaki 31-07-18 G2 P1 A0 Uk 38 + 4mgu - - - RS Leona 0000859198386
Mengetahui :
Kepala Puskesmas Tarus
drg.Imelda Sudarmadji
NIP.19750503 200212 2 007
LAPORAN RUJUKAN PUSKESMAS TARUS
BULAN: OKTOBER 2018
RUJUKAN PASIEN
UMUR
NO NAMA PASIEN ALAMAT TANGGAL DIAGNOSA RUJUKAN DARI
DI RUJUK KE RS
L P PUSK PUSTU POLINDES
1 Filpina Mau-n 52 Oelpuan 01/10/2018 Lap (M.54) - - - RS Kartini 0002
2 Soleman Nuban 54 Neolbaki 01/10/2018 nyeri perut kanan (R10) - - - RS Leona 0000
3 Agida Ornai 30 Oebelo 01/10/2018 G3,P2,A0, UK 37+6MGG - - - RS Dedari 0001
4 Filipus Bessie 56 Neolbaki 01/10/2018 nyecensi (I10) - - - RS Leona 0000
5 Natalia Nahak Da Costa 28 Neolbaki 01/10/2018 isk - - - RS SK Lerik 0000
6 abdurahman Indo 44 Tarus 02/10/2018 Gangguan Daya Lihat (H53) - - - RS SK Lerik 0000
7 Salomi Lomi 71 Oebelo 02/10/2018 katarak (H25) - - - RS Kartini 0002
8 Paulo C. Mersquita 48 Tarus 02/10/2018 faringicis (j02) - - - RS Samoel J. Moeda 0000
9 Hari Djami Laba 38 Mata Air 02/10/2018 Celpagia Post Grama Hiperte - - - RS SK Lerik 0000
10 Elisabet Nassa 34 Neolbaki 02/10/2018 G1vP3A0 uk32+0mgg - - - RS Leona 0000
11 Artha Kroon Adoe 53 Mata Air 02/10/2018 Ht emergency + ObsLVH+ Inverded - - - RS Loena 0001
12 Albertus Loway 65 Mata Air 03/10/2018 Gangguan Daya Lihat (H53) - - - RS Kartini 0002
13 Coryota Da Costa 44 Kiuteta 03/10/2018 Susp Isk - - - RS Leona 0001
14 Yulihida Boys 12 Oelmasi 03/10/2018 Susp Apendicitis - - - RS Leona 0000
15 Florida H. Pero 52 Tarus 03/10/2018 Batu Empedu - - - RS Leona 0000
16 Yakomina Boymau 45 Penfui Timur 03/10/2018 SNH - - - RS Leona 0000
17 Ana H. H. Freitas 23 Tarus 04/10/2028 iron deficiency anemia - - - RS Leona 0001
18 Iren Muni Angale 91 Neolbaki 04/102018 Pust Usd + epustaksis (Q 21.0) - - - RS Bhayangkara 0000
19 Martha P. Weo 58 Tarus 04/10/2018 Gangguan Daya Lihat (H53) - - - RS Kartini 0001
20 Irenius Waso 24 Penfui Timur 04/10/2018 Hep. B. CB161 - - - RS SK Lerik 0002
21 Arnolus Klau 70 Mata Air 05/10/2018 Gangguan Daya Lihat (H53) - - - RS SK Lerik 0001
22 Yustinus Timo 38 Penfui Timur 05/10/2018 B20 - - - RSUD Prof. Dr.W.Z.Yohanis 0001
23 Ince Neolaka.M 34 Neolbaki 06/10/2018 Post orik - - - RS Siloam 0001
24 Merlina Sicuneng 27 Neolbaki 06/10/2018 Gangguan Daya Lihat (H53) - - - RS Kartini 0001
25 Octovianus R.W.Dabbo 50 Oesapa 06/10/2018 DM - - - RS Kartini 0001
26 Thomas Anunut 53 Penfui Timur 06/10/2018 Gangguan Daya Lihat (H53) - - - RS Kartini 0001
27 Imelda Hiku 28 Tarus 06/10/2018 infertilitas Perempuan - - - RS Dedari 0000
RUJUKAN PASIEN
UMUR
NO NAMA PASIEN ALAMAT TANGGAL DIAGNOSA RUJUKAN DARI
DI RUJUK KE RS
L P PUSK PUSTU POLINDES
28 Betrix P.M 48 Neolbaki 06/10/2018 nyeri abd - - - RS SK Lerik
29 Charis 35 Mata Air 06/10/2018 vayeurisment cheptomen - - - RSUD Prof. Dr.W.Z.Yohanis 00
30 Sri H. Lakusatai 37 Mata Air 08/10/2018 gangguan Refraksi mata - - - RS Siloam 0000
31 Jems Y. Kadja 26 Mata Air 08/10/2018 Sups TB (BTA Negatif) - - - RSUD Prof. Dr.W.Z.Yohanis 0002
32 Adelina A 63 Oebelo 08/10/2018 Sups TB dd ppok - - - RSUD Prof. Dr.W.Z.Yohanis 0000
33 Imanuel Polly 37 Oebelo 08/10/2018 TB - - - RSUD Prof. Dr.W.Z.Yohanis 0000
34 Christi A. Loiwatu 20 Tarus 08/10/2018 Dispepsia Kronis - - - RS Leona 0000
35 Finolia Bistolan 31 Oelnasi 08/10/2018 G3,P2,A0, UK 42MGG - - - RS Leona 0002
36 Yeni S. Kainan 27 Oebelo 08/10/2018 GIV,PI,AI,UK,29+2mgg - - - RS Leona 0002
37 Sharen E. Vadder Linder 18 Oebelo 09/10/2018 Vulnus laseratuma - - - rs Mamami 0002
38 Maltida N. Dias 30 Mata Air 09/10/2018 Tonsili kronis - - - RSUD Prof. Dr.W.Z.Yohanis 0001
39 Debora P. Spd. 49 Tarus 09/10/2018 Myalgia (M79.1) - - - RS Leona 0000
40 Elisabet M. Santoso 62 Oebelo 09/10/2018 Migrain (G43.) - - - RS SK Lerik 0000
41 Lusiana Dos. Santos 51 Oebelo 09/10/2018 DM (e10) - - - RSUD Naibonat 0000
42 Nonci N. Kale 22 walikota 09/10/2018 chepalgia kromi - - - RS Siloam 0001
43 Rosalina 5 tanah merah 09/10/2018 TBC (sudah selesai pengobatan) - - - RSUD Naibonat 0001
44 Thersia Muian 47 Penfui Timur 10/10/2018 Kista Ovarium (D.27) - - - RS SK Lerik 0001
45 Dorce A. Lay 66 Babau 10/10/2018 katarak (H25) - - - RS Kartini 0000
46 Yuliana K. Oematan 39 Mata Air 10/10/2018 Sups Kista Par ovarium Dispensi - - - RS SK Lerik 0000
47 Martha M. Ari 52 Neolbaki 11/10/2018 Gangguan Daya Lihat (H53) - - - RS Kartini 0000
48 Anika I. Lobati 59 Neolbaki 11/10/2018 M.54 (IBP) - - - RS Leona 0001
49 Anjelica M. Selly 12 Mata Air 11/10/2018 Asma Brongcih + Episteks - - - RS Bhayangkara 0001
50 Sarlince Kiuk 70 Neolbaki 13/10/2018 Lsk (N39) - - - RSUD Prof. Dr.W.Z.Yohanis 0001
51 Thomas Keo 55 Oebelo 13/10/2018 Febris - - - RS SK Lerik 0002
52 Selfince Y.M. Daud 34 Neolbaki 12/10/2018 O.M.A.S Gangguan mosroit dan telinga - - - RS Warasakti 000
52 Adrianus Lusi 52 tanah merah 12/10/2018 Dispepsia Synrom - - - RS Kartini 0000
53 Maljeliat Selly Dethan 64 Mata Air 13/10/2018 Gangguan Daya Lihat (H53) - - - RS Kartini 0000
54 Lazarus E. Tkafun 19 Oebelo 13/10/2018 OTT. Malia dan gangguan mostroit - - - RS Leona 0002
55 Devi R Bria 15 tanah merah 13/10/2018 G1,P0,A0, unk, 30 mngg dengan Anemia - - - RSUD Prof. Dr.W.Z.Yohanis 0002
RUJUKAN PASIEN
UMUR
NO NAMA PASIEN ALAMAT TANGGAL DIAGNOSA RUJUKAN DARI
DI RUJUK KE RS
L P PUSK PUSTU POLINDES
56 Stevania A. lodia PA 60 Neolbaki 15/10/2018 Soft Tissue Tumor Poit femun sinestra - - - RSUD Prof. Dr.W.Z.Yohanis 0001
57 Norlana L. Gasperd 37 Penfui Timur 15/10/2018 DM (e10) - - - RSJ Naimata 0002
58 Adriana T. Boyt 60 Tarus 15/10/2018 Sch 12 Oprenia - - - RS Angkatan laut 0001
59 Ladjamudin Hibu 50 Penfui Timur 15/10/2018 PPOk - - - RSUD Naibonat
60 Afliana M. Objidje 67 Neolbaki 15/10/2018 Rft Kusta (1CDx.4.30) - - - RSUD Naibonat 0001
61 Saul Chornelis Lake 50 Mata Air 15/10/2018 Post TB - - - RSUD Bhayakara 0001
62 David Kamengan 55 Neolbaki 15/10/2018 Gangguan Daya Lihat (H53) - - - RS Kartini 0000
63 Djentik Matara 58 Penfui Timur 15/10/2018 orteartritis (Mingg) - - - RS Warasakti 0000
64 Alexander Padji 23 Penfui Timur 15/10/2018 gagal Ginjal Kronik (N19) - - - RS Leona
65 Angela M. S. Muda 35 Oebelo 15/10/2018 Obs Hemaptoe dd/sups TB Paru - - - RS Kartini 0000
66 Dince Y. S. Giri 65 Neolbaki 15/10/2018 Gv, Piv,A0, uk 29+5 mgg - - - RS Leona 0001
67 Laucantdus Maran 50 Neolbaki 15/10/2018 Stroke (L64) - - - RS SK Lerik 0000
68 Mire Bio Acong 20 Neolbaki 15/10/2018 KR - - - RSUD Prof. Dr.W.Z.Yohanis 0000
69 Chistan Ndun 68 Oelpuan 15/10/2018 GII,PI,AO,AH, I uk 36+4 mngg - - - RS Leona 0000
70 Elisabeth H. Tahu 43 Neolbaki 15/10/2018 Propaps - - - RS Bhayangkara 0002
71 Debora B. A. Loe 64 Neolbaki 16/10/2018 Abdominal Paint (R!0) - - - RS SK Lerik 0000
72 Matias Nunuhitu Sip 43 tanah merah 16/10/2018 Stroke (L64) - - - RS Leona
73 Marsiana Manafe 24 Penfui Timur 16/10/2018 38 GR - - - RSUD Prof. Dr.W.Z.Yohanis 0001
74 Rovic F.W. Kore 42 Penfui Timur 16/10/2018 Post Op Hernia - - - RS Warasakti 0002
75 Erlin Ritongan 49 Penfui Timur 16/10/2018 Manorgi (N920.1) - - - RS Leona 0000
76 Modesto T. Tahuk 23 Mata Air 17/10/2018 gangguan daya Lihat (H53) - - - RS Kartini 0001
77 Maria Elfina C. Muit 84 Penfui Timur 17/10/2018 Dengan Anemia - - - RS Leona 0002
78 Paulus Pingak 33 Penfui Timur 17/10/2018 abses Kronis (L.02) - - - RS SK Lerik 0001
79 Merianti A. Talaen 9 Tarus 17/10/2018 Byur 33 hari - - - RS Leona 0002
80 Frans I. Koenan 83 Mata Air 17/10/2018 PPOk - - - RS SK Lerik 0001
81 Yohanis Fallo 52 Neolbaki 17/10/2018 Gangguan Daya Lihat (H53) - - - RS Leona 0001
82 Hendrikus Leora 23 Tarus 18/10/2018 Chas Pain (R07.4) - - - RS Leona 0000
83 Jeni F. Saba 42 Neolbaki 18/10/2018 Hipertiroid - - - RS Leona 0000
84 Helena H. Laju 19 Tarus 18/10/2018 Dislipideam - - - RS Leona 0000
RUJUKAN PASIEN
UMUR
NO NAMA PASIEN ALAMAT TANGGAL DIAGNOSA RUJUKAN DARI
DI RUJUK KE RS
L P PUSK PUSTU POLINDES
85 Sarvat Beru 3 Neolbaki 18/10/2018 Pilip Nisi - - - RS Leona 0001
86 Grace F. Loba 66 Penfui Timur 18/10/2018 Gangguan R kencing (R26.8) - - - RS Leona 0001
87 Amelia Dethan 27 Neolbaki 19/10/2018 Propaps Uteri (N81) - - - RS Leona 0001
88 Anita R. Dethan 54 tanah merah 20/10/2018 G2,P1,A0 33x6 mngg - - - RS Bhayangkara 0001
89 Didimus Bajo 58 Neolbaki 20/10/2018 AbcesKopala(L02.8) - - - RS Bhayangkara
90 Karolina W. Rihu 40 Tarus 22/10/2018 Hipertiroid (E05.9) - - - RS Leona 0001
91 Anita Merukh 48 tanah merah 22/10/2018 colikag Domen - - - RS Kartini 0000
92 Panlo 56 Tarus 22/10/2018 Abcel(L02.9) - - - RS SK Lerik 0000
93 Yosep Lembo 21 Tarus 22/10/2018 Asma Brongcih (J45.9) - - - RS Leona 0000
94 Mario N Faat 33 Penfui Timur 22/10/2018 G1,P0,A0, uk, 29+6mngg (o80) - - - RS Dedari 0000
95 Oriana 66 Oelpuan 22/10/2018 G3,P2,A0,AH,2 UK,37+34(o.80) - - - RS Kartini 0000
96 Simon P. Manu 59 Oelnasi 22/10/2018 Gangguan Daya Lihat (H53) - - - RS Kartini 0000
97 Merry Sariji 8 Penfui Timur 23/10/2018 Gangguan Daya Lihat (H53) - - - RS Leona 000
98 rali Ndolu 35 Neolbaki 23/10/2018 gangguan daya dengar - - - RS Leona 0000
99 astdawi Isliko 31 Neolbaki 23/10/2018 ISK(N39.0) - - - RS Dedari 0002
100 Enny Dethan 29 Oelpuan 23/10/2018 GII,PI,AO,AH, I uk 35+3 mngg - - - RS Siloam 0000
101 maria Hoes 21 Mata Air 24/10/2018 Ashnar br - - - RS Bhayangkara 0000
102 Elkana Labati 83 Mata Air 24/10/2018 Abdominal Paint (R!0) - - - RS Leona 0002
103 Ester Y. Dite 75 Penfui Timur 24/10/2018 BPH(N10) - - - RS Leona 0000
104 Yuliana Tahik 71 Penfui Timur 25/10/2018 Stroke (L64) - - - RS Leona
105 Fransisko waran 11 tanah merah 25/10/2018 Nyapati - - - RS Leona 0000
106 Martha Anita 25 oesusu 25/10/2018 G2,P1,A0,0.Ahl ak+3 - - - RS Leona 0001
107 Sarci M. Sakan 55 Tablolong 25/10/2018 G5,P4,A0,AH,29(o80) - - - RS SK Lerik 0002
108 Rany O. Toto 18 Mata Air 25/10/2018 Gangguan Daya Lihat (H53) - - - RS Kartini 0002
109 Karharina Mbani 31 tanah merah 25/10/2018 G3,P2,A0,AH,21UK,34+34 - - - RS Leona 0002
110 Yuliana Oematan 40 Oebelo 25/10/2018 Tumor Mio Mauteri - - - RS Leona 0002
111 Apriana Mbatu 27 Oebelo 25/10/2018 Ledar Buek Rain - - - RS Dedari 0001
112 Welly A.S. Boy 47 Mata Air 26/10/2018 IVFDRL 10+PP Krem - - - RS Kartini 0000
113 Imanuel Tulan 35 Oebelo 26/10/2018 Gangguan Dafrakli - - - RS Leona 0001
RUJUKAN PASIEN
UMUR
NO NAMA PASIEN ALAMAT TANGGAL DIAGNOSA RUJUKAN DARI
DI RUJUK KE RS
L P PUSK PUSTU POLINDES
114 Modesta Tanesi 26 Mata Air 26/10/2018 Kie Proy RKNI - - - RSUD Prof. Dr.W.Z.Yohanis 0002
115 Yakub Sabaat 63 Penfui Timur 26/10/2018 Tumor Abdormen Malgia - - - RS Kartini 0002
116 Maddalena Nduufi 59 Mata Air 27/10/2018 Tumor Mata (69) - - - RS SK Lerik
117 Yuliana 31 Neolbaki 27/10/2018 Cti Polgia - - - RS Bhayangkara 0007
118 Adam Sino 65 Tarus 27/10/2018 HHD(K43,9) - - - RS Siloam 0001
119 Mariano 5 Penfui Timur 29/10/2018 Tinae - - - RS Leona 0002
120 Rifa M. Lasa Huru 32 Tarus 29/10/2018 Abtonian Rain - - - RS Leona 0001
121 Nelwati 39 Tarus 29/10/2018 Hepatitis - - - RS Leona 0001
121 Anaci K. Kase 44 Tarus 29/10/2018 36 Gp (Ko41) - - - RS SK Lerik 0000
122 Isabel Da Costa 73 Mata Air 29/10/2018 Dispepsia(k30) - - - RS Leona 000
123 Joni Nggalauama 40 Oebelo 29/10/2018 Post TB(A.150) - - - RS Bhayangkara 000
124 Yohana M. Tallo 63 Oelnasi 29/10/2018 gangguan daya lihat (H53) - - - RS SK Lerik 0001
125 Kritiana Kenat 32 Neolbaki 30/10/2018 GII,P,A0,37 mgg(o80) - - - RS Bhayangkara 0002
126 Natalia Bria 22 Neolbaki 30/10/2018 GII,PI,A0,uk,9+2mgg(o80) - - - RS Leona 0002
127 Isaura T. Guteries 20 Neolbaki 30/10/2018 GII,PI,A0,AH,uk,32+2mgg(o80) - - - RS Leona 0000
128 Fitria Nuraini 30 Oebelo 30/10/2018 GV, PI,A0,AH, uk 36 mgg(o80) - - - RS Dedari 0002
129 Marlyn V. Y. Kon 35 Mata Air 30/10/2018 Post TB(A.150) - - - RS Loena 0000
130 Lusia Da Costa 73 Oebelo 30/10/2018 LBP,isctiolgia(M54) - - - RS Bhayangkara 0001
131 Dor F. Kana 50 Tarus 31/10/2018 RA (M06.9) - - - RS Kartini 0001
132 Carlos J. Hege 41 Penfui Timur 31/10/2018 Apendielis(K37) - - - RS Bhayangkara 0000
Mengetahui : Tarus, 0
Kepala Puskesmas Tarus Yang M
10
JKM
4 UMUM
JK3
KETERANGAN GAWAT DARURAT
RUJUKAN BIASA
2
0
TYang
arus.Melapor
Kepala
Mengetahui
drg.Imelda
Puskesmas
: Sudarmadji
Tarus NIP.197505032002122007
12
10
JKM
4 UMUM
JK3
KETERANGAN GAWAT DARURAT
RUJUKAN BIASA
2
0
TYang
arus.Melapor
Kepala
Mengetahui
drg.Imelda
Puskesmas
: Sudarmadji
Tarus NIP.197505032002122007
12
10
JKM
4 UMUM
JK3
KETERANGAN GAWAT DARURAT
RUJUKAN BIASA
2
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TYang
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Mengetahui
drg.Imelda
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Tarus NIP.197505032002122007
12
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KETERANGAN GAWAT DARURAT
RUJUKAN BIASA
2
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TYang
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Tarus NIP.197505032002122007
12
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KETERANGAN GAWAT DARURAT
RUJUKAN BIASA
2
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TYang
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Tarus NIP.197505032002122007
12
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KETERANGAN GAWAT DARURAT
RUJUKAN BIASA
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Mengetahui
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Tarus NIP.197505032002122007
12
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KETERANGAN GAWAT DARURAT
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Tarus NIP.197505032002122007
12
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KETERANGAN GAWAT DARURAT
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Tarus NIP.197505032002122007
12
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KETERANGAN GAWAT DARURAT
RUJUKAN BIASA
2
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Mengetahui
drg.Imelda
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Tarus NIP.197505032002122007
12
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KETERANGAN GAWAT DARURAT
RUJUKAN BIASA
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KETERANGAN GAWAT DARURAT
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Tarus NIP.197505032002122007
12
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KETERANGAN GAWAT DARURAT
RUJUKAN BIASA
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Mengetahui
drg.Imelda
Puskesmas
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Tarus NIP.197505032002122007
12
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KETERANGAN GAWAT DARURAT
RUJUKAN BIASA
2
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TYang
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Mengetahui
drg.Imelda
Puskesmas
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Tarus NIP.197505032002122007
12
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KETERANGAN GAWAT DARURAT
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Tarus NIP.197505032002122007
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KETERANGAN GAWAT DARURAT
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Tarus NIP.197505032002122007
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KETERANGAN GAWAT DARURAT
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Tarus NIP.197505032002122007
12
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KETERANGAN GAWAT DARURAT
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Tarus NIP.197505032002122007
12
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KETERANGAN GAWAT DARURAT
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Mengetahui
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Tarus NIP.197505032002122007
12
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KETERANGAN GAWAT DARURAT
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Tarus NIP.197505032002122007
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KETERANGAN GAWAT DARURAT
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Tarus NIP.197505032002122007
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KETERANGAN GAWAT DARURAT
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Tarus NIP.197505032002122007
12
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KETERANGAN GAWAT DARURAT
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2
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Mengetahui
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Puskesmas
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Tarus NIP.197505032002122007
12
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KETERANGAN GAWAT DARURAT
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TYang
arus.Melapor
Kepala
Mengetahui
drg.Imelda
Puskesmas
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Tarus NIP.197505032002122007
LAPORAN RUJUKAN PU
BULAN
UMUR
NO NAMA PASIEN ALAMAT TANGGAL DIAGNOSA
RUJUKAN DARI
POLIND
L P PUSK PUSTU ES
Mengetahui :
Kepala Puskesmas Tarus
drg.Imelda Sudarmadji
NIP.197505032002122007
RUJUKAN PUSKESMAS TARUS
BULAN:
RUJUKAN
BIASA